Form preview

Get the free STATE AGENCY ACTION REPORT ON APPLICATION FOR CERTIFICATE OF NEED

Get Form
This document provides a detailed report and analysis of applications for the Certificate of Need (CON) for establishing long-term care hospitals in Florida, assessing the need for service, applicant
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign state agency action report

Edit
Edit your state agency action report form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your state agency action report form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing state agency action report online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the steps down below to benefit from the PDF editor's expertise:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit state agency action report. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
pdfFiller makes dealing with documents a breeze. Create an account to find out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out state agency action report

Illustration

How to fill out STATE AGENCY ACTION REPORT ON APPLICATION FOR CERTIFICATE OF NEED

01
Obtain the STATE AGENCY ACTION REPORT form from the appropriate state agency.
02
Read the instructions carefully to understand the requirements.
03
Fill out the applicant's details including name, address, and contact information.
04
Provide a description of the proposed project or service.
05
Specify the location where the project will be implemented.
06
Include details on the anticipated benefits of the project to the community.
07
Attach any necessary supporting documents, such as financial information or letters of support.
08
Review the completed report for any errors or missing information.
09
Submit the report to the designated state agency by the specified deadline.

Who needs STATE AGENCY ACTION REPORT ON APPLICATION FOR CERTIFICATE OF NEED?

01
Health care providers seeking to establish new services or facilities.
02
Organizations looking to expand existing services.
03
Institutions that require state approval for construction or significant modifications to health care facilities.
04
Anyone involved in the planning and development of health care services in a state requiring such reports.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
59 Votes

People Also Ask about

Shevaun L. Harris Harris was appointed by Governor Ron DeSantis to serve as the Secretary of the Agency for Health Care Administration (Agency) in February 2025.
Disqualifying Offenses Certain offenses can disqualify individuals from employment in AHCA and DCF-regulated facilities. Disqualifying offenses include a range of serious crimes, such as: Violent Crimes: , manslaughter, aggravated assault, and aggravated battery.
We are primarily responsible for the state's estimated $35 billion Medicaid program that will serve a projected 4.7 million Floridians in SFY 2024-25, the licensure of the state's more than 50,500 health care facilities and the sharing of health care data through the Florida Center for Health Information and Policy
Florida is among the states with hospice CON laws in place, while Georgia's CON programs predominantly pertain to other health care facility types such as hospitals and long-term care facilities.
Florida requires CONs within three broad categories—beds outside hospitals, facilities and services. In 2019, Florida passed sweeping CON law reforms and eliminated many of its CON requirements. Post-reform, Florida maintains 11 CON requirements.
As part of its duties, AHCA licenses and regulates Florida health care facilities, including hospitals, nursing homes, assisted living facilities, home health agencies and ambulatory surgery centers. All in all, AHCA certifies and regulates over 48,000 providers in the State of Florida.
Health Care Facility Regulation Hospitals, nursing homes, home health agencies, clinics, assisted living facilities and other health care facilities and organizations are primarily regulated in Florida by the Agency for Health Care Administration (AHCA).
The Florida Department of Health is responsible for the regulation of health practitioners for the preservation of the health, safety, and welfare of the public. The Licensing and Regulation section provides information relating to professional, facility, and permit licensing along with information on enforcement.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The STATE AGENCY ACTION REPORT ON APPLICATION FOR CERTIFICATE OF NEED is a document that summarizes the decision and rationale of a state agency regarding an application for a Certificate of Need (CON). This report outlines the agency's findings, recommendations, and any conditions attached to the CON approval or denial.
The state agency responsible for reviewing Certificate of Need applications is required to file the STATE AGENCY ACTION REPORT. This generally includes health departments or similar regulatory bodies that oversee healthcare facility planning and resource allocation.
To fill out the STATE AGENCY ACTION REPORT, the state agency must include specific sections detailing the applicant’s information, the scope of the project, the evaluation process, the findings from the review, and the final decision regarding the CON application. Each section should be filled with accurate data and analysis based on the review process.
The purpose of the STATE AGENCY ACTION REPORT ON APPLICATION FOR CERTIFICATE OF NEED is to provide a formal record of the agency’s evaluation of a CON application, ensuring transparency in the decision-making process and informing relevant stakeholders about the outcomes and reasoning behind the agency's decisions.
The information that must be reported includes the applicant's name and details, the proposed project description, analysis of community need, financial feasibility, compliance with state health planning, public comments, and the final determination with any conditions or requirements set by the agency.
Fill out your state agency action report online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.