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Applicants must include the following attachments as stated in Chapters 408, Part II, and 400, Part V, Florida Statutes (F.S.) and Chapter 35, Florida Administrative Code (F.A.C.). Applications must
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How to fill out icfdd licensure application ahca

01
Obtain the ICFDD licensure application form from the AHCA website or office.
02
Review the instructions and requirements for filling out the application.
03
Provide all required information, including personal details, educational background, work experience, and any relevant certifications or licenses.
04
Include any supporting documentation or references as specified in the application form.
05
Double check all information for accuracy and completeness before submitting the application.

Who needs icfdd licensure application ahca?

01
Any individual or organization seeking licensure for an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICFDD) from the Agency for Health Care Administration (AHCA) in Florida.

What is ICF/DD Licensure Application, AHCA 3110-5003 Form?

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The ICFDD licensure application AHCA is a formal request for licensure of Intermediate Care Facilities for Developmental Disabilities submitted to the Agency for Health Care Administration (AHCA) in Florida.
Any facility seeking to operate as an Intermediate Care Facility for Developmental Disabilities in Florida is required to file the ICFDD licensure application with AHCA.
To fill out the ICFDD licensure application AHCA, applicants must provide required information such as facility details, ownership information, and compliance with health and safety regulations, following the specific format outlined by AHCA.
The purpose of the ICFDD licensure application AHCA is to ensure that facilities meet state standards for providing care to individuals with developmental disabilities and to protect the health and safety of these individuals.
The ICFDD licensure application AHCA must include information such as the facility's name, address, ownership structure, staffing plans, services provided, and compliance with relevant regulations.
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