Question: How do you write HPI for Request for completion of The AHCA Form 5000-3008. The patient's sister has requested the practitioner to complete and sign the AHCA Form 5000-3008 to determine medical eligibility for Medicaid long-term care services and waiver programs for the patient. The practitioner has acknowledged these ongoing needs after reviewing the form and has completed and signed the MEDICAL CERTIFICATION FOR MEDICAID LONG-TERM CARE SERVICES AND PATIENT TRANSFER FORM to be sent to Elders Affairs. Need Assignment Help?