Section 65G-4.016 - [Effective until 11/21/2024] Application Process(2) Upon receipt of a completed, signed, and dated Application for Services, the area agency staff shall review the application and supporting documentation and, within 45 days for children under the age of 6 and 60 days for individuals 6 years of age and older, shall notify the applicant of the final determination of eligibility for agency services. If requests for collateral information or additional evaluations are necessary to determine eligibility, the time may be extended for no more than an additional ninety (90) days.(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.Fla. Admin. Code Ann. R. 65G-4.016
Rulemaking Authority 393.065(10), 393.066(8), 393.501 FS. Law Implemented 393.065, 393.066 FS.