Florida Department of State and Division of Library and Information Services
Notice: 23014916
Final Adopted Version in F.A.C.
Department: DEPARTMENT OF CHILDREN AND FAMILIES
Division: Economic Self-Sufficiency Program
Chapter: PUBLIC ASSISTANCE PROGRAMS

VIEW NOTICE

Overview
RULE:
65A-1.205   Eligibility Determination Process
RULE FILE DATE: 3/5/2020
RULE EFFECTIVE DATE: 3/25/2020
HISTORY NOTES: Rulemaking Authority 409.919, 414.095, 414.45 FS. Law Implemented 409.903, 409.904, 409.919, 414.045, 414.095, 414.31, 414.41 FS. History–New 4-9-92, Amended 11-22-93, 8-3-94, Formerly 10C-1.205, Amended 11-30-98, 9-27-00, 7-29-01, 9-12-04, 9-11-08, 7-1-10, 2-20-12, 3-25-20.
OVERSIGHT COMMITTEE: Joint Administrative Procedures Committee
Florida Administrative Law Central Online Network (F.A.L.C.O.N.)
RELATED COURT CASES: Division of Administrative Hearings
FEDERAL RULES
AND REGULATIONS: 		Electronic Code of Federal Regulations
HOW TO LINK TO
THIS NOTICE: 		http://flrules.org/gateway/ruleno.asp?id=65A-1.205&Section=0
REFERENCE MATERIALS: Ref-11627 CF-ES 2353 ACCESS Florida Web Application
Ref-11634 CF-ES 2039 Medical Assistance Referral
Ref-11635 CF-ES 2293 Child in Care Medicaid Application
Ref-11636 CF-ES 2930 Screening for Expedited Medicaid Appts
Ref-11637 CF-ES 2930H (Creole) Screening for Expedited Medicaid Appointments
Ref-11638 CF-ES 2930S (Spanish) Screening for Expedited Medicaid Appointments
Ref-11642 CF-ES 2620 Verification of Employment -Loss of Income
Ref-11643 CF-ES 2620H (Creole) Verification of Employment_Loss of Income
Ref-11644 CF-ES 2620S (Spanish) Verification of Employment_Loss of Income
Ref-11645 CF-ES 2621 Verification of Dependent Care Expenses
Ref-11646 CF-ES 2621H (Creole) Verification of Dependent Care Expenses
Ref-11647 CF-ES 2621S (Spanish) Verification of Dependent Care Expenses
Ref-11648 CF-ES 2622 Verification of Shelter
Ref-11649 CF-ES 2622H (Creole) Verification of Shelter Expenses
Ref-11650 CF-ES 2622S (Spanish) Verification of Shelter Expenses
Ref-11651 CF-ES 2623 School Verification
Ref-11652 CF-ES 2623H (Creole) School Verification
Ref-11653 CF-ES 2623S (Spanish) School Verification
Ref-11654 CF-ES 3007 Work Calendar
Ref-11655 CF-ES 3007H (Creole) Work Calendar
Ref-11656 CF-ES 3007S (Spanish) Work Calendar
Ref-11657 CF-ES 990 Designation of Beneficiary
Ref-11658 CF-ES 2514 Authorization to Disclose Information
Ref-11660 CF-ES 2514H (Creole) Authorization to Disclose Information
Ref-11661 CF-ES 2514S (Spanish) Authorization to Disclose Information
Ref-11663 CF-ES 2613H (Creole) Financial Information Release
Ref-11669 Athletic Training Application for Licensure
Ref-11698 CF-ES 2337 ACCESS Florida Application
Ref-11700 CF-ES 2337F (French-Canadian) ACCESS Florida Application
Ref-11701 CF-ES 2337H (Creole) ACCESS Florida Application
Ref-11702 CF-ES 2337I (Italian) ACCESS Florida Application
Ref-11703 CF-ES 2337P (Portuguese) ACCESS Florida Application
Ref-11704 CF-ES 2337R (Russian) ACCESS Florida Application
Ref-11705 CF-ES 2337S (Spanish) ACCESS Florida Application
Ref-11723 CF PI 165-107H (Creole) Are You Disabled and Applying for Medicaid brochure
Ref-11724 CF_PI 165_107S (Spanish) Are You Disabled and Applying for Medicaid brochure
Ref-11725 CF_PI 165-107 Notification of Disability Information and Request Form
Ref-11726 CF-ES 2337SC (Serbo-Croatian) ACCESS Florida Application
Ref-11727 CF-ES 2337V (Vietnamese) ACCESS Florida Application
Ref-11729 CF-ES 2370 Family Related Medical Assistance Application
Ref-11730 CF-ES 2370H (Creole) Family-Related Medical Assistance Application
Ref-11731 CF-ES 2370S (Spanish) Family-Related Medical Assistance Application


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