We re-read the official sources every day — the F.A.C. rule chapters, the iBudget Handbook, the APD forms, and the federal registers that reach into this work. When something moves, it goes here, cited and dated. When nothing moves, we say that too.
Why this exists
In August 2026 we found that APD had amended two entire rule chapters back in March — creating a new insulin credential with its own annual course and a new certificate form. Five months, and nobody had told a single provider. Nothing about this work reliably announces itself, so somebody has to go and look. That is what this page is.
Latest — September 2026
September 2026
What changed — September 2026
No rule, form, rate or wage change was identified this month. The checks below still ran every day.
Source watch1ShowOfficial pages that moved without a rule visibly changing, and any source we could not read. Published so the watch can be checked — not because a rule changed.
Rule changeFLUnconfirmed changeseen 09/09/2026
APD Florida video channel - training, webinars and walkthroughs changed
New on the page since we last looked — open the official source to read it in full.
• 2026-08-25T04:38:52+00:00 Understanding the iBudget Waiver Understanding the iBudget Waiver
August 2026 — a medication rule changed, and three deadlines were not what people think
This month we read Chapter 65G-7 and Chapter 65G-8 line by line against the official rule text, plus the screening statutes. One genuine rule change: APD amended the medication chapter back in March, and it split insulin off into its own track with its own annual course. The rest is not new law — it is four places where what the rule actually says is different from what gets repeated. Every item links to the source so you can check us.
Rule changeFLVerified · read at sourcechecked 08/17/2026
APD amended the medication rules effective 3-26-2026 — insulin is now its own track
Eight rules in Chapter 65G-7 were amended. The big one for staffing: giving insulin is no longer covered by Basic Medication Administration. It needs its own course (90% on content, 100% on the APD Insulin Administration Log), its own separate validation, and its own annual update course. That update certificate, APD Form 65G-7.004 C, is dated March 2026 — so if your medication process was set up before then, it does not exist in it. Prescribed enteral formula works the same way, as its own third track. Care Wizard now tracks all six.
Rule changeFLVerified · read at sourcechecked 08/17/2026
There is no temporary validation for insulin — unlike every other route
Rule 65G-7.004(8)(d). For most administration routes, a nurse or physician can sign a temporary validation to cover a staff member for up to 30 days while they get properly validated. Insulin is carved out of that, and so is prescribed enteral formula. If an insulin validation lapses, that person cannot give insulin at all until they retake the course and revalidate — there is no stopgap and no grace. Worth knowing before it happens on a Friday.
Rule changeFLVerified · read at sourcechecked 08/17/2026
Reactive-strategies recertification is the FULL 12-hour course again every year
Rule 65G-8.002(4), word for word: "Training certification is valid for one year. Before the certificate expires, staff must undertake a full training curriculum to obtain new certification." And 65G-8.002(2)(f) requires that curriculum to be at least twelve direct training hours. This is commonly budgeted as a short annual refresher. It is not one — it is the whole course, every year, for every staff member who uses reactive strategies.
Rule changeFLVerified · read at sourcechecked 08/17/2026
CPR and First Aid is a 90-day requirement, not a day-one one — and it must be classroom
Rule 65G-2.008(7)(d) gives 90 days from hire. We had it wrong in the other direction and were marking brand-new hires overdue on their first day, which we fixed on 2026-08-16. The same paragraph carries two things people do miss: the certification has to be earned in a CLASSROOM setting, and the facility must have at least one CPR-certified provider on site whenever residents are present — a scheduling duty, not a training record.
Rule changeFLVerified · read at sourcechecked 08/17/2026
Zero Tolerance renews every 3 years, not annually
Rule 65G-2.008(7)(c): pre-service, then every three years. The belief that it is an annual course is one of the most common myths in this business, and it costs money and staff time that does not need to be spent.
Form updateFLVerified · read at sourcechecked 08/17/2026
The current iBudget Handbook is May 2023 — but a 2015 appendix is still floating around
If you pulled your training list from the standalone Appendix B on the APD provider-training page, that document is dated September 2015. The current handbook is May 2023. We checked every requirement we track against both: they agree, so nothing was wrong — but cite the May 2023 handbook, because that is the one an inspector is working from.
Rule changeFLVerified · read at sourcechecked 08/17/2026
The staffing rule was amended too — and the annual driving-record pull is required, not optional
Rule 65G-2.008 was also amended effective 3-26-2026. We re-read it and every staff-training deadline we track survived word for word, so nothing you are doing changes. One thing did change on our side: we used to describe the yearly driving-history re-pull as a sensible habit rather than a rule. It is a rule. 65G-2.008(4)(b)2. says licensees must update their staff driving history on an annual basis. We have corrected how we label it.
Rule changeFLVerified · read at sourcechecked 08/17/2026
The one most people have never heard of: an annual sex-offender database check around every home
Rule 65G-2.008(4)(c) requires every licensee, at least once a year, to search the FDLE Sex Offender / Predator Database for registrants living within one mile of the facility, tell staff where those people live, and keep a record that they told them. It sits under Safety Standards rather than under training, there is no certificate and no renewal notice, so nothing prompts you to do it. Search from the FDLE offender registry at fdle.state.fl.us. Care Wizard now tracks it per home alongside your APD licence.
Rule 65G-11.004 (Crisis Determination Procedure) was amended effective 8-30-2026
APD amended the crisis determination rule on the same day as the four 65G-4 eligibility rules, and for the same reason. The state history note reads "New 9-19-07, Formerly 65G-1.046, Amended 6-5-25, 8-30-26", and the rulemaking notice says the purpose is to conform the rule to Chapter 2026-129, Laws of Florida, which added Tatton-Brown-Rahman syndrome to the list of conditions in Section 393.063, F.S. This is the rule that decides who is placed in crisis status ahead of the pre-enrollment categories. We have read the state rule record and the notice, not the adopted rule text - open the source and read it in full.
Your Medicaid billing runs on three clocks, not one - 10, 5 and 3 years
Providers are told several different numbers for when their Medicaid authorisations expire, and all of them are real. They are three separate obligations. FIRST, the AHCA Non-Institutional Medicaid Provider Agreement states in section 4 that it remains in effect for ten years from the effective date of the provider eligibility for initial enrolment, and ten years again on re-enrolment. SECOND, and this is the date that actually stops an enrolment, 42 CFR 455.414 requires the State Medicaid agency to revalidate the enrolment of all providers regardless of provider type at least every five years - which happens inside that ten-year term, so a ten-year agreement does not mean ten years without paperwork. THIRD, the separate APD Medicaid Waiver Services Agreement terminates on a date no later than three years from its effective date, and requires you to hold a current and valid AHCA agreement at all times during its term, so letting the AHCA side lapse breaches the APD one with it. Worth knowing what Florida law does not say: section 409.907, F.S. sets no fixed term for a provider agreement at all, and the one five-year figure in that section is record retention, a different duty. None of these dates can be worked out from a formula - each is printed on your own paperwork, so read the documents and write the dates down. Unlike a training or inspection date, this is the one where being late does not produce a finding, it stops the payments while the work carries on.
Level 2 screening now covers every employee - APD enforces from 1 October 2026
The 2026 Legislature amended Section 393.0655(1), Florida Statutes, effective 1 July 2026, to add the words "and all employees, managers and supervisors" of residential facilities and adult day training programs. Screening is no longer limited to people who work with clients or handle their money. APD Provider Advisory 2026-018, published 6 August 2026, and its Question and Answer document confirm that administrative, maintenance, housekeeping, janitorial, dietary, transportation and office staff are included, regardless of position or job title, and that staff hired before 1 July 2026 are not exempt. Each person must also appear on your Clearinghouse roster and hold an eligible status; somebody with a pending exemption from disqualification may not work while it is pending. Job title and tax classification do not settle who counts as an employee - APD says to judge the whole working relationship. The five-year rescreen and the 90-day break in service rule are unchanged. Anyone not yet screened must be completed by 1 October 2026, the date APD begins reviewing this at routine monitoring visits. We read both documents on 24 August 2026; open the advisory yourself and confirm what applies to your business.
F.A.C. Chapter 65G-4 (iBudget and support plans) changed
New on the page since we last looked — open the official source to read it in full.
• 65G-4.014 Eligibility for Agency Services - Definitions 8/30/2026
• 65G-4.015 Eligibility for Agency Services Criteria 8/30/2026
• 65G-4.016 Application Process 8/30/2026
• 65G-4.017 Establishing Eligibility 8/30/2026
Source watch2ShowOfficial pages that moved without a rule visibly changing, and any source we could not read. Published so the watch can be checked — not because a rule changed.
F.A.C. 59G-13.081 (APD provider rate tables, incorporated by reference) changed
New on the page since we last looked — open the official source to read it in full.
• 59G-13.081 The purpose of the amendment to Rule 59G-13.081, Florida Administrative Code (F.A.C.), is to incorporate by reference the Developmental Disabilities Individual Budgeting Waiver Services Provider Rate Table, July 2026. The ....…
• Vol. 52/169
New on the page since we last looked — open the official source to read it in full.
• Provider Advisories | Waivers
• Accessibility Statement
• FAQs
• Mission Statement
• Statement of Agency Organization and Operation
• Website Plug-ins
• Locations
• State Office
19 rules in Chapter 65G-2 took effect March 26, 2026
Chapter 65G-2 covers licensing and staffing of residential facilities. Rules with this effective date: 65G-2.002, 65G-2.0021, 65G-2.003, 65G-2.0032, 65G-2.004, 65G-2.0041, 65G-2.005, 65G-2.006, 65G-2.007, 65G-2.0071, 65G-2.0072, 65G-2.0073, 65G-2.0074, 65G-2.008, 65G-2.009, 65G-2.010, 65G-2.014, 65G-2.015, 65G-2.017. Open the chapter index to see each rule and read it in full.
8 rules in Chapter 65G-7 took effect March 26, 2026
Chapter 65G-7 covers medication administration. Rules with this effective date: 65G-7.001, 65G-7.002, 65G-7.003, 65G-7.0033, 65G-7.0035, 65G-7.004, 65G-7.005, 65G-7.008. Open the chapter index to see each rule and read it in full.
Rule 65G-4.016 (Application Process) took effect July 6, 2025
Chapter 65G-4 covers iBudget, support plans and eligibility. Rules with this effective date: 65G-4.016. Open the chapter index to see each rule and read it in full.
Rule 65G-2.001 (Definitions) took effect February 27, 2025
Chapter 65G-2 covers licensing and staffing of residential facilities. Rules with this effective date: 65G-2.001. Open the chapter index to see each rule and read it in full.
2 rules in Chapter 65G-13 took effect August 17, 2023
Chapter 65G-13 covers individual and family supports. Rules with this effective date: 65G-13.001, 65G-13.008. Open the chapter index to see each rule and read it in full.
Rule 65G-2.018 (Personal Needs Allowance) took effect August 17, 2023
Chapter 65G-2 covers licensing and staffing of residential facilities. Rules with this effective date: 65G-2.018. Open the chapter index to see each rule and read it in full.
2 rules in Chapter 65G-4 took effect January 3, 2023
Chapter 65G-4 covers iBudget, support plans and eligibility. Rules with this effective date: 65G-4.0213, 65G-4.0215. Open the chapter index to see each rule and read it in full.
6 rules in Chapter 65G-13 took effect December 25, 2022
Chapter 65G-13 covers individual and family supports. Rules with this effective date: 65G-13.002, 65G-13.003, 65G-13.004, 65G-13.005, 65G-13.006, 65G-13.007. Open the chapter index to see each rule and read it in full.
3 rules in Chapter 65G-10 took effect July 1, 2021
Chapter 65G-10 covers provider training. Rules with this effective date: 65G-10.001, 65G-10.004, 65G-10.005. Open the chapter index to see each rule and read it in full.
Chapter 65G-4 covers iBudget, support plans and eligibility. Rules with this effective date: 65G-4.0214, 65G-4.0216, 65G-4.0217, 65G-4.0218. Open the chapter index to see each rule and read it in full.
Chapter 65G-4 covers iBudget, support plans and eligibility. Rules with this effective date: 65G-4.015, 65G-4.017. Open the chapter index to see each rule and read it in full.
Chapter 65G-7 covers medication administration. Rules with this effective date: 65G-7.0025, 65G-7.006, 65G-7.007, 65G-7.009. Open the chapter index to see each rule and read it in full.
We report what changed and link the official document — we don't restate figures we haven't confirmed, and this is never legal or financial advice.
Want to know which of these touch your staff?
Everything above is free and always will be. Inside Care Wizard, each change also says who on your team it reaches — “this changes 3 of your 11 staff” — because we already hold your roster and your renewal dates. That is the part a newsletter cannot do.
We report what changed and link the official document. We do not restate figures we have not confirmed, and nothing here is legal or financial advice — confirm with a licensed professional.
