The Administrative Law Judge respectfully recommends that the Commissioner AFFIRM the Stipulated provider Agreement, AFFIRM the overpayment for the eight files reviewed by the investigators and a fine in the amount of 20 percent of the recalculated total. The Administrative Law Judge also recommends that the Department RESCIND overpayments stemming from the 48 recipients whose care plans were not reviewed and from its allegation that Appellant failed to have affiliated QPs.

"> The Administrative Law Judge respectfully recommends that the Commissioner AFFIRM the Stipulated provider Agreement, AFFIRM the overpayment for the eight files reviewed by the investigators and a fine in the amount of 20 percent of the recalculated total. The Administrative Law Judge also recommends that the Department RESCIND overpayments stemming from the 48 recipients whose care plans were not reviewed and from its allegation that Appellant failed to have affiliated QPs.

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    This page contains all substantive, public administrative law decisions from the past seven years. To request a copy of an older decision, or a decision you believe should be public but cannot find on this page, please submit a data request. To view decisions regarding Municipal Boundary Adjustments, please visit the Boundary Adjustment Reporting System. 

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    1800-37176 In the Matter of the SIRS Appeal by Best Care, Inc. March 2, 2022- 

    The Administrative Law Judge respectfully recommends that the Commissioner AFFIRM the Stipulated provider Agreement, AFFIRM the overpayment for the eight files reviewed by the investigators and a fine in the amount of 20 percent of the recalculated total. The Administrative Law Judge also recommends that the Department RESCIND overpayments stemming from the 48 recipients whose care plans were not reviewed and from its allegation that Appellant failed to have affiliated QPs.

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