Cf 2616 form florida-2025

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information. You can submit your documents by: Uploading documents into your MyACCESS Account, Mail documents to: ACCESS Central Mail Center P.O. Box 1770 Ocala, FL 34478-1770, Fax documents to (866)325-6023, or Submit documents at a local DCF office or Community Partner office.
The new form allows case managers to indicate when no funding is available for Medicaid Waiver enrollment and outlines the process for notifying clients of denials and their rights to a fair hearing. It also clarifies that clients can receive other services while waiting for waiver funds.
Completed and signed attestations can be submitted by the physician to the Department of Health via secure email at CMS.ClinicalEligibilityScreening@flhealth.gov or via fax to 850-488-3813.
Request Forms by Fax 850-921-0792 If you have lost a form we sent you, you can ask us to resend the form by faxing a request. We will send the forms to you within 2-5 business days of receiving your request.
Contact Details Organization Type:State Medical Assistance Office Covered States and Territories: Florida Information: Toll Free: (866) 762-2237 Local: (850) 487-1111 Fax: (850) 922-2993 Web Site: Hours: 8:00 am - 5:00 pm ET2 more rows
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Completed forms can be uploaded to your MyACCESS account. Completed forms and/or paper applications may also be mailed to the ACCESS Central Mail Center, P.O. Box 1770, Ocala, FL, 34478-1770, faxed to 1-866-886-4342, or hand-delivered to a Family Resource Center.
Medicaid Program Forms Completed forms and/or paper applications may also be mailed to the ACCESS Central Mail Center, P.O. Box 1770, Ocala, FL, 34478-1770, faxed to 1-866-886-4342, or hand-delivered to a Family Resource Center.

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