TO:  Florida Skilled Nursing Facilities 
 
Florida Nursing Home: Fair Rental Value Survey

The Agency for Health Care Administration (AHCA) is working to gather data related to Fair Rental Value (FRV). 

Completion of this survey is extremely important because the data you provide will be used to update the FRVS in the prospective payment rate calculation. 
 
Please note the data you provide may be subject to Agency desk review.

Due Date – April 30th for the subsequent rate semester.
This data is needed no later than April 30, 2019 for the October 1, 2019 rate setting. 
  • First, click here to download a PDF copy of the online data form. Use the form as a worksheet and when complete, go online to complete the survey. Note: Do not begin the online process until you are ready to complete the form in one sitting.
  • Next, click here to go to the online form and begin entering data for your facility. Note – the Online Option allows data to be entered for one facility at a time. If you have more than one facility for which to enter data, begin a new online entry with each facility.
  • Press “DONE” when complete and your data will be submitted.
  • Errors: If you find that you made errors in your online submission, please contact AHCA for further assistance at (NH.Reimbursement@AHCA.MyFlorida.com, or by phone, (850) 412-4104). 
Helpful Resources for Locating Data on Your Facility:
  • Contact the Agency for Health Care Administration for old cost reports that will contain data from previous years’ construction and renovation costs. For assistance, please contact NH.Reimbursement@AHCA.MyFlorida.com, or by phone, (850) 412-4104.
  • Contact the Property Appraiser’s Office in your county for historical information about past building projects for your facility. Click here for links to each county Property Appraiser’s Office.
  • Review Florida Fair Rental Value Survey FAQs, available by clicking here.
TIPS:
  • Download and print the Fair Rental Value Survey FAQs.
  • Download and print the PDF version of this online survey and use it as a worksheet.
  • With a completed worksheet in hand, you'll be able to complete the online form in one sitting.
  • After pressing "DONE" at the end of the survey, you cannot go back and edit your response.
  • Use whole numbers only - no symbols and enter 0 (zero) in any field for which you have no data.
  • Report each project (bed addition, bed replacement or renovation/major improvement) in chronological order, beginning with initial construction of the building.
Questions about completing the FRVS survey online? Errors to correct?
Please contact NH.Reimbursement@AHCA.MyFlorida.com, or by phone, (850) 412-4104.

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