APD Form 65G-14.002 B Medicaid Waiver Services Agreement (Qualified Organizations) - Florida

What Is APD Form 65G-14.002 B?

This is a legal form that was released by the Florida Agency for Persons with Disabilities - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is APD Form 65G-14.002 B?
A: APD Form 65G-14.002 B is a Medicaid Waiver Services Agreement for Qualified Organizations in Florida.

Q: Who is this form for?
A: This form is for Qualified Organizations in Florida who wish to provide Medicaid waiver services.

Q: What are Medicaid waiver services?
A: Medicaid waiver services are home and community-based services that help eligible individuals, such as those with disabilities, to receive care and support in their own homes or community.

Q: What is the purpose of this agreement?
A: The purpose of this agreement is to establish the terms and conditions for qualified organizations to provide Medicaid waiver services in accordance with Florida state regulations.

Q: What information is required in this form?
A: This form requires information such as the name and contact details of the organization, the types of waiver services offered, and the qualifications and certifications of staff members.

Q: Are there any fees associated with submitting this form?
A: There may be fees associated with the application process or ongoing participation in the Medicaid waiver program. It is recommended to contact the Agency for Persons with Disabilities (APD) for more information.

Q: Can an individual provider submit this form?
A: No, this form is specifically for Qualified Organizations. Individual providers may have different application processes.

Q: What is the deadline for submitting this form?
A: The deadline for submitting this form may vary. It is best to check with the Agency for Persons with Disabilities (APD) for the most up-to-date information.

Q: Is this form specific to Florida?
A: Yes, this form is specific to Qualified Organizations in Florida.

Q: Is this form available in other formats?
A: It is recommended to check with the Agency for Persons with Disabilities (APD) for other available formats of this form.