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Changes to Background Screening Requirements.

Hospitals

Laura MacLafferty, Unit Manager Hospital & Outpatient Services Unit Bureau of Health Facility Regulation 2727 Mahan Drive, Mail Stop #31 Tallahassee, Florida 32308 Telephone: (850) 412-4549 Fax: (850) 922-4351 Email: Laura.MacLafferty@ahca.myflorida.com

A hospital offers services more intensive than those required for room, board, personal services and general nursing care, and offers facilities and beds for use beyond 24 hours by individuals requiring medical, surgical, psychiatric, testing, diagnosis, treatment, or care for illness, injury, deformity, infirmity, abnormality, disease, or pregnancy. Also available are clinical laboratory services, diagnostic X-ray services, and treatment facilities for surgery, obstetrical care, or other definitive medical treatment of similar extent.

A license issued by the Agency for Health Care Administration is required in order to operate a hospital. It is unlawful for a person to use or advertise to the public, in any way or by any medium whatsoever, any facility as a "hospital" unless such facility has first secured a license under the provisions of Chapter 395, Part I, Florida Statutes and Chapter 408, Part II, Florida Statutes. This licensure does not apply to veterinary hospitals or to commercial business establishments using the word "hospital" as a part of a trade name if no treatment of human beings is performed on the premises of such establishments.

Hospitals must maintain current state licensure, but may choose to be Medicare certified and may chose to be accredited by The Joint Commission, American Osteopathic Association's Healthcare Facilities Accreditation Program or Det Norske Veritas. Accredited hospitals meeting Chapter 59A-3.253(3), Florida Administrative Code may be "deemed" to be in compliance with the licensure and certification requirements. Deemed hospitals are not scheduled for routine on-site licensure surveys. All hospitals are subject to periodic Life-Safety Code inspections.

Copies of licenses, applications, inspection reports and other documents issued by or submitted to the Agency are public record, but are not posted on this page. If you are searching for public records, please check the following sources:

Inspection Reports

Locate a facility/license

Public Records Requests

Risk Management Reporting

If you cannot find what you are looking for on this page, please contact the Hospital and Outpatient Service Unit by calling (850) 412-4549. Links to certain topics are listed below. Click on the topic to jump to that section. This page contains general instructions, applications, forms and links to applicable regulations in order to obtain and maintain a Florida hospital license. In addition, lists of frequently requested hospital information are also included.

Licensure Requirements Overview for initial, renewal, change of ownership, and other changes to a license.	Applications & Supporting Forms Hospital applications Hospital clinical laboratory applications See note below.	Licensed Hospital Programs Burn Unit Stroke Centers Cardiovascular & Catheterization Services
Licensure Fees State and Federal Regulations Background Screening Requirements	Misc. Reporting Requirements Fire Incident Report Form Organ & Tissue Donation Reporting Death in Restraints Reporting Notification of Disposition of Fetal Remains	Emergency Services Inventory & Exemptions DOH Trauma Center Designation Off-Site Emergency Depts Emergency Status System Emergency Preparation
Medicare Certification Information	Induced Termination of Pregnancy Reporting	Florida Transplant Hospitals

Special Note to Hospitals Operating Clinical Laboratories

Effective September 1, 2010, application processing of clinical laboratory licenses under the same ownership/control as the hospital (hospital based) shall be the responsibility of the Agency's Hospital & Outpatient Services Unit. Unless expiring sooner, clinical laboratory renewal applications will be due when the next hospital renewal application is due and all applications will be reviewed concurrently. Clinical laboratory licenses expiring more than 120 days before the hospital license must submit a renewal application to extend the expiration date to match the hospital expiration date. Applications submitted less than 60 days prior to the laboratory license expiration date will be subject to a late fee. Clinical laboratory licenses expiring 120 days or less before the hospital license must submit an application to extend the expiration date as above and for the following biennium; however, documents do not need to be duplicated. Clinical laboratory licenses that are already aligned with the hospital license expiration date or expire any time after the hospital license must submit a renewal application at the same time as the hospital license. Renewal reminder letters will include information to prorate the laboratory licensure fee. Any clinical laboratory applications not received with the hospital renewal application (as appropriate) will be cited as an omission to the hospital application and may cause administrative action to be taken against both/all licenses. Separate hospital and clinical laboratory licenses will be issued, although the expiration date of the clinical laboratory license will be aligned with the hospital expiration date. Changes to the clinical laboratory license application process will not affect the CLIA certificate or scheduling of inspections. A clinical laboratory renewal application is available on this web page under Applications & Supporting Forms. Regulatory references and additional lab related information can be found on the Laboratory Licensure page.

 

Licensure Requirements

Initial

This includes previously unlicensed facilities and reactivation of an expired license. Hospitals require a Certificate of Need, so the first step to licensure is to notify the Certificate of Need/Financial Analysis Unit (CON) and make an application for project review. Once a Certificate of Need is issued but prior to beginning new construction or remodeling an existing building, applicants must contact the Agency's Office of Plans and Construction (OPC) for a plan review. Applicants must submit a hospital licensure application, clinical laboratory licensure application (if applicable), fees and supporting documents when the physical plant is scheduled for the OPC 100% inspection. When all required information is received and acceptable, including successful completion of the OPC 100% inspection, an initial licensure inspection will be scheduled. Licenses will be issued when documentation of a successful licensure inspection is complete and filed. Please note a valid license is required before patient care can be provided. A separate application is required for each facility located on separate premises that are listed on a single license.

Renewal

To renew a current state license, the licensure application, renewal fee and supporting documents must be submitted to the Agency 120 to 60 days prior to the expiration date. A late fee of $50 per day, up to $500 will be assessed for any application not received 60 days prior to expiration. A renewal application will not be accepted if the hospital license is expired. An initial license application must be filed if the license has expired. A separate application is required for each facility located on separate premises that are listed on a single license. Clinical laboratory licenses under the same ownership/control as the hospital (hospital based) must concurrently submit a clinical laboratory renewal application.

Change of Ownership (CHOW)

Chapter 408.803, Florida Statutes defines "Change of ownership" as: an event in which 51 percent or more of the ownership, shares, membership, or controlling interest of a licensee is in any manner transferred or otherwise assigned. This does not apply to a licensee that is publicly traded on a recognized stock exchange. Also, a change solely in the management company or board of directors is not a change of ownership.

The licensure application, fee and supporting forms must be submitted at least 60 days prior to the date of acquisition of the hospital. Before the application can be approved, a bill of sale or other closing document signed by the buyer and the seller and showing the effective date of the transfer must be received by the Agency. The Agency will not transfer the license to the proposed owner prior to the actual date of sale. A separate application is required for each facility located on separate premises that are listed on a single license. Clinical laboratory licenses under the same ownership/control as the hospital (hospital based) must concurrently submit a clinical laboratory CHOW application.

Other Change During the Licensure Period

Additions, deletions or other changes to licensed beds, off-site outpatient facilities, off-site emergency departments and name and address changes, including relocations and replacement facilities, require an AHCA Form 3130-8001, Health Care Licensing Application Hospitals. Level 2 background screening documentation may be required depending on the effect of the changes to other services and regulatory requirements.

Voluntary Termination of a License

A licensee must inform the agency not less than 30 days prior to the discontinuance of operation and comply with the requirements listed in Chapter 408.810(4), Florida Statutes.

Applications and Supporting Forms

For Initial, Renewal, CHOW, and changes during the licensure period.

Form Number	Name	For	Description
Recommended Form AHCA Form 3130-8001	Health Care Licensing Application Hospitals	All application types	Standard hospital application required to apply for, renew or modify a hospital license.
AHCA Form 3110-1024	Health Care Licensing Addendum	Initial Renewal CHOW	Please provide this information to comply with the reporting requirements pursuant to Chapter 408, Part II, Florida Statutes. Use of the form is not required if the same information is provided by other means.
AHCA Form 3130-8005	Comprehensive Emergency Management Planning Criteria for Hospitals	Initial CHOW	Provides an outline to develop an emergency management plan. The plan must be approved by the county emergency operations center annually.
AHCA Form 3100-0008	Affidavit of Compliance with Level 2 Background Screen Requirements	Initial Renewal CHOW (if applicable)	Use this form to document a current level 2 background screen performed via another state agency in lieu of submitting a fingerprint card and fee to AHCA. Screen results must be attached.
AHCA Form 3130-8012	Burn Unit Services Licensure Application	Initial Designation	Form to attest the hospital meets burn unit services criteria specified in 59A-3.2085(18), Florida Administrative Code (F.A.C.).
AHCA Form 3130-5003	Adult Inpatient Diagnostic Cardiac Catheterization Licensure Application	Initial Designation and Licensure Renewal	Form attesting the hospital will comply with rules that establish licensure standards for the provision of adult inpatient diagnostic cardiac catheterization services.
AHCA Form 3130-8010	Level I Adult Cardiovascular Services	Initial Designation and Licensure Renewal	Form to attest adult cardiovascular services meet the criteria in 59A-3.2085(13), (16) and/or (17) F.A.C.
AHCA Form 3130-8011	Level II Adult Cardiovascular Services	Initial Designation and Licensure Renewal	Form to attest adult cardiovascular services meet the criteria in 59A-3.2085(13), (16) and/or (17) F.A.C.
AHCA Form 3130-8009	Stroke Center Affidavit	Initial Designation	Form to attest by affidavit the hospital meets primary or comprehensive stroke center criteria as specified in 59A-3.2085(15), Florida Administrative Code (F.A.C.).
AHCA Form 3170-2004	Clinical Laboratory Applications	Initial Renewal CHOW Miscellaneous	Clinical laboratory licenses under the same ownership/control as the hospital (hospital based) must concurrently submit a clinical laboratory application.
	Certificate of Need	Initial	A written statement issued by the Agency evidencing community need for a new, converted, expanded, or otherwise significantly modified health care facility.
	Bed Memo	Initial Any bed change	Internal AHCA memo signifying compliance with Florida Building Code and which lists the beds eligible for licensure.
	Business Articles	Initial CHOW	Articles of Incorporation or similarly titled document as filed with the Florida Department of State.
	Compliance with zoning requirements	Initial CHOW	Any documentation from a local government identifying the facility is in compliance with local zoning requirements.
	Certificate of Occupancy	Initial	Specific documentation from a local government granting the right to occupy a facility.
	Management Agreement	Initial CHOW	Contract between the owner and a management company for management services.
	Closing Document	CHOW	Bill of Sale or similar document signed by the buyer and the seller indicating the date of transfer of ownership.
	Statement of outstanding deficiencies	CHOW	Statement from the buyer assuring any uncorrected life-safety deficiencies will be corrected timely.
	Statement of outstanding payments	CHOW	Statement from the buyer identifying any outstanding balance owed AHCA, and indicating who will pay and when.

 

Licensure Fees

Fee Type	How Much	Who Pays	When
Initial, renewal or CHOW Application	$31 per licensed bed or $1,542, whichever is more.	Initial, Renewal and CHOW applicants	With application
Other Change During the Licensure Period	$31 per new licensed bed. $25 for removing beds from a license, changing the utilization or adding/deleting offsite locations.	Miscellaneous change during the license period applicants	With application
Licensure survey	$12 per licensed bed or $400, whichever is more.	Initial applicants All unaccredited hospitals and accredited hospitals selected for a validation survey	Initial applicants submit payment with the application. Licensed hospitals will be billed.
Life-safety survey	$1.50 per licensed bed or $40, whichever is more.	All licensed hospitals	Licensed hospitals will be billed.
Late application	$50 per day, up to $500	All late applicants	If an application is not received at least 60 days prior to the anticipated effective date. Payment can be made any time during the application process or upon issuance of a final order. Licenses will not be issued until all fees are paid in full.

State and Federal Regulations

Medicare Certification Requirements

To meet federal requirements, the hospital must be surveyed for certification as directed by the Centers for Medicare and Medicaid Services. A facility seeking initial licensure and certification will receive two (2) surveys; one licensure survey before operation begins followed by a certification survey after the facility is fully operational. Psychiatric facilities require an additional certification of the two (2) Medicare special conditions of participation.

Participation in the Medicare/Medicaid program(s) will depend upon an effective date recommended by the Agency for Health Care Administration. Federal regulations permit this date to be the date of initial certification if all federal requirements are met. If all requirements are not met, the effective date is the date requirements are met or the date you submit an acceptable plan of correction or waiver request.

Required Forms for Medicare Certification

Form	Description
Medicare Administrative Contractor Choice Form	Identifies the facility's intermediary and cost reporting fiscal year end.
Health Insurance Benefit Agreement Form (Form CMS --1561)	Two original forms are required. Do not photocopy.
Hospital/CAH Database worksheet	Information will be collected on-site if a survey is required. For a change of ownership, data must be supplied to the licensure unit.
Medicare Certification Civil Rights Information Request Form - OMB 0990-0243	Checklist of required information. Two original HHS 690 forms and appropriate facility brochures must be attached.
Assurance of Compliance (Form HHS -- 690)	Required form to be submitted in duplicate with the above civil rights form.
Technical Assistance Information and Civil Rights Sample Policies and Procedures	Technical assistance provided by the Office of Civil Rights. This information includes examples of the information to be submitted with the above Medicare Certification Civil Rights Information Request Form.

Civil Rights Information and Forms

Hospital Emergency Access

Any person needing emergency medical care or any woman in active labor shall not be denied access to appropriate emergency medical services and care.

Emergency services and care means medical screening, examination and evaluation by a physician, or by other appropriate personnel under the supervision of a physician, to determine if an emergency medical condition exists.

Emergency Services Inventory

The inventory chart linked below lists hospitals alphabetically by county and indicates types of emergency services available at the facility. Also, please note that some facilities have been granted an exemption or a partial exemption from the requirement of providing certain services on a 24 hour basis seven days a week. Those facilities are indicated by a "X1" with a red background. Details of the exemption are included in the separate document "Emergency Services Exemptions" below. Emergency services reported to the Agency are listed on the face of the hospital's license.

• Hospital Emergency Services Inventory (257KB)
• Hospital Emergency Services Exemptions (69KB)

DOH Trauma Center Designation

As part of the emergency services inventory, hospitals indicate if they have met trauma center criteria. The Department of Health has the responsibility for the planning, and establishment of a statewide trauma system so all applications for trauma center designation must be sent to the Department of Health's Office of Trauma. Applications, statute and rule references and a list of current certified trauma centers and contact information are available on their web site.

DOH Office of Trauma

Off-site Emergency Departments

Any Florida licensed hospital which has a dedicated emergency department may provide emergency services in a location off of the hospital's main premises. The off-site emergency department must be under the same direction, offer the same services and comply with the same regulatory requirements as the emergency department located on the hospital's main premises.  There are no additional rules or standards specific for emergency departments located off the premises of the licensed hospital. 

Hospitals desiring to offer off-site emergency departments must meet the physical plant requirements of s. 395.0163, F.S.  The Agency must review the facility' plans and specifications before any construction can begin.  Reviews are also conducted during the construction phase and final physical plant approval is granted when the facility is determined to meet all applicable hospital building code.  Off-site emergency departments must meet the occupancy and construction requirements of the Life Safety Code and Florida Building Code relevant to the actual use of the facility. The off-site emergency department must meet all of the physical plant requirements of an onsite emergency department as described in s. 419.4 of the Florida Building Code and also meet the requirements of s. 7.D.9, Definitive Emergency Care (Guidelines for the Design and Construction of Hospitals and Health Care Facilities, 2001) incorporated by referenced in s. 419.2.1.2 of the Florida Building Code.

Application to add an off-site emergency department must be made on AHCA Form 3130-8001 with documentation providing proof of ownership or right to occupy the premises and revised services provided, if applicable. Application should be made for other change during the licensure period.

A moratorium on approving off-site emergency departments was initiated in 2004 and continued until June 30, 2006.

• List of Florida Licensed Hospitals with Off-site Emergency Departments (66KB)
• 2004 Report on Freestanding Emergency Departments
• Emergency Department Utilization Report

AHCA Emergency Status System (ESS)

The AHCA Emergency Status System (ESS) is a web-based application designed to track the status of 24-hour care providers regulated by AHCA. The system allows direct data entry by provider staff that have an active user agreement with AHCA. Data entry may include details of impacts and damages, evacuation status, available beds, special medical client needs, and names and phone numbers of emergency contacts.

ESS data is organized around Events. Events are specific emergencies (hurricane) or activities (Super bowl) that require tracking of information. For example, a hurricane would be an event and would be given a name consistent with a storm such as "Jeanne". This enables all activities (evacuation, impact and needs) to be associated with a specific event and when an event is complete or closed, those activities are archived with that event.

ESS is always available but some information can only be entered when an event is open. Emergency contact information and generator information can be entered at any time.

The ESS web address is http://ess.myflorida.com

 

State of Florida Emergency Medical Services Plan

Pursuant to sections 395.103 and 401.015, F.S., hospitals with an emergency department must have an onsite telecommunications device that meets the requirements of the EMS Communications Plan.  Additional information regarding compliance with the requirements or obtaining assistance in meeting those requirements is contained in the following memo:

• State of Florida Emergency Medical Services Plan - Memo of 2/17/2005

State Emergency Services Assessment Form

Hurricane/Disaster Preparedness

• Florida Emergency Support Function 8 Facility Assessment Form

PPS Hurricane Waiver

The Centers for Medicare Medicaid Services (CMS) has announced a data submission waiver for Prospective Payment System hospitals for the second, third, and fourth quarters of 2005 for hospitals impacted by hurricanes in the listed Florida counties.

• CMS Announcement of PPS Data Submission Waiver

Transplant Centers

Hospitals providing organ transplant services must meet state and federal requirements. The federal requirements and a nationwide list of providers are available on the Centers for Medicare and Medicaid Services web page.

Chapter 408.036(1)(k), Florida Statutes require hospitals to obtain a Certificate of Need for the establishment of organ transplantation programs.

Florida Transplant Hospitals (73KB)

Background Screening

 

Licensed Hospital Programs

There are six (6) licensed program designations that may be added to a hospital's license: Burn Unit, Primary Stroke Center, Comprehensive Stroke Center, Diagnostic Inpatient Cardiac Catheterization, Level 1 Adult Cardiovascular Services and Level 2 Adult Cardiovascular Services. To receive the initial designation, a program specific application must be completed and attached to a hospital licensure application. Follow the application instructions for a Other Change During Licensure Period. The $25 license reprint fee applies. Hospitals with Diagnostic Inpatient Cardiac Catheterization, Level 1 Adult Cardiovascular Services and Level 2 Adult Cardiovascular Services designations must resubmit the program specific application with a license renewal application.

Burn Unit Designation

All licensed hospitals that operate burn units under Section 408.0361(2), F.S., must comply with guidelines published by the American College of Surgeons, Committee on Trauma. Listed below are links to the burn unit licensure rule and application:

59A-3.2085(18), F.A.C.

Burn Unit Services Licensure Application

Primary Stroke Center & Comprehensive Strokes Center Designation

As specified in s 395.3038, Florida Statutes, the Agency has adopted administrative rules that provide criteria for designation of hospital programs as primary stroke centers and comprehensive stroke centers. This statutory section requires that the criteria be substantially similar to the criteria for stroke center certification established by the Joint Commission (formerly known as the Joint Commission on Accreditation of Healthcare Organizations).

Agency administrative rules in 59A-3.2085(15), Florida Administrative Code (F.A.C.), which became final on March 23, 2006, have incorporated Joint Commission criteria for primary stroke centers. Criteria for comprehensive stroke centers included in these rules are adopted from the criteria developed by the Brain Attack Coalition since Joint Commission has not yet established comprehensive center criteria.

Stroke centers providing the required affidavit and documentation will be included on the listing of stroke centers maintained by the Agency. This listing will be updated as additional hospitals provide required documentation. This listing will be included on this website and provided to the Department of Health Bureau of Emergency Services.

Designated Stroke Centers

Centers are included in these listings on the basis of the hospital providing an affidavit and necessary documentation attesting that the stroke center meets the criteria in 59A-3.2085(15), F.A.C., for a primary or comprehensive stroke center. Listing of stroke centers may be viewed using the following link: The requirement to provide services and care specified in section 395.1041, Florida Statutes, or the Emergency Medical Treatment and Active Labor Act (EMTALA) is not affected by the creation of this listing of stroke treatment centers or the adoption of administrative rule criteria for those centers. Hospital Emergency Departments continue to be required to provide emergency treatment to persons presenting to those departments. The creation of a listing of Stroke Treatment Centers does not constitute the basis for refusing services or declining to provide emergency services and stabilizing an individual presenting to an emergency department.

Stroke Center Rules, Criteria, and Forms

Level I and Level II Adult Cardiovascular Services Designation

As specified in s. 408.0361, Florida Statutes, the Agency has adopted administrative rules that provide criteria for designation of hospital programs as a Level I program authorizing the performance of adult percutaneous cardiac intervention without onsite cardiac surgery and a Level II program authorizing the performance of percutaneous cardiac intervention with onsite cardiac surgery. This statutory section requires that such programs comply with the most recent guidelines of the American College of Cardiology and American Heart Association guidelines for staffing, physician training and experience, operating procedures, equipment, physical plant, and patient selection criteria to ensure patient quality and safety.

Agency administrative rules in 59A-3.2085(13), (16), and (17) Florida Administrative Code (F.A.C.), have incorporated by reference the following guidelines:

• American College of Cardiology/Society for Cardiac Angiography and Interventions Clinical Expert Consensus Document on Cardiac Catheterization Laboratory Standards: Bashore et al, ACC/SCA&I Clinical Expert Consensus Document on Catheterization Laboratory Standards, JACC Vol. 37, No.8, June 2001: 2170-214

• ACC AHA/SCAI 2005 Guideline Update for Percutaneous Coronary Intervention A Report of the American College of cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/SCAI Writing Committee to Update the 2001 Guidelines for Percutaneous Coronary Intervention)

• ACC/AHA 2004 Guideline Update for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1999 Guidelines for Coronary Artery Bypass Graft Surgery) Developed in Collaboration With the American Association for Thoracic Surgery and the Society of Thoracic Surgeons

Hospitals must submit a general licensure application (AHCA Form 3130-8001, for misc. change) and a program specific application to have the appropriate designation added to the hospital license for the current licensure period.  Existing programs must renew their licenses at the time of the hospital license renewal by submitting an updated program specific application.

A listing of current hospitals providing Adult Cardiovascular Services will be maintained by the Agency. This listing will be updated as additional hospitals provide required documentation and will be included on this website.

Designated Adult Cardiovascular Services Hospitals

Hospitals are included in these listings on the basis of providing an application that the Adult Cardiovascular Services meet the criteria in 59A-3.2085(13), (16) and/or (17) F.A.C.

• Level I Adult Cardiovascular Services (98KB)
• Level II Adult Cardiovascular Services (104KB)

Adult Cardiovascular Services Rule and Criteria

• Rule 59A-3.2085, F.A.C.

Adult Cardiovascular Services License Applications

• License Application Level I Adult Cardiovascular Services Attestation, AHCA Form 3130-8010
• License Application Level II Adult Cardiovascular Services Attestation, AHCA Form 3130-8011
• License Application Adult Inpatient Diagnostic Cardiac Catheterization, AHCA Form 3130-5003

 

Other Report Forms

• Fire Incident Report Form (344K PDF)
• AHCA Form 3130-8006, Organ & Tissue Donation Request Summary Data Form

Notification of Disposition of Fetal Remains Form (AHCA Form 3100-0006 January 2005)

The Code of Federal Regulation, Part 42, section 482.13(g) Patients' Rights Final Rule, published December 8, 2006 and effectuated by CMS January 8, 2007, states, Hospital must report the following information to CMS:

• Each death that occurs while a patient is in restraint or seclusion.
• Each death that occurs within 24 hours after the patient has been removed from restraint or seclusion.
• Each death known to the hospital that occurs within one week after restraint or seclusion where it is reasonable to assume that use of restraint or placement in seclusion contributed directly or indirectly to the patient's death. For the purpose of this regulation "reasonable to assume" includes, but is not limited to, deaths related to restrictions of movement for prolonged periods of time, or death related to chest compression, restriction of breathing, or asphyxiation.

Each death must be reported to CMS by telephone no later than the close of business the next business day following knowledge of the patient's death.

Hospital staff must document in the patient's medical record the date and time the death was reported to CMS.

• Hospital Restraint/Seclusion Death Report Worksheet
• Email Instruction

Mandatory Monthly Report of Induced Terminations of Pregnancy (ITOP)

Chapter 390.0112, Florida Statutes, requires each director of any medical facility to submit a monthly report of induced terminations of pregnancy to the Agency. The report must be submitted within 30 days following the preceding month and a $200 fine may be imposed if reports are not submitted timely. The statute requires that data reported shall be kept confidential. The reports are not permitted to be released to anyone except upon court order in a civil or criminal proceeding.

Effective July 13, 2008, the monthly report must be submitted electronically to the Agency.

ITOP Provider Enrollment User Agreement and Instructions

ITOP Monthly Reporting System

Updated February 9, 2012

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