The AHCA requires addendums depending on the license for which you are applying. The initial AHCA Facility License Application forms are recommended based on provider type. Obtaining your AHCA facility license requires the following: Ensuring accuracy and integrity is crucial to a Preparing and remitting these documents can be a cumbersome process. There is a variety of documentation required along with the application for your AHCA Facility License. What is Required to Obtain an Initial AHCA Facility License Leaning on a professional team, including an attorney, can improve your chances of getting your initial facility license approved. Limited Data Set Use Agreement Form - This form is required for access to de-identified patient (hospital and/or ambulatory) data.Obtaining an initial AHCA Facility License in the State of Florida can be a lengthy process.Pharmacy Prior Authorization Forms are available.įlorida Center for Health Information and Policy Analysis.Medicaid Nursing Facility Provider Information is available.Medicaid Newborn Activation Policy is available.The CON application packet is available on-line.The Application and Certificate for Payment, the Project Completion Forecast and the Final Cost Report forms are available for download on the CON Forms page.Please complete the Complaint Process Survey to give the Agency feedback regarding your experience with the complaint process.Get answers to your questions by using our Contact.
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