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16-004410MPI Agency For Health Care Administration vs. Adventist Health Sys./Sunbelt, Inc., D/B/A Florida Hospital Orlando
 Status: Closed
Settled and/or Dismissed prior to entry of RO/FO on Friday, February 21, 2020.

View Dockets  

1STATE OF FLORIDA

4AGENCY FOR HEALTH CARE ADMINISTRATION til L- lIC Y CLERK

142920 APR 2q A $ 4

20STATE OF FLORIDA, AGENCY FOR

25HEALTH CARE ADMINISTRATION, DOAH CASE NO.: 16- 4410MPI

33MPI CASE NO.: 2015- 0001957

38Petitioner, C. I. NO.: 13- 0068- 000

45PROVIDER NO.: 010129001

48vs. NPI NO.: 1306938071

52LICENSE NO.: 4369

55ADVENTIST HEALTH SYS. / SUNBELT,

60INC. DBA FLORIDA HOSPITAL

64ORLANDO,*

66Respondent.

67FINAL ORDER

69THIS CAUSE comes before the AGENCY FOR HEALTH CARE ADMINISTRATION ( the

81Agency") for entry of a Final Order.

89This matter concerns a Final Audit Report (" FAR") dated January 22, 2015 ( Exhibit " A"),

107notifying the Respondent, ADVENTIST HEALTH SYS./ SUNBELT, INC. DBA FLORIDA HOSPITAL

118ORLANDO * ( PROVIDER), which alleged that AHCA overpaid Respondent for certain services rendered

132to Medicaid eligible undocumented aliens. ( FAR attached " Exhibit A")

1432. On February 11, 2015, PROVIDER filed a Petition for Formal Hearing.

1553. On August 16, 2017, a Sue ( sic) Sponte Order Closing File and Relinquishing

170Jurisdiction was issued by the Division of Administrative Hearings ( DOAH) pending the litigation

184of Lee Memorial Health System Gulf Coast Medical Center v. Agency for Health Care Administration,

199DOAH Case No. 15- 3876, First District Court of Appeal Case No. 1D16- 1969 (" Gulf Coast"), AHCA v.

219Lee Memorial Health System d/ b/ a Lee Memorial Hospital, Case No. 14- 4171MP1 & 15- 3271MPI, First

237Agency for Health Care Administration vs. Adventist Health Sys./ Sunbelt, Inc., dba Florida Hospital Orlando

252DOAH Case No.: 16- 441OMPI MPI Case No.: 2015- 0001957 C. I. No.: 13- 0068- 000

268Provider No.: 010129001 NPI No.: 1306938071 License No.: 4369)

277Final Order

279Page 1 of 4

283DCA No. JD16-3975 (Lee Memorial) and AHCA v. Cape Memorial Hospital, Inc. d/b/a Cape Coral

298Hospital, Case No. 14-3606MPI, First DCA No. JDJ6-5310 (Cape Memorial).

3084. On February 27, 2019, the First District Court of Appeal issued its Opinion in the cases

325mentioned above.

3275. On January 20, 2020, the Agency filed a Notice of Voluntary Dismissal (Exhibit "B") of

344the case.

346It is therefore ORDERED and ADJUDGED:

3521. The FAR dated January 22, 2015, is hereby vacated.

3622. The Agency agrees that Respondent is eligible for and may seek a refund of all

378amounts previously recouped by the Agency with regard to the FAR that is the subject of this

395matter. The total amount recouped by the Agency to date is $1,010,614.36. Within 60 days of the

414Final Order, Financial Services shall prepare the refund application and mail it to the Provider.

429Once an originally signed, complete, and correct application is received at the Agency, Mail Stop

444#14, Financial Services shall process the application for refund.

453Based on the foregoing, this file is CLOSED.

461DONE and ORDERED on this the of 4pd , 2020, in Tallahassee, Leon

473County, Florida.

475*Current provider DBA is Florida Hospital.

481Agency for Health Care Administration vs. Adventist Health Sys./Sunbelt, Inc., dba Florida Hospital Orlando *

496(DOAH Case No.: 16-4410MP1 MPl Case No.: 2015-0001957 C. I. No.: 13-0068-000

508Provider No.: 010129001 NPI No.: 1306938071 License No.: 4369)

517Final Order

519Page 2 of4

522A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO A

536JUDICIAL REVIEW WHICH SHALL BE INSTITUTED BY FILING ONE COPY OF A NOTICE

549OF APPEAL WITH THE AGENCY CLERK OF AHCA, AND A SECOND COPY ALONG WITH

563FILING FEE AS PRESCRIBED BYLAW, WITH THE DISTRICT COURT OF APPEAL IN THE

576APPELLATE DISTRICT WHERE THE AGENCY MAINTAINS ITS HEADQUARTERS OR

585WHERE A PARTY RESIDES. REVIEW PROCEEDINGS SHALL BE CONDUCTED IN

595ACCORDANCE WITH THE FLORIDA APPELLATE RULES. THE NOTICE OF APPEAL

605MUST BE FILED WITHIN 30 DAYS OF RENDITION OF THE ORDER TO BE REVIEWED.

619Copies furnished to:

622Adventist Health Sys./Sunbelt, Inc. John Buchanan, Esquire

629DBA Florida Hospital Orlando * Attorney for Provider

637900 Winderley Place, Suite 2100 jbuchanan(a sbtrial.com

644Maitland, FL 32751-4191 (Electronic Mail)

649(U.S. Mail)

651Bureau of Financial Services

655Division of Health Quality Assurance (Electronic Mail)

662Bureau of Health Facility Regulation Shena L. Grantham, Esquire

671BHFR(uahca.myllorida.com MAL & MPI Chief Counsel

677(Electronic Mail) (Electronic Mail)

681Division of Health Quality Assurance Stefan R. Grow, Esquire

690Bureau of Central Services General Counsel

696CSMU-86!a ahca.nD'llorida.com (Electronic Mail)

700(Electronic Mail)

702Kelly Bennett, Chief, MPI Joseph Medicaid G. Admin. Hem, Jr., Litigation Esquire Counsel

715(Electronic Mail) (Electronic Mail)

719Agency for Health Care Administration vs. Adventist Health Sys./Sunbelt, Inc., dba Florida Hospital Orlando *

734(OOAH Case No.: 16-4410MPI MPI Case No.: 2015-0001957 C.l. No.: 13-0068-000

745ProviderNo.:Ol0129001 NPINo.: 1306938071 LicenseNo.: 4369)

750Final Order

752Page 3 of4

755CERTIFICATE OF SERVICE

758I HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished to the above

776named addressees by U.S. Mail or other designated method on this , 2020.

788Richar oop,

790Agency Clerk

792State of Florida

795Agency for Health Care Administration

8002727 Mahan Drive, MS #3

805Tallahassee, Florida 32308-5403

808(850) 412-3689/FAX (850) 921-0158

812Agency for Health Care Administration vs. Adventist Health Sys./Sunbelt, Inc., dba Florida Hospital Orlando *

827(DOAH Case No.: 16-4410MPI MPI Case No.: 2015-0001957 C. I. No.: 13-0068-000

839Provider No.: 01012900 I NPI No.: 1306938071 License No.: 4369)

849Final Order

851Page 4 of4

Dockets
Select the PDF icon to view the document.
PDF
Date
Proceedings
PDF:
Date: 05/13/2020
Proceedings: Agency Final Order filed.
PDF:
Date: 04/29/2020
Proceedings: Agency Final Order
PDF:
Date: 04/28/2020
Proceedings: Respondent's Response to Petitioner's Motion to Dismiss Proceedings in the Division of Administrative Hearings filed.
PDF:
Date: 02/21/2020
Proceedings: Order Closing File and Denying Motion for Reassignment of An Administrative Law Judge. CASE CLOSED.
PDF:
Date: 02/14/2020
Proceedings: Response to Respondent's Motion for Reassignment to an Administrative Law Judge filed.
PDF:
Date: 02/11/2020
Proceedings: Order Granting Extension of Time.
PDF:
Date: 02/07/2020
Proceedings: Petitioner's Motion to Strike and/or for Extension of Time to Respond filed.
PDF:
Date: 01/31/2020
Proceedings: Adventist Health System/Sunbelt, Inc., Florida Hospital Orlando's Motion for Reassignment of an Administrative Law Judge filed.
PDF:
Date: 08/16/2017
Proceedings: Amended Sua Sponte Order Closing File and Relinquishing Jurisdiction Without Prejudice.
PDF:
Date: 08/16/2017
Proceedings: Sue Sponte Order Closing File and Relinquishing Jurisdiction Without Prejudice. CASE CLOSED.
PDF:
Date: 08/08/2017
Proceedings: Order Rescheduling Hearing by Video Teleconference (hearing set for March 5 and 6, 2018; 9:30 a.m.; Orlando and Tallahassee, FL).
PDF:
Date: 08/03/2017
Proceedings: Joint Status Report filed.
PDF:
Date: 06/06/2017
Proceedings: Notice of Unavailability of Counsel filed.
PDF:
Date: 06/05/2017
Proceedings: Order Continuing Case in Abeyance (parties to advise status by August 7, 2017).
PDF:
Date: 05/23/2017
Proceedings: Joint Status Report filed.
PDF:
Date: 03/20/2017
Proceedings: Order Canceling Hearing and Placing Case in Abeyance (parties to advise status by June 1, 2017).
PDF:
Date: 03/16/2017
Proceedings: Notice of Appearance (Kristal Beharry) filed.
PDF:
Date: 03/16/2017
Proceedings: Petitioner's Response to Respondent's Motion to Stay Proceedings filed.
PDF:
Date: 03/14/2017
Proceedings: Respondent's Motion to Stay Proceedings filed.
PDF:
Date: 03/10/2017
Proceedings: Petitioner's Response to Respondent's First Request to Produce filed.
PDF:
Date: 03/10/2017
Proceedings: Notice of Providing Answers to Respondent's First Set of Interrogatories filed.
PDF:
Date: 03/03/2017
Proceedings: Amended Notice of Service of First Interrogatories & First Request for Production of Documents filed.
PDF:
Date: 02/09/2017
Proceedings: Respondent's First Request to Produce filed.
PDF:
Date: 02/09/2017
Proceedings: Respondent Adventist Health Sys./Sunbelt, Inc. d/b/a Florida Hospital Orlando's Notice of Filing First Set of Interrogatories to Petitioner Agency for Health Care Administration filed.
PDF:
Date: 10/27/2016
Proceedings: Order of Pre-hearing Instructions.
PDF:
Date: 10/27/2016
Proceedings: Notice of Hearing (hearing set for May 3 through 5, 2017; 9:00 a.m.; Tallahassee, FL).
PDF:
Date: 10/13/2016
Proceedings: Respondent's Status Report filed.
PDF:
Date: 10/12/2016
Proceedings: Petitioner's Status Report filed.
PDF:
Date: 08/03/2016
Proceedings: Order Reopening File. CASE REOPENED.
PDF:
Date: 08/03/2016
Proceedings: Order Placing Case in Abeyance (parties to advise status by October 14, 2016).
PDF:
Date: 07/29/2016
Proceedings: Notice of Appearance (Joseph Gardner).
PDF:
Date: 07/27/2016
Proceedings: Respondent's Response in Opposition to Petitioner's Motion to Re-Open File filed.
PDF:
Date: 07/21/2016
Proceedings: Petitioner's Motion to Re-open File filed. (FORMERLY DOAH CASE NO. 15-1788MPI)
PDF:
Date: 07/12/2016
Proceedings: Notice of Substitution of Counsel (Joseph Hern) filed.
PDF:
Date: 05/15/2015
Proceedings: (Respondent's) Notice of Unavailibility filed.
PDF:
Date: 04/03/2015
Proceedings: Order Closing File and Relinquishing Jurisdiction.
PDF:
Date: 04/02/2015
Proceedings: Notice of Related Case and Agreed Motion for DOAH to Place Case in Abeyance or, in the Alternative, to Remand Case Back to AHCA filed.
PDF:
Date: 04/02/2015
Proceedings: Initial Order.
Date: 04/01/2015
Proceedings: Final Audit Report filed. (not available for viewing)  Confidential document; not available for viewing.
PDF:
Date: 04/01/2015
Proceedings: Petition for Formal Hearing Pursuant to 120.569 and 120.57(1), Fla. Stat., and Rule 28-106.201, F.A.C. by Petitioner Florida Hospital Orlando filed.
PDF:
Date: 04/01/2015
Proceedings: Notice (of Agency referral) filed.
PDF:
Date: 04/01/2015
Proceedings: Agency referral (request case be sealed) filed.

Case Information

Judge:
LINZIE F. BOGAN
Date Filed:
08/03/2016
Date Assignment:
08/03/2016
Last Docket Entry:
05/13/2020
Location:
Orlando, Florida
District:
Middle
Agency:
Other
Suffix:
MPI
 

Counsels

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