Florida Regulations 59H-1.015: Administrative Hearings, Applicant’s Rights and Responsibilities
Current as of: 2024 | Check for updates
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(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 Florida Statutes Chapter 120
(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.
(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 Fl. Admin. Code R. 59H-1.008 the application will be denied.
(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.
Rulemaking Authority 154.3105 FS. Law Implemented Florida Statutes § 154.312. History-New 3-29-89, Formerly 10C-26.015, Amended 8-25-16.
Terms Used In Florida Regulations 59H-1.015
- Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
- Fraud: Intentional deception resulting in injury to another.
(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 Fl. Admin. Code R. 59H-1.008 the application will be denied.
(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.
Rulemaking Authority 154.3105 FS. Law Implemented Florida Statutes § 154.312. History-New 3-29-89, Formerly 10C-26.015, Amended 8-25-16.