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FAQs Section 6: Required personnel and their qualifications

A home health agency must have the following required administrative positions:

Administrator
Alternate Administrator
Director of Nursing (if providing skilled services)
Alternate Director of Nursing
Licensed Registered Nurse (if providing only non-skilled services)
Financial Officer

See Section 16 for how to make personnel changes, timeframes for notification of changes and administrative fines for late or non-reporting of changes.

6.1 What are the required qualifications for the Administrator and Alternate Administrator?

A home health agency must have an Administrator and an Alternate Administrator. An “Administrator" is a direct employee for whom one of the following pays withholding taxes: a home health agency; a management company that has a contract to manage the home health agency on a day-to-day basis; or an employee leasing company that has a contract with the home health agency to handle the payroll and payroll taxes for the home health agency. The Administrator needs to be a:

Administrators may manage up to 5 agencies that:

“Contiguous” means the borders of the counties touch each other. There needs to be a licensed home health agency in each of the counties that are contiguous.

Note: An individual may not serve as the Administrator for Palm Beach, Broward and Miami-Dade counties as Palm Beach County and Miami-Dade County are not contiguous.

If the home health agency is licensed under this chapter and is part of a retirement community that provides multiple levels of care, the individual serving as the Administrator may direct up to a maximum of four additional home health agencies licensed under chapter 400 or chapter 429, F.S., if all four entities have identical controlling interests as defined in s. 408.803, F.S.

An Administrator designates, in writing, for each licensed home health agency, a qualified Alternate Administrator to serve during absences. The Alternate Administrator needs to meet the same qualifications as the Administrator. The Administrator and the Alternate Administrator may be either full or part time employees.

Effective July 1, 2008, an Administrator of a home health agency who is also a licensed physician, physician assistant, or a registered nurse may also be the Director of Nursing.

An Administrator may serve as a Director of Nursing for up to five home health agencies only if there are 10 or fewer full-time equivalent employees and contracted personnel in each home health agency and a RN delegate is named for each of the five agencies.

The Administrator or their alternate needs to be available to the public for any eight consecutive hours between 7:00 AM to 6:00 PM Monday through Friday of each week excluding legal and religious holidays. Available to the public means being readily available at the home health agency or by phone.

6.2 What are the required qualifications for the Director of Nursing?

A home health agency providing skilled services is required to have a Director of Nursing in order to obtain a home health agency license. A "Director of Nursing" means a direct employee for whom one of the following pays withholding taxes: a home health agency; a management company that has a contract to manage the home health agency on a day-to-day basis; or an employee leasing company that has a contract with the home health agency to handle the payroll and payroll taxes for the home health agency. The Director of Nursing qualifications include being a

The Director of Nursing is responsible for overseeing the professional nursing and home health aide delivery of services of the agency.
A Director of Nursing may manage up to 2 agencies that:

A Director of Nursing may manage up to 5 agencies that:

If the home health agency is part of a retirement community that provides multiple levels of care, the individual serving as the Director of Nursing may direct up to a maximum of four additional home health agencies that are owned, operated, or managed by the same corporation. The Director of Nursing may be a full or part time position.

The Director of Nursing needs to be available to the public for any eight consecutive hours between 7:00 AM and 6:00 PM Monday through Friday of each week excluding legal and religious holidays. Available to the public means being readily available at the home health agency or by phone.

6.3 What are the qualifications for the Financial Officer?

The home health agency must have a Financial Officer (or similarly titled individual) to be responsible for the financial operations. There are no educational or experience requirements in law for the Financial Officer. The individual needs to clear a level 2 background screening and may reside out of the State of Florida in a corporate office location. Any of the other required positions listed above may also serve as the Financial Officer.

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