ࡱ>  ,1#$%&'()*+] bjbj++ I'bI'bV(V(((()))8:)4n0 )Dz8+^d(ddd#}6Y\s u u u u u u $v (e||#}ee V(V(dd!beV(ld(ds es P(,ud0F[ygiJ_ x0c{: u>(eeeeeee  L eeeeeeeeeeeeeeeeB ':   Health Care Licensing Application Home Medical Equipment Provider The Agency for Health Care Administration (AHCA) has implemented the ONLINE LICENSING SYSTEM which allows the electronic submission of renewal and change during licensure period applications and fees, along with the ability to upload supporting documentation. To submit online please go to:  HYPERLINK "http://ahca.myflorida.com/onlinelicensure" http://ahca.myflorida.com/onlinelicensure Applications must be received at least 60 days prior to the expiration of the current license or effective date of a change of ownership to avoid a late fee. If the renewal application is received by the Agency less than 60 days prior to the expiration date, it is subject to a late fee as set forth in statute. The application will be withdrawn from review if all the required documents and fees are not included with your application or received within 21 days of an omission notice. Applications will not be considered for review until payment has been received. Renewal and Change During License Period applications: Supporting documentation, responses to omissions and payments may be submitted using the online system even if the application was originally mailed to the Agency. Under the authority of Chapters 408, Part II, and 400, Part VII, Florida Statutes (F.S.), and Chapters 59A-35 and 59A-25, Florida Administrative Code (F.A.C.), an application is hereby made to operate a home medical equipment provider as indicated below: 1. Provider / Licensee Information A. PROVIDER INFORMATION Please complete the following for the home medical equipment provider name and location. Provider name, address and telephone number will be listed on  HYPERLINK "http://www.floridahealthfinder.gov/" http://www.floridahealthfinder.gov/License # (if applicable)  FORMTEXT      National Provider Identifier (NPI) (if applicable)  FORMTEXT      Florida Medicaid # (if applicable)  FORMTEXT      Name of Home Medical Equipment Provider (if operated under a fictitious name, enter as it appears in Florida Division of Corporations)  FORMTEXT      Street Address  FORMTEXT      City  FORMTEXT      County  FORMTEXT      State  FORMTEXT      Zip  FORMTEXT      Telephone Number  FORMTEXT      Fax Number  FORMTEXT      Mailing Address or  FORMCHECKBOX  Same as above  FORMTEXT      City  FORMTEXT      County  FORMTEXT      State  FORMTEXT      Zip  FORMTEXT      Telephone Number  FORMTEXT      E-mail Address  FORMTEXT      Provider Website  FORMTEXT      NOTE: By providing your e-mail address, you agree to accept e-mail correspondence from the Agency. B. LICENSEE INFORMATION  Please complete the following for the entity seeking to operate the Home Medical Equipment Provider.Licensee Name (This is the owner of the home medical equipment provider)  FORMTEXT      Federal Employer Identification Number (EIN)  FORMTEXT      Mailing Address or  FORMCHECKBOX  Same as above  FORMTEXT      City  FORMTEXT      State  FORMTEXT      Zip  FORMTEXT      Telephone Number  FORMTEXT      Fax Number  FORMTEXT      E-mail Address  FORMTEXT      Description of Licensee (check one): For Profit Not for Profit Public  FORMCHECKBOX  Corporation  FORMCHECKBOX  Corporation  FORMCHECKBOX  State  FORMCHECKBOX  Limited Liability Company  FORMCHECKBOX  Religious Affiliation  FORMCHECKBOX  City/County  FORMCHECKBOX  Partnership  FORMCHECKBOX  Other  FORMCHECKBOX  Hospital District  FORMCHECKBOX  Individual  FORMCHECKBOX  Sole Proprietor  FORMCHECKBOX  Other C. CONTACT PERSON - For this application Contact Person for this application  FORMTEXT      Contact Telephone Number  FORMTEXT      Contact e-mail address or  FORMCHECKBOX  Do not have e-mail  FORMTEXT       2. Application Type and Fees Indicate the type of application with an  X. Applications will not be processed if all applicable fees are not included. All licensure fees are nonrefundable per section 408.805(4), F.S. Renewal and change of ownership applications must be received 60 days prior to the expiration of the license or the proposed effective date of the change to avoid a late fee. If the renewal application is received by the Agency less than 60 days prior to the expiration date, it is subject to a late fee as set forth in statute. The applicant will receive notice of the amount of the late fee as part of the application process or by separate notice.  FORMCHECKBOX  Initial Licensure Proposed Effective Date:  FORMTEXT       Was this entity previously licensed as a Home Medical Equipment Provider in Florida? YES  FORMCHECKBOX  NO  FORMCHECKBOX  If YES, please provide the provider name (if different), EIN # and the year the prior license expired or closed: NAME:  FORMTEXT      EIN #  FORMTEXT      Year Expired/Closed:  FORMTEXT        FORMCHECKBOX  Renewal Licensure  FORMCHECKBOX  Change of Ownership Proposed Effective Date:  FORMTEXT        FORMCHECKBOX  Change During Licensure Period  select all that apply: Proposed Effective Date:  FORMTEXT       Fee Required No Fee Required  FORMCHECKBOX  Provider Name  FORMCHECKBOX  Personnel  FORMCHECKBOX  Provider Address  FORMCHECKBOX  Central Service, Distribution Centers or Warehouse  FORMCHECKBOX  Geographic Service Areas Address(es) Services/Qualifications:  FORMCHECKBOX  Management Company  FORMCHECKBOX  Change in Equipment and/or Services  FORMCHECKBOX  Duplicate License ACTIONFEETOTAL FEESLicensure Fee (Initial, Renewal and Change of Ownership):  FORMCHECKBOX  License Fee Exemption (State, County or Municipal Government pursuant to 400.931(5), F.S.)= $ 0.00$304.50$  FORMTEXT      Inspection (required unless provider is exempt  refer to Application Checklist)$400.00$  FORMTEXT      Replacement License$25.00$  FORMTEXT      TOTAL FEES INCLUDED WITH APPLICATION$  FORMTEXT      Please make check or money order payable to the Agency for Health Care Administration (AHCA) 3. Controlling Interests of Licensee AUTHORITY: Pursuant to Section 408.806(1)(a) and (b), F.S., an application for licensure must include: the name, address and social security number of the applicant and each controlling interest, if the applicant or controlling interest is an individual; and the name, address, and federal employer identification number (EIN) of the applicant and each controlling interest, if the applicant or controlling interest is not an individual. Disclosure of social security number(s) is mandatory. The Agency for Health Care Administration shall use such information for purposes of securing the proper identification of persons listed on this application for licensure. However, in an effort to protect all personal information, do not include social security numbers on this form. All social security numbers must be entered on the Health Care Licensing Application Addendum, AHCA Form 3110-1024.  DEFINITIONS: Controlling interests, as defined in subsection 408.803(7), F.S., are the applicant or licensee; a person or entity that serves as an officer of, is on the board of directors of, or has a 5-percent or greater ownership interest in the applicant or licensee; or a person or entity that serves as an officer of, is on the board of directors of, or has a 5-percent or greater ownership interest in the management company or other entity, related or unrelated, with which the applicant or licensee contracts to manage the provider. The term does not include a voluntary board member. Special note: Pursuant to section 408.809, F.S., any controlling interest are required to have an Agency screening through the Care Provider Background Screening Clearinghouse. If background screening has been conducted by the Department of Financial Services for an applicant for a certificate of authority to operate a continuing care retirement community under Chapter 651, F.S., the Attestation of Compliance with Background Screening Requirements, AHCA Form 3100-0008 may be submitted in lieu of Agency screening. To verify who is to be screened, visit  HYPERLINK "http://ahca.myflorida.com/MCHQ/Central_Services/Background_Screening/Rqrd_Screening.shtml.%20"  HYPERLINK "http://ahca.myflorida.com/MCHQ/Central_Services/Background_Screening/.%20" http://ahca.myflorida.com/MCHQ/Central_Services/Background_Screening/.   Individual and/or Entity Ownership of Licensee as listed in section 1B above Provide the information for each individual or entity (corporation, partnership, association) with 5% or greater ownership interest in the licensee. Attach additional sheets if necessary. Note: This excludes Not-for-Profit and publicly held licensees. FULL NAME of INDIVIDUAL or ENTITYPRIMARY ADDRESSTELEPHONE NUMBEREIN (No SSNs)% OWNERSHIPEFFECTIVE DATEEND DATENONIMMIGRANT ALIEN FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  Board Members and Officers of Licensee (as listed in section 1B above)  Provide the information for each individual or entity (corporation, partnership, association) that serves as an officer or is on the board of directors. Do not include voluntary board members. TITLEFULL NAMEPERSONAL/PRIMARY ADDRESSTELEPHONE NUMBEREFFECTIVE DATEEND DATEBoard Member/Officer FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Board Member/Officer FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Board Member/Officer FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Board Member/Officer FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Board Member/Officer FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       4. Management Company Controlling Interests Does a company other than the licensee manage the licensed provider? If  FORMCHECKBOX  NO, skip to section 5 Personnel. If  FORMCHECKBOX  YES, provide the following information: Name of Management Company  FORMTEXT      EIN (No SSNs)  FORMTEXT      Telephone Number / Fax  FORMTEXT      Street Address  FORMTEXT      E-mail Address  FORMTEXT      City  FORMTEXT      County  FORMTEXT      State  FORMTEXT    Zip  FORMTEXT      Mailing Address or  FORMCHECKBOX Same as above  FORMTEXT      City  FORMTEXT      State  FORMTEXT    Zip  FORMTEXT      Contact Person  FORMTEXT      Contact E-mail  FORMTEXT      Contact Telephone Number  FORMTEXT       DEFINITION: Controlling interests, as defined in section 408.803(7), F.S., are the applicant or licensee; a person or entity that serves as an officer of, is on the board of directors of, or has a 5% or greater ownership interest in the applicant or licensee; or a person or entity that serves as an officer of, is on the board of directors of, or has a 5% or greater ownership interest in the management company or other entity, related or unrelated, with which the applicant or licensee contracts to manage the provider. The term does not include a voluntary board member. Special Note: For each controlling interest an AHCA Screening through the Care Provider Background Screening Clearinghouse is needed or the Attestation of Compliance with Background Screening Requirements, AHCA Form 3100-0008 if background screening was conducted by the Department of Financial Services for an applicant for a certificate of authority to operate a continuing care retirement community under Chapter 651, F.S. To verify who is to be screened, visit  HYPERLINK "http://ahca.myflorida.com/MCHQ/Central_Services/Background_Screening/Rqrd_Screening.shtml.%20"  HYPERLINK "http://ahca.myflorida.com/MCHQ/Central_Services/Background_Screening/.%20" http://ahca.myflorida.com/MCHQ/Central_Services/Background_Screening/.   A. Individual and/or Entity Ownership of Management Company: Provide the information for each individual or entity (corporation, partnership, association) with 5% or greater ownership interest in the management company. Attach additional sheets, if necessary. FULL NAME of INDIVIDUAL or ENTITYPRIMARY ADDRESSTELEPHONE NUMBEREIN (No SSNs)% OWNERSHIPEFFECTIVE DATEEND DATENONIMMIGRANT ALIEN FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  Board Members and Officers of Management Company: Provide the information for each individual or entity (corporation, partnership, association) that serves as an officer or is on the board of directors. Do not include voluntary board members. TITLEFULL NAMEPERSONAL/PRIMARY ADDRESSTELEPHONE NUMBEREFFECTIVE DATEEND DATEBoard Member/Officer FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Board Member/Officer FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Board Member/Officer FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Board Member/Officer FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Board Member/Officer FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Board Member/Officer FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       5. Personnel Please provide information for the individual(s) who perform the following roles. Please provide information for the individual(s) who perform the following roles. Special note: the administrator and financial officer are required pursuant to section 408.809, F.S. to have an Agency screening through the Care Provider Background Screening Clearinghouse or submit the Attestation of Compliance with Background Screening Requirements, AHCA Form 3100-0008, if background screening was conducted by the Department of Financial Services for an applicant for a certificate of authority to operate a continuing care retirement community under Chapter 651, F.S.. To verify who is to be screened, visit  HYPERLINK "http://ahca.myflorida.com/MCHQ/Central_Services/Background_Screening/Rqrd_Screening.shtml.%20"  HYPERLINK "http://ahca.myflorida.com/MCHQ/Central_Services/Background_Screening/.%20" http://ahca.myflorida.com/MCHQ/Central_Services/Background_Screening/. INFORMATIONGENERAL MANAGER/ADMINISTRATORFINANCIAL OFFICER / PERSON RESPONSIBLE FOR FINANCIAL OPERATIONSFull Name FORMTEXT       FORMTEXT      Date of Birth FORMTEXT       FORMTEXT      Effective Date FORMTEXT       FORMTEXT      End Date FORMTEXT       FORMTEXT      Telephone Number FORMTEXT       FORMTEXT      Email Address FORMTEXT       FORMTEXT      Personal/Primary Address FORMTEXT       FORMTEXT       Note: 59A-25.004(1)(a), F.A.C., requires the general manager have  a minimum of 2 years experience in business management or a college degree in business or a health care related field can substitute for the required experience year for year. Safety Liaison Provide the requested information for the individual who will serve as primary contact during emergency operations pursuant to 408.821, F.S. INFORMATIONSAFETY LIAISONFull Legal Name FORMTEXT      Date of Birth FORMTEXT      Effective Date FORMTEXT      End Date FORMTEXT      Personal/Primary Address FORMTEXT      Telephone Number FORMTEXT      Email Address FORMTEXT       6. Out of State Providers Only (without a physical location in Florida) Provide the following information for any employees located in Florida. Attach additional sheets if necessary. FULL NAMEJOB TITLETELEPHONE #ASSIGNED FLORIDA COUNTIES FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       7. Required Disclosures The following disclosures are required: Pursuant to section 408.809, F.S., the applicant shall submit to the Agency a description and explanation of any convictions of offenses prohibited by sections 435.04 and 408.809(4), F.S., for each controlling interest. Has the applicant or any individual listed in sections 3 and 4 of this application been convicted of any level 2 offense pursuant to section 408.809, F.S.? YES  FORMCHECKBOX  NO  FORMCHECKBOX  If YES, provide the following information:  FORMCHECKBOX  The full legal name of the individual and the position held  FORMCHECKBOX  A description and explanation of any convictions  Pursuant to section 408.810(2), F.S., the applicant must provide a description and explanation of any exclusions, suspensions, or terminations from the Medicare, Medicaid, or federal Clinical Laboratory Improvement Amendment (CLIA) programs. Has the applicant or any individual/entity listed in sections 3 and 4 of this application been excluded, suspended, terminated or involuntarily withdrawn from participation in Medicare or Medicaid in any state? YES  FORMCHECKBOX  NO  FORMCHECKBOX  If YES, enclose the following information:  FORMCHECKBOX  The full legal name of the individual (and the position held) or the entity  FORMCHECKBOX  A description/explanation of the exclusion, suspension, termination or involuntary withdrawal.  Pursuant to section 408.815(4), F.S., has the applicant or a controlling interest in the applicant, or any entity in which a controlling interest of the applicant was an owner or officer when the following actions occurred ever been: Convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under Chapter 409, Chapter 817, Chapter 893, 21 U.S.C. ss. 801-970, or 42 U.S.C. ss. 1395-1396, Medicaid fraud, Medicare fraud, or insurance fraud, within the previous 15 years prior to the date of this application? YES  FORMCHECKBOX  NO  FORMCHECKBOX  Terminated for cause from the Medicare program or a state Medicaid program? YES  FORMCHECKBOX  NO  FORMCHECKBOX  If YES, has applicant been in good standing with the Medicare program or a state Medicaid program for the most recent five (5) years and the termination occurred at least twenty (20) years before the date of the application. YES  FORMCHECKBOX  NO  FORMCHECKBOX   If the applicant or any controlling interests are nonimmigrant aliens according to 8 U.S.C. 1101, then a surety bond of at least $500,000 payable to the Agency for Health Care Administration that guarantees the home medical equipment provider will act in full conformity with all legal requirements for operation must be filed [section 408.8065(2), F.S.]. Are there any nonimmigrant aliens listed as a licensee or controlling interest in this application? YES  FORMCHECKBOX  NO  FORMCHECKBOX  If YES, enclose a copy of the surety bond with this application.  Pursuant to section 400.932(3), F.S., has the applicant previously: Been found by any professional licensing, certifying or standards board or agency to have violated the standards or conditions relating to licensure or certification or the quality of services provided? YES  FORMCHECKBOX  NO  FORMCHECKBOX  Been or is currently excluded, suspended, terminated or involuntarily withdrawn from participation in any governmental or private health care or health insurance program in any state? YES  FORMCHECKBOX  NO  FORMCHECKBOX  If YES, enclose the following information:  FORMCHECKBOX  The full legal name of the individual and the position held or the legal name of the business entity  FORMCHECKBOX  A description/explanation of any violations found and the name of the professional board/agency and/or of the exclusion, suspension, termination or involuntary withdrawal and the name of the health care/insurance program 8. Provider Fines and Financial Information Pursuant to section 408.831(1)(a), F.S., the Agency may take action against the applicant, licensee, or a licensee which shares a common controlling interest with the applicant if they have failed to pay all outstanding fines, liens, or overpayments assessed by final order of the agency or final order of the Centers for Medicare and Medicaid Services (CMS), not subject to further appeal, unless a repayment plan is approved by the agency. Are there any incidences of outstanding fines, liens or overpayments as described above? YES  FORMCHECKBOX  NO  FORMCHECKBOX  If YES, please complete the following for each incidence (attach additional sheets if necessary): AHCA CASE NUMBERCMSASSESSED AMOUNTDATE OF RELATED INSPECTION, APPLICATION, OR OVERPAYMENTPAYMENT DUE DATEPENDING APPEAL OF FINAL ORDERYESNO FORMTEXT       FORMCHECKBOX  FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  FORMTEXT       FORMCHECKBOX  FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  FORMTEXT       FORMCHECKBOX  FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  Please attach a copy of the approved repayment plan if applicable. 9. Accreditation The applicant participates in (select accrediting organization below or  FORMCHECKBOX  Not accredited): ACCREDITING ORGANIZATIONACCREDITATION IDACCREDITATION WITH DEEMED STATUSSURVEY END DATEEFFECTIVE DATEEND DATE FORMCHECKBOX Accreditation Commission for Health Care (ACHC) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX Community Health Accreditation Program (CHAP) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX The Joint Commission FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX Board of Certification/Accreditation (BOC) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX The Compliance Team (TCT) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX Healthcare Quality Association on Accreditation (HQAA) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       NOTE: An HME Provider physically located outside of Florida must submit documentation of accreditation in accordance with section 400.931(2), F.S. 10. Days and Hours of Operation List the regular operating hours. Day of the WeekOpening TimeClosing TimeSunday FORMTEXT       FORMTEXT      Monday FORMTEXT       FORMTEXT      Tuesday FORMTEXT       FORMTEXT      Wednesday FORMTEXT       FORMTEXT      Thursday FORMTEXT       FORMTEXT      Friday FORMTEXT       FORMTEXT      Saturday FORMTEXT       FORMTEXT      NOTE: Site inspections by surveyors will occur during the business hours submitted. Failure to be open during the listed hours may result in a fine or denial of an application. 11. Geographic Service Area For Initial applications check all counties where this agency expects to provide services. For all other applications, check only those counties that will be HME plans to add or delete from the existing license FORMCHECKBOX  AREA 1 FORMCHECKBOX  AREA 2 FORMCHECKBOX  AREA 3 FORMCHECKBOX  AREA 4 FORMCHECKBOX  AREA 7 FORMCHECKBOX  AREA 9 FORMCHECKBOX  Escambia FORMCHECKBOX  Bay FORMCHECKBOX  Alachua FORMCHECKBOX  Baker FORMCHECKBOX  Brevard FORMCHECKBOX  Indian River FORMCHECKBOX  Okaloosa FORMCHECKBOX  Calhoun FORMCHECKBOX  Bradford FORMCHECKBOX  Clay FORMCHECKBOX  Orange FORMCHECKBOX  Martin FORMCHECKBOX  Santa Rosa FORMCHECKBOX  Franklin FORMCHECKBOX  Citrus FORMCHECKBOX  Duval FORMCHECKBOX  Osceola FORMCHECKBOX  Okeechobee FORMCHECKBOX  Walton FORMCHECKBOX  Gadsden FORMCHECKBOX  Columbia FORMCHECKBOX  Flagler FORMCHECKBOX  Seminole FORMCHECKBOX  Palm Beach FORMCHECKBOX  Gulf FORMCHECKBOX  Dixie FORMCHECKBOX  Nassau FORMCHECKBOX  St. Lucie FORMCHECKBOX  Holmes FORMCHECKBOX  Gilchrist FORMCHECKBOX  St. Johns FORMCHECKBOX  Jackson FORMCHECKBOX  Hamilton FORMCHECKBOX  Volusia FORMCHECKBOX  Jefferson FORMCHECKBOX  Hernando FORMCHECKBOX  Leon FORMCHECKBOX  Lafayette FORMCHECKBOX  AREA 5 FORMCHECKBOX  AREA 8 FORMCHECKBOX  AREA 10 FORMCHECKBOX  Liberty FORMCHECKBOX  Lake FORMCHECKBOX  Pasco FORMCHECKBOX  Charlotte FORMCHECKBOX  Broward FORMCHECKBOX  Madison FORMCHECKBOX  Levy FORMCHECKBOX  Pinellas FORMCHECKBOX  Collier FORMCHECKBOX  Taylor FORMCHECKBOX  Marion FORMCHECKBOX  DeSoto FORMCHECKBOX  Wakulla FORMCHECKBOX  Putnam FORMCHECKBOX  AREA 6 FORMCHECKBOX  Glades FORMCHECKBOX  AREA 11 FORMCHECKBOX  Washington FORMCHECKBOX  Sumter FORMCHECKBOX  Hardee FORMCHECKBOX  Hendry FORMCHECKBOX  Miami-Dade FORMCHECKBOX  Suwannee FORMCHECKBOX  Highlands FORMCHECKBOX  Lee FORMCHECKBOX  Monroe FORMCHECKBOX  Union FORMCHECKBOX  Hillsborough FORMCHECKBOX  Sarasota FORMCHECKBOX  Manatee FORMCHECKBOX  Polk 12. Equipment and Services Indicate all equipment to be provided directly and/or through contract. Pursuant to section 400.934(2), F.S. and section 59A-25.005(1)(c) F.A.C., a home medical equipment provider must provide at least one category of equipment directly from its own inventory (not through another contracted provider). Categories are defined as mobility aids, ambulation aids, respiratory modalities, sickroom setup and disposables. Mobility AidsDirectContractAmbulation AidsDirectContractMotorized Scooters FORMCHECKBOX  FORMCHECKBOX Walkers FORMCHECKBOX  FORMCHECKBOX Wheelchairs FORMCHECKBOX  FORMCHECKBOX Walking Canes FORMCHECKBOX  FORMCHECKBOX Passive Motion Devices FORMCHECKBOX  FORMCHECKBOX Crutches FORMCHECKBOX  FORMCHECKBOX Electrostimulation Equipment FORMCHECKBOX  FORMCHECKBOX Other:  FORMTEXT        FORMCHECKBOX  FORMCHECKBOX Other:  FORMTEXT        FORMCHECKBOX  FORMCHECKBOX Other:  FORMTEXT        FORMCHECKBOX  FORMCHECKBOX Respiratory ModalitiesDirectContractSickroom SetupDirectContractContinuous Positive Airway Pressure Machines FORMCHECKBOX  FORMCHECKBOX Hospital Beds FORMCHECKBOX  FORMCHECKBOX Patient Lifts FORMCHECKBOX  FORMCHECKBOX Intermittent Positive Airway Pressure Machines FORMCHECKBOX  FORMCHECKBOX Specialty Prescribed Cribs (child safety) FORMCHECKBOX  FORMCHECKBOX Suction Machines FORMCHECKBOX  FORMCHECKBOX Apnea Monitors FORMCHECKBOX  FORMCHECKBOX Phototherapy Lights w/Photometer 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Supplies*DirectContract*Diabetic monitors and disposable supplies have been identified as equipment and supplies that do not require services. Locations that supply only these items are not required to obtain a home medical equipment provider license.Diabetic FORMCHECKBOX  FORMCHECKBOX Ostomy FORMCHECKBOX  FORMCHECKBOX Urological FORMCHECKBOX  FORMCHECKBOX Wound Care FORMCHECKBOX  FORMCHECKBOX  Indicate services to be provided directly and/or via contract. Service CategoryDirectContractService CategoryDirectContractIntake* FORMCHECKBOX  FORMCHECKBOX Equipment Selection  FORMCHECKBOX  FORMCHECKBOX Delivery FORMCHECKBOX  FORMCHECKBOX Setup and Installation FORMCHECKBOX  FORMCHECKBOX Patient Training FORMCHECKBOX  FORMCHECKBOX Ongoing Service and Maintenance FORMCHECKBOX  FORMCHECKBOX Retrieval FORMCHECKBOX  FORMCHECKBOX *A distribution center would not provide intake services directly or through contract. Refer to section 11 for information.  Does this provider possess an oxygen permit?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If YES, Oxygen Permit #:  FORMTEXT       Permit Effective Date:  FORMTEXT       Permit Expiration Date:  FORMTEXT       13. Contracted Equipment/Services Provide the name, license number (if applicable) and address of all companies with whom the provider contracts or plans to contract. List both those that the provider uses to provide equipment and/or services to its consumers and those for whom the applicant provides equipment and/or services. Attach an additional sheet if necessary. NAME OF CONTRACTED COMPANYLICENSE # (IF APPLICABLE)ADDRESSEQUIPMENTSERVICE  FORMTEXT       FORMTEXT       FORMTEXT      Yes  FORMCHECKBOX  No  FORMCHECKBOX Yes  FORMCHECKBOX  No  FORMCHECKBOX   FORMTEXT       FORMTEXT       FORMTEXT      Yes  FORMCHECKBOX  No  FORMCHECKBOX Yes  FORMCHECKBOX  No  FORMCHECKBOX   FORMTEXT       FORMTEXT       FORMTEXT      Yes  FORMCHECKBOX  No  FORMCHECKBOX Yes  FORMCHECKBOX  No  FORMCHECKBOX   FORMTEXT       FORMTEXT       FORMTEXT      Yes  FORMCHECKBOX  No  FORMCHECKBOX Yes  FORMCHECKBOX  No  FORMCHECKBOX   FORMTEXT       FORMTEXT       FORMTEXT      Yes  FORMCHECKBOX  No  FORMCHECKBOX Yes  FORMCHECKBOX  No  FORMCHECKBOX   FORMTEXT       FORMTEXT       FORMTEXT      Yes  FORMCHECKBOX  No  FORMCHECKBOX Yes  FORMCHECKBOX  No  FORMCHECKBOX  14. Warehouse Information Will this provider maintain a warehouse location away from the licensed address? YES  FORMCHECKBOX  NO  FORMCHECKBOX  If YES, list address (es) below (attach additional sheets if necessary). Do not list locations that are already listed in sections 1 or 11: STREET ADDRESSCITYSTATEZIP FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      NOTE: Only inventory may be physically located in a warehouse. If this location provides selection, delivery, set up, consumer instruction or maintenance of equipment, it must be separately licensed. 15. Location of Required Items Check the personnel and items below that are located at the address being licensed:  FORMCHECKBOX  General Manager  FORMCHECKBOX  Consumer records  FORMCHECKBOX  Inventory  FORMCHECKBOX  Delivery personnel  FORMCHECKBOX  Personnel records  FORMCHECKBOX  Contracts as listed in section 9  FORMCHECKBOX  Intake personnel  FORMCHECKBOX  Consumer complaint records  FORMCHECKBOX  Insurance policies; state &  FORMCHECKBOX  Maintenance/Repair personnel local government permits  FORMCHECKBOX  Other: _ FORMTEXT      _________________ FOR PERSONNEL AND ITEMS NOT CHECKED ABOVE, LIST THE ADDRESS (ES) WHERE EACH IS LOCATED OR MARK N/A AND EXPLAIN. FORMTEXT      ; FORMTEXT      ; FORMTEXT      ; 16. Licensed Central Service/Distribution Centers Only Does the licensee as listed in section 1B of this application operate more than one licensed home medical equipment provider location? If  FORMCHECKBOX  NO, skip to section 17 If  FORMCHECKBOX  YES, the following information may apply CENTRAL SERVICE CENTER: A central service center (as defined in 59A-25.001, F.A.C.) is the licensed premises that are in charge of taking consumer orders, dispatching the orders to licensed distribution centers owned and operated by the same licensee that provide home medical equipment services, and maintaining consumer and personnel records. The central service center is responsible for the operation of its designated distribution centers. A business is not considered a central service center unless it has at least one other separately licensed location owned and operated by the same licensee that serves as a distribution center. The licensing fee and survey fees are required for a central service center. If the central service center has a current medical oxygen retail establishment permit issued by the Department of Business & Professional Regulation or is accredited by an organization recognized by the Agency, then the survey fee would not be required (refer to the checklist and section 2 of this application). Is this application for a central service center as defined above? YES  FORMCHECKBOX  NO  FORMCHECKBOX  If yes, provide the information for its licensed distribution center(s) below: NAMELICENSE #ADDRESS FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       DISTRIBUTION CENTER: A distribution center (as defined in 59A-25.001, F.A.C.) is those licensed premises that are not located at the address of the central service center but are owned and operated by the same licensee, receive orders from the central service center and are utilized to provide home medical equipment services. A business is not considered a distribution center unless it operates under a separately licensed central service center owned by the same licensee. A licensure fee is required; a survey fee may not be. Is this application for a distribution center as defined above? YES  FORMCHECKBOX  NO  FORMCHECKBOX  If YES, provide the information for its licensed central service center below: NAME LICENSE #ADDRESS FORMTEXT       FORMTEXT       FORMTEXT       17. Supporting Documentation Applicants must include the following attachments as stated in Chapter 408, Part II and 400, Part VII and Chapters 59A-35 and 59A-25, F.A.C. Note: Required documents listed below are dependent on the type of application submitted. (Initial, Renewal, Change of Ownership, Change during licensure period) Documents to be Provided:Required For: Current medical oxygen retail establishment permit issued by the Florida Department of Business & Professional Regulation in the providers/licensees name at the providers street address, if applicable.Initial, Renewal, and Change of Ownership application typesAccreditation and inspection report, and plan of correction (if applicable).Initial, Renewal, and Change of Ownership application typesCertificate of commercial and professional liability insurance coverage Initial, Renewal, and Change of Ownership application typesDocumentation from the appropriate local government office showing that the applicant has met local zoning requirementsInitial, and Change of Ownership application typesSurety or Continuation Bond, if required per section 408.8065, F.S. Initial, Renewal, and Change of Ownership application typesProof of Financial Ability to Operate (AHCA Form 3100-0009)Initial and Change of Ownership application typesDocumentation of change of ownership transaction stating effective date and executed by all parties Change of Ownership applications.Proof of Property Occupancy, Examples: Lease, Mortgage, and Transfer Agreement if applicable.Initial, Renewal, Change of Ownership, Request to Change Name or Address of Provider application typesHealth Care Licensing Application Addendum, AHCA Form 3110-1024 @fI@44@ $$Ifa$gdeg $Ifgdegkd}$$IfTl֞2 \ :&"&  *   \  *  t44 laytJTTh„Ąʄ̄ȳ|dOȳ:)jhNCJOJQJU^JaJ)j4hNCJOJQJU^JaJ/jh!\hP5OJQJU^JmHnHu*jh!\hP5OJQJU^Jh!\hP5OJQJ^J$jh!\hP5OJQJU^J)jh!\hPCJOJQJU^JaJ#jhNCJOJQJU^JaJ)jFhNCJOJQJU^JaJ h!\hPCJOJQJ^JaJʄ4kd$$$IfTl֞2 \ :&"&   *     \   *    t44 laytJTT $$Ifa$gdeg $Ifgdeg&(68FHVXfhhlɆʆ؆نچۆ|h|SA#jhNCJOJQJU^JaJ)jhNCJOJQJU^JaJ&h!\hP5>*CJOJQJ^JaJ#h!\hP5CJOJQJ^JaJ&h!\hP5;CJOJQJ^JaJ h!\h h!\hCJOJQJ^JaJ h!\hC6K 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Attestation I, _____________________________________________, attest as follows: Pursuant to section 837.06, Florida Statutes, I have not knowingly made a false statement with the intent to mislead the Agency in the performance of its official duty. Pursuant to section 408.815, Florida Statutes, I acknowledge that false representation of a material fact in the license application or omission of any material fact from the license application by a controlling interest may be used by the Agency for denying and revoking a license or change of ownership application. Pursuant to section 408.806, Florida Statutes, under penalty of perjury, the applicant is in compliance with the provisions of section 408.806 and Chapter 435, Florida Statutes. Pursuant to sections 408.809 and 435.05, Florida Statutes, every employee of the applicant required to be screened has attested, subject to penalty of perjury, to meeting the requirements for qualifying for employment pursuant to Chapter 408, Part II, and Chapter 435, Florida Statutes, and has agreed to inform the employer immediately if arrested for any of the disqualifying offenses while employed by the employer. Pursuant to section 435.05, Florida Statutes, the applicant has conducted a level 2 background screening through the Agency on every employee required to be screened under Chapter 408, Part II, or Chapter 435, Florida Statutes, as a condition of employment and continued employment and that every such employee has satisfied the level 2 background screening standards or obtained an exemption from disqualification from employment. Signature of Licensee or Authorized Representative Title Date NOTICE: If you are a Medicaid provider, you may have a separate obligation to notify the Medicaid program of a name/address change, change of ownership or other change of information. Please refer to your Medicaid handbooks for additional information about Medicaid program policy regarding changes to provider enrollment information.        AHCA Form 3110-1005, July 2018 Recommended Form 59A-25.002, Florida Administrative Code Page  PAGE 1 of 11 Form available at:  HYPERLINK "http://ahca.myflorida.com/HQAlicensureforms" http://ahca.myflorida.com/HQAlicensureforms AHCA USE ONLY: File #: Application #: Check #: Check Amt: Batch #: RETURN THIS COMPLETED FORM WITH FEES AND ALL REQUIRED DOCUMENTS TO: AGENCY FOR HEALTH CARE ADMINISTRATION LONG TERM CARE SERVICES UNIT 2727 MAHAN DR., MS 34 TALLAHASSEE FL 32308-5407 Questions? Review the information avalable at http://ahca.myflorida.com/homecare or contact the Agency at (850) 412-4303 The Agency for Health Care Administration scans all documents for electronic storage. 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