Fla. Admin. Code Ann. R. 65G-4.016 - [Effective until 7/6/2025] Application Process
(1) Application for
services from the agency shall be made by submitting an application by hand
delivery, U.S. Postal Service, or facsimile to the agency office in the service
area where the applicant resides. The Application for Services Form
65G-4.016 A, (2024), is
available on the agency website at www.APD.myflorida.com,
http://www.apd.myflorida.com/customers/application/
or by contacting the agency. The application is available in English and
Spanish and is hereby incorporated by reference,
http://www.flrules.org/Gateway/reference.asp?No=Ref-17186.
(2) Upon receipt of a completed, signed, and
dated Application for Services, as described in section
393.065(1)(d),
F.S., the Agency shall review the application and supporting documentation and
make a final determination regarding the applicant's eligibility for agency
services within time frames established in s.
393.065(1),
F.S. If the Agency requires additional documentation, information or if
additional evaluations are necessary to determine eligibility, the timeframe
for the determination process may be tolled until any necessary documentation
or information is received by the Agency or assessments are
completed.
(3) If an applicant is
unable to produce an existing evaluation that establishes eligibility or if
there is concern that the information provided is inaccurate, incorrect, or
incomplete, the agency area office will be responsible for obtaining an
evaluation to establish eligibility. Professional diagnoses under Rule
65G-4.017, F.A.C., must document
all criteria for eligibility as set forth in Rules
65G-4.014 -.017, F.A.C. The
evaluation process includes only those assessments necessary to determine
eligibility that were administered by a person qualified to administer the
instrument(s).
(4) When the
eligibility determination is complete, the agency area office shall notify the
applicant in writing within five (5) business days of the decision. If the
applicant is determined ineligible for agency services, the agency area office
shall notify the applicant of the right to appeal the decision in accordance
with Chapter 120, F.S.
(5) If the
applicant is determined to be ineligible to receive services from the agency,
the agency area office shall offer suggestions regarding other programs,
agencies, or services for which the applicant may be eligible.
(6) If a category of covered conditions in
this rule is not also covered by the state's Medicaid developmental
disabilities waiver (DD waiver) at the time an individual is determined to be
eligible, those individuals will be placed on a preenrollment category and may
be provided services funded through general revenue allocations or sources
other than the DD Waiver.
Notes
Rulemaking Authority 393.065, 393.066, 393.501 FS. Law Implemented 393.065, 393.066 FS.
New 5-16-12.
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
(1) Application for services from the agency shall be made by submitting an application by hand delivery, U.S. Postal Service, or facsimile to the agency office in the service area where the applicant resides. The Application for Services Form 65G-4.016 A, (2024), is available on the agency website at www.APD.myflorida.com, http://www.apd.myflorida.com/customers/application/ or by contacting the agency . The application is available in English and Spanish and is hereby incorporated by reference, http://www.flrules.org/Gateway/reference.asp?No=Ref-17186.
(2) Upon receipt of a completed, signed, and dated Application for Services , as described in section 393.065(1)(d), F.S., the Agency shall review the application and supporting documentation and make a final determination regarding the applicant's eligibility for agency services within time frames established in s. 393.065(1), F.S. If the Agency requires additional documentation, information or if additional evaluations are necessary to determine eligibility, the timeframe for the determination process may be tolled until any necessary documentation or information is received by the Agency or assessments are completed.
(3) If an applicant is unable to produce an existing evaluation that establishes eligibility or if there is concern that the information provided is inaccurate, incorrect, or incomplete, the agency area office will be responsible for obtaining an evaluation to establish eligibility. Professional diagnoses under Rule 65G-4.017, F.A.C., must document all criteria for eligibility as set forth in Rules 65G-4.014 -.017, F.A.C. The evaluation process includes only those assessments necessary to determine eligibility that were administered by a person qualified to administer the instrument(s).
(4) When the eligibility determination is complete, the agency area office shall notify the applicant in writing within five (5) business days of the decision. If the applicant is determined ineligible for agency services , the agency area office shall notify the applicant of the right to appeal the decision in accordance with Chapter 120, F.S.
(5) If the applicant is determined to be ineligible to receive services from the agency , the agency area office shall offer suggestions regarding other programs, agencies, or services for which the applicant may be eligible.
(6) If a category of covered conditions in this rule is not also covered by the state's Medicaid developmental disabilities waiver (DD waiver ) at the time an individual is determined to be eligible, those individuals will be placed on a preenrollment category and may be provided services funded through general revenue allocations or sources other than the DD Waiver .
Notes
Rulemaking Authority 393.065, 393.066, 393.501 FS. Law Implemented 393.065, 393.066 FS.
New 5-16-12.