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MFMD guide · AHCA clinic governance

What is “day-to-day supervision” for an AHCA Health Care Clinic?

The right answer depends on the facility’s actual structure, regulatory status, services, payer model, and licensed team. This guide organizes the facts that should be resolved before a decision is made.

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Direct answer

AHCA states that a licensed Health Care Clinic may not operate without the day-to-day supervision of a single Medical or Clinic Director. Survey materials also call for logs, charts, or notes demonstrating that oversight. It does not mean a physician sitting in the clinic every business hour — it means an active, functioning director relationship that can be shown.

Open the full explanation2 sections and primary sources
01

Does day-to-day supervision mean the physician must be on site every hour?

Day-to-day does not require the physician to be physically present during every hour the clinic is open.

02

What does day-to-day supervision actually require a clinic to show?

The clinic should be able to demonstrate an active, functioning director relationship, supported by evidence that the applicable responsibilities are being performed rather than relying on the appointment document alone.

Primary sources

Review the cited source before applying the answer to a facility.

How to use this guide

Separate the public question from the facility decision.

First confirm the facility type, AHCA or exemption status, payer model, licensed roster, and services. Then check the current official source and document who evaluates, prescribes, orders, administers, supervises, and escalates an exception.

MFMD can structure facility governance and present the proposed services and responsibilities to a physician. Clinical authority and acceptance remain with the reviewing physician.

Start with the facts of your facility

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The two-minute estimator uses business and facility information to define your planning scope.

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