MARIO LARRIGUI-NEGRON
v.
STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION
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An administrative law judge errs as a matter of law when rejecting uncontradicted evidence supporting a Medicaid lien reduction without identifying a reasonable basis for doing so.
[1] An administrative law judge errs as a matter of law when rejecting uncontradicted and sufficient evidence without identifying a reasonable evidentiary basis for the rejec…
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Join FLexlaw to unlock all legal intelligenceAppellant Larrigui-Negron sought to reduce a Medicaid lien imposed by AHCA on his settlement with a third-party tortfeasor. Appellant presented suffic…
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October 11, 2019 PER CURIAM.
Appellant challenges the Administrative Law Judge’s (ALJ) denial of his petition to reduce an Agency for Healthcare Administration (AHCA) Medicaid lien on his settlement with a third-party tortfeasor. He contends that the ALJ erred by rejecting uncontradicted evidence that the Medicaid lien should be reduced without identifying a reasonable basis in the evidence to do so. We agree.
Here, as in Eady v. State, No. 1D18-1852 (Fla. 1st DCA Sept. 12, 2019), appellant put forth sufficient facts to establish that the Medicaid lien should be reduced while AHCA presented no contradictory evidence. Since there was no reasonable basis for the ALJ to reject appellant’s evidence, we find that the ALJ erred as a matter of law in concluding that appellant failed to prove his case by a preponderance of the evidence. Accordingly, we remand the cause to DOAH for the ALJ to reduce AHCA’s Medicaid lien to $11,637.54. See Giraldo v. Agency for Health Care Admin., 248 So. 3d 53, 56 (Fla. 2018).
WOLF, ROBERTS, and ROWE, JJ., concur. _____________________________ Not final until disposition of any timely and authorized motion under Fla. R. App. P. 9.330 or 9.331.
_____________________________ Bryan S. Gowdy and Meredith A. Ross of Creed & Gowdy, Jacksonville; and John Staunton of Staunton & Faglie, PL, Clearwater, for Appellant. Alexander R. Boler, Tallahassee, for Appellee.