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STATE AGENCY ACTION REPORT ON APPLICATION FOR CERTIFICATE OF NEED A. PROJECT IDENTIFICATION Applicant/CON Action Number New Port Richey Hospital Inc*/CON 10074 d/b/a Community Hospital of New Port Richey P. O. Box 750 One Park Plaza Nashville Tennessee 37202 Authorized Representative Kathryn J* Gillette Chief Executive Officer Community Hospital of New Port Richey 727 848-1733 Service District/Subdistrict District 5 Pasco and Pinellas Counties B. PUBLIC HEARING A public hearing was not held...
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How to fill out state agency action report

How to fill out STATE AGENCY ACTION REPORT ON APPLICATION FOR CERTIFICATE OF NEED
01
Obtain the STATE AGENCY ACTION REPORT form from the relevant state agency website or office.
02
Read the instructions carefully to understand the requirements for completion.
03
Fill out the applicant's information, including name, address, and contact details.
04
Provide a detailed description of the proposed project or service related to the Certificate of Need.
05
Include any necessary supporting documents, such as business plans or financial statements.
06
Detail the expected impact of the project on the community and healthcare system.
07
Sign and date the report to certify that the information provided is accurate.
08
Submit the completed report to the appropriate state agency along with any required fees.
Who needs STATE AGENCY ACTION REPORT ON APPLICATION FOR CERTIFICATE OF NEED?
01
Healthcare providers seeking to establish, expand, or modify healthcare services.
02
Organizations involved in planning and providing healthcare services.
03
State agencies responsible for evaluating healthcare service proposals.
04
Investors and stakeholders interested in healthcare development opportunities.
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People Also Ask about
Does Florida require a certificate of need?
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.
Who is in charge of AHCA in Florida?
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.
What does the Florida AHCA do?
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
What does the Florida Department of Health regulate?
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.
Who regulates medical facilities in 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).
What are the disqualifying offenses for AHCA background screening?
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.
What does AHCA regulate in Florida?
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.
Is Florida a con state for hospice?
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.
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What is STATE AGENCY ACTION REPORT ON APPLICATION FOR CERTIFICATE OF NEED?
The State Agency Action Report on Application for Certificate of Need is a document that outlines the decisions made by state agencies regarding applications for certificates of need, which are necessary for certain healthcare facilities to expand or offer new services.
Who is required to file STATE AGENCY ACTION REPORT ON APPLICATION FOR CERTIFICATE OF NEED?
Healthcare providers or entities that submit an application for a certificate of need are required to file the State Agency Action Report.
How to fill out STATE AGENCY ACTION REPORT ON APPLICATION FOR CERTIFICATE OF NEED?
To fill out the State Agency Action Report, applicants must provide detailed information regarding the proposed project, including project description, financial assessments, and compliance with state health planning criteria.
What is the purpose of STATE AGENCY ACTION REPORT ON APPLICATION FOR CERTIFICATE OF NEED?
The purpose of the State Agency Action Report is to evaluate the necessity and impact of proposed healthcare services or facilities, ensuring they align with state health priorities and regulations.
What information must be reported on STATE AGENCY ACTION REPORT ON APPLICATION FOR CERTIFICATE OF NEED?
Information that must be reported includes applicant details, project descriptions, projected costs, expected benefits, facility capacity, and any anticipated impact on existing healthcare services in the area.
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