Florida Administrative Code

Rulemaking Authority 395.10973(1) FS. Law Implemented 395.10974 FS. History-New 7-9-86, Formerly 4-65.001, 4-217.010, Repealed 5-14-12.

Rulemaking Authority 395.10973 FS. Law Implemented 395.10974 FS. History-New 7-9-86, Formerly 4-65.002, 4-217.015, Amended 4-4-01, Repealed 12-4-16.

Rulemaking Authority 395.10973(1), 408.819 FS. Law Implemented 395.10974, 408.805, 408.806, 408.809, 408.810 FS. History-New 7-9-86, Formerly 4-65.003, 4-217.020, Amended 5-4-15, Repealed 7-1-18.

Rulemaking Authority 395.10973(1) FS. Law Implemented 395.10974 FS. History-New 7-9-86, Formerly 4-65.004, 4-217.025, Repealed 7-1-18.

Rulemaking Authority 395.10973(1) FS. Law Implemented 395.10974 FS. History-New 7-9-86, Formerly 4-65.005, 4-217.030, Repealed 7-1-18.

Rulemaking Authority 395.10973(1) FS. Law Implemented 395.10974 FS. History-New 7-9-86, Formerly 4-65.006, 4-217.035, Amended 8-2-16, Repealed 7-1-18.

Rulemaking Authority 395.10973(1) FS. Law Implemented 395.10974 FS. History-New 7-9-86, Formerly 4-65.007, 4-217.040, Amended 8-2-16, Repealed 7-1-18.

(1) "AAAHC" means the Accreditation Association for Ambulatory Health Care. (2) "Accrediting Organization" means a recognized organization whose standards are comparable to the licensure regulations required by this state. (3) "Agency" means the Agency for Health Care Administrat…

(1) An applicant or licensee requesting licensure for the operation of a birth center under the provision of Chapter 383, F.S., shall make application to the Agency on the Health Care Licensing Application, Birth Center, AHCA Form 3130-3001, January 2022, which is incorporated by…

(1) The Agency shall make or cause to be made such inspections and investigations as are necessary to: (a) Assure compliance with the licensure and life safety requirements; (b) Respond to complaints; and, (c) Protect the public health and safety. (2) The Agency shall conduct sch…

In addition to other requirements specified in these rules, all licensed birth centers shall have at least the following: (1) A governing body organized under and have written bylaws, rules and regulations, which it reviews at least every two years, denotes dates to indicate time…

(1) Birth center clients are limited to those women who are initially determined to be at low maternity risk and who are evaluated regularly throughout pregnancy to assure that they remain at low risk for a poor pregnancy outcome. (2) Each birth center shall establish a written r…

(1) Before admission to services, a client shall be informed of: (a) The qualifications of the birth center clinical staff; (b) The risks related to out-of-hospital childbirth; (c) The benefits of out-of-hospital childbirth; and, (d) The possibility of referral or transfer if com…

Rulemaking Authority 383.309 FS. Law Implemented 383.311 FS. History-New 3-4-85, Formerly 10D-90.11, 10D-90.011, Repealed 5-14-12.

(1) Initial Visit shall include: (a) A comprehensive health history shall be completed which includes medical, emotional, dietary, and obstetrical data including a pre-term delivery risk assessment. (b) A physical examination shall be completed by a physician, or certified nurse …

(1) A clinical staff member shall be present or available to the client at all times throughout her stay in the birth center. (2) The clinical staff shall monitor the progress of labor and condition of the mother and fetus at intervals sufficiently frequent to identify abnormalit…

No surgical procedures shall be performed except episiotomy, repair of episiotomy or laceration, or circumcision. Rulemaking Authority 383.309 FS. Law Implemented 383.313 FS. History-New 3-4-85, Formerly 10D-90.14, 10D-90.014, Amended 12-10-18.

(1) A cord blood sample shall be secured for laboratory testing for type, Rh determination, and direct Coombs test when the mother is Rh negative. (2) The newborn shall be weighed, measured, inspected for abnormalities and examined for complications. An identification tape shall …

(1) Each birth center shall submit a Birth Center Annual Report on AHCA Form 3130-3004OL, January 2022, which is incorporated by reference. The form is only accepted electronically and is available at: https://apps.ahca.myflorida.com/SingleSignOnPortal/Login.aspx. A copy of the f…

(1) All birth centers shall comply with all design and construction standards for birth centers as required by the Florida Building Code. (2) Laundry. (a) Where laundry facilities are provided, clean clothing, bed linens, and towels shall be available for the clients. (b) Carts u…

(1) Each birth center may serve only ready-to-eat foods and beverages to clients and support persons, or allow clients and support persons to bring in their own ready-to-eat foods and beverages. (2) Each birth center must have kitchen facilities and equipment available to store r…

Each birth center shall develop a written disaster plan which shall be rehearsed by personnel at least twice a year and shall cover internal casualty producing incidents. The plan shall include provisions for complete evacuation of the facility during an actual disaster. Rulemaki…

(1) Equipment shall be clean and free from safety hazards and in sufficient supply to meet the needs of the clients and staff. (2) Equipment shall include at a minimum: (a) Examining table and stool; (b) Examination light; (c) Sphygmomanometer and stethoscope; (d) Clinical thermo…

(1) There shall be written prescriptions or protocols signed by a practitioner legally authorized to prescribe for all drugs administered to clients within the birth center. Systemic analgesics and local anesthetics may be administered under the following conditions: (a) The clin…

Rulemaking Authority 383.309 FS. Law Implemented 383.309 FS. History-New 3-4-85, Formerly 10D-90.31, 10D-90.031, Repealed 1-25-17.

Rulemaking Authority 641.56 FS. Law Implemented 641.48 FS. History-New 1-28-88, Formerly 10D-100.001, Repealed 1-18-17.

(1) All terms defined in the Health Maintenance Organization Act, Chapter 641, F.S., which are used in these rules shall have the same meaning as in the act. (2) HMO. Health Maintenance Organization shall be abbreviated as HMO in these rules. (a) Individual Practice Assocation (I…

(1) Application. "Application for Health Care Provider Certificate," AHCA Form 3002, Feb. 1998, obtained from the Agency for Health Care Administration, 2727 Mahan Drive, Mail Stop #26, Tallahassee, Florida 32308, which forms are incorporated herein by reference, must be complete…

(1) Each HMO or PHC shall have a governing body that sets policy and has overall responsibility for the organization including the following: (a) Adopting organizational bylaws, rules and regulations or similar form of document which provides a clear concise statement of the miss…

Each HMO or PHC shall maintain or assure its providers maintain a medical records system which is consistent with professional standards and which: (1) Permits prompt retrieval of information and provides legible and timely information accurately documented and readily available …

Each HMO or PHC shall: (1) Make available to each member an appropriate health assessment in accordance with preventive health guidelines and professional standards in the community. (2) Provide for or arrange the following services as a minimum: (a) Coordination of all necessary…

(1) Each HMO or PHC shall have an ongoing quality assurance program designed to objectively and systematically monitor and evaluate the quality and appropriateness of patient care and resolve identified problems at the prevailing professional standard of care. (2) The quality ass…

As a condition of doing business in the state, each HMO or PHC shall apply for accreditation within 1 year and be accredited within 2 years of the organization's receipt of its Certificate of Authority. HMOs and PHCs with existing Certificates of Authority must apply for accredit…

The accreditation organization must have nationally recognized experience in HMO accreditation activities and in the appraisal of medical practice and quality assurance in an HMO setting. As a minimum requirement for approval of the accreditation organization, the following crite…

(1) Purpose. The purpose of this rule is to establish penalty categories that specify varying ranges of monetary fines for willful and nonwillful violations of applicable provisions of Chapter 641, Parts II and III, F.S., or rules promulgated thereunder. (2) Scope. This rule deve…

Each HMO or PHC must have in place: (1) A system to facilitate referral of subscribers to contracted or non-contracted physician and hospital providers; and, in the case of non-contracted providers, include a procedure for prior authorization and written notification regarding su…

The AHCA shall conduct examinations and investigate complaints regarding the quality of health care services being provided by the HMO or PHC as frequently as necessary to carry out the provisions of Chapter 641, Part III, F.S., and Chapter 59A-12, F.A.C. Rulemaking Authority 641…

Each HMO or PHC shall establish a subscriber grievance procedure as specified under Section 641.511, F.S. Rulemaking Authority 641.56 FS. Law Implemented 641.311, 641.511 FS. History-New 1-28-88, Formerly 10D-100.010, Amended 4-10-03.

The current list required by Section 641.54, F.S., must include the date on which it was prepared or updated. Rulemaking Authority 641.56 FS. Law Implemented 641.54 FS. History-New 1-28-88, Formerly 10D-100.011.

(1) Every health maintenance organization certified under Part III of Chapter 641, F.S., shall, as a part of its administrative function, establish an internal risk management program as defined in Section 641.55, F.S: (2) The risk management program shall be the ultimate respons…

(1) Each health maintenance organization shall have written policies and procedures, which delineate the health care facility's position with respect to the state law and rules relative to advance directives. The policies shall not condition treatment or admission upon whether or…

Rulemaking Authority 641.70 FS. Law Implemented 641.70 FS. History-New 12-13-98, Repealed 9-6-18.

Rulemaking Authority 641.70 FS. Law Implemented 641.70 FS. History-New 12-13-98, Repealed 9-6-18.

Rulemaking Authority 641.70 FS. Law Implemented 641.70 FS. History-New 12-13-98, Repealed 9-6-18.

Rulemaking Authority 641.70 FS. Law Implemented 641.70 FS. History-New 12-13-98, Repealed 9-6-18.

Rulemaking Authority 408.15 FS. Law Implemented 408.7056 FS. History-New 9-17-00, Repealed 9-6-18.

(1) Definitions. (a) "Contracted provider" means a provider who is under a contractual agreement with a health plan. (b) "Disputed Claim" means a claim that has been submitted by a provider to the health plan or by a health plan to a provider for payment and has been denied in fu…

(1) Except as provided in Sections 400.903 and 400.905, F.S., no person, firm, association, partnership, or corporation shall either directly or indirectly operate a PPEC center in this state without first applying for and receiving a license from the Agency. (2) Application for …

(1) The licensee of each PPEC center shall have full legal authority and responsibility for the operation of the center. (2) Each PPEC center must be organized in accordance with a written table of organization, which describes the lines of authority and communication down to the…

(1) Each PPEC center must have written policies and procedures governing the admission, transfer, and discharge of children. (2) The admission of each child to a PPEC center must be under the supervision of the center administrator or designee, and must be in accordance with the …