APD Form 65G-14.004 A Attachment to the Medicaid Waiver Services Agreement for Waiver Support Coordination Between Agency for Persons With Disabilities and Wsc - Florida

APD Form 65G-14.004 A Attachment to the Medicaid Waiver Services Agreement for Waiver Support Coordination Between Agency for Persons With Disabilities and Wsc - Florida

What Is APD Form 65G-14.004 A?

This is a legal form that was released by the Florida Agency for Persons with Disabilities - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is APD Form 65G-14.004 A?A: APD Form 65G-14.004 A is an attachment to the Medicaid Waiver Services Agreement for Waiver Support Coordination in Florida.

Q: What is the purpose of APD Form 65G-14.004 A?A: The purpose of APD Form 65G-14.004 A is to establish the agreement between the Agency for Persons With Disabilities (APD) and the Waiver Support Coordination (WSC) provider for the provision of Medicaid waiver services.

Q: Who is involved in APD Form 65G-14.004 A?A: APD Form 65G-14.004 A involves the Agency for Persons With Disabilities (APD) and the Waiver Support Coordination (WSC) provider.

Q: What does APD stand for?A: APD stands for Agency for Persons With Disabilities.

Q: What does WSC stand for?A: WSC stands for Waiver Support Coordination.

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Form Details:

  • Released on July 1, 2021;
  • The latest edition provided by the Florida Agency for Persons with Disabilities;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of APD Form 65G-14.004 A by clicking the link below or browse more documents and templates provided by the Florida Agency for Persons with Disabilities.

Download APD Form 65G-14.004 A Attachment to the Medicaid Waiver Services Agreement for Waiver Support Coordination Between Agency for Persons With Disabilities and Wsc - Florida

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