Ref-06175 AHCA Form 3110-5003 Intermediate Care Facilities for Developmentally Disabled July 2014
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FINAL AHCA 3110-5003 Intermediate Care Facilities for Developmentally Disabled July 2014.docx
AHCA Form 3110-5003 Intermediate Care Facilities for Developmentally Disabled July 2014 11/16/2015
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FINAL AHCA 3110-5003 ICF for Developmentally Disabled July 2014.docx
The footer of the form indicates that it is incorporated by reference in rule 59A-26.003; the rule reference should be rule 59A-26.002. The form has been revised to reflect the correct rule reference. 12/30/2015