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Documentation Needed When Requesting a Crisis Review at the Time of Applying for Services

For APD to begin the crisis review process, an individual must have been determined eligible for APD services pursuant to section 393.065, F.S., and must meet the level of care requirement for an intermediate care facility for individuals with intellectual disabilities pursuant to federal regulations. Please submit the necessary crisis documentation listed within the Quick Guide. Please note that the Quick Guide: Applying for APD Services and Requesting Crisis Review is a reference only and not an exhaustive list. If necessary, APD may request additional information or documentation in order to complete the crisis review.

Danger to Self or Others

Examples of Documents That May Be Needed

The client exhibits behaviors that without the provision of immediate waiver services may create a life-threatening situation for themselves or others. Such as:

  • the health and safety of the applicant or others in the household is at risk,
  • frequent or intense injury to self or others, 
  • risk for serious injury or permanent damage to self or others or
  • documented medical treatment for injury to self or others or
  • no other supports are available to address the behaviors.
  • One or more of the following documents* may be needed:
    • Police reports/arrest reports
    • School records (IEPs)
    • Incident reports
    • Behavior assessments/behavioral analysis reports and graphs
    • Medicaid State Plan approval / authorization / prior service authorization approval forms (if under age 21)
    • Legal documents (court documents / probation / restraining orders / final orders)
    • Baker Act reports
    • Medication lists
    • Videos, pictures, or letters
    • Safety plan and data (graphs) from a behavioral provider

*Note: documents should be current within the last 12 months.

See Chapter 393, Florida Statutes; Rule 65G-1.046-047, Florida Administrative Code for further details.

Additional information can be found at Apply for Services.


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