Southeast Region APD Agency for Persons with Disabilities. APD Southeast Region Office. South Sapodilla Avenue. Suite 2. 04. West Palm Beach, FL 3. Phone 1 8. 44 7. Fax 5. Gerry Driscoll. Southeast Region Manager. Southeast Region Staff. Field 9 Office, West Palm Beach Palm Beach County, Indian River, Martin, Okeechobee, and St. Lucie. Field 1. 0 Office, Fort Lauderdale Broward County. Provider Enrollment Information for both New Providers and Existing Providers. Provider Applications are for new Providers and Provider Expansion Request Forms are for Existing providers wishing to expand geographically, provide additional services, or to expand from solo to agency status. Beginning immediately, APD will accept new provider applications and provider expansion applications only during  Open Enrollment Periods. Applications to provide services considered Critical Service Needs will be accepted at all times. Open Enrollment is as follows April 1 through May 3. C4CD723.jpg' alt='Hipaa 837 To Excel' title='Hipaa 837 To Excel' />August 1 through September 3. Applications received outside of these open enrollment periods will be returned to the applicant. Example HIPAA EDI solutions. Sample programs that parse, construct and acknowledge HIPAA EDI 837 Professional, EDI 837 Institutional, EDI 835, EDI 834, EDI 270, EDI. Zplot_with_Multy_Y_Picture.jpg' alt='Hipaa 837 To Excel' title='Hipaa 837 To Excel' />RESOURCES FOR AGING WELL. MAY 2015 2016. FREE. SOUTH METRO DENVER SPOTLIGHT ON SENIORS see pages 1014 Spectrum Retirement Communities resident Carole A. Tru7MgKDx48/hqdefault.jpg' alt='Hipaa 837 To Excel' title='Hipaa 837 To Excel' />Southeast Region Critical Service Needs are as Follows. For applicants who reside in the Southeast Region, the following services are considered Critical Need Services Behavior Analysis. Waiver Support Coordination                         Provider applicants who do not currently have an APD General line item eligibility determination in the AHCA Background Screening Clearinghouse and need to submit their Letter of Intent to the Southeast Region please email the completed Letter of Intent form to Southeast. Intentapdcares. org. Incident Reporting Form Instructions. Southeast Region Critical Incident Report and After Hours Emergency Phone Line Primary 5. Secondary 5. 61 2. Critical Incidents must be reported to the APD RegionalField Office within one hour of becoming aware of the incident. The initial report may be made via telephone, however, an Incident Reporting Form must be filled out and submitted to the Regional Office no later than one business day after initial reporting. Incident Reports, follow up reports and reports of death should be sent in via email to Southeast. Standard APD Regional Office E mail Addresses. As you are aware, there are several workflow processes at APD such as submitting cost plans, support plans, significant additional needs, etc. Therefore, APD has created the following standard e mail addresses you can use to send these types of information to APD. Please use these e mail addresses to send encrypted confidential information to APD. Also, keep in mind that you may still contact Regional staff members via telephone if you have questions, concerns, or issues which require immediate attention. For AIM submittals Allocation Implementation Meetingsoutheast. For LRCAs requested by Region andor LRC Chairperson Reactive Strategiessoutheast. HCFA-1500-CMS-1500-EDI-Clearinghouse_1.png' alt='Hipaa 837 To Excel' title='Hipaa 837 To Excel' />CDCapdcares. Purchasing Plans. Quick Updates. Participant Information Update form. Direct Hire Employee name changeaddress change All Other CDC related documents such as  background screening southeast. Includes complaints made by or against APD Providers, Waiver Support Coordinators, or APD staff members southeast. MO HealthNet Division Provider Bulletins. The MO HealthNet Program publishes provider bulletins as necessary to clarify existing program and policy or explain new policy. No more missed important software updates UpdateStar 11 lets you stay up to date and secure with the software on your computer. Ea Cricket 07 Highly Compressed there. Gate For Mac Os. Hipaa 837 To Excel' title='Hipaa 837 To Excel' />Documentation for waitlist crisis enrollment Not for use in SFR submissionssoutheast. Intake and Eligibility applicant documentation for APD waitlist eligibility southeast. Competency evaluations. Court Orderssoutheast. Regional Hearing Requestssoutheast. ICFapdcares. org. Placement Referral Packets ICF southeast. Initial report and follow up reports. Death reportsoutheast. Medication Error reports. Corrective Action Plansoutheast. Enrollment Solo or Agency Provider Checklist Provider Application Provider Reference Form Background Screening Results include Exemptions to a Disqualifying Offense Employment History check Local Criminal Records check APD affidavit of Good Moral Character Proof of Completion of Required Training Copy of AHCA Medicaid Provider welcome letter Applicant Signed Medicaid Waiver Services Agreement Regional i. Budget Enrollment Application Waiver Support Coordinator WSC, or, Regional i. Budget Provider Enrollment Application non WSC Updates to Provider Demographics change of address, phone and email changes Provider Expansion Request Forms service array andor expansion within region or additional regions southeast. QAor. QItechnicalassistanceapdcares. Not for Plan of Remediation Request for technical assistance related to remediation andor QIO reviewssoutheast. QSIapdcares. org. Requested documentation for QSI Assessmentsoutheast. Placement Referral Packets APD licensed homes ICF transitions into APD licensed home. Licensed Home census. Room and Board Payment Requests. Corrective Action Plan southeast. SANsapdcares. org. Significant Additional Needs increase in funding. Caseloads. Employment informationsoutheast. Caseloads. DisasterEmergency plan. StipendStart Up requestsoutheast. Annual or Updated support plan. DSM secure email will no longer be accessible to APD after June 3. Effective July 1, 2. APD will implement the following email addresses mailboxes for use by Waiver Support Coordinators, providers, and others when sending client related information to APD. This group of mailboxes replaces secure mailboxes previously used when providing APD staff with information on a broad range of topics intended for evaluation, review and action by APD staff. APDs IT office identifies acceptable encryption methods, as follows Microsoft Office applications for example, Word and ExcelThis is the preferred method. If you already have Word and Excel version 2. As long as all the confidential APD consumer information is contained within the encrypted document, it can be sent as an attachment to a regular, unencrypted e mail. If you do this, please remember to not include any information about APD consumers in the body or subject line of the e mail except the i. Budget PIN number which is only known internally to APD staff and APD providers. Below are links to instructions on how to encrypt using Word and Excel. Word 2. 01. 3 encryption instructions http intranet. Excel 2. 01. 3 encryption instructions http intranet. Encrypted web e mail. Similar to the DSM web based e mail system, there are other free e. Send. Inc or paid e. Zix. Mail options to send secure, encrypted e mails to APD. This method encrypts the entire e mail, including any file attachments, but some still display the subject line so please remember to not include any information about APD consumers in the subject line. While this is an acceptable method of sending confidential consumer information to APD, this requires APD staff to create and maintain separate accounts user names and passwords for each different system. ZIP applications. There are several free and paid ZIP type applications e. Win. Zip available that can compress one or more files into one ZIP file, some but not all of which can also encrypt the files. These ZIP applications that can also encrypt will encrypt any types of files you ZIP. You can then send the encrypted ZIP file which contains the confidential APD consumer information in a regular, unencrypted e mail to APD. If you do this, please remember to not include any information about APD consumers in the body or subject line of the e mail except the i. Budget PIN number which is only known internally to APD staff and APD providers.