Agency for Health Care Administration v. Payas
AHCA appealed a circuit court order reducing its Medicaid lien on a minor's medical malpractice settlement and denying AHCA's motion to dismiss for lack of subject matter jurisdiction. The Sixth DCA held that the version of section 409.910(17) in effect when the settlement was approved (2021) governs, so DOAH has exclusive jurisdiction over challenges to AHCA's lien, and the circuit court lacked subject matter jurisdiction.
Key facts
- AHCA appealed a circuit court order that reduced AHCA's Medicaid lien on a minor's medical malpractice settlement and denied AHCA's motion to dismiss for lack of subject matter jurisdiction.
- A minor's medical malpractice settlement was approved by the circuit court in January 2022, and AHCA asserted a Medicaid lien against the settlement proceeds.
- +2 more key facts with a free trial
Why it matters
Practitioners handling personal injury or medical malpractice settlements involving Medicaid recipients must litigate lien reduction at DOAH, not the circuit court, whenever the settlement post-dates the 2013 amendment… — full analysis with a trial
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