Have you formed a Florida business entity for your PPEC operation and registered it with Sunbiz?
Yes — entity formed and registered with the Florida Division of Corporations (Sunbiz)
In progress — Sunbiz filing underway
Not yet
I'm not sure if I need a separate Florida entity
Florida Statutes Chapter 400, Part VI (PPEC licensure)
Harbor curated Sunbiz business registry (FL)
Are you aware that the AHCA PPEC license must be issued before you can enroll in Florida Medicaid (FLMMIS) as a PPEC provider?
Yes — license-first, enrollment-second is understood
I had the order reversed in my plan
Partially — I knew both were required but not the sequence
Not sure how AHCA licensure and FLMMIS enrollment relate
Florida Statutes Chapter 400, Part VI (PPEC licensure)
Florida Administrative Code Chapter 59A-13 (PPEC rules)
Have you identified the individual(s) who will serve as the Administrator of record with AHCA?
Yes — Administrator identified and confirmed
In progress — working on this
Not yet
Not sure what this role requires under 59A-13
Florida Administrative Code Chapter 59A-13 (PPEC rules)
Have you identified a facility location for your Florida PPEC?
Yes — facility identified and under contract or lease
Actively looking — have specific targets under evaluation
Exploring options — no specific sites yet
Not yet started this process
Florida Administrative Code Chapter 59A-13 (PPEC rules)
Have you reviewed the FAC 59A-13.020 physical-plant requirements (including the isolation-room glass-observation-wall requirement) with a licensed architect?
Yes — architect has reviewed against 59A-13.020
Not yet — but I know it is required
No — I wasn't aware architect review is typically required
N/A — facility not yet identified
Florida Administrative Code Chapter 59A-13 (PPEC rules)
Are you planning for the FAC 59A-13 isolation-room requirement (a dedicated isolation room with a glass observation wall)?
Yes — isolation room is in the floor plan
Aware of the requirement but not yet mapped into facility design
No — I wasn't aware Florida requires a dedicated isolation room
N/A — facility not yet identified
Florida Administrative Code Chapter 59A-13 (PPEC rules)
Have you reviewed the AHCA PPEC license application package (forms, fees, supporting documents)?
Yes — reviewed and understand what's required
Partially — I've seen it but haven't gone through it carefully
Not yet
I don't know where to find the current AHCA PPEC packet
Florida Statutes Chapter 400, Part VI (PPEC licensure)
Florida Administrative Code Chapter 59A-13 (PPEC rules)
Harbor curated AHCA PPEC provider lifecycle (FL)
Do you understand that operating a PPEC in Florida without a valid AHCA license is a regulatory violation under Chapter 400, Part VI, Florida Statutes?
Yes — license-first is non-negotiable
Aware but unclear on the enforcement consequences
I assumed Medicaid enrollment alone authorized operations
Not sure how Chapter 400 Part VI applies here
Florida Statutes Chapter 400, Part VI (PPEC licensure)
Are you aware that all PPEC personnel must clear a Florida Level 2 background screening under FS 435.04 (FBI + FDLE fingerprints, disqualifying-offense list)?
Yes — Level 2 screening is built into our hiring plan
Aware of the screening but not the disqualifying-offense list
No — I hadn't seen Level 2 screening called out for PPEC staff
I assumed a general background check would satisfy this
Florida Statutes Chapter 400, Part VI (PPEC licensure)
Have you reviewed whether any prior adverse licensing actions, investigations, or ownership history could affect your AHCA PPEC application?
Yes — reviewed and no issues identified
In progress — working through this with counsel
No — I haven't looked into this
Not applicable
Florida Statutes Chapter 400, Part VI (PPEC licensure)
Harbor curated AHCA inspection export (FL)
Have you identified a Medical Director for your Florida PPEC?
Yes — identified; board-certified pediatrician (FAC 59A-13.009)
In conversations — candidate identified but not committed
Not yet — have not started this search
I didn't know the Medical Director must be a board-certified pediatrician
Florida Administrative Code Chapter 59A-13 (PPEC rules)
Have you mapped the Medical Director's QA Committee, policy-setting, and clinical-oversight responsibilities into the operating model?
Yes — responsibilities mapped into role description and policies
In progress
Not yet
Not sure what the Medical Director must own under 59A-13.009
Florida Administrative Code Chapter 59A-13 (PPEC rules)
Have you identified a Director of Nursing (DON) who meets the FAC 59A-13.010 qualifications (full-time FL RN, ≥2 yrs general pediatric RN experience, ≥6 months ICU or PPEC in the past 5 years)?
Yes — identified and qualifications confirmed
In conversations — potential candidate identified but not committed
Not yet
I didn't know the DON must be a full-time FL RN with this experience profile
Florida Administrative Code Chapter 59A-13 (PPEC rules)
Are you familiar with the FAC 59A-13.010 PPEC staffing-ratio table (1 child → 1 RN; 2–6 children → 2 staff, ≥1 RN; higher census scales per schedule)?
Yes — familiar with the full schedule including census >6
I know ratios exist but not the specific schedule
No — I haven't looked at staffing-ratio requirements
I thought staffing ratios were the same as other pediatric settings
Florida Administrative Code Chapter 59A-13 (PPEC rules)
Have you designed the nursing protocol-of-care workflow so each child's individualized protocol is documented within 10 working days of admission (FAC 59A-13.014) and reviewed monthly?
Yes — 10-day initial + monthly review cadence is in the workflow
In progress — workflow drafted but timing not finalized
Not yet — planning to address after licensing
I'm using a nursing documentation model from a different care setting
Florida Administrative Code Chapter 59A-13 (PPEC rules)
Have you designed your PPEC admissions process, including physician prescription, pre-admission planning by Medical Director + DON, and written parent/guardian consent (FAC 59A-13.007)?
Yes — admissions process designed and documented
In progress
Not yet
Not sure what an FL PPEC admissions process requires
Florida Administrative Code Chapter 59A-13 (PPEC rules)
Are you aware of the FS 400 attendance limit — children may not attend a PPEC for more than 12 hours in any 24-hour period?
Yes — 12-hour cap is baked into scheduling and billing logic
I knew there was a cap but not the exact number
No — I wasn't aware of a daily attendance cap
Not sure how this applies to my operating model
Florida Statutes Chapter 400, Part VI (PPEC licensure)
Have you confirmed that each prospective child has a physician prescription authorizing PPEC attendance and will remain under active physician care while attending?
Yes — prescription + ongoing physician care is part of intake
In progress — intake template under design
Not yet
I assumed prescription requirements applied only to therapies
Florida Statutes Chapter 400, Part VI (PPEC licensure)
Florida Administrative Code Chapter 59A-13 (PPEC rules)
Have you designed a Quality Assurance Committee that meets the FAC 59A-13.015 composition (Medical Director, Administrator, DON, ≥3 additional members), quarterly cadence, and ≥50%-of-records review rule?
Yes — QA committee composition, cadence, and review scope are documented
In progress
Not yet — planning to address after opening
I didn't know a structured QA committee was a hard rule for FL PPECs
Florida Administrative Code Chapter 59A-13 (PPEC rules)
Are you planning the FAC 59A-13.020 isolation-room build (dedicated room with a glass observation wall, supporting continuous visual observation)?
Yes — included in facility design
Aware of the requirement but not yet in the floor plan
No — I wasn't aware of the isolation-room or glass-wall requirement
N/A — facility not yet identified
Florida Administrative Code Chapter 59A-13 (PPEC rules)
Have you designed an individualized nursing protocol-of-care template that satisfies the FAC 59A-13.014 10-working-day initial + monthly-review cadence?
Yes — POC template + monthly-review workflow designed
In progress
Not yet
I'm planning to use a plan-of-care template from a different care setting
Florida Administrative Code Chapter 59A-13 (PPEC rules)
Do you understand that Florida Medicaid PA for PPEC services is managed by Acentra Health (eQSuite portal) on AHCA's behalf, and PA must be in place before services begin?
Yes — Acentra PA workflow is mapped into operations
I know PA is required but not who manages it
No — I hadn't seen Acentra Health in this role
I assumed PA would be handled directly by AHCA Medicaid
FL Medicaid PPEC Coverage Policy / Provider Handbook
Have you mapped the Acentra Health PA document set (PPEC Plan of Care form, supporting documentation, physician order form, physician visit documentation)?
Yes — full PA document set mapped into the workflow
Partially — some documents identified
No — I haven't looked at the required PA document list
I assumed a single PA form would be enough
FL Medicaid PPEC Coverage Policy / Provider Handbook
Have you reviewed the FAC 59A-13 medical-record content and retention requirements?
Yes — reviewed; record design satisfies content and retention requirements
Not yet — but I know there are specific requirements
No — I haven't looked at medical-record requirements for PPECs
I assumed PPEC medical-record requirements would mirror outpatient therapy
Florida Administrative Code Chapter 59A-13 (PPEC rules)
What is your current plan for the PPEC medical-record system?
Purpose-built clinical record system designed for PPEC (e.g., Harbor)
Planning to use a generic EHR adapted for PPEC
Planning to use paper records
Haven't decided yet
Florida Administrative Code Chapter 59A-13 (PPEC rules)
Have you initiated Florida Medicaid provider enrollment through the FLMMIS Online Enrollment Wizard (portal.flmmis.com)?
Yes — enrolled or enrollment in final stages
In progress — application submitted via FLMMIS portal
Not yet started — license required first
Not sure how FLMMIS enrollment works for PPEC providers
FL Medicaid General Provider Handbook
Harbor curated FL Medicaid Provider Master List + Plan + Taxonomy
Do you have your NPI (National Provider Identifier) issued by CMS NPPES, and is it ready to attach to your FLMMIS enrollment?
Yes — NPI obtained and ready to use
In progress — NPPES application submitted
Not yet
I didn't know I needed an NPI before Medicaid enrollment
CMS NPPES (NPI Registry)
Have you mapped the AHCA / Gainwell fiscal-agent provider-enrollment support channel (1-800-289-7799, Option 4) into your enrollment plan?
Yes — support channel logged into enrollment runbook
Aware but not yet contacted
No — I hadn't seen this support channel
Planning to call only if blocked
FL Medicaid General Provider Handbook
Have you confirmed the current Medicaid payer route for PPEC services (fee-for-service vs managed care) against current AHCA/Medicaid guidance?
Yes — I've verified the current payer route against current AHCA/Medicaid guidance and documented the source
Partially — I've read about it but haven't verified against current guidance
No — I haven't checked the current payer route
Not sure where to find the authoritative current guidance
Florida Chapter 2025-88 / SB 1490 (PPEC Medicaid managed-care carve-in legislation)
FL Medicaid PPEC Coverage Policy / Provider Handbook
Have you mapped the Acentra Health PA submission workflow into your operating plan (eQSuite portal + 1-833-321-7070 PPEC PA line, 24/7)?
Yes — eQSuite + phone workflow logged
Aware of Acentra but workflow not yet mapped
No — Acentra workflow not yet researched
I assumed PA could be faxed directly to AHCA
FL Medicaid PPEC Coverage Policy / Provider Handbook
Do you understand that Acentra Health PA does not guarantee payment — claims must still meet all FL Medicaid coverage criteria?
Yes — PA vs. payment distinction is built into expectations
Aware of the distinction in general but hadn't applied it to PPEC
No — I assumed PA approval meant the claim would pay
Not sure how this affects cash-flow planning
FL Medicaid PPEC Coverage Policy / Provider Handbook
Are you familiar with the FL Medicaid PPEC service codes (T1025/T1026) and where to source the current AHCA Medicaid fee schedule?
Yes — codes and the current fee-schedule lookup are built into the billing plan
Familiar with the codes but not the current rate-lookup process
No — codes and rate sources not yet researched
Not sure which payer's rates govern PPEC billing
FL Medicaid PPEC Coverage Policy / Provider Handbook
Have you designed a daily attendance + service documentation model that produces clean billing evidence aligned with the PA period?
Yes — documentation produces billing evidence in real time
In progress
Not yet — planning to address after opening
I'm planning to assemble billing evidence separately from clinical docs
FL Medicaid PPEC Coverage Policy / Provider Handbook
Have you reviewed the AHCA PPEC initial-survey process and what surveyors will look for?
Yes — initial survey scope reviewed; documentation model aligned
Partially — I know a survey is required but not what it covers
No — I haven't looked at survey requirements
Planning to address survey preparation after licensing
Florida Administrative Code Chapter 59A-13 (PPEC rules)
Harbor curated AHCA inspection export (FL)
Have you designed a corrective-action / plan-of-correction process so the PPEC can respond promptly to AHCA inspection findings?
Yes — CAP template and escalation model designed
Not yet — but I know CAPs are part of the survey process
No — I haven't looked at CAP requirements
Planning to design the CAP process only if/when we receive findings
Florida Administrative Code Chapter 59A-13 (PPEC rules)
Harbor curated AHCA inspection export (FL)
What is your current plan for clinical record management at your Florida PPEC?
Planning to use Harbor — a PPEC-native clinical operations record
Planning to use a generic EHR and adapt it for PPEC
Planning to use paper records
Still evaluating options — haven't decided
Using a system from my current practice setting
Florida Administrative Code Chapter 59A-13 (PPEC rules)
Harbor curated PublicProviderOrganizations
Have you mapped how nursing documentation, therapy documentation, Acentra PA status, attendance, and billing evidence will connect in your operating model?
Yes — integration model designed; all areas linked
Partially — some connections mapped but not all
Not yet — planning to address after opening
I wasn't aware these areas needed to be explicitly connected
FL Medicaid PPEC Coverage Policy / Provider Handbook
Harbor curated PublicProviderOrganizations
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