The 14 readiness domains behind the readiness check — move from idea to operating center through five phases, each domain sourced from the same content pack that powers the check.
Program model, founder posture, entity, market, and early feasibility.
Florida uses 'PPEC' — the Texas 'PPECC' abbreviation does not apply here. PPEC is licensed under Chapter 400, Part VI, Florida Statutes; the operational rule is FAC Chapter 59A-13.
Entity, leadership, facility, financing, and application readiness.
Form the Florida business entity (Sunbiz), identify the AHCA Administrator of record, and sequence licensure ahead of FLMMIS Medicaid enrollment.
FAC 59A-13.020 sets PPEC physical-plant requirements, including a dedicated isolation room with a glass observation wall. Engage a Florida-licensed architect familiar with 59A-13 before construction or buildout.
Licensure, Medicaid enrollment, payer setup, and required leadership.
AHCA Bureau of Health Facility Regulation, Long-Term Care Services Unit, licenses Florida PPECs under Chapter 400, Part VI, Florida Statutes and FAC Chapter 59A-13. Operating without a license is a regulatory violation.
FAC Rule 59A-13.009 sets Medical Director qualifications and scope. The Medical Director owns clinical oversight, policy-setting, and QA Committee participation.
FAC Chapter 59A-13 sets PPEC medical-record content and retention requirements. Record design must satisfy both AHCA licensing standards and FL Medicaid billing-documentation requirements layered on top.
Florida Medicaid PPEC enrollment runs through the FLMMIS Online Enrollment Wizard (portal.flmmis.com). AHCA PPEC license must be issued before enrollment can proceed.
Nursing, therapy, admissions, documentation, authorizations, and evidence.
FAC Rule 59A-13.010 sets DON qualifications and the PPEC staffing-ratio schedule. Plan staffing around the ratio table before opening.
Admissions to a Florida PPEC require a physician prescription, ongoing physician care, pre-admission planning by Medical Director and DON, and written parent/guardian consent. Children may not attend more than 12 hours in any 24-hour period.
First admissions, billing evidence, quality, compliance, and operating cadence.
FAC 59A-13.015 requires a structured QA Committee. Design the committee composition, cadence, and record-review scope before opening — surveyors will look for evidence the program is in place.
Confirm the current Florida Medicaid payer route for PPEC and document its authoritative source. Prior authorization for PPEC is managed by Acentra Health on AHCA's behalf via the eQSuite portal (fl.acentra.com) and the 24/7 PPEC PA line (1-833-321-7070).
Florida PPEC bills the FL Medicaid program using service codes T1025/T1026. Source the current maximum-fee amounts from the AHCA Medicaid fee schedule (canonical source registered in DocRadar) — do not rely on secondary rate figures.
AHCA conducts initial and subsequent PPEC inspections. Survey readiness requires engagement with qualified PPEC consultants, legal counsel, and clinical leadership.
No specific software system is required to obtain a Florida PPEC license. Harbor is one option; founders should evaluate systems against their specific operating model and 59A-13 documentation requirements.
The readiness check converts this generic lifecycle into strengths, gaps, and immediate next actions.
Every requirement, question, and claim on this site traces to one of the 12 sources below — nothing is asserted without provenance. Content version 1.0.1 · sources last reviewed July 12, 2026
