Summary


The amendment incorporates by reference the Consent for Voluntary Suspension of Authorized Services for Florida Medicaid State Plan Recipients, AHCA Form 5000-0123, August 2017; the Acquired Immune Deficiency Syndrome (AIDS) Physician Referral for Individuals at Risk of Hospitalization, AHCA Form 5000-0607,_______; the Model Waiver Physician Referral for Individuals at Risk of Hospitalization, AHCA Form 5000-0025,______; and, the Adults with Cystic Fibrosis Physician Referral for Individuals at Risk of Hospitalization, AHCA Form 5000-0608,_____.