Reference: Ref-18470

Reference Name: Residential Mental Health Provider Incident Report AHCA Form 3180-5008OL October 2024
Agency: 59 Agency for Health Care Administration
59A Health Facility and Agency Licensing

Modified Document(s): No Modified document(s).
Adopted Document(s): No Adopted document(s).
Proposed Document(s):
8/6/2025 Residential Mental Health Provider Incident Report, AHCA Form 3180-5008OL, October 2024.
Description: Residential Mental Health Provider Incident Report, AHCA Form 3180-5008OL, October 2024.

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
View Text Proposed
59A-35.110
Rule 59A-35.110 outlines reporting requirements and electronic reporting/submission for health care providers. 29915496 8/25/2025
Vol. 51/165