In Florida, business and professionals licensed by state agencies are subject to rigorous requirements in order to operate. Florida law governs the requirements to get and keep a license. Applicants submit an initial application (or renewal application) and are customarily notified by the state agency if additional information is required. Generally speaking, there are three types of applications: Initial, renewal, and change of ownership. Failure to provide required information to the Agency for Health Care Administration (AHCA) can result in a notice of intent to deny the application for licensure.
The Omission Letter
The Agency for Health Care Administration typically sends what is known as an “omission” letter within 30 days of receipt of an application. The omission letter notifies the applicant that AHCA needs additional information in order to consider issuance of the license. Typically, some of the items requested by AHCA in an Omission Letter are:
- Additional proof of Financial Ability to operate (bank statements; continuing funds)
- Blanks left on the application itself where required information is missing
- Proof showing that all owners and employers have been background checked
After the Omission Letter is sent to an applicant there are typically two scenarios: AHCA does not receive the information within the deadline period (usually 30 days) or the supplemental information submitted by (the application) is deemed “incomplete” or not satisfactory by AHCA officials. It is at this point that AHCA issues a Notice of Intent to Deny.
The Notice of Intent to Deny
Notices of Intent to Deny generally have a 21 – day deadline to respond to or the decision to deny becomes final. WARNING: It is important to point out that we encounter individuals, management personnel, and professionals who wrongly, in our opinion, attempt to handle things on their own. Many incorrectly believe the Notice of Intent to Deny can be remedied in simply writing a response to AHCA or merely filling out the document known as an Election of Rights (EOR) and sending it into the Agency. Only to be later disappointed when the Agency issues a Final Order denying the license (or license renewal) because the response is deemed insufficient.
Notice of Intent to Deny Response
It is our recommendation that if you receive a Notice of Intent to Deny from Florida’s Agency for Health Care Administration you promptly seek the advice of an experienced health care attorney. Along these lines, we further recommend that you:
- Gather the Notice of Intent to Deny, together with any other documents/correspondence to or from AHCA
- Don’t forget to include copies of the application and supporting documents
- Schedule a consultation or telephone conference with an experienced health care attorney to review all of the relevant documents
It is important to have the Notice of Intent to Deny, together with all relevant documents reviewed by an experienced lawyer well within the 21 – day period in order to determine AHCA’s basis for denial and to evaluate viable strategies for getting your application back on track.
At Phipps & Howell, our attorneys review the Notice of Intent to Deny along with documents submitted by the client to determine a basis for challenging the denial. Generally speaking, we draft a Petition, in conformity with legal requirements, challenging AHCA’s basis for denial along with a completed Election of Rights (EOR) form. This slows down the denial process and allows us the opportunity to communicate with AHCA in an effort to get the application back to the licensing unit so that the license can be issued. While every situation is different we endeavor to work promptly and strategically to put our client’s license application back on course to be issued.
Our law firm advises, counsels, and represents health care professionals, owners of facilities, and management regarding DOH and AHCA issues. Our clients are statewide and also include individuals nationwide who are licensed in Florida. To schedule a free no obligation consultation, call us at Phipps & Howell 850-222-7000.