Florida Administrative Code
59 - AGENCY FOR HEALTH CARE ADMINISTRATION
59A - Health Facility and Agency Licensing
Chapter 59A-12 - HEALTH MAINTENANCE ORGANIZATIONS AND PREPAID HEALTH CLINICS
Section 59A-12.004 - Governing Body

Universal Citation: FL Admin Code R 59A-12.004

Current through Reg. 50, No. 187; September 24, 2024

(1) Each HMO or PHC shall have a governing body that sets policy and has overall responsibility for the organization including the following:

(a) Adopting organizational bylaws, rules and regulations or similar form of document which provides a clear concise statement of the mission, goals, and objectives of the organization;

(b) Adopting a quality assurance program that monitors the key areas of health care delivery to identify problems and insure the early recognition of opportunities to improve the delivery of quality health care services; and

(c) Maintaining ultimate responsibility for ongoing quality assurance, risk management programs and credentialing programs.

(2) Nothing in this rule shall prohibit the designation of qualified management personnel to implement the provisions of subsection (1) and to manage the operation of the HMO or PHC in the geographic area or areas serviced. The relationship between management personnel and the governing body shall be set forth in writing including each person's authority, responsibilities and functions.

Rulemaking Authority 641.56 FS. Law Implemented 641.22, 641.49, 641.49(3) FS.

New 1-28-88, Formerly 10D-100.004, Amended 4-10-03.

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