Florida Department of State and Division of Library and Information Services
Notice: 16479347
Final Adopted Version in F.A.C.
Department: AGENCY FOR HEALTH CARE ADMINISTRATION
Division: Medicaid
Chapter: GENERAL MEDICAID

VIEW NOTICE

Overview
RULE:
59G-1.045   Medicaid Forms
RULE FILE DATE: 9/8/2015
RULE EFFECTIVE DATE: 9/28/2015
HISTORY NOTES: Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.905(8), 409.912 FS. History–New 9-28-15.
OVERSIGHT COMMITTEE: Joint Administrative Procedures Committee
Florida Administrative Law Central Online Network (F.A.L.C.O.N.)
RELATED COURT CASES: Division of Administrative Hearings
FEDERAL RULES
AND REGULATIONS: 		Electronic Code of Federal Regulations
HOW TO LINK TO
THIS NOTICE: 		http://www.flrules.org/gateway/ruleno.asp?id=59G-1.045&Section=0
REFERENCE MATERIALS: Ref-05826 Medical Certification for Medicaid Long-term Care Services and Patient Transfer Form
Ref-05827 Pre-Admission Screen and Resident Review (PASRR) Level I Screen for Serious Mental Illness (SMI) and/or Intellectual Disability or Related Conditions (ID)
Ref-05828 Pre-Admission Screening and Resident Review (PASRR) Resident Review (RR) – Evaluation Request for a Significant Change for Serious Mental Illness (SMI) and/or Intellectual Disability or Related Conditions (ID)


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