Thomas Saunders v. Florida Dept. of Children and Families

Appellant, Thomas : Saunders, challenges a hearing officer’s final order affirming a decision by the Department of Children and Families (the Department) regarding the calculation of Saunders’ patient responsibility amount (PRA) under Medicaid’s Institutional Care Program (ICP). Saunders argued that his substantial interests were determined when the Department, in reliance on an agency policy which had not been promulgated by rule, denied his request to reduce his PRA by deducting expenses he had previously incurred for nursing home care. The hearing officer declined to consider whether the…