MEDICAID (See Also DECLARATORY STATEMENTS)
Community Mental Health Service Provider --
AHCA Regulates Provider Agreement/HRS Licenses the Centers, IAS_I-3678-001.
Provider Status Terminated, IAS_I-3679-005.
Recoupment of Overpayment, IAS_I-3680-001.
Requisite Contracts With HRS Discussed, IAS_I-3681-004.
Termination of Provider Agreement Upheld, IAS_I-3682-002.
Constitutional Challenge to 1994 Statutory Amendments Regarding Third Party Liability --
Abrogation of Affirmative Defenses By Statute Found Constitutional, IAS_I-3683-001.
Circuit Court Declares Portion of Unconstitutional, IAS_I-3684-001.
Legislative History Regarding Third Party Recovery Examined In Detail, IAS_I-3685-001.
Market/Share Joint & Severable Liability Examined, IAS_I-3686-001.
Probative Value of Statistical Evidence Delineated By Statute Upheld, IAS_I-3687-001.
Supreme Court Declares Portion of Unconstitutional, IAS_I-3688-001.
Tobacco-Only Mandate of Governor Discussed, IAS_I-3689-001.
Dentist --
Adult Adjustments --
Denture Adjustments & Relines, IAS_I-3690-001.
Overpayment, IAS_I-3691-001.
Diagnostic Lab --
Services Improperly Billed As Physician Services, IAS_I-3692-001.
HRS (See Also Health Care Administration) --
Authority to Bring Civil Suit Found Lacking --
§120 Found to Constitute Exclusive Remedy, IAS_I-3693-001.
Authority to Withhold Reimbursement Pending An Investigation Exhaustively Explored, IAS_I-3694-001.
Cannot Be Held Liable For "Damages" Under §120, IAS_I-3695-001.
Duty to Report Allegedly Criminal Conduct to Auditor General Examined, IAS_I-3696-001.
Federal Litigation -- Parallel -- Found Not Controlling, IAS_I-3697-001.
Federal Preemption Examined, IAS_I-3698-001.
Reimbursement Procedures Examined, IAS_I-3699-001.
Reimbursement Rates -- 1989-90 Freeze On Assailed, IAS_I-3700-001.
Health Care Administration, Agency For (AHCA) (See Also DECLARATORY STATEMENTS; HRS) --
§403.913 Demands For Provider Records Examined, IAS_I-3701-001.
Applicable Rules & Medicaid Handbook Must Be Read In Para Materia, IAS_I-3702-001.
Authority to Withhold Reimbursement Pending An Investigation Exhaustively Explored, IAS_I-3703-001.
Confidentiality of "Any Identifying Information" In the Context of An Investigation --
Includes Identity of An HMO, IAS_I-3704-001.
Fine Imposed For Failure to Produce Records Requested Pursuant to §403.913 Reversed, IAS_I-3705-001.
Has the Burden of Proof By a Preponderance of the Evidence, IAS_I-3706-005.
Has the Burden of Proof, IAS_I-3707-003.
Mechanics of the Program Examined, IAS_I-3708-001.
Health Maintenance Organization (HMO) --
Challenge to Termination of Contract --
Circuit Court Denial of Change to Venue to Leon County Reversed, IAS_I-3709-001.
Home Health Agency --
Billing For Services Allegedly Not Provided, IAS_I-3710-001.
Homebound Defined, IAS_I-3711-001.
Reimbursement Withheld Due to Evidence of Fraud or Misrepresentation, IAS_I-3712-001.
Reinstatement of Provider Status Denied --
False Billing For Unperformed Services, IAS_I-3713-001.
Home Health Services --
Defined & Discussed, IAS_I-3714-001.
Hospital --
Challenge to Five (5) Claims, IAS_I-3715-001.
Denial of Claim For Failure to Submit Patient's Medicaid Number Reversed, IAS_I-3716-001.
Improper Claims For Physician Services, IAS_I-3717-001.
Medical Necessity --
Admission Found Medically Necessary, IAS_I-3718-001.
Claims Denied as Not Medically Necessary -- Determination of Foundation For Health Care (PRO) Inc., IAS_I-3719-002.
Provider Has the Burden of Proof By a Preponderance of the Evidence, IAS_I-3720-001.
Recoupment of Overpayment, IAS_I-3721-001.
Suit For Consolidated Hospital License to Make Specialty Psychiatric Facility Eligible, IAS_I-3722-001.
Unpaid Revenue Assessments --
Authority of HRS to Withhold Medicaid Payments to Offset Unpaid Assessments, IAS_I-3723-001.
Change In Hospital Ownership, IAS_I-3724-001.
Intermediate Care Facility --
Audit Adjustments --
Negative, IAS_I-3725-001.
Retroactive, IAS_I-3726-001.
Legislative 1992 Reduction of Prescription Drug Services Discussed, IAS_I-3727-001.
Legislative Appropriations Are Only Valid For the Term of the Pertinent Fiscal Year, IAS_I-3728-001.
Legislative Fee Cap -- §16, Chapter 92-178, Laws of Florida --
Declared Unconstitutional Due to a Defective Title, IAS_I-3729-001.
Medical Assistance Funds --
Agency Claim For Recoupment Reversed, IAS_I-3730-001.
Available Resources Examined --
Trust Fund of Mother Found Unavailable -- Reversed, IAS_I-3731-001.
Challenge to Termination From Participation Reversed In Part, IAS_I-3732-001.
Five (5) Step Sequential Process For Determining Whether a Person Is Disabled, IAS_I-3733-001.
Medicaid Qualifying Trust (MQT) --
Community Spouse As Grantor, IAS_I-3734-001.
Defined & Discussed, IAS_I-3735-001.
Effect of Discretion to Distribute Trust Assets, IAS_I-3736-001.
Federal Provisions Examined, IAS_I-3737-001.
Medically Needy Program --
Definition of Physical Disability Program, IAS_I-3738-001.
Denial of Benefits Reversed, IAS_I-3739-001.
Five (5) Step Sequential Process For Determining Whether a Person Is Disabled, IAS_I-3740-002.
Purpose of This Program Examined, IAS_I-3741-001.
Unreasonable Delays In Processing Application -- Reimbursement For Out-of-Pocket Expenditure Found Warranted, IAS_I-3742-001.
Medical Clinic --
Overpayment -- Cluster Sampling, IAS_I-3743-001.
Nursing Home --
Audit Adjustments --
Challenge to -- Related Parties Issue, IAS_I-3744-001.
Challenge to, IAS_I-3745-001.
Determination of Average Equity Capital, IAS_I-3746-001.
Challenge to County Residency Determination Rejected, IAS_I-3747-001.
Denial of Eligibility For Resident --
Provider Lacks Standing to Challenge, IAS_I-3748-001.
Resident's Interest In a Trust Fund, IAS_I-3749-001.
Interim Rate Increase --
Applicant's Burden of Proof Carefully Examined, IAS_I-3750-001.
Costs Incurred to Meet New Federal or State Requirements, IAS_I-3751-002.
Establishment of Prima Facie Case, IAS_I-3752-002.
Rate Freezes Discussed, IAS_I-3753-001.
Reasonableness of Costs Must Be Established, IAS_I-3754-001.
Utilization of Most Recent Cost Reports Discussed In Detail, IAS_I-3755-001.
Recoupment of Underpayment --
Available Only Prospectively, IAS_I-3756-001.
Reimbursement Withheld Due to Evidence of Fraud or Misrepresentation, IAS_I-3757-001.
Retroactive Payments -- Out-of-Business Firm -- Denied, IAS_I-3758-001.
Patient --
Denial of Claim Reversed --
Inherited Real Property Found to Be Unavailable Asset, IAS_I-3759-001.
Third Party Benefits Found Unavailable, IAS_I-3760-001.
Treatment of Son's Terminal Cancer --
Dept. Denial of Reimbursement Reversed, IAS_I-3761-001.
Pharmacy Copayment --
1994-95 Appropriations Bill Struck Down As Unconstitutional, IAS_I-3762-001.
Physician --
Challenge to Audit Adjustment, IAS_I-3763-001.
Challenge to Randomness of Sampling Techniques, IAS_I-3764-001.
Medical Necessity of Services Rendered Challenged, IAS_I-3765-001.
Overpayment -- Fraud, IAS_I-3766-001.
Overpayment -- Liability Confirmed With Certain Adjustments, IAS_I-3767-001.
Termination of Participation In Physician Access System (MediPass), IAS_I-3768-001.
Provider --
Action Regarding Per Diem Rates Withdrawn, IAS_I-3769-001.
Adjustments Relating to Working Capital Interest Does Not Necessitate Resetting of Facility Target Rates, IAS_I-3770-001.
Audit -- Challenge to Randomness of Sampling Techniques, IAS_I-3771-001.
Audit -- Cluster Sampling Discussed, IAS_I-3772-002.
Audit -- Discussion of Sampling Technique, IAS_I-3773-001.
Bifurcated Proceeding -- Fact & Amount of Overpayment, IAS_I-3774-001.
Burden of Proof When Bringing a Challenge, IAS_I-3775-001.
Burden of Proof When Challenging HRS Audit Techniques, IAS_I-3776-001.
Challenge to Billing Dismissed, IAS_I-3777-001.
Challenge to Prepayment Review Rejected, IAS_I-3778-002.
Claim Alleging Breach of Contract By Regional Planning Council Dismissed, IAS_I-3779-001.
Criminal Investigations Are Cause For HRS Concern, IAS_I-3780-001.
Failure to Submit Requested Documentation, IAS_I-3781-001.
Federal Withholding Rule -- Evidence of Fraud or Misrepresentation, IAS_I-3782-001.
Has the Burden of Proof, IAS_I-3783-001.
Reduction of Reimbursement In Compliance With 1995 Appropriation --
Challenge to Dismissed, IAS_I-3784-001.
Related Parties Issue Exhaustively Explored, IAS_I-3785-001.
Standing Found Lacking to Challenge Denial of Patient's Eligibility, IAS_I-3786-001.
Termination of Voluntary Provider Agreement, IAS_I-3787-001.
Radiology & Diagnostic Center --
Overpayment, IAS_I-3788-001.
Transportation Provider (See Also CONTRACTS (Bids/Protests), Health Care Administration) --
Application For Reinrollment Approved, IAS_I-3789-001.
Application For Reinrollment Denied, IAS_I-3790-001.
MEDICINE, Bd. of (See Also DECLARATORY STATEMENTS)
Actual Harm to Patients Not Requisite to Discipline, IAS_I-3791-002.
Advertising --
Public Invitation to Attend a Lecture & Receive More Information, IAS_I-3792-001.
Statutory Authority For Bd. Regulation of Examined, IAS_I-3793-001.
Appellate Review (See Also APPELLATE REVIEW) --
Stay Pending Granted, IAS_I-3794-001.
Attorney's Fees & Costs (See Also PRACTICE & PROCEDURE) --
Equal Access to Justice Act (§57.111) (See Also PRACTICE & PROCEDURE) --
Substantially Justified Agency Action Found Over Contrary DOAH Finding, IAS_I-3795-001.
Controlled Substances -- (See Also Medical Records)
Bd. Regulation of Prescription Practices Found Draconian, IAS_I-3796-001.
Prescription or Provision of Creates a Physician - Patient Relationship Per Se, IAS_I-3797-001.
Prescription to Self or Girlfriend Does Not Remove Record-Keeping Requirements, IAS_I-3798-001.
Self-Medication, IAS_I-3799-002.
Criminal Charges --
Double Jeopardy Does Not Arise From Related Administrative Discipline, IAS_I-3800