1823 Form Florida 2024

1823 Form Florida: What You Should Know

Living Facilities. Ref-13531 HCA Form 1823, Resident Health Assessment for Assisted Living Facilities Amended Mar 24, 2024 1. The State Department of Health must send a copy of the Form 1823 to the facility listed on the form if the following requirements are met: The facility has at least one active resident who is 70 years of age or older at the time the Form 1823 is submitted; and 2. The facility is licensed to provide assisted living, assisted living services, or assisted living services-related care that has a “Qualified Care Provider” designation. This designation means that the center has been approved by the Department by submitting a completed Form 1823 and an official letter that contains a link to the Department's Accreditation website, which must be used at the time the Form 1823 is submitted. The letter must also contain the name and address of the “Qualified Care Provider” for the facility. Refer to the “Facility Reviews” and “Facility Reviews — Approval and Examinations” tabs for more information on the “Qualified Care Provider” designation. Amended Jul 19, 2024 To be eligible, the facility must be located in a county where the following criteria are met: The facility has at least one active resident who is 70 years of age or older at the time the Form 1823 is submitted. The facility is licensed to provide assisted living, assisted living services, or assisted living in which a “Qualified Care Provider” has been designated by the Department. The facility is not an adult day health or residential care facility. The facility is not a “home health-care home.” These are facilities that provide direct care only to patients on a 24-hour, 7-day, or 365-day basis. They are located outside residential care facilities. The facility must be licensed to provide assisted living, assisted living services, or assisted living services-related care that has a “Qualified Care Provider” designation. This designation means that the center has been approved by the Department by submitting an approved form, which includes a list of “Qualified Care Providers” for the facility and the name and address of the “Qualified Care Provider” for the facility. The letter must also contain the name and address of the “Qualified Care Provider” for the facility. Refer to the “Facility Reviews” and “Facility Reviews — Approval and Examinations” tabs for more information on the “Qualified Care Provider” designation.

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