Background Screening; Prohibited Offenses.  

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    AGENCY FOR HEALTH CARE ADMINISTRATION

    Health Facility and Agency Licensing

    RULE NO.:RULE TITLE:

    59A-35.090Background Screening; Prohibited Offenses.

    NOTICE OF CHANGE

    Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 39, No. 213, October 31, 2013 issue of the Florida Administrative Register.

    The following changes were made on the Application for Exemption, AHCA Form 3110-0019:

    Pg. 7, the following paragraphs were added:

    *Pursuant to§837.06, F.S., whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor of the second degree, punishable as provided in §775.082, F.S., or §775.083, F.S.

    **The collection of social security numbers is imperative for the performance of the Agency’s duties and responsibilities in accordance with §119.071(5)(a)2.b., F.S. relating to health care provider licensure under §408.809, F.S. and Medicaid enrollment under §409.907, F.S. Your social security number will be used to secure the proper identification of persons listed on this application.