Jack Plagge, Manager
Hospital & Outpatient Services Unit
Bureau of Health Facility Regulation
2727 Mahan Drive, Mail Stop #31
Tallahassee, Florida 32308
Telephone: (850) 412-4549
Florida Relay Service (TDD): (800) 955-8771
Fax: (850) 488-5897
Medicare certified rehabilitation agencies provide an integrated multidisciplinary program designed to improve the physical function of individuals. At a minimum, a rehabilitation agency must provide physical therapy or speech pathology services.
Certification is achieved by submission of a completed application, required documentation, and successful completion of a survey.
Unless required by the "Health Care Clinic Act", there are no state licensing requirements imposed by the Agency. Additional information on health care clinic licensure or exemption can be obtained from the Agency's Health Care Clinic Unit.
Changes of address for a provider's primary practice location require pre-notification to CMS (CMS-855A submitted to the Medicare Administrative Contractor) and an on-site survey by the approved accrediting organization (AO). It is the responsibility of the provider to notify the AO that a survey is needed. Address changes will not be approved for payment at the new location until the AO notifies CMS the survey is complete. See guidance and AO information below for additional information.
An extension location is defined at 42 CFR 485.703 as “a location or site from which a rehabilitation agency provides services within a portion of the total geographic area served by the primary site. The extension location is part of the agency. When a rehabilitation agency bills the Medicare program for services rendered from the premises of other institutions in an area set aside for rehabilitation care, these premises are considered extension units of a rehabilitation agency. Any instance in which the service is provided other than a patient's bedside or in a patient room is considered an extension unit. A premise that is owned or rented by the rehabilitation agency from which services are rendered is also considered an extension unit of the rehabilitation agency.
An extension location should be located sufficiently close to share administration, supervision, and services in a manner that renders it unnecessary for the extension location to independently meet the conditions of participation as a rehabilitation agency.” The extension location must be situated within a 30 mile radius of where 90 percent of the agency’s primary site’s population lives. Sites beyond that area may require the location to be independently certified as a primary site. Consideration may be given for greater or shorter distances based on unusual geographic features.
Rehabilitation agencies accredited by an accrediting organization approved by CMS may be exempt from initial and recertification inspections by the Agency for Health Care Administration. A copy of the accreditation award letter and the complete accreditation report, including any corrective actions must be submitted to the Agency for review. If the accrediting organization does not include it in the award letter verification of Medicare deemed status must also be submitted.
NOTE: Changes of address of the provider's primary practice location require an on-site visit.
Note: Providers now have the option of answering all questions and submitting the civil rights clearance package on line.