Bureau of Long Term Care Services
Home Care Unit
2727 Mahan Drive - Mail Stop #34
Tallahassee, FL 32308
((850) 412-4403 Phone
(850) 922-6059 Fax

email: HQAHOMEHEALTH@ahca.myflorida.com

HOME MEDICAL EQUIPMENT (HME) PROVIDERS

• Frequently Asked Questions
• Florida Statutes
  • Chapter 400, Part VII, F.S., 2009 Home Medical Equipment Providers
• 2009 state law changes, Chapter 2009-223, Laws of Florida
• Chapter 408, Part II, Florida Statues (health care licensing procedures)
• Memo on 2009 law changes
• State rules (Florida Administrative Code, Chapter 59A-25, Minimum Standards for Home Medical Equipment Providers, March 13, 2007)
• The Agency appreciates the comments received on the draft rule revisions.  They are under review at this time. Proposed rules will be posted at this location soon.
• AHCA licensing procedure rules for all programs - 59A-35  
• State Regulation Set used by surveyors
  • Summary of Changes
• Summary of Initial HME Licensure Process
• Licensure Application and Related Forms – forms necessary for licensure as a home medical equipment provider are as follows:
  • Health Care Licensing Application, Home Medical Equipment Provider, AHCA Recommended Form 3110-1005, Revised August 2010 - REQUIRED
  • Health Care Licensing Application Addendum, AHCA Recommended Form 3110-1024, August 2010 – REQUIRED
  • Proof of Financial Ability to Operate, AHCA Form 3100-0009, July 2009, Schedules 1 –7, REQUIRED for all initial and change of ownership applications
  • Home Medical Equipment Provider, Request to Amend License for Name and/or Address, AHCA Recommended Form 3110-1020, Revised September 2010) This form must be submitted not less than 21 days prior to the actual move to avoid a fine.

   

NOTE: If after reviewing the application forms and statutory and rule requirements on our web site you have additional questions, please call (850) 412-4403. Staff will be happy to answer questions that clarify the requirements as they apply to your specific situation, but cannot walk you through the application. Filling out the application is part of your responsibility as an applicant. The Agency's role in this process is to evaluate your application and, if there are elements missing from your application once submitted, provide you with an omissions response that gives you another opportunity to complete the application successfully. If you need extensive assistance in filling out your application, we would advise you to retain an attorney or a government relations consultant to assist you.

• Background Screening information
• Emergency Management Planning
• Comprehensive Emergency Management Plan (CEMP) Format for Home Medical Equipment (HME) Providers, AHCA Form 3110-1019, Dec. 06 – All licensed home medical equipment providers must prepare a CEMP. A copy of the plan must be submitted to the local county health department for each county listed on the provider’s license (unless the county health department does not require submission of CEMPs). Applicants must prepare and submit a plan to the appropriate county health departments prior to survey by the Agency and/or licensure.
• Emergency Plan Information Resource: Florida Department of Health County Health Department Emergency Management Plan of Review Contacts
• List of licensed providers - www.FloridaHealthFinder.gov

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