Are You Required to be Licensed or are You Exempt Under the New PIP Law?

June 28, 2012 – Lyle B. Masnikoff

Under the new Florida PIP statute, a clinic that bills PIP must now be licensed under the Health Care Clinic Act in order to receive reimbursement under the Florida Motor Vehicle No-Fault Law, unless exempted under the new Florida Statute section 627.735(5)(h).

The following will all be exempted under the new Florida Statute section 627.735(5)(h):

  1. Entities wholly owned by a medical doctor or an osteopath or the physician and the spouse, parent, child, or sibling of the physician;
  2. Entities wholly owned by a dentist or the dentist and the spouse, parent, child, or sibling of the dentist;
  3. Entities wholly owned by a chiropractor or the chiropractor and the spouse, parent, child, or sibling of the chiropractor;
  4. A hospital or ambulatory surgery center;
  5. An entity that wholly owns or is wholly owned, directly or indirectly, by a hospital; or
  6. An entity that is a clinical facility affiliated with an accredited medical school.

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