Reference Material Home - Florida Administrative Rules, Law, Code, Register

Florida Department of State and Division of Library and Information Services

Reference: Ref-09060

Reference Name:	Model Waiver Physician Referral for Individuals at Risk of Hospitalization, AHCA Form 5000-0025, January 2018
Agency:	59 Agency for Health Care Administration 59G Medicaid

Modified Document(s):

No Modified document(s).

Adopted Document(s):

Model Waiver Physician Referral for Individuals at Risk of Hospitalization AHCA Form 5000-0025.pdf

1/5/2018

Proposed Document(s):

Model Waiver Physician Referral for Individuals at Risk of Hospitalization AHCA Form 5000-0025.pdf

1/4/2018

Description:

Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.

Rules/Notices using this Reference Material

Notice / Adopted	Section	Description	ID	Publish Date

	Final 59G-1.045	Medicaid Forms	19983084	Effective: 02/08/2018

Under Florida law, E-mail addresses are public records. If you do not want your E-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.