• Bureau of Health Facility Regulation handles health care licensure, Medicare and Medicaid certification, and regulation for hospitals, ambulatory surgical centers, home health agencies, hospices, clinical laboratories, nursing homes, assisted living facilities, adult daycare and adult family-care homes, and many other types of health care providers. The bureau also oversees commercial managed care programs and administers the certificate of need (CON) program, which reviews applications for new facilities at nursing homes, hospices, and intermediate care facilities for the developmentally disabled.
• Bureau of Field Operations completes onsite surveys to determine compliance with state licensure and federal certification requirements. In addition, this bureau handles consumer complaints.
• Office of Plans and Construction reviews and approves health care facilities' plans and specifications; trained specialists also conduct surveys of facilities under construction.
• Florida Center for Health Information and Transparency (Florida Center) is responsible for administering the Medicaid Electronic Health Record (EHR) Incentive Program; providing governance of the Florida Health Information Exchange (Florida HIE); and providing research and analytic support to the agency; collecting adverse incident reports from hospitals, ambulatory surgery centers, health maintenance organizations, nursing homes, and assisted living facilities; and ensuring the transparency of consumer health information by collecting, compiling, analyzing, and disseminating health related data for public policy and consumer information thorough FloridaHealthFinder.gov.
• Medicaid Program Integrity operates the statutorily mandated fraud, abuse, and waste prevention and detection program that oversees Medicaid provider activities to ensure that fraudulent and abusive behavior occurs to the minimum extent possible in the Medicaid program.
• Bureau of Central Services provides services and support to the other five bureaus within the Division of Health Quality Assurance and the Division of Medicaid. The bureau is comprised of four units: the Background Screening Unit, the Financial Analysis Unit, the Central Intake Unit, and the Training and Support Unit. These units are responsible for the receipt and distribution of all health care facility paper applications and associated fees; the background screening of facility owners, administrators, and personnel; the financial analysis of health care facilities; and the data support and training within the Division of Health Quality Assurance.

Florida Nursing Home and Home Office Financial Reporting. The 2021 Legislature enacted Ch. 2021-41, Laws of Florida, which requires nursing homes and the home office of the nursing homes to report audited financial information to the agency’s uniform system of financial reporting. The information will be based on forms adopted by the agency and will include the facilities actual financial experience for the fiscal year, including expenditures, revenues, and statistical measures. In addition to the information filed in the uniform system of financial reporting, the audited actual experience shall include a fiscal year-end balance sheet, income statement, statement of cash flow, and statement of retained earnings and will tie to the information submitted into the uniform system of financial reporting.

Deputy Secretary, Health Quality Assurance, 850-412-4400
Consumer Complaint Call Center and Medicaid fraud hotline, 1-888-419-3456, or complete the Health Care Facility Complaint Form

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