Florida Administrative Code (Last Updated: March 13, 2024) |
64. Department of Health |
64B. Division of Medical Quality Assurance |
64B-9. Licensure |
1(1) A health care professional not licensed in this state who intends to provide health care services via telehealth to a patient located in this state must register with the appropriate board, or the department if there is no board, using form DH5037-MQA-11/2022, Application for Out-of-State Telehealth Provider Registration, incorporated by reference and available at 56http://www.flrules.org/Gateway/reference.asp?No=Ref-1608458.
59(2) Out-of-state licenses must be verified by the issuing state, territory or District of Columbia using form DH5041-MQA-07/2019, License Verification Request Out-of-State Telehealth Provider, incorporated by reference and available at 89https://www.flrules.org/Gateway/reference.asp?No=Ref-1168791.
92(3) Changes to the registered agent designated in the application must be reported to the department on form DH5038-MQA-07/2019, Change of Registered Agent and/or Registered Office Out-of-State Telehealth Provider, incorporated by reference and available at 127https://www.flrules.org/Gateway/reference.asp?No=Ref-11688129.
130(4) Changes made to required financial responsibility coverage must be reported to the department on form DH5039-MQA-07/2019, Change of Financial Responsibility Form Out-of-State Telehealth Provider, incorporated by reference and available at 161https://www.flrules.org/Gateway/reference.asp?No=Ref-11689163.
164Rulemaking Authority 166456.004(5), 167456.47(4)(b)1., 168(7) FS. Law Implemented 172456.47 FS. 174History–New 12-12-16, Amended 3-16-20, 12-7-23.