1. (1) This rule applies to all federally qualified health centers (FQHC), community mental health centers (CMHC), rural health clinics (RHC), or certified community behavioral health clinics (CCBHC) participating in the Florida Medicaid program that establish, maintain, or expand a clinical training program in accordance with section 409.91256, Florida Statutes, (F.S.).

2. (2) Definitions.

   1. (a) Accredited program. Training or educational program endorsed by the Accreditation Council for Graduate Medical Education (ACGME) or the Commission on Dental Accreditation (CODA), as applicable to the educational or residency program.
   2. (a) Health care practitioners. Residents or students who are enrolled in a Florida-based, accredited educational or residency program as specified in section 409.91256, F.S.
   3. (b) Preceptor. Licensed Florida health care practitioner who directs, trains, teaches, and evaluates students or residents participating in TEACH, pursuant to section 409.91256, F.S.
   4. (c) Qualified facility. As defined in section 409.91256, F.S.
   5. (d) Training, Education, and Clinicals in Health Funding Program (TEACH). Established in section 409.91256, F.S., the purpose of TEACH is to provide qualified facilities with funds to educate, train, and provide clinical experience to students and residents to become health care practitioners.

3. (3) TEACH Program Process.

   1. (a) Application. Qualified facilities must apply for participation in TEACH by submitting the TEACH application portion of the Training, Education, and Clinicals in Health (TEACH) Funding Program Application and Quarterly Reporting Template, AHCA Form 5000-4061, JUN 2025, incorporated by reference and available at: https://ahca.myflorida.com/medicaid/medicaid-finance-and-analytics/medicaid-program-finance/lip-dsh-gme-operations/teach, and HYPERLINK "https://flrules.org/Gateway/reference.asp?No=Ref-18615"https://flrules.org/Gateway/reference.asp?No=Ref-18615 to the Agency for Health Care Administration (Agency) by the established deadline.

   2. (b) Agreement. Upon approval of the application, qualified facilities must contract with the Agency via submission of the completed Training, Education, and Clinicals in Health (TEACH) Funding Program Agreement, AHCA Form 5000-4060, MAY 2025 (agreement), incorporated by reference and available at: HYPERLINK "https://flrules.org/Gateway/reference.asp?No=Ref-18616"https://flrules.org/Gateway/reference.asp?No=Ref-18616. The agreement will be provided electronically to the qualified facility, correspondingly returned to the Agency, and effective upon acceptance of the agreement by the Agency.

      The agreement contains requirements for provider participation in the TEACH Funding Program, at a minimum to include:

      1. Precepting residents and students.

      2. Maintaining accreditation as appropriate to the training provided.

      3. Ensuring that preceptors and teaching staff meet standards established by the Agency.

      4. Collecting and reporting required data quarterly to the Agency.

4. (4) Reimbursement. Subject to annual appropriation, the Agency may reimburse qualified facilities participating in TEACH up to $75,000 per fiscal year; or, up to $100,000 per fiscal year, if the facility operates an accredited residency program in Florida.

   In the case where the applications received for TEACH result in expenditures that will exceed the appropriation, a proportional reduction will be made to all reimbursements, by applying a uniform percentage decrease such that the appropriation is fully exhausted but not exceeded.

5. (5) Eligible Costs. The qualified facility must apply for reimbursement under the TEACH Funding Program using the Training, Education, and Clinicals in Health (TEACH) Funding Program Application and Quarterly Reporting Template, AHCA Form 5000-4061, JUN 2025 (template), incorporated by reference and available at: https://ahca.myflorida.com/medicaid/medicaid-finance-and-analytics/medicaid-program-finance/lip-dsh-gme-operations/teach and HYPERLINK "https://flrules.org/Gateway/reference.asp?No=Ref-18615"https://flrules.org/Gateway/reference.asp?No=Ref-18615.

   The template records expeditures, reconciling eligible costs associated with training students or residents as health care practitioners, based upon the number of clinical training hours per student as specified in section 409.91256, F.S., administrative costs, and, if applicable, loss of revenue. Clinical supervision will be defined based on the facility’s accrediting body standards.

6. (6) Reporting Requirements. Reimbursement under TEACH requires provision of quarterly reports in an Agency-approved format from qualified facilities to the Agency. The reports must include student demographics and clinical evaluations by program participants, program enrollment and completion statistics, and post-training employment data, in accordance with section 409.91256, F.S.

   1. (a) Data accuracy. Qualifying facilities must attest to the accuracy of the data submitted within each quarterly report by signing and submitting the Training, Education, and Clinicals in Health (TEACH) Funding Program Certification, AHCA Form 5000-4059, MAY 2025, incorporated by reference, and available at: https://ahca.myflorida.com/medicaid/medicaid-finance-and-analytics/medicaid-program-finance/lip-dsh-gme-operations/teach and HYPERLINK "https://flrules.org/Gateway/reference.asp?No=Ref-18613"https://flrules.org/Gateway/reference.asp?No=Ref-18613.
   2. (b) Data submission. If a facility fails to submit the required quarterly reports by the statutory deadline, the Agency will withhold payments until the data has been received by the Agency.
7. (7) Program Term. The TEACH Funding Program ends on or before July 1, 2034, in accordance with section 409.91256, F.S.

Rulemaking Authority 409.91256, 409.919 FS. Law Implemented 409.905, 409.906, 409.908, 409.909, 409.91256 FS. History–New 10-26-25.