#Ahca health care licensing application license

#Ahca health care licensing application license

To submit online please go to: Applications must be received at least 60 days prior to the expiration of the current license or effective date of a change of ownership to avoid a late fee. Changes must be reported by submitting a completed Health Care Licensing Application, and if applicable, the Health Care Licensing Application Addendum.HEALTH CARE LICENSING APPLICATION ADULT FAMILY CARE HOME The Agency for Health Care Administration (AHCA) has implemented the ONLINE LICENSING SYSTEM, which allows the electronic submission of renewal and change during licensure period applications and fees, along with the ability to upload supporting documentation. Other ChangesĪny information required to be reported to the agency must be submitted within 21 calendar days from the effective date of the change, as required by s. Refer to Rule 59A-35.060(4), F.A.C.Īpplications received prior to the name change but less than 60 days in advance will be subject to a $500 fine. If the applicant is required to register or file with the Florida Secretary of State, Division of Corporations, the principal and fictitious name submitted with the licensure application for the applicant must be the same as the information registered with the Division of Corporations. Requests to change the name of a health care clinic must be received by the Agency 60 to 120 days in advance of the requested effective date. Health Care Clinics are required to request a name change by submitting a completed Health Care Clinic Licensing Application. Refer to Rule 59A-35.040(4), F.A.C.Īpplications received prior to the change of address but less than 21 days in advance will be subject to a $500 fine. If the applicant is required to register or file with the Florida Secretary of State, Division of Corporations, the mailing address submitted with the licensure application for the applicant must be the same as the information registered with the Division of Corporations.įailure to submit an application prior to a change of address constitutes unlicensed activity. The application must be received by the Agency 21 to 120 days in advance of the effective date of the change of location. Health Care Clinics are required to request a change of address by submitting a completed Health Care Clinic Licensing Application. Complete and submit the Health Care Clinic Licensing Application, Health Care Licensing Application Addendum, and Proof of Financial Ability to Operate Form.

Refer to Licensing Requirements for more information. A change of ownership application, fees, and all other required forms must be received by the agency at least 60 days prior to the date of change of ownership. Change of OwnershipĬhange of ownership means an event in which the licensee sells or otherwise transfers its ownership to a different individual or entity as evidenced by a change in federal employer identification number or taxpayer identification number, or an event in which fifty-one percent (51%) or more of the ownership, shares, membership, or controlling interest of a licensee is in any manner transferred or otherwise assigned.

Renew Online - Providers can now renew their licenses through the Agency’s Online Licensing application. To ensure that you receive timely notice, please visit to verify that your mailing address is accurate. You will receive a renewal reminder postcard at least 90 days prior to the expiration of your license. Renewal - Change of Ownership - Reporting Changes RenewalĪll licensed health care clinics must apply for the renewal of their license at least 60-days before the license's expiration date.