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Health Quality Assurance

Kimberly R. Smoak
Deputy Secretary of Health Quality Assurance


2727 Mahan Drive, Mail Stop #2
Tallahassee, FL 32308
Phone: (850) 412-4516
Kimberly.Smoak@ahca.myflorida.com

The Division of Health Quality Assurance protects Floridians through oversight of health care providers. The Division is funded with more than $49 million in state and federal funds. Health Quality Assurance licenses and/or certifies and regulates 40 different types of health care providers, including hospitals, nursing homes, assisted living facilities, and home health agencies. In total, the Division licenses, certifies, regulates or provides exemptions for more than 48,000 providers.

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Bureau of Central Services

Provides services and support to the bureaus within the Division of Health Quality Assurance. The Bureau of Central Services is comprised of four units: the Background Screening Unit, the Financial Analysis Unit, the Central Intake Unit, and the Systems, Training, and Support Unit. These units are responsible for the receipt and distribution of all health care facility applications and processing of associated fees; the background screening of facility owners, administrators, personnel, and Medicaid providers; the financial analysis and financial data collection of health care facilities; and the systems management, data support and training within the Division of Health Quality Assurance.

Bureau of Field Operations

Eight field offices are responsible for conducting state licensure and federal certification surveys (inspections) across more than thirty provider types. Field office locations include Tallahassee, Alachua, Jacksonville, St. Petersburg, Orlando, Ft. Myers, Delray Beach, and Miami. View our map to find your local field office. Additionally, for facility complaints, visit the Complaint Administration Unit which is responsible for handling consumer complaints.

Bureau of Health Facility Regulation

Licenses, certifies, registers, regulates, and provides exemptions for certain providers. The Bureau also oversees the organ donor education/registry program, the commercial managed care programs, the Certificate of Need (CON) program and rule coordination for the Division. It is comprised of the following units: Assisted Living Unit, Certificate of Need and Commercial managed Care Unit, Hospital and Outpatient Services Unit, Laboratory and In-Home Services Unit and Long Term Care Services Unit. Duties include application processing, initiating administrative actions and rule promulgation.

Bureau of Medicaid Program Integrity

The Office of Medicaid Program Integrity audits and investigates providers suspected of overbilling or defrauding Florida's Medicaid program, recovers overpayments, issues administrative sanctions, and refers cases of suspected fraud for criminal investigation. To report suspected Medicaid fraud complete a complaint form online.

Florida Center for Health Information and Transparency

The Florida Center for Health Information and Transparency (Florida Center) is responsible for collecting, compiling, analyzing and disseminating health related data. The Florida Center also promotes the adoption and use of electronic health record systems and identifies ways to increase health information exchange.

Office of Plans & Construction

The Office Plans and Construction (OPC) is responsible for ensuring that hospitals, nursing homes, ambulatory surgical centers, and intermediate care facilities for the developmentally disabled (ICF/DD) are designed and built to be safe, functional, and in compliance with the applicable rules, codes, and standards regulating the physical plant of these facilities. All proposed construction of new facilities and all additions, modifications, renovations, or refurbishment of the site, building, equipment, or systems of all existing facilities must be approved by OPC prior to commencing any construction activity. Involving OPC early in the design process of new facilities and large projects is strongly encouraged to avoid costly delays.

Consumer Resources

Licensee/Provider Resources