Florida Administrative Code 59 - AGENCY FOR HEALTH CARE ADMINISTRATION
Florida Administrative Code - Title 59: Agency for Health Care Administration (AHCA)
The Agency for Health Care Administration (AHCA) is responsible for administering Florida’s Medicaid program, licensing and regulating health care facilities, and managing the state’s health care data.
🔹 Key Functions of AHCA under FAC Title 59:
Medicaid Oversight
Administers the state Medicaid program.
Ensures compliance with federal and state Medicaid policies.
Manages provider enrollment, claims processing, and audits.
Health Facility Regulation
Licenses and inspects a wide range of facilities such as:
Hospitals
Nursing homes
Assisted living facilities (ALFs)
Ambulatory surgical centers
Home health agencies
Enforces health and safety standards.
Health Quality Assurance
Investigates complaints and incidents.
Conducts facility surveys to ensure standards are met.
Publishes public records on facility performance and violations.
Health Care Data Collection and Reporting
Maintains the Florida Center for Health Information and Transparency.
Collects and reports data on costs, utilization, quality, and outcomes.
Certificate of Need (CON)
Oversees CON applications for certain new or expanding health care facilities (subject to legislative changes).
📑 Common FAC Chapters Under Title 59:
| Chapter | Title |
|---|---|
| 59A | Health Facility and Agency Licensing |
| 59B | Health Facility Reporting and Data Collection |
| 59C | Certificate of Need |
| 59G | Medicaid Policy and Procedures |
📌 Example Rules:
59A-3: Licensure requirements for hospitals.
59A-4: Standards for nursing homes.
59G-4: Coverage policies for Medicaid services.
RELATED Blog
0 comments