Commercial Provider Information

• Process for obtaining a Health Care Provider Certificate
• Agency Approved Accreditation Organizations
• Health Care Provider Application Form Certificate (Fill-in Pdf file)
• Expansion Affadavit (Fill-in Pdf file)
• Types of Commercial Surveys Conducted by the Agency
• Survey Instrument with Interpretive Guidelines
• Provider Network Checklist (Fill-in Pdf file)
• Annual Grievance Reporting (HMO)
• Annual Grievance Reporting (EPO)
• Florida Statutes at http://www.leg.state.fl.us/statutes/ select the current year and scroll down to Title XXXVII Insurance. Click on the link and scroll down to Chapter 641 and click on the following links:
  • 641 Part I - HMOs
  • 641 Part II - PHCs
  • 641 Part III - Health Care Services
• Florida Administrative Code
  • 59A-12 is made available for download by the Florida Department of State
  • 59A-12.00 Final Adoption Version Updated April 21, 2003