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It's a New Day in Public Health.

The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county, & community efforts.

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Core Eligibility Pretest

HIV/AIDS

**REGISTRATION FORM** This registration is for the Florida Department of Health, Eligibility Training required for all staff performing eligibility for Ryan White Part B Consortia, GR Network, HOPWA , AICP and ADAP. In order to receive a certificate of completion, you must complete a registration form and attend the entire training. This is an on-line training done from your computer and a phone line.

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead contact these offices by phone or in writing.














a. Chapter 381, Florida Statutes (FS)
b. Rule 28-106.201, Florida Administrative Code (FAC)
c. Rule 28-106.301, FAC
d: Chapter 64D-4, FAC

a. Ryan White Part A
b. Ryan White Part C
c. Ryan White Part D
d. All of the above

a. Centers for Disease Control and Prevention (CDC)
b. Health Resources and Services Administration (HRSA)
c. Centers for Medicaid and Medicare Services (CMS)
d. United States Department of Veterans Affairs (VA)

a. DH 3204, Initiation of Services
b. DH 3203, Authorization to Disclose Confidential Information
c. DH 1120, Computer Use and Confidentiality Agreement
d. None of the above

a. United States citizenship
b. Proof of HIV
c. Willingness to cooperate and provide truthful information
d. b and c

a. Once, at initial application
b. Once every year
c. At least every six months
d. None of the above

a. Once every month
b. Once every year
c. At least every six months
d. At least four times per year

a.OraSure
b. OraQuick
c. Western Blot
d. EIA confirmed by Western Blot

a. Medicaid Project AIDS Care (PAC) Waiver Program
b. ADAP Premium Plus Insurance
c. Expanded Access Program (EAP)
d. Prescription Discount Card Program

a. Medical transportation services
b. Emergency financial assistance
c. Health insurance premium and cost sharing assistance
d. Child care services