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3. For Medicaid eligibility purposes this form is good for one year from the date of the health care professional s signature unless there has been a significant change in the individual s condition since the form was completed. CARES reserves the right to request new 3008 s in situations where there has been a significant change in the individuals condition or the form appears to be altered. NOTE The AHCA 5000-3008 is an optional patient transfer form. Page 1 Top of Page Patient s Name Last 4 ...

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Versions	Form popularity	Fillable & printable
FL AHCA 5000-3008 2016	4.8 Satisfied (196 Votes)
FL AHCA 5000-3008 2015	4.3 Satisfied (65 Votes)

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What is a 3008 form Florida?

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).

Who fills out the 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.

Who completes a 3008?

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.

What is a 3008 form Florida?

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).