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MFMD services · Florida
Community mental health facility governance
Understand the facility-governance role before discussing psychiatric, PHP, or TMS arrangements.
Governance components
See what is included, how the engagement starts, and which requirements are reviewed before your facility is accepted.
- Services defined for your facility and team
- Initial setup and ongoing governance explained separately
- Official sources for the regulatory context
Official sources reviewed October 8, 2026. MFMD services are confirmed within the agreed scope.
Services eligible for MFMD governance review
Each service requires an appropriately qualified provider, working within Florida scope, with any required supervision and protocols. MFMD provides governance; treating clinicians remain responsible for patient care.
MFMD does not provide governance for controlled-substance prescribing or management, or for detox facilities.
Individual, family and group psychotherapy
Psychological and neuropsychological testing
Applied behavior analysis (ABA)
Psychosocial rehabilitation (PSR)
Partial hospitalization (PHP)
Transcranial magnetic stimulation (TMS)
01MFMD servicesWhat ongoing governance includes
What ongoing governance includes
MFMD provides provider/scope review, credential checks, inspections, records and billing review, corrective-action follow-up, and agreed physician-related credentialing documentation. Treating clinicians remain responsible for clinical decisions and patient care. Separating treatment roles does not waive the appointed director’s statutory clinic responsibilities.
02Before you beginWhat initial setup includes
What initial setup includes
Initial review maps the proposed services, qualified providers, supervision and protocol needs, clinical records, and outstanding documents. Recruitment may still be in progress. Before activation, MFMD confirms the assigned physician’s competence, insurance and ability to fulfill the agreed duties. Clinical program implementation is defined after reviewing the actual needs.
03Rules and responsibilitiesClinical scope and responsibility
Clinical scope and responsibility
Each service requires an appropriately qualified provider, working within Florida scope, with any required supervision and protocols. MFMD provides governance; treating clinicians remain responsible for patient care.
Official sources:Florida Statutes §400.9935 — Clinic responsibilitiesFlorida Statutes §400.9905 — Clinic definitions and exemptionsFlorida Statutes §464.012 — APRN authority and protocolsFlorida Statutes §464.0123 — Autonomous APRN practiceFlorida DOH — Declaratory order DOH-23-0044-DSFlorida Statutes Chapter 490 — PsychologyFlorida Statutes Chapter 491 — Clinical, counseling and psychotherapy services
04Rules and responsibilitiesCollaboration is considered separately
Collaboration is considered separately
Limited APP collaboration may be considered separately after reviewing the provider, proposed services, assigned physician’s competence and insurance. Psychiatric collaboration is not automatically included. Program-specific treatment duties, PHP orders and certifications, and TMS clinical oversight remain with appropriately qualified treating clinicians.
Official sources:Florida Statutes §464.012 — APRN authority and protocols42 CFR §410.43 — Medicare partial hospitalization conditions42 CFR §424.24(e) — PHP certificationCMS / First Coast — TMS LCD L3452242 CFR §485.916 — CMHC treatment team and care coordination42 CFR §485.918 — CMHC governance and services
05Rules and responsibilitiesService-specific requirements
Service-specific requirements
Psychotherapy and psychological testing require the appropriate professional scope and training. ABA and PSR require their own qualified staff, service documentation and applicable Medicaid or health-plan requirements. PHP certification, TMS coverage and clinic licensure are separate reviews. Substance-use treatment and MAT remain outside MFMD’s current governance services.
Official sources:Florida Statutes Chapter 490 — PsychologyFlorida Statutes Chapter 491 — Clinical, counseling and psychotherapy servicesAHCA — Behavior Analysis Services Coverage PolicyAHCA — Community Behavioral Health ServicesAHCA — Community Mental Health Centers / Partial Hospitalization Programs
06Your investmentHow the fee works
How the fee works
AHCA medical direction is $2,000/month. One NP or PA within the agreed usual clinic scope is included, with the applicable collaboration protocol and no separate standard setup fee. Each additional NP or PA adds $500/month. Additional services, specialty responsibilities and protocol work require review; no extra fee is automatically added from a description alone. Individual APP credentialing support is a separate service, not a facility-estimator add-on. The agreed scope is confirmed before engagement.
07Before services beginReadiness and clinical platform
Readiness and clinical platform
Choose your services and describe your team and existing clinical documents. MFMD confirms the agreed scope, physician involvement, and activation date after review. A HIPAA-compliant digital clinical platform with documented patient encounters and physician access must be in use before services begin. Appointment software alone and paper-only records do not meet this requirement.
08Start date and paymentsA clear monthly cycle
A clear monthly cycle
The initial payment is due on the effective date of the Agreement, unless a different due date is expressly stated in the payment schedule. Recurring due dates follow the agreed schedule. Governance begins on the agreed commencement date after the required clinical readiness steps are complete. Signing, payment and clinical activation are separate milestones.
Primary sources
Verify the rule before applying it to the facility.
These links support the general regulatory review. They do not replace facility-specific analysis or legal advice.
Florida Statutes §400.9935 — Clinic responsibilitiesFlorida Statutes §400.9905 — Clinic definitions and exemptionsFlorida Statutes §464.012 — APRN authority and protocolsFlorida Statutes §464.0123 — Autonomous APRN practiceFlorida DOH — Declaratory order DOH-23-0044-DSFlorida Statutes Chapter 490 — PsychologyFlorida Statutes Chapter 491 — Clinical, counseling and psychotherapy services42 CFR §410.43 — Medicare partial hospitalization conditions42 CFR §424.24(e) — PHP certificationCMS / First Coast — TMS LCD L3452242 CFR §485.916 — CMHC treatment team and care coordination42 CFR §485.918 — CMHC governance and servicesAHCA — Behavior Analysis Services Coverage PolicyAHCA — Community Behavioral Health ServicesAHCA — Community Mental Health Centers / Partial Hospitalization Programs
Service-specific questions
Clear answers before the estimate.
The final answer depends on the facility, licensed roster, payer model, and proposed services.
Does every mental-health clinic need an AHCA license?
Not necessarily. The clinic definition and exemptions in §400.9905 depend on ownership, professionals, services, and billing structure. CMHC/PHP certification and Medicaid or health-plan requirements are separate matters. The actual operation must be reviewed to determine the applicable requirements.
Is the medical director required to be a psychiatrist?
The Health Care Clinic Act does not impose a universal psychiatry specialty requirement. The director must meet the applicable qualifications and be able to fulfill the duties. A CMHC, PHP or TMS program, clinical role, or payer may require additional specialist qualifications or participation. A governance appointment does not replace those requirements.
Can a Florida PMHNP practice psychiatry autonomously?
Autonomous registration under §464.0123 authorizes the defined primary-care scope; PMHNP certification alone does not authorize autonomous specialty psychiatric practice. Declaratory order DOH-23-0044-DS distinguishes mental-health care within primary care from an exclusively psychiatric specialty practice. Applicable protocols and requirements under §464.012 must be confirmed.
Does clinic governance include NP clinical supervision?
Not automatically. Facility governance and clinical supervision or collaboration are distinct roles. Limited APP collaboration may be considered separately after reviewing the provider, proposed services, assigned physician’s competence and insurance. MFMD does not promise automatic psychiatric collaboration or an included psychiatric APP.
Who provides PHP orders and certifications?
The program identifies its responsible treating physician. For Medicare, §410.43 and §424.24(e) establish physician plan-of-care and certification requirements; recertifications require a physician treating the patient with knowledge of the response to treatment. Other payer requirements must be checked separately. An MFMD governance engagement does not supply these orders or certifications.
What clinical oversight does TMS require?
Before treatment begins, identify who evaluates and selects patients, orders treatment, performs mapping and establishes parameters, supervises sessions, and responds to adverse events. Review qualifications, training, Florida scope, device instructions, and applicable payer rules, including the First Coast LCD where relevant. MFMD does not automatically assume these clinical roles.
Does MFMD support Medicaid and health-plan credentialing documentation?
Yes. Within the agreed scope, MFMD can provide documentation related to the assigned physician, such as the appointment, license, credentials, and relevant agreements. This does not guarantee enrollment, network participation, or reimbursement and does not automatically include full credentialing administration. Each payer’s requested documents are reviewed before a commitment.
Can engagement discussions begin while the clinic is recruiting?
Yes. Describe the current or planned services and clinicians. Discussions and an estimate can begin during recruitment; required staffing, licenses, competence, insurance, protocols, and responsibilities must be confirmed before activation. Describing services does not automatically add a fee.
Start with the facts of your facility
Build the right governance scope for your facility.
The two-minute estimator uses business and facility information to define your planning scope.