Florida Administrative Code

(1) In imposing discipline on a pain-management clinic, its owner, designated physician or other persons as particularly indicated in paragraphs (2)(a) through (hh), the department shall act in accordance with these disciplinary guidelines and shall impose a penalty within the ra…

(1) Pursuant to Section 456.004(1), F.S., the Department provides a schedule for staggered biennial renewal of licenses issued by the Division of Medical Quality Assurance. Each licensed person shall renew using Form DH-MQA 1229 (07/2024), License Renewal Application (Active and …

At time of licensure renewal, each medical doctor, osteopathic physician, and physician assistant who renews his or her license online at www.FLHealthSource.com must fully complete online all applicable portions of the workforce survey. Medical doctors and osteopathic physicians …

To obtain a temporary license to practice in Florida for 12 months in any health care profession, an eligible spouse of any active duty member of the Armed Forces must complete a criminal history check, hold a valid license in another jurisdiction, establish eligibility to take t…

All persons seeking a fee waiver pursuant to Section 456.013(13), F.S., shall submit to the Department a completed Military Veteran and Spouse Fee Waiver Request, Form DH-MQA 2129 (5/14), which is incorporated by reference and available at http://www.flrules.org/Gateway/reference…

Active duty military and veterans seeking licensure pursuant to Section 456.024(3), F.S., shall submit to the Department a completed Florida Department of Health Active Military or Veterans Licensure Application, Form DH5000-MQA (07/2016), incorporated by reference and available …

For purposes of complying with Section 480.043(2), F.S., a massage establishment must submit the following documentation as proof of having more than $250,000 of business assets in this state: (1) A formal opinion letter from a Florida licensed certified public accountant confirm…

All persons seeking licensure pursuant to Section 456.0241, F.S., shall submit to the Department a non-refundable application fee of $50 and a completed Florida Department of Health Temporary Certificate for Active Duty Military Health Care Practitioners Application, Form DH5016-…

(1) A health care professional not licensed in this state who intends to provide health care services via telehealth to a patient located in this state must register with the appropriate board, or the department if there is no board, using form DH5037-MQA-11/2022, Application for…

(1) An occupational therapy doctoral capstone experience is a mentored and supervised advanced competency component of a study program for doctoral occupational therapy students at the end of the curriculum in which students are afforded opportunities to engage in practice and de…

As used in Chapters 64C-1 through 64C-4, F.A.C.: (1) "Applicant" means an individual who expresses a desire to be evaluated for eligibility for the Children's Medical Services Managed Care Plan. (2) "Case manager" or "care coordinator" means the individual designated to provide c…

(1) Upon request, applicants for and participants in CMS will furnish to CMS accurate medical and financial information. Applicants and participants will also keep CMS informed of any changes in medical or financial circumstances, which includes notifying CMS of all assets, resou…

Rulemaking Authority 391.026(18) FS. Law Implemented 391.026 FS. History-New 1-1-77, Formerly 10J-6.02, Amended 7-12-93, Formerly 10J-6.002, 64C-5.001, Amended 1-26-03, Repealed 12-9-15.

(1) Florida KidCare Quality Assurance and Access Standards provide minimum standards for health benefits provided to Florida KidCare enrollees. (2) The Florida KidCare Quality Assurance and Access Standards Handbook, May 2015, is herein incorporated by reference and is available …

All law enforcement agencies will provide training in sudden unexpected infant death using the Sudden Unexpected Infant Death Investigation Curriculum Guide (March 2007), which is herein incorporated by reference and is available at http://www.flrules.org/Gateway/reference.asp?No…

(1) Clinical eligibility for the CMS Managed Care Plan may be established by an authorized representative of the Department through completion of the CMS Clinical Eligibility Screening Form, DH8000-CMS (12/2015), incorporated by reference and available at http://www.flrules.org/G…

All CMS Managed Care Plan participants shall have their clinical eligibility for the CMS Managed Care Plan redetermined every three years. Rulemaking Authority 391.026(18) FS. Law Implemented 391.026(3), 391.029 FS. History-New 1-1-77, Amended 11-18-82, Formerly 10J-2.09, Amended…

(1) The Safety Net Program is a program through Children's Medical Services (CMS) that, subject to funding, may pay for certain medical services to children with chronic and serious health care needs who do not qualify for Medicaid or Title XXI of the Social Security Act. (a) Chi…

(1) CMS Network Health Care (Physician and Non-Physician) providers must accept the CMS Network payment as payment in full. (2) Participants shall not be additionally billed a co-payment, a deductible, or other fee for covered services when the CMS Network is the primary payer. R…

(1) Except as otherwise provided in subsection (2), below, the Department shall recover in full on its rights under Sections 391.047 and 402.24, F.S., and this rule, for payment for funded services and medical services. (2) Where undue financial hardship would result to the indiv…

(1) CMS Physician Providers: Participation Criteria. The CMS physician provider approval process is not a licensure process. It is a quality assurance process to ensure that prospective and participating CMS physician providers, who are interested in providing health care service…

(1) Each chronic care hospital and skilled nursing care facility approved by the Department for the provision of health services to CMS participants must have or meet the following: (a) An active, valid State of Florida license. (b) Accreditation from the Joint Commission on Accr…

Rulemaking Authority 391.026(18), 391.035(1) FS. Law Implemented 391.026(10), 391.035(1) FS. History-New 1-1-77, Amended 2-11-85, Formerly 10J-5.09, 10J-5.009, Amended 12-20-05, 2-12-13, Repealed 3-20-18.

(1) "Neonate" - An infant less than 29 days of age or, for the purpose of this program, an infant past the age of 28 days who requires continuance of neonatal intensive care services. (2) "Neonatologist" - A CMS consultant physician, as defined in Rule 64C-4.001, F.A.C., who is c…

(1) The CMS RPICC Program represents the basic unit required for all other Children's Medical Services authorized regional programs which include spina bifida, craniofacial anomalies, hematology and oncology, complex surgery, cardiac, and transplantation. (2) The Regional Perinat…

(1) Standards for Neonatal Component - Level III Neonatal Intensive Care - The following standards pertain to the facilities, services, and population to be served under the neonatal component for Level III neonatal intensive care services. (a) Personnel. 1. Physicians. a. The di…

(1) "Care coordination services" and "care coordination" mean Healthy Start services that link Healthy Start participants and their families with other Healthy Start services and those supports and services that complement, supplement, and assure continued participation in prenat…

(1) Each live born infant shall be screened for those core and secondary conditions listed in the "Newborn Screening Conditions" list, August 22, 2024, unless the parent or guardian objects to the screening in accordance with section 383.14(4), F.S. The "Newborn Screening Conditi…

Rulemaking Authority 383.14(2) FS. Law Implemented 383.14 FS. History-New 4-1-08, Repealed 3-26-15.

(1) The hospital must record the latest hearing screening results on DOH Form DH 677, (Revised 11/07), which is titled "Infant Screening Metabolic Disorders" and incorporated by reference. (2) Hearing screen information shall be reported one time and not repeated on multiple bloo…

Rulemaking Authority 383.14(2) FS. Law Implemented 383.14 FS. History-New 10-25-79, Formerly 10D-76.04, Amended 12-5-84, Formerly 10J-8.04, Amended 3-29-92, 3-28-96, Formerly 10J-8.004, Repealed 4-1-08.

Rulemaking Authority 383.14(2) FS. Law Implemented 383.14 FS. History-New 10-25-79, Formerly 10D-76.05, Amended 12-5-84, Formerly 10J-8.05, Amended 3-29-92, Formerly 10J-8.005, Amended 4-1-08, Repealed 3-26-15.

(1) Within 5 calendar days after receipt of a specimen, the State Public Health Laboratory shall send a written report of the results of all newborn screening tests to the submitting entity. The report of the test results shall become part of the patient's medical record. (2) The…

Rulemaking Authority 383.14(2) FS. Law Implemented 383.14 FS. History-New 10-25-79, Formerly 10D-76.07, Amended 12-5-84, Formerly 10J-8.07, Amended 3-29-92, Formerly 10J-8.007, Amended 4-1-08, Repealed 3-26-15.

Rulemaking Authority 383.14(2) FS. Law Implemented 383.14 FS. History-New 12-5-84, Formerly 10J-8.08, Amended 3-29-92, Formerly 10J-8.008, Repealed 3-26-15.

(1) The health care provider shall request any pregnant woman who objects to prenatal risk screening, after the purpose of the screening has been fully explained, to indicate her objection in writing on the screening instrument, and to sign the instrument. The screening instrumen…

(1) Prenatal Risk Screening Procedures. (a) The health care provider delivering prenatal services shall assure that a prenatal risk screening instrument is completed and risk status is determined at the pregnant woman's initial visit. (b) The health care provider shall use the pr…

(1) Prenatal Risk Screening Records. (a) The health care provider shall maintain a completed copy of the Prenatal Risk Screen in the pregnant woman's medical record. (b) The provider of care coordination shall initiate documentation on every Healthy Start pregnant woman. That doc…

The department shall designate each risk factor for inclusion in the prenatal and infant (postnatal) risk screening instruments and shall determine the weight of each risk factor. Each designated risk factor shall meet one or more of the following criteria: (1) The factor is know…

(1) The fee required pursuant to Section 383.14(3)(g)1., F.S., shall be assessed July 1st of each year. (2) The calculation required by Section 383.14(3)(g)1., F.S., shall be accomplished as follows: The amount of the fee to be charged to each licensed hospital and to each birth …

For the purpose of this rule chapter, the following definitions will apply: (1) "Case" - an individual child referred to and accepted by a child protection team for assessment services as a result of a report of alleged abuse or neglect made to the central abuse hotline as set fo…

(1) Each Child Protection Team will function under the oversight of a Child Protection Team Medical Director. (2) Each Child Protection Team must have an on-site Team Coordinator who is be responsible for the daily coordination of Team activities and services. The minimum qualifi…

(1) A Child Protection Team physician, or Advanced Practice Registered Nurse, or Physician Assistant and a case coordinator must be available 24 hours a day, seven days a week to provide CPT services. (2) Child Protection Team services are provided in cases of suspected abuse, ab…

(1) In the event that an individual fails to meet the qualifications of Rule 64C-8.002, F.A.C., the Child Protection Team Coordinator or their designee may request a waiver of that requirement. The Team Coordinator or designee must apply for a waiver by completing DH8005-CMS-03/2…

Rulemaking Authority 39.3031 FS. Law Implemented 39.305 FS. History-New 2-16-93, Amended 3-28-96, Formerly 10J-11.002, 65C-8.001, Amended 4-1-08, Repealed 6-24-15.

Rulemaking Authority 39.3031 FS. Law Implemented 39.305 FS. History-New 2-16-93, Amended 3-28-96, Formerly 10J-11.006, 65C-8.002, Amended 4-1-08, Repealed 6-24-15.

Rulemaking Authority 39.3031 FS. Law Implemented 39.305 FS. History-New 2-16-93, Formerly 10J-11.007, 65C-8.003, Amended 4-1-08, Repealed 6-24-15.

Rulemaking Authority 39.3031 FS. Law Implemented 39.305 FS. History-New 2-16-93, Amended 3-28-96, Formerly 10J-11.009, 65C-8.004, Amended 4-1-08, Repealed 6-24-15.

(1) "Counseling" means - a therapeutic process that engages individuals and families in the reduction of behavioral, emotional, and cognitive symptoms related to trauma. Treatment is provided to enhance and expand individual and family coping skills, promote safety, and improve f…

(1) Each Sexual Abuse Treatment Program shall function under the direction of a program coordinator who is licensed by the State of Florida under Chapter 490 or 491, F.S.; has at least one year of clinical experience in the field of child sexual abuse; and maintains at least four…