3008 form 2022-2025

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If the individual is interested in SMMC LTC, the ADRC will mail the Medical Certification for Medicaid Long-term Care Services and Patient Transfer Form 5000-3008 (Form 3008).
Comprehensive Assessment Thats where the 3008 form comes in. This is a medical assessment. Its conducted by a doctor or nurse practitioner in Florida, typically the treating doctor for our client. Theyre filling out their medical needs, prescriptions, and health assessments with pressure sores on their bodies.
The 3008 form is used to access Medicaid long term care services. It helps determine medical eligibility for Medicaid Waiver programs. This form must be signed by a licensed health care practitioner.
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If the individual is interested in SMMC LTC, the ADRC will mail the Medical Certification for Medicaid Long-term Care Services and Patient Transfer Form 5000-3008 (Form 3008).

florida 3008 form pdf