Implementation 12 min read
Florida Clinic Compliance Checklist (2026): Telehealth, PDMP, and E-Prescribing Controls
Florida clinic operators need consistent controls around telehealth practice boundaries, PDMP usage, and electronic prescribing reliability. This checklist translates state requirements into day-to-day workflows.
Compliance + Vendor Evaluation Links
- State Compliance Hub — Compare FL, CA, TX, NY, and IL checklists
- Best EHR for MAT Programs — EPCS and prior-auth workflow focus
- Behavioral Health EHR Comparison — Evaluate operational fit
- Ease EHR Review — AI-native productivity and operations stack
Key Florida Dates and References
- July 1, 2018: Florida electronic prescribing requirements established under HB 831 updates.
- 2018 onward: Florida telehealth framework codified under section 456.47, including out-of-state registration pathway.
- Florida PMP (E-FORCSE) remains a central workflow for controlled-substance oversight and monitoring.
Checklist 1: Telehealth Registration and Scope Controls
- Verify all telehealth clinicians hold the required Florida credential or telehealth registration status.
- Define visit-type protocols for when telehealth is appropriate vs when in-person escalation is required.
- Embed state-specific telehealth guardrails into scheduling templates and visit intake.
- Audit telehealth documentation completeness monthly.
Checklist 2: PDMP and Controlled-Substance Workflow
- Make PDMP query a required step in controlled-substance workflows.
- Capture PDMP check evidence and reasoned exceptions in structured chart fields.
- Track prescribing variance and refill exception rates by provider.
- Run quarterly training refreshers for controlled-substance workflow changes.
Checklist 3: E-Prescribing Stability and Downtime Procedures
- Enforce eRx default workflow with exception tracking.
- Define outage fallback process with compliance documentation requirements.
- Monitor eRx transmission failures and retry queues daily.
- Align pharmacy communication scripts for failed transmissions.
Checklist 4: Leadership Oversight
- Weekly review: controlled-substance exceptions and unresolved telehealth compliance items.
- Monthly review: PDMP adherence, prescribing variance, and claim denial linkage.
- Quarterly review: policy refresh and attestation completion.
90-Day Improvement Sequence
- Days 1-30: baseline telehealth and PDMP compliance performance.
- Days 31-60: close role-permission and workflow gaps in EHR and intake.
- Days 61-90: implement standing governance dashboard and audit cycle.