Lisa Boggs

Board’s erroneous reinstatement of property appraiser does not preclude revocation.

Respondent, a real property appraiser, allowed his classification to lapse.  His license was thereafter revoked, but the Georgia Real Estate Appraisers Board failed to update its records to reflect the change in status from “lapsed” to “revoked.”  As a result, the Board inadvertently allowed Respondent to reactivate his license.  The Court concluded that the Board’s […]

Board’s erroneous reinstatement of property appraiser does not preclude revocation. Read More

State bears the burden of demonstrating that a SOURCE recipient’s communication deficits are caused by a non-covered diagnosis.

Petitioner, a SOURCE recipient, was entitled to remain on the SOURCE Program absent evidence that her severe communication deficits were attributable to developmental or psychiatric diagnoses, which are not covered by SOURCE.

State bears the burden of demonstrating that a SOURCE recipient’s communication deficits are caused by a non-covered diagnosis. Read More

Center may not receive reimbursement for services provided to owner’s foster children.

Petitioner, the owner of a child care learning center, received payment through the Childcare and Parent Services (CAPS) Program for child care services provided at the center to her four foster children.  The Department of Early Care and Learning (DECAL) was authorized to recover these payments inasmuch as they contravened program rules, which proscribed the

Center may not receive reimbursement for services provided to owner’s foster children. Read More

Personal care home cannot provide care to insulin-dependent residents without appropriate personnel.

The Department of Community Health restricted the license of a Personal Care Home (PCH) such that it could not care for insulin-dependent residents after it discovered that the PCH did not have a licensed individual or a proxy caregiver available to monitor glucose levels and/or administer insulin.  Because the PCH had yet to meet the

Personal care home cannot provide care to insulin-dependent residents without appropriate personnel. Read More

Narcotic Treatment Program’s certification revoked for serious violations of governing law.

The Department of Community Health (“the Department’) sought to revoke New Serenity’s certification to operate a Narcotics Treatment Program after it discovered nine violations during a site visit, including severe staffing and record-keeping deficits.  Although New Serenity submitted several plans of correction to the Department, it had yet to bring its program into full compliance

Narcotic Treatment Program’s certification revoked for serious violations of governing law. Read More

Reimbursement denied where provider failed to document that inpatient services met program criteria.

Crisp Regional Hospital, a Medicaid-enrolled provider, did not document the medical necessity of services provided to a patient in its care.  Specifically, the hospital did not write on “utilization review notes” that the patient met “severity of illness or intensity of service” criteria for the dates of hospitalization.  Accordingly, it did not meet Georgia Medicaid

Reimbursement denied where provider failed to document that inpatient services met program criteria. Read More

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