59H-1.015. Administrative Hearings, Applicant's Rights and Responsibilities  


Effective on Thursday, August 25, 2016
  • 1(1) The hospital may appeal any decision made by the certifying agency concerning an applicant’s eligibility under the Act. A fair hearing shall be conducted in accordance with Chapter 120, F.S.

    32(2) Applicants or designated representatives are responsible for keeping appointments as required by the certifying agency, assuming the responsibility to assist in the determination of eligibility and providing the certifying agency with sources of information, documentation and verification concerning the individual’s affairs related to the eligibility determination. Failure to do so shall result in a rejection of the application.

    91(3) An applicant or designated representative of the applicant assumes the responsibility for providing accurate information on which to determine eligibility. If the applicant or designated representative does not provide required verifications or information by the deadline date specified in Rule 13259H-1.008, 133F.A.C, the application will be denied.

    139(4) The applicant is responsible to repay any amount paid on the applicant’s behalf if it is later determined that fraud was committed or intentionally incorrect information was provided by the applicant or designated representative that resulted in an inappropriate eligibility determination.

    181Rulemaking Authority 183154.3105 FS. 185Law Implemented 187154.312 FS. 189History–New 3-29-89, Formerly 10C-26.015, Amended 8-25-16.

     

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