Bureau of Health Facility Regulation
Home Care Unit
2727 Mahan Drive - Mail Stop #34
Tallahassee, FL 32308
(850) 414-6010 Phone
(850) 922-5374 Fax
email: HQAHOMEHEALTH@ahca.myflorida.com
- Frequently Asked Questions
- Florida Statutes (Title XXIX, Chapter 400, Part III Homemaker, Companion Services )
- Chapter 408, Part II, Florida Statues (health care licensing procedures effective 10/01/06)
- State Rules - Florida Administrative Code, 59A-8.025 State Rules - Florida Administrative Code, Chapter, 59A-8.02 5, Minimum Standards for Homemaker, Companion Providers
- State Regulation Set used by surveyors
- Licensure Application and Related Forms - Initial, Renewal & Change of Ownership Registration
See instructions on first page of application below.
- Homemaker Companion Services Application for Registration
- Affidavit of Compliance with Screening Requirements - to be completed by managing employee
- Affidavit of Compliance with Background Screening Requirements - to be submitted if proof of previous compliance with level 2 standards is provided instead of fingerprint cards (see Application Checklist, the 1st page of the Homemaker Companion Services Application above)
NOTE: If after reviewing the application forms, Frequently Asked Questions, and Florida Statutes you have additional questions, please call (850) 414-6010. Staff will be happy to answer questions, but cannot walk you through the application. Filling out the application is part of your responsibility as an applicant. The Agency's role in this process is to evaluate your application and, if there are items missing from your application once received, send you a letter that gives you another chance to complete the application successfully. If you need help in filling out the application forms, we would advise you to seek help from an attorney or a consultant.
- Background Screening information
- List of registered providers - www.FloridaHealthFinder.gov
