Reference: Ref-08776

Reference Name: Health Maintenance Organization Adverse Incident Report, HMO Adverse Incident, AHCA Form 3140-5003 OL, April 2017
Agency: 59 Agency for Health Care Administration
59A Health Facility and Agency Licensing

Original Document(s):
10/9/2017 Health Maintenance Organization Adverse Incident Report, HMO Adverse Incident, AHCA Form 3140-5003 OL, April 2017
Modified Document(s): No Modified document(s).
Description: Health Maintenance Organization Adverse Incident Report, HMO Adverse Incident, AHCA Form 3140-5003 OL, April 2017
Rules/Notices using this Reference Material
Notice /
Adopted
Section Description ID Publish
Date
View Text Final
59A-12.012
Internal Risk Management Program 23671218 Effective:
10/07/2020
View Text Final
59A-12.012
Internal Risk Management Program 19619043 Effective:
11/13/2017