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Appendix 17B

Required Documents Checklist

Active clinic: [Company]

Use this checklist to confirm that every required document, verification, and training is in place before a new provider begins work.

Applicant

HR Verifications

Required Documents on File
Contractual Relation
Trainings
DoneTrainingOrganization Requiring ItRenewal Frequency
Fraud, Waste, and Abuse (FWA) / False Claims Act TrainingCMS and state Medicaid programs / managed care organizationsAnnual
HIPAA Privacy and Security TrainingU.S. Department of Health and Human Services (HHS) / EmployersAnnual
Security Awareness TrainingHIPAA Security Rule / EmployersAnnual
Abuse, Neglect, and Exploitation / Mandatory Reporting TrainingFlorida Department of Children and Families / Employers / health plans and MedicaidAnnual
Cultural Competency / Cultural Humility / Health Equity TrainingManaged care organizations (e.g. Humana, Sunshine)Annual
CPR / AED / First Aid CertificationEmployers / Schools / Clinics / Accreditation OrganizationsEvery 2 years
OSHA Bloodborne Pathogens TrainingOccupational Safety and Health Administration (OSHA) / EmployersAnnual if exposure risk exists
Crisis Prevention / Behavioral Safety Training (PCM, CPI, Safety-Care, etc.)Employers / Schools / ClinicsAnnual or per certification cycle
HIV / AIDS CEUFlorida Department of Health / Employers
Zero ToleranceFlorida Agency for Persons with Disabilities (APD) / Employers
Direct Care Core CompetencyFlorida Agency for Persons with Disabilities (APD) / Employers
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