Opinion
No. 1D16-3975
02-27-2019
LEE MEMORIAL HEALTH SYSTEM d/b/a LEE MEMORIAL HOSPITAL, Appellant, v. STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, Appellee.
Joanne B. Erde and Donna Holshouser Stinson of Duane Morris LLP, Miami, for Appellant. Tracy Cooper George of the Agency for Health Care Administration, Tallahassee, for Appellee.
On appeal from a Final Order of the Agency for Health Care Administration.
Elizabeth Dudek, Secretary.
Appellant, Lee Memorial Health System, challenges a final order issued by the Agency for Health Care Administration ("AHCA"), finding it was overpaid with Medicaid funds for services provided to undocumented aliens. As AHCA is barred from conducting a retrospective review of prior authorized claims pursuant to section 409.905(5)(a), Florida Statutes, the Final Order is reversed and no overpayment is owed by Appellant. Lee Mem'l Health Sys. Gulf Coast Med. Ctr. v. State of Fla., Agency for Health Care Admin., 1D16-1969, (Fla. 1st DCA Feb. 27, 2019).
REVERSED and REMANDED for entry of an order consistent with this opinion B.L. THOMAS, C.J., and JAY and M.K. THOMAS, JJ., concur.
Not final until disposition of any timely and authorized motion under Fla . R. App. P. 9.330 or 9.331. Joanne B. Erde and Donna Holshouser Stinson of Duane Morris LLP, Miami, for Appellant. Tracy Cooper George of the Agency for Health Care Administration, Tallahassee, for Appellee.