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Forms / Health | MyBenefits / Department …

    https://www.mybenefits.myflorida.com/health/forms
    HRA, HSA and FSA. Authorization for Release of Protected Health Information ( 217.08 KB) Capital Expenditure Worksheet ( 102.19 KB) Chard Direct Deposit Authorization Form ( …

Department of Management Services - Florida

    https://www.mybenefits.myflorida.com/health/savings_and_spending_accounts
    The state contributes $41.66/ month for single coverage (up to $500/yr) and $83.33/ month for family coverage (up to $1,000/yr). Pay for eligible expenses from this savings account …

Florida Department of Management Services - DMS

    https://www.dms.myflorida.com/
    Custodian of Public Records. Funmi Ojetayo [email protected] 850-487-1082. 4050 Esplanade Way, Suite 160 Tallahassee, FL 32399

Forms - myfloridacfo.com

    https://myfloridacfo.com/division/wc/forms
    DFS-F5-DWC-9-C Instructions. Instructions for completion of the DWC-9 when submitted by Ambulatory Surgical Centers (For use when billing for dates of services through July 7, …

Florida Reimbursement Assistance for Medical …

    https://www.floridahealth.gov/provider-and-partner-resources/community-health-workers/HealthResourcesandAccess/FRAMEProgram/index.html
    The goal of the Florida Reimbursement Assistance for Medical Education (FRAME) program is to encourage qualified medical professionals to practice in underserved …

Travel Forms - Florida

    https://www.dms.myflorida.com/content/download/50584/214745/version/5/file/FMS-103-DFS-AA-15+-+Voucher+Reimbursement+of+Travel+Expenses+2-08.xls
    Administration-Financial Management Services Last modified by: Goneshe Created Date: 1/29/1997 5:56:13 PM Manager: Chief, Rick Swaine Company: Department of …

FRS Online - Florida

    https://frs.fl.gov/
    Data in this website is property of the State of Florida, Department of Management Services. All activity on this website is subject to being intercepted, recorded, read, …

Rule 59G-4.002, Provider Reimbursement Schedules …

    https://ahca.myflorida.com/medicaid/review/fee_schedules.shtml
    Rule 59G-4.002, Provider Reimbursement Schedules and Billing Codes. Child Health Targeted Case Management Services Fee Schedule. Community-Based Substance …

State Liability Claims - Risk Management

    https://www.myfloridacfo.com/division/risk/state-liability-claims
    State Liability Claims. Adjust (investigate, evaluate, deny, settle or defend) claims filed against state of Florida agencies under four statutorily required insurance coverages: …

Applications and Forms | Florida Department of Health

    https://www.floridahealth.gov/licensing-and-regulation/emt-paramedics/applications-and-forms/index.html
    Customer Contact Center. (850) 488-0595. Applications and Fees Mailing Address. Department of Health. P.O. Box 6330. Tallahassee, FL 32314-6330. Apply …



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