L.L.L. v. Agency for Health
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IN THE DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FIFTH DISTRICT NOT FINAL UNTIL TIME EXPIRES TO FILE MOTION FOR REHEARING AND DISPOSITION THEREOF IF FILED L.L.L., Appellant, v. Case No. 5D16-2409 AGENCY FOR HEALTH CARE ADMINISTRATION, Appellee. ________________________________/ Opinion filed March 24, 2017 Administrative Appeal from the Agency for Health Care Administration. L.L.L., Daytona Beach, pro se. Andrew T. Sheeran and Tracy C. George, of the Agency for Health Care Administration, Tallahassee, for Appellee. ON CONCESSION OF ERROR PER CURIAM. The appellant appeals an administrative Final Order of the Department of Children and Families, Office of Appeal Hearings, upholding his Medicaid health plan’s denial of prior authorization for dental care. The appellee, the Florida Agency for Health Care Administration, concedes in its brief that “[a] due process violation occurred because the Hearing Officer was provided and relied upon an inapplicable policy and [the appellant] was not given an opportunity to examine or rebut the legal authority provided to the Hearing Officer.” The appellee also concedes that “the case should be remanded to reopen the fair hearing to give the parties an opportunity to present evidence and argument in rebuttal and for the Hearing Officer to make a determination based on the applicable policy.” We agree. Accordingly, we reverse the order under review and remand for another hearing. REVERSED and REMANDED. SAWAYA, PALMER and TORPY, JJ., concur. 2
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