LODM - Law Office of Diego Machado,

LODM - Law Office of Diego Machado,LODM - Law Office of Diego Machado,LODM - Law Office of Diego Machado,

LODM - Law Office of Diego Machado,

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Florida AHCA Attorney for Healthcare Providers and Clinic Ow

The Law Office of Diego Machado represents healthcare providers, clinic owners, surgery centers, assisted living facilities, behavioral health centers, wound care providers, investors, and healthcare entrepreneurs throughout Florida in matters involving the Florida Agency for Health Care Administration (AHCA), healthcare licensing, Medicaid, regulatory compliance, healthcare transactions, and changes in ownership.

AHCA Licensing and Regulatory Compliance

Attorney Diego Machado assists clients with the regulatory and transactional issues that arise when opening, operating, purchasing, selling, or restructuring a Florida healthcare business.

Serving clients throughout Miami-Dade County, South Florida, Hillsborough, Duval County, and statewide.


Serving clients throughout Miami-Dade County, South Florida, Hillsborough, Duval County,and statewide.sactions • Audits & Investigations

AHCA Licensing and Regulatory Compliance

Florida healthcare businesses are subject to extensive licensing and regulatory requirements. Depending on the type of provider and services offered, a business may require an AHCA license, may qualify for an exemption from licensure, or may be subject to other state and federal regulatory requirements.

We assist healthcare businesses with matters including:

  • AHCA healthcare clinic licensing
  • Initial license applications and renewals
  • Exemptions from healthcare clinic licensure
  • Changes in ownership and control
  • Changes involving officers, directors, managers, and ownership interests
  • Regulatory compliance
  • Responses to AHCA requests and deficiency notices
  • Licensing issues arising from healthcare transactions
  • Administrative and regulatory matters involving healthcare providers

Florida Healthcare Clinic Licensing

Whether a healthcare business requires an AHCA healthcare clinic license depends on its ownership, structure, services, billing arrangements, and applicable statutory exemptions.

We advise healthcare providers and business owners concerning whether their operations require licensure and help structure healthcare businesses with Florida regulatory requirements in mind.

Our representation may include reviewing:

  • Ownership structure
  • Professional ownership requirements
  • Medical or clinic director requirements
  • Billing arrangements
  • Payor participation
  • Services provided by licensed professionals
  • Management agreements
  • Corporate structure
  • Potential exemptions from AHCA clinic licensure

AHCA Change of Ownership (CHOW)

Purchasing or selling a healthcare company involves more than a traditional business transaction.

Healthcare transactions can affect the company's AHCA license, Medicaid enrollment, Medicare enrollment, provider agreements, NPI information, ownership disclosures, and other regulatory approvals.


We assist buyers and sellers with AHCA Change of Ownership (CHOW) matters and healthcare transactions involving changes in ownership or control.


Our work may include:

  • Healthcare acquisitions
  • Stock and membership-interest purchases
  • Asset purchases
  • Ownership restructuring
  • Regulatory due diligence
  • Medicaid and Medicare considerations
  • Management and transition arrangements
  • Escrow arrangements involving healthcare transactions

Buying or Selling a Florida Healthcare Business

Healthcare acquisitions require specialized due diligence.

Before purchasing a healthcare company, buyers should evaluate not only the company's financial condition but also its licenses, regulatory history, billing practices, Medicaid or Medicare participation, ownership disclosures, contracts, compliance history, and potential overpayment exposure.

We represent buyers and sellers in healthcare transactions involving businesses such as:

  • Healthcare clinics
  • Behavioral health providers
  • ABA therapy providers
  • Mental health practices
  • Physician practices
  • Med spas and aesthetic practices
  • Home health and other healthcare providers
  • Healthcare management companies and MSOs

Medicaid Enrollment, Revalidation, and Compliance

Healthcare providers participating in Florida Medicaid must comply with enrollment, ownership disclosure, revalidation, billing, and program-integrity requirements.


We assist healthcare providers with matters involving:


  • Ownership changes
  • Disclosure requirements
  • Medicaid compliance
  • Audits and investigations
  • Overpayment matters
  • Provider termination issues
  • Administrative proceedings

AHCA Audits, Investigations, and Administrative Matters

Healthcare providers may receive requests for information, deficiency notices, audit findings, licensing correspondence, or other regulatory communications from AHCA or related agencies.

Early legal review can be important because a provider's initial response may affect later administrative or enforcement proceedings.

We assist providers with regulatory matters involving:

  • AHCA correspondence
  • Requests for documentation
  • Regulatory investigations
  • Inspections and deficiencies
  • Licensing disputes
  • Administrative complaints
  • Agency enforcement actions
  • Informal and formal administrative proceedings

Healthcare Corporate Structuring and MSOs

Healthcare businesses frequently use management companies and management services organizations (MSOs) to separate clinical operations from non-clinical administrative services.

These arrangements must be structured carefully because Florida law regulates professional practice, patient referrals, fee arrangements, ownership, and healthcare clinic operations.

We assist clients with:

  • Healthcare entity formation
  • MSO structures
  • Management agreements
  • Physician and provider agreements
  • Independent contractor agreements
  • Employment agreements
  • Joint ventures
  • Ownership restructuring
  • Healthcare compliance provisions
  • Healthcare acquisitions and investments

Healthcare Providers We Represent

Our healthcare practice includes representation of healthcare entrepreneurs, licensed professionals, clinic owners, investors, and healthcare companies throughout Florida, including:

  • Medical clinics
  • Physician practices
  • ABA therapy providers
  • Behavioral health providers
  • Mental health clinics
  • Med spas
  • Aesthetic and cosmetic surgery practices
  • Home health providers
  • Management companies
  • MSOs
  • Other Florida healthcare businesses

Frequently Asked Questions

Does every Florida medical clinic need an AHCA license?


No. Whether a healthcare business requires an AHCA healthcare clinic license depends on its ownership structure, services, billing practices, and whether it qualifies for a statutory exemption. The analysis should be performed based on the specific structure and operations of the business.


What is an AHCA Change of Ownership or CHOW?


A Change of Ownership, commonly referred to as a CHOW, generally involves a change in the ownership or control of a licensed healthcare provider that must be disclosed to or approved by AHCA. The exact requirements depend on the type of provider and transaction.


Should an AHCA lawyer review a healthcare acquisition before closing?


Healthcare regulatory issues should generally be evaluated early in the transaction. Licensing, Medicaid and Medicare enrollment, ownership disclosures, regulatory approvals, and billing history can materially affect how a healthcare transaction should be structured and when it can close.


What happens to an AHCA license when a healthcare company is sold?


The answer depends on the provider type and structure of the transaction. Certain transactions may require a Change of Ownership filing, new application, notice, approval, or other regulatory action.


Do ownership changes have to be reported to Florida Medicaid?


Ownership, management, and control changes must be disclosed to Medicaid and other governmental healthcare programs. The reporting requirements should be analyzed alongside the AHCA requirements when structuring a transaction.


Can an MSO own or manage a Florida healthcare practice?


Management companies and MSOs can provide administrative and non-clinical services to healthcare businesses, but the structure must account for Florida restrictions involving professional practice, control over clinical decisions, fee arrangements, referrals, and other healthcare regulations.



If you are opening, operating, purchasing, selling, or restructuring a Florida healthcare business, regulatory issues should be addressed before they become obstacles to the transaction or operation of the business.


This website is provided for informational purposes only and does not constitute legal advice. Viewing this website or contacting the firm does not create an attorney-client relationship.

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