Florida Administrative Code

Rulemaking Authority 408.15 FS. Law Implemented 408.062 FS. History-New 6-8-89, Amended 6-1-92, Formerly 10N-4.011, Repealed 5-10-12.

(1) "Actual report" is the report of a nursing home and/or a nursing home's home office's actual financial and statistical data as outlined in the FNHURS Manual. (2) "Change of ownership" means a change of ownership as defined in section 408.803 F.S. (3) "Chart of accounts" means…

(1) The Agency hereby establishes a uniform system for electronic filing of nursing homes' and their home offices' prior year reports by adopting the Florida Nursing Home Uniform Reporting System (FNHURS) Manual, June 2023, which is incorporated by reference and available at: htt…

(1) A licensee or their home office may submit revisions to a prior year report. Revisions to financial data must be supported by audited financial statements. Revisions to data not included in audited financial statements must be accompanied by documentation to support the accur…

The definitions set forth in section 408.032, F.S., and the following definitions shall apply to this chapter, and to the Florida Hospital Uniform Reporting System (FHURS) Manual, unless otherwise specified: (1) "Actual report" is the report of a hospital's actual financial and s…

(1) The Agency for Health Care Administration (Agency) hereby adopts and establishes a uniform system for electronic filing of hospital prior your actual reports by adopting the State of Florida Hospital Uniform Reporting System (FHURS) Manual, Version 2017-1, June 2017, which is…

Rulemaking Authority 408.061(2), (3), (4)(a), (7), 408.15(8) FS. Law Implemented 395.701, 408.061(2), (3), (4)(a), (7) FS. History-New 6-11-92, Formerly 10N-5.103, Amended 3-16-03, Repealed 2-25-19.

(1) Each hospital shall submit to the Agency, not more than 120 days subsequent to the end of its fiscal year, its prior year report for the fiscal year then ended. (2) Separate reports are required for each licensed hospital, regardless of ownership or operation. Hospitals that …

(1) A hospital may file revisions, amendments, restatements, corrections or other changes (hereinafter "revisions") to a prior year report. Revisions to financial data must be supported by audited financial statements. Revisions to data not included in audited financial statement…

Rulemaking Authority 408.061, 408.15 FS., Chapter 88-394, Laws of Florida. Law Implemented 408.061 FS. History-New 6-11-92, Formerly 10N-5.203, Repealed 2-25-19.

(1) A report shall be considered filed when it contains all schedules and data required by the Agency and has been prepared in the form and manner specified by the Agency. (2) In the event the Agency requires additional budget, financial, statistical, or other information to full…

(1) Once a report has been filed in accordance with rule 59E-5.201, F.A.C., the Agency will review the report and determine if: (a) It meets all requirements of chapter 59E-5, F.A.C., and chapter 408, Florida Statutes. (b) The data are mathematically accurate, reasonable and veri…

Rulemaking Authority 408.061(2), 408.15(8) FS. Law Implemented 408.061, 408.08 FS. History-New 3-28-99, Amended 9-12-05, Repealed 2-25-19.

(1) Every year, each hospital shall pay to the Board an assessment equal to .04 percent of its gross operating costs for its last fiscal year. The assessment shall be paid in quarterly payments of .01 percent, with the first quarter beginning on July 1 of each state fiscal year. …

Rulemaking Authority 408.15 FS., Chapter 88-394, Laws of Florida. Law Implemented 408.072 FS. History-New 6-11-92, Formerly 10N-5.603, Repealed 12-31-15.

(1) Within six months after the end of each hospital's fiscal year, the Agency's Division of Health Quality Assurance will certify to the Bureau of Finance and Accounting the amount of each hospital's public medical assistance trust fund assessment. The amount certified shall be …

Rulemaking Authority 408.061(1)(e), 408.15(8) FS. Law Implemented 408.061 FS. History-New 12-15-96, Amended 7-11-01, Repealed 1-1-10.

A facility must register through the FDDC portal to submit its data file according to the specifications in subsections (1) through (2). (1) The Internet address for submitting inpatient data files is https://apps.ahca.myflorida.com/Fddc/. (2) Beginning with the fourth quarter 20…

Rulemaking Authority 408.061(1)(e), 408.15(8) FS. Law Implemented 408.061(13), (16) FS. History-New 12-15-96, Repealed 1-1-10.

Rulemaking Authority 408.061(1)(e), 408.15(8) FS. Law Implemented 408.061 FS. History-New 12-15-96, Amended 7-11-01. 7-12-05, 5-22-07, Repealed 1-1-10.

Rulemaking Authority 408.061(1)(e), 408.15(8) FS. Law Implemented 119.07(1)(a), (2)(a), 408.061(8) FS. History-New 12-15-96, Amended 7-12-05, Repealed 1-1-10.

Rulemaking Authority 408.061(1)(e), 408.15(8) FS. Law Implemented 408.061 FS. History-New 12-15-96, Amended 7-11-01, 7-12-05, Repealed 1-1-10.

Rulemaking Authority 408.15(8) FS. Law Implemented 408.061, 408.062, 408.063, 408.05, 408.07, 408.08 FS. History-New 1-1-10, Repealed 5-3-12.

(1) "Acute Care" means inpatient general routine care provided to patients who are in an acute phase of illness, which includes the concentrated and continuous observation and care provided in the intensive care units of an institution. (2) "Comprehensive Rehabilitation" means se…

(1) Hospitals licensed under Chapter 395, F.S., except state-operated hospitals, in operation for all or any of the reporting periods described in subsection 59E-7.023(1), F.A.C., below, shall submit hospital inpatient discharge data to the Agency according to the provisions in R…

(1) All hospitals reporting their inpatient discharge data shall report according to the following schedule: (a) Each data file submitted for the 1st quarter covering inpatient discharges occurring between January 1 and March 31 inclusive, of each year, may be submitted no later …

(1) Submission of data files for all hospitals must be in compliance with Rules 59E-7.012 and 59E-7.021 through 59E-7.030, F.A.C. The executive officer, administrator, or authorized designee shall certify the data quarterly as accurate, complete and verifiable by completing the e…

(1) For purposes of this rule chapter, a report or other information is "incomplete" when it does not contain all data required by the Agency in this rule and in forms incorporated by reference or when it contains inaccurate data. The Agency shall to the extent practical, apply t…

The first record in the data file shall be a header record containing the information described below. (1) Report Year. Enter the year of the data in the format YYYY where YYYY represents the year in four (4) digits. A required field. (2) Report Quarter. Enter the quarter of the …

All hospitals submitting data in compliance with Rules 59E-7.012 and 59E-7.021 through 59E-7.030, F.A.C., shall report the required data elements and data element codes listed below as stipulated by the Agency. (1) AHCA Facility Number. Enter the identification number of the hosp…

(1) Agency records, public records under Chapter 119, F.S. (Florida's Public Records Law), are available for public inspection during normal business hours. Copies of such records may be obtained upon request and upon payment of the cost of copying. (2) Patient-specific records c…

Hospitals submitting inpatient discharge data pursuant to the provisions contained in these rules shall be directed by the following specific general provisions for inpatient data reporting: (1) Any inpatient who is transferred or discharged from the acute care setting into a reh…

Rulemaking Authority 408.15(8) FS. Law Implemented 408.005(2), 408.05(2)(f)-(g), 408.05(6), 408.061(1)(a) -(b), 408.061(2)-(3), 408.061(8)-(9), 408.062(1)(f), 408.063(2), 408.07, 408.072, 408.085 FS. History-New 3-31-94, Repealed 1-1-10.

Rulemaking Authority 408.15(8) FS. Law Implemented 408.005(2), 408.05(2)(f)-(g), 408.05(6), 408.061(1)(a)-(b), 408.061(2)-(3), 408.061(8)-(9), 408.062(1)(f), 408.063(2), 408.07, 408.072, 408.08(9), 408.085 FS. History-New 3-31-94, Repealed 1-1-10.

Rulemaking Authority 408.15(8) FS. Law Implemented 408.005(2), 408.05(2)(f)-(g), 408.05(6), 408.061(1)(a)-(b), 408.061(2)-(3), 408.061(8)-(9), 408.062(1)(f), 408.063(2), 408.07, 408.072, 408.085 FS. History-New 3-31-94, Repealed 1-1-10.

Rulemaking Authority 408.15(8) FS. Law Implemented 408.005(2), 408.05(2)(f)-(g), 408.05(6), 408.061(1)(a)-(b), 408.061(2)-(3), 408.061(8)-(9), 408.062(1)(f), 408.063(2), 408.07, 408.072, 408.08(9), 408.085 FS. History-New 3-31-94, Repealed 1-1-10.

Rulemaking Authority 408.15(8) FS. Law Implemented 408.005(2), 408.05(2)(f)-(g), 408.05(6), 408.061(1)(a)-(b), 408.061(2)-(3), 408.061(8)-(9), 408.062(1)(f), 408.063(2), 408.07, 408.072, 408.085 FS. History-New 3-31-94, Repealed 1-1-10.

Rulemaking Authority 408.15(8) FS. Law Implemented 408.005(2), 408.05(2)(f)-(g), 408.05(6), 408.061(1)(a)-(b), 408.061(2)-(3), 408.061(8)-(9), 408.062(1)(f), 408.063(2), 408.07, 408.072, 408.085 FS. History-New 3-31-94, Repealed 1-1-10.

Rulemaking Authority 408.15(8) FS. Law Implemented 408.005(2), 408.05(2)(f)-(g), 408.05(6), 408.061(1)(a)-(b), 408.061(2)-(3), 408.061(8)-(9), 408.062(1)(f), 408.063(2), 408.07, 408.072, 408.085 FS. History-New 3-31-94, Repealed 1-1-10.

Rulemaking Authority 408.15(8) FS. Law Implemented 408.005(2), 408.05(2)(f)-(g), 408.05(6), 408.061(1)(a)-(b), 408.061(2)-(3), 408.061(8)-(9), 408.062(1)(f), 408.063(2), 408.07, 408.072, 408.085 FS. History-New 3-31-94, Repealed 1-1-10.

(1) The Florida Center for Health Information and Transparency will periodically, but no less frequently than biannually, calculate the average time required to access, merge, validate, and prepare standard information sets for delivery to the requester. These average times will …

(1) The Price List of the Florida Center for Health Information and Transparency is posted at http://www.floridahealthfinder.gov/Researchers/OrderData/order-data.aspx. (2) The Price List dated 8-1-07 is incorporated by reference as AHCA Form FC4200-003. Rulemaking Authority 408.1…

(1) Definitions. (a) "Affiliate" means an entity that exercises control over or is directly or indirectly controlled by the insurer through equity ownership of voting securities; common managerial control; or collusive participation by the management of the insurer and affiliate …

Specific Authority 381.0406(17) FS. Law Implemented 381.0406(2), (3), (4), (11)(c) FS. History-New 12-29-93, Amended 1-29-95, 8-18-96, Transferred to 64I-5.001 .

Specific Authority 381.0406(17) FS. Law Implemented 381.0406(16) FS. History-New 1-29-95, Amended 8-18-96, Transferred to 64I-5.002.

Specific Authority 381.04065(5) FS. Law Implemented 381.04065 FS. History-New 1-24-96, Transferred to 64I-5.003.

The agency adopts these rules to comply with the requirements of Chapter 409, F.S. All rules in Title 59G, F.A.C., must be read in conjunction with the statutes, federal regulations, and all other rules and regulations pertaining to the Medicaid program. Rulemaking Authority 409.…