• Florida Statutes 400.462(29) for definition of skilled care 

3. Licensing or Certification 

Providers must be licensed as registered nurses or licensed practical nurses by the State of Florida. 

4. Responsible State Agency 

The Florida Agency for Health Care Administration (AHCA) oversees Skilled Nursing Services. 

5. Application Process 

Providers must apply through AHCA. Specific application processes may vary depending on the setting (e.g., home health, nursing facility). 

6. Required Documentation 

Required documents typically include: 

• Physician's orders 

• Plan of Care (POC) 

• Proof of nursing licensure 

• Documentation of skilled services provided 

7. Timeline for Approval 

Timelines vary. For Medicaid reimbursement, services must be authorized every 180 days. 

8. Pre-Application Process 

There is no specific pre-application process mentioned in the available information. 

9. Pre-Application Training 

While there's no mandatory pre-application training mentioned, nurses must maintain their licensure and stay current with continuing education requirements. 

10. Additional Notes 

• Skilled nursing services must be ordered by and remain under the supervision of a physician. 

• Services must be sufficiently medically complex to require supervision, assessment, planning, or intervention by a registered nurse. 

• Medicaid reimbursement for skilled nursing services in hospitals is limited to 30 days, unless prior authorization is obtained. 

• For veterans, the Florida Department of Veterans' Affairs operates State Veterans' Nursing Homes that provide skilled nursing care.