HOME HEALTH AGENCY QUARTERLY REPORT
All home health agencies must submit a quarterly report at the website on the items required in state law (400.474(6)(f), Florida Statutes). There are no exceptions.
DUE DATES
Quarter |
Submit report at web site during these dates |
January 1 to March 31 |
April 1 to April 15 |
April 1 to June 30 |
July 1 to July 15 |
July 1 to September 30 |
October 1 to October 15 |
October 1 to December 31 |
January 1 to January 15 |
INSTRUCTIONS AND FREQUENTLY ASKED QUESTIONS
The report items are the same as the home health agencies quarter. They are:
Patient census as of the last day of the quarter:
Number of insulin-dependent diabetic patients receiving insulin injection Services
Number of patients receiving home health services from my home health agency AND licensed hospice services.
Total number of patients receiving home health services.
The names & license numbers of nurses (RNs or LPNs), whose primary job responsibility is to provide home health services to patients & received remuneration in excess of $25,000.
How do I submit the report?
By submitting electronic information, I affirm that the information submitted is true for my home health agency https://weblics.fdhc.state.fl.us/datamart/mainMenu.do.
How can I ensure that AHCA has received my quarterly report?
When you submit your report on the web pages, you will receive immediate verification to your email address that your report was received.
Where is the AHCA website?
If you are viewing this at the AHCA web site now, you are at the correct location.
If you are reading a printed copy of these screens, go to http://www.ahca.myflorida.com . Click on “Licensing and Certification” then choose “home health agency” from the list of providers. At the home health agency licensing page, click on the yellow “Quarterly Report” button.
Do I have to enter my data at the website?
Yes.
Does this report include patients served by contract employees?
Yes
Does this report include patients served home health agencies that we contract with to provide some of the services for our patients?
Yes
Does my home health agency have to complete the report if we do not provide any skilled services?
Yes
Does my home health agency have to complete the report if we are not a Medicare or Medicaid home health agency?
Yes
We contract with another home health agency, nurse registry or health care services pool for nurses. We do not know what nurses are paid each quarter. How can we complete the report?
The state law requires that your home health agency report all nurses who were paid for serving patients for your home health agency. Therefore, you will need to get information from the home health agency, nurse registry or health care services pool, such as an itemized invoice that gives the name and license number of the nurse, the service provided, the date(s) of the services and the amount paid.
Our Director of Nursing, the registered nurse designee in her absence, and other RN supervisors also provide some nursing services to patients. Do they have to be included in the report?
No. The law says home health agencies are to include nurses “whose PRIMARY job responsibility is to provide home health services to patients.”
If you have any questions, please call the Home Care Unit at (850) 414-6010.