WORKERS' COMPENSATION HEALTHCARE PROVIDER CERTIFICATION (HCP)

Administrative Rules:

• Statute : 440.13(3)(a), F.S.
• Administrative Rules: 59A-29, FAC
• Certification of Health Care Provider, chapter 59, pg 298

HCP Application Form

• AHCA Form 3160-0020
• Workers' Compensation Provider Data Base
• Health Care Provider Application(135KB.pdf)

Information

During the 2002 legislative session House Bill 1643 transferred certain regulatory responsibilities pursuant to section 440.13, Florida Statutes (Medical Services and Supplies) from the Department of Labor and Employment Security to the Agency for Health Care Administration (AHCA), effective July 1, 2002.

Chapter 38F-53 Florida Administrative Code (F.A.C.), Health Care Provider Certification, was transferred to AHCA. The rule is 59A-29, F.A.C.

Accordingly, the promulgated form within the rule is AHCA Form 3160-0020 (formerly DWC-97). This is the application form for health care provider certification.

For information concerning the certification of health care providers, contact Provider Relations of the Workers’ Compensation Unit at (850) 922-6481.

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