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Florida PPEC Readiness Map

The 14 readiness domains behind the readiness check — what each covers and what you'll assemble in it.

Florida PPEC Terminology

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.

  • Florida PPEC Terminology
  • What Is a Florida PPEC?

Founder / Entity Readiness

Form the Florida business entity (Sunbiz), identify the AHCA Administrator of record, and sequence licensure ahead of FLMMIS Medicaid enrollment.

  • Florida Business Entity (Sunbiz)
  • License-First, Enrollment-Second Sequence

Facility Readiness

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.

  • Isolation Room with Glass Observation Wall

Licensing Readiness (AHCA)

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.

  • AHCA License Requirement
  • Level 2 Background Screening (FS 435.04)
  • AHCA PPEC Application Packet (Forms 3110-8002 / 3110-1024 / 3110-8002CL)

Medical Director Readiness

FAC Rule 59A-13.009 sets Medical Director qualifications and scope. The Medical Director owns clinical oversight, policy-setting, and QA Committee participation.

  • Medical Director — Board-Certified Pediatrician

Nursing Operations Readiness

FAC Rule 59A-13.010 sets DON qualifications and the PPEC staffing-ratio schedule. Plan staffing around the ratio table before opening.

  • Director of Nursing (DON) Qualifications
  • PPEC Staffing Ratios (FAC 59A-13.010)

Operations / QA Readiness

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.

  • Quality Assurance Committee (FAC 59A-13.015)

Medical Records Readiness

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.

  • Nursing Protocol of Care — 10 Working Days + Monthly Review
  • Medical Record Content and Retention

Admissions Readiness

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.

  • PPEC Admission Requirements (FAC 59A-13.007)
  • 12-Hour Daily Attendance Cap (FS 400)

Florida Medicaid Enrollment

Florida Medicaid PPEC enrollment runs through the FLMMIS Online Enrollment Wizard (portal.flmmis.com). AHCA PPEC license must be issued before enrollment can proceed.

  • FLMMIS Provider Enrollment (Online Wizard)
  • NPI (CMS NPPES) Pre-Requisite

Authorization / Payer Readiness

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).

  • Confirm current PPEC payer routing and document the authoritative source
  • Prior Authorization — Acentra Health (eQSuite)
  • PA Approval Does Not Guarantee Payment

Billing Evidence Readiness

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.

  • FL PPEC Service Codes T1025/T1026 — source rates from the current AHCA fee schedule
  • Daily Documentation → Billing Evidence

Survey / Inspection Readiness

AHCA conducts initial and subsequent PPEC inspections. Survey readiness requires engagement with qualified PPEC consultants, legal counsel, and clinical leadership.

  • AHCA Initial and Subsequent Inspections
  • Plan of Correction (CAP) Workflow

Systems / Software Readiness

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.

  • PPEC-Native vs. Generic EHR Choice

Where this content comes from

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

  • Florida Statutes Chapter 400, Part VI (PPEC licensure)
    State statute Refreshed against the Florida Legislature site (FLSenate.gov)
  • Florida Administrative Code Chapter 59A-13 (PPEC rules)
    State administrative rule Refreshed weekly against flrules.org
  • FL Medicaid PPEC Coverage Policy / Provider Handbook
    State Medicaid handbook Refreshed quarterly against AHCA Medicaid publications
  • FL Medicaid General Provider Handbook
    State Medicaid handbook Refreshed quarterly against AHCA Medicaid publications
  • Florida Chapter 2025-88 / SB 1490 (PPEC Medicaid managed-care carve-in legislation)
    State statute Monitored monthly against the Florida Legislature site; PPEC payer-route transition source
  • CMS NPPES (NPI Registry)
    Federal (CMS) Cadence: monthly+weekly-diff
  • Harbor curated AHCA inspection export (FL)
    State regulator Refreshed monthly
  • Harbor curated AHCA PPEC provider lifecycle (FL)
    State regulator Refreshed weekly
  • Harbor curated FL Medicaid Provider Master List + Plan + Taxonomy
    State Medicaid Refreshed weekly
  • Harbor curated PublicProviderOrganizations
    Aegis curated On-demand refresh
  • Harbor curated Sunbiz business registry (FL)
    Business registry Refreshed monthly
  • AHCA FL PPEC — statutory document binder (forms 3110-8002, 3110-1024, 3110-8002CL + 2026 fee schedule + SMMC 3.0 PPEC highlight 10/18/2024)
    State licensing agency Persistent owner-supplied artifacts in DocRadar (canonical)