![]() ![]() Providers reporting Critical Incidents after hours (Monday through Friday 5pm-8am Holidays, and Saturday and Sundays), please call the Emergency Phone Line: 72. ![]() Note: The initial report may be made via telephone, however, an Incident Reporting Form must be filled out and submitted to the Regional Office no later than one business day after initial reporting. Suncoast Region Critical Incident Reporting:Īll providers must report critical incidents and other reportable incidents on the APD Incident Report form, incorporated by reference in Rule 65G-2.010, F.A.C.Ĭritical Incidents must be reported to the APD Regional/Field Office within one hour of becoming aware of the incident. Larry Collins at 81 during normal business hours (Monday through Friday, 8am-5pm).Īll initial facility licensure applications and supporting documents should be sent in via email to Reporting Form Instructions If you have questions about the facility licensure process, please contact Mr. You can find Chapter 65G-2 located here: 65G-2 : LICENSURE OF RESIDENTIAL FACILITIES - Florida Administrative Rules, Law, Code, Register - FAC, FAR, eRulemaking (). Please refer to Chapter 65G-2 (Licensure of Residential Facilities) for rules governing the licensure of APD group and foster homes. ![]() Provider applicants who do not currently have an “APD General” line item eligibility determination in the AHCA Background Screening Clearinghouse and need to submit their Request for the Background Screening Clearinghouse to the Suncoast Region please email the completed Request for the Background Screening Clearinghouse form to Official Transcripts for WSC applicants must be sent to the following address:įacility Licensure Application Instructions Form and InstructionsĪll applications for initial licensure as well licensure renewal must be submitted using Facility Application form APD 2014-01 Please Email if you require additional information on eligibility criteria. Suncoast Region currently has a critical service need for Behavior Analysts as well as Behavior Focused and Intensive Behavior Residential Habilitation providers in both the Tampa and Fort Myers field offices. Each Region will identify critical service needs as defined below. Effective immediately, Regional offices will accept provider applications at all times.Īlthough APD will accept provider applications at all times, please keep in mind that certain critical needs exist for specific provider types in each APD Region. Provider Applications are for new Providers and Provider Expansion Request Forms are for Existing providers wishing to expand geographically, provide additional services, or to expand from solo to agency status.ĮFFECTIVE IMMEDIATELY: Pursuant to the iBudget Waiver program, authorized under 1915 (c) of the Social Security Act, and because of critical needs for some specific provider types, APD will no longer operate two open enrollment periods each year for provider applicants of services furnished under the iBudget waiver. Provider Enrollment Information - for both New Providers and Existing Providers Suncoast Field Office (Field 23), Tampa- De Soto, Hillsborough, Manatee, Pasco, Pinellas, and Sarasota countiesįield 8 Office, Fort Myers- Charlotte, Collier, Glades, Hendry, and Lee counties ![]()
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