Rule: 64W-1.004 Prev Up Next
| Rule Title: Application Requirements | |||
| Department: | DEPARTMENT OF HEALTH |
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| Division: | Division of Public Health Statistics and Performance Management | ||
| Chapter: | CONRAD 30 WAIVER PROGRAM | ||
Latest version of the final adopted rule presented in Florida Administrative Code (FAC):
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Effective Date: | 8/23/2026 |
| History Notes: | Rulemaking Authority 381.4018(3) FS. Law Implemented 381.4018 FS. History–New 8-12-21, Amended 10-24-22, 8-23-26, Technical Change 9-24-26. | |
| References in this version: |
Ref-13378 DH8010-PHSPM-07/2021 Ref-13379 DH8011-PHSPM-07/2021 Ref-19553 Florida DOH Sponsorship Application (DH8006-PHSPM-04/2026) Ref-19554 Physician Agreement (DH8007-PHSPM-04/2026) Ref-19555 Physician Attestation of Exclusivity (DH8008-PHSPM-04/2026) Ref-19556 Employer Practice Location Attestation(s) (DH8009-PHSPM-04/2026) |
| Notice / Adopted |
Description | ID | Publish Date |
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|---|---|---|---|---|
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Application Requirements | 31205887 |
Effective: 08/23/2026 |
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Application Requirements | 26397306 |
Effective: 10/24/2022 |
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Application Requirements | 24806603 |
Effective: 08/12/2021 |
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