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Ref-07060 Health Care Licensing Application, Home Health Agency, AHCA Form 3110-1011, March 2016

AHCA Form 3110-1011 Home Health Agency March 2016.pdf

Application form used to obtain or amend a home health agency license

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Agency:: Agency for Health Care Administration
59A. Health Facility and Agency Licensing

Description:: Application form used to obtain or amend a home health agency license

Related Rules

59A-8.003 Licensure Requirements

Related Notices

21659535.The Agency is amending the rules related to home health agencies to delete definitions that are obsolete within the rule chapter or are defined elsewhere. The rule is also amended to update licensing application forms, modify application requirements for non-skilled home health agencies to add skilled services due to statutory changes, make technical changes and clarify requirements relating to surveys.