Florida Medicaid Provider License Guide
This guide is for informational purposes only. SuretyBonds.com does not regulate or manage licensing for Medicaid providers in Florida. Contact the Florida Agency for Health Care Administration for the latest official requirements.
How to Get a Florida Medicaid Provider License
The state of Florida requires healthcare providers to be licensed with the Agency for Health Care Administration (AHCA) to deliver services to Medicaid recipients. This license ensures that providers meet state and federal standards for quality and compliance, enabling them to bill Medicaid for their services.
Learn who needs a Florida Medicaid provider license, the application process and associated costs in this step-by-step guide.
How to Become a Florida Medicaid Provider
Follow these four steps to apply for your Florida Medicaid provider license.
Step 1: Start the application
Start your application online through the Florida Medicaid Provider Enrollment portal. You’ll need to provide the following information:
- Personal and business information
- Tax ID
- National Provider Identifier (NPI)
- Copies of professional licenses and certifications
- Provider type and specialty codes
- Letter from the depository bank, or a voided check, verifying account information (if you will receive direct Medicaid payments)
- Supporting documentation for any adverse history (if applicable)
Step 2: Schedule a background screening
All owners, managing employees and board members must undergo Level II background screening through an AHCA-approved vendor. The screening involves fingerprinting and a criminal background check.
Step 3: Submit additional documents
Depending on your provider type, you may need to include supplemental documentation, such as proof of liability insurance or agreements with subcontractors. Once everything is attached, submit your completed application through the enrollment portal.
Step 4: Await approval
Once submitted, the AHCA will review your application. You’ll receive your provider license once all requirements are met. The approval process usually takes 30–60 days, depending on the status of your background screening results.
Do You Need a Surety Bond to Bill Medicaid in Florida?
Under Statute 409.907 you need a surety bond to bill Medicaid in Florida if you are a crossover provider that processes money on a fee-for-service basis or a non-cost-based fee schedule. The required bond amount is typically $50,000, with premium rates starting at $1,000.
This protects patients and the state from liability for Medicaid underpayments and overpayments by nursing homes and related care facilities in Florida. Learn more and apply for your Florida medicaid provider bond here.
If you are a durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) supplier, you need a separate federal $50,000 surety bond to bill Medicare.
How to Renew Your Florida AHCA Medicaid Provider License
Florida Medicaid provider licenses must be renewed every 5 years. The renewal process includes the following steps:
- Complete a new enrollment application
- Submit updated background screenings and documentation
- Pay the renewal fee, which will depend upon the license type
Medicaid provider bonds expire annually and require renewal. Simply pay your renewal invoice when prompted to maintain an active bond policy.
More Resources
Last Updated: January 17, 2025
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