12-003476MPI Agency For Health Care Administration vs. Marydale, Inc., D/B/A Maryland Manor Alf Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Wednesday, November 21, 2012.

rSTATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION ZQ~~ SFO

STATE OF FLORIDA, AGENCY FOR

HEALTH CARE ADMINISTRATION,

Petitioner,

VS. Case No. 12- 3476MPI

140565900

MARYDALE, INC. d/ a b/ MARYLAND 13- 000 0253-

MANOR ALF,

RENDITION NO.: AHCA-: 13- Z, 6 S- MDO

Respondent.

FINAL ORDER

THE PARTIES resolved all disputed issues and executed a

Settlement Agreement. The parties are directed to comply with

the terms of the attached settlement agreement, attached as

Exhibit " A." Based on the foregoing, this file is CLOSED.

DONE and ORDERED on this the day of

2013, in Tallahassee, Florida.

ABE TH D EK, SECRE Y

0ggen cy for Healt Care dministration

A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED

TO A JUDICIAL REVIEW WHICH SHALL BE INSTITUTED BY FILING ONE COPY

OF A NOTICE OF APPEAL WITH THE AGENCY CLERK OF AHCA, AND A SECOND

COPY ALONG WITH FILING FEE AS PRESCRIBED BY LAW, WITH THE

DISTRICT COURT OF APPEAL IN THE APPELLATE DISTRICT WHERE THE

AGENCY MAINTAINS ITS HEADQUARTERS OR WHERE A PARTY RESIDES.

REVIEW PROCEEDINGS SHALL BE CONDUCTED IN ACCORDANCE WITH THE

FLORIDA APPELLATE RULES. THE NOTICE OF APPEAL MUST BE FILED

WITHIN 30 DAYS OF RENDITION OF THE ORDER TO BE REVIEWED.

Copies furnished to:

Laurie Regan Agency for Health Care

AHCA Investigator Administration

Medicaid Program Integrity Bureau of Finance and

2727 Mahan Drive, MS# 6 Accounting

Tallahassee, Florida 32308 2727 Mahan Drive

VIA Interoffice Mail) Building 2, Mail Station 14

Tallahassee, Florida 32308

Interoffice Mail)

Corinne T. Porcher, Esquire Rick Zenuch, Bureau Chief

Timothy B. Elliott, Esquire Medicaid Program Integrity

Geoffrey D. Smith, Esquire 2727 Mahan Drive

Smith and Associates Building 2, Mail Station 6

2834 Remington Green Circle Tallahassee, Florida 32308

Suite 201 Interoffice Mail)

Tallahassee, Florida 32308

VIA US MAIL)

Bureau of Health Quality

Shena Grantham, Esquire Assurance

Agency for Health Care 2727 Mahan Drive, Mail Stop 9

Administration Tallahassee, Florida 32308

2727 Mahan Drive, MS# 3 Interoffice Mail)

Tallahassee, Florida 32308

Via Interoffice Mail)

Division of Administrative

Eric Miller, Inspector General Hearings

Medicaid Program Integrity The Desoto Building

2727 Mahan Drive 1230 Apalachee Parkway

Building 2, Mail Station 6 Tallahassee, U. S. Florida 32399- 3060

Tallahassee, Florida 32308 Via Mail)

Interoffice Mail)

CERTIFICATE OF SERVICE

I HEREBY CERTIFY that a true and correct copy of the

foregoing has been furnished to the above named addressees by

U. S. Mail on this the ~ ay of 2013.

Richard cop, Esquire

Agency Clerk

State of Florida

Agency for Health Care Administration

2727 Mahan Drive, Building # 3

Tallahassee, Florida 32308- 5403