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Florida Medicaid Program

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Provider Forms and Presentations

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Forms

Title Last Modified
Title Last Modified
90-Day Assessment of Suitability of a Child for Residential Treatment 05/04/2016
90-Day Clinical Review of Residential Treatment Services 05/04/2016
Initial Referral for Assessment of Suitability of a Child for Residential Treatment 06/22/2016
Initial Suitability Assessment for Residential Treatment 06/22/2016
Reconsideration of Assessment of Suitability of a Child for Residential Treatment 11/22/2016
Request for Reconsideration of Qualified Evaluator (QE) Recommendation 11/17/2016

Presentations

Title Last Modified
Title Last Modified
Florida Qualified Evaluator Network Overview 05/12/2017