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Get 3008 Form

AHCA 50003008 REFERRAL COVER SHEET Total number of pages (including this cover sheet): TO: CARES PSA FROM: Phone: Phone: FAX: FAX: This form is being submitted to CARES to request a Level of Care.

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How to fill out the 3008 Form online

Filling out the 3008 Form online is a straightforward process that helps streamline requests for Level of Care for individuals applying for the Florida Medicaid Institutional Care Program. This guide will walk you through each component of the form, ensuring you provide all necessary information accurately.

Follow the steps to complete the form online:

  1. Click the ‘Get Form’ button to acquire the form and open it in your digital platform of choice.
  2. Begin by entering the contact information in the 'FROM' section. Include your name, phone number, and fax number, ensuring all information is up to date.
  3. In the section labeled 'TO,' indicate 'CARES PSA' to specify the recipient of this request.
  4. Attach any necessary documentation as indicated in the form, such as the AHCA Medical Certification for Medicaid Long-Term Care Services, and ensure that you check 'Yes' or 'No' for each required attachment.
  5. Provide information related to the DCF ACCESS application. Indicate whether the application was submitted online or faxed/mailed by checking 'Yes' or 'No' accordingly.
  6. Complete the applicant's personal information, including the social security number, name, address, phone number, date of birth, marital status, sex, and race.
  7. If applicable, ensure to include the DCF ACCESS confirmation number for online applicants in the designated space.
  8. Finally, review all the entered information to confirm its accuracy. Once you are satisfied, save any changes made, and download, print, or share the completed form as necessary.

Take the next step in the online application process by completing your documents today.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232