Ahca 3170 form-2025

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To file a health care facility complaint, call (888) 419-3456 / (800) 955-8771 Florida Relay Service (TDD number) or complete the Health Care Facility Complaint Form.
A completed Form 1823 is required to be admitted to an assisted living facility in Florida. In Florida, assisted living facilities are responsible for determining the appropriateness of admission for individuals seeking assisted living services.
As part of its duties, AHCA licenses and regulates Florida health care facilities, including hospitals, nursing homes, assisted living facilities, home health agencies and ambulatory surgery centers. All in all, AHCA certifies and regulates over 48,000 providers in the State of Florida.
If your complaint is about the quality of care received in a Hospital, Nursing Home, Assisted Living Facility or Group Home, please contact the agency at 1-888-419-3456 / 1-800-955-8771 Florida Relay Service (TDD number).
The AHCA 50003008 form is used by the Comprehensive Assessment and Review for Long-Term Care Services (CARES) Program to help determine medical eligibility for Medicaid Waiver programs. This form must be signed by a licensed physician, physician assistant, or advanced practice registered nurse.
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