59A-6.020. Licensure Procedure

(1) The issuance of a multiphasic health testing center license shall be based upon compliance with Chapters 483, Part I, and 408, Part II, F.S., and Rule Chapters 59A-6 and 59A-35, F.A.C., as evidenced by a signed, complete and accurate Health Care Licensing Application, Multiphasic Health Testing Center, AHCA 3170-4001, April 2019, incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-11229 and an inspection as required in Sections 483.294 and 408.806(7), F.S. Applicants for renewal of a multiphasic health testing center license may submit the Health Care Licensing Online Application, Multiphasic Health Testing Center, AHCA Form 3170-4001OL, April 2019, incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-11220. The application forms are available online at http://www/ahca.myflorida.com/HQAlicensureforms or, for online renewal submissions, at: http://apps.ahca.myflorida.com/SingleSignOnPortal.

(2) The following documents shall accompany the initial, change of ownershp, or renewal application:

(a) Attestation of Compliance, Multiphasic Health Testing Center, AHCA Form 3170-4005, July 2019 incorporated herein by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-11201.

(b) Curriculum vitae for the medical director.

(c) Evidence of certification by the American Board of Internal Medicine in Cardiology or the American Board of Radiology for the individual in the event such individual is designated by the medical director of a contract multiphasic health testing center to read and interpret electrocardiograms and x-rays.

(d) Evidence of registration from the Department of Health to provide HIV testing as stipulated in Rule 64D-2.006, F.A.C., if HIV specimens are collected for analysis.

(e) If a center performs waived testing as defined by Section 483.041, F.S., evidence of authorization under the federal Clinical Laboratory Improvement Amendments of 1988 to perform such testing must be submitted.

(f) Evidence of current registration under Chapter 404, F.S., for all x-ray equipment.

(g) Evidence of issuance of a current permit or exemption from such permitting pursuant to Section 381.0098, F.S.

(h) Proof of liability insurance as defined in Section 624.605, F.S., shall be submitted at the time of application. The liability insurance policy shall contain the name and physical address of the facility and the dates of coverage and shall document that coverage is generally appropriate for the facility.

(3) Upon receipt of the completed initial application, the agency shall conduct a survey pursuant to Section 408.811, F.S. The Agency retains the right to conduct an inspection at any time during the licensure period. The Agency is permitted at its sole discretion to inspect any multiphasic health testing center by on-site inspection or off-site inspection to ensure compliance with the standards of Chapters 483, Part I and 408, Part II, F.S. and Rule Chapter 59A-6 and 59A-35, F.A.C.

Rulemaking Authority 408.033, 408.819, 483.291 FS. Law Implemented 408.033, 408.805, 408.806, 408.809, 408.810, 408.811, 483.285, 483.291, 483.30, 483.302 FS. History–New 3-20-94, Amended 5-1-96, 9-28-14, 11-12-19.