Regional Offices > Suncoast Region
APD Suncoast Region Office
1313 North Tampa Street
Suncoast Region Manager
Suncoast Region Staff
Suncoast Field Office (Field 23), Tampa- De Soto, Hillsborough, Manatee, Pasco, Pinellas, and Sarasota counties
Field 8 Office, Fort Myers- Charlotte, Collier, Glades, Hendry, and Lee counties
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.
Effective immediately, APD is accepting new provider applications and provider expansion applications only during “Open Enrollment Periods”. Applications and expansions to provide services considered “Critical Service Needs” will however be accepted at all times until the need for additional service providers is satisfied.
Open Enrollment is as follows:
April 1 through May 31
August 1 through September 30
Applications received outside of these open enrollment periods will be returned to the applicant.
Suncoast Region currently has a critical service need for additional Support Coordination providers and Residential Habilitation (all types: standard, live-in, behavior focus, and intensive behavior) in both the Tampa and Fort Myers field offices. Enrollment for this specific service only will remain open for qualified applicants until the need for additional providers is satisfied. Please Email firstname.lastname@example.org if you require additional information on eligibility criteria.
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 Suncoast Region; please email the completed Letter of Intent form to Suncoast.Intent@apdcares.org
Incident Reporting Form Instructions
Suncoast Region Critical Incident Report and After Hours Emergency Phone Line: 727-639-1668
Critical Incidents must be reported to the APD Regional/Field 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 email@example.com.
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 Meeting)
- For LRC
- As requested by Region and/or LRC Chairperson
- Reactive Strategies
- WSC caseload submittals
- Purchasing Plans
- Quick Updates
- Participant Information Update form
- Direct Hire Employee [ name change/address change ]
- All Other CDC related documents ( such as: background screening )
- Includes complaints made by or against APD Providers, Waiver Support Coordinators, or APD staff members
- Documentation for waitlist crisis enrollment
- Not for use in SFR submissions
- Intake and Eligibility applicant documentation for APD waitlist eligibility
- Competency evaluations
- Court Orders
- Regional Hearing Requests
- Placement Referral Packets [ ICF ]
- Initial report and follow up reports
- Death report
- Medication Error reports
- Corrective Action Plan
- Suncoast Region is currently accepting provider enrollment applications for the following Critical Need: Waiver Support Coordination
- 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 iBudget Enrollment Application – Waiver Support Coordinator (WSC ), or, Regional iBudget Provider Enrollment Application – non WSC )
- Updates to Provider Demographics ( change of address, phone and email changes )
- Provider Expansion Request Forms ( service array and/or expansion within region or additional regions )
- [ Not for Plan of Remediation ]
- Request for technical assistance related to remediation and/or QIO reviews
Please submit QSI requests for the following purposes:
- Requested documentation for QSI Assessment
- SAN Request (Be certain the SAN request has been submitted to the ~iBudget along with all supporting documentation)
- QSI Errors (Please refer to rule 65G-4.0124(1)(c), F.A.C.)
- Expired QSI (Greater than three years old)
Please include the purpose of your request in the subject line (i.e. SAN request, QSI Error, Expired QSI, etc.).
(This email address is for WSC’s use only)
- Placement Referral Packets [ APD licensed homes ]
- ICF transitions into APD licensed home
- Licensed Home – census
- Room and Board Payment Requests
- Corrective Action Plan
- Significant Additional Needs – increase in funding ( be certain to include all supporting documentation )
- Employment information
- Disaster/Emergency plan
- Stipend/Start-Up request
- Annual or Updated support plan ( include all supporting documentation for services requested )
DSM secure email will no longer be accessible to APD after June 30, 2014. Effective July 1, 2014 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.
APD’s IT office identifies acceptable encryption methods, as follows:
Microsoft Office applications (for example, Word and Excel)
This is the preferred method. If you already have Word and Excel version 2007 or higher, this option is already available at no cost. 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 iBudget 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 2013 encryption instructions:
Excel 2013 encryption instructions:
Encrypted web e-mail
Similar to the DSM web-based e-mail system, there are other free (e.g., SendInc) or paid (e.g., ZixMail) 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.
There are several free and paid “ZIP” type applications (e.g., WinZip) available that can compress one or more files into one ZIP file, some but not all of which can also encrypt the file(s). These ZIP applications that can also encrypt will encrypt any type(s) of file(s) 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 iBudget PIN number which is only known internally to APD staff and APD providers.
NOTE: Some methods of encryption use a particular type (algorithm) by default. If you are given options, the best encryption type to select is AES 128-bit or higher. If AES is not available, the next best type is 3DES (also known as Triple DES). It is recommended you do not choose regular DES as it has been proven to be a weak encryption method.
Guidance on Setting Encryption Passwords
Whenever you encrypt a file, you must set a password needed to open the document. To make this process easier for you and APD staff, please use your Medicaid Provider Number as the password to encrypt. If you do not have a Medicaid Provider Number, please contact your local field office to let them know what password you will be using.