Certified Nursing Assistant (CNA)

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Certified Nursing Assistant (CNA)

License by Examination

Click on the appropriate tab below to see the Initial Licensing Requirements, Process, Fees, Statutes and Administrative Rules for a Certified Nursing Assistant by Examination.

Requirements
General Requirements by Examination

A state-approved training program is not required prior to examination. A high school diploma or its equivalent, or be 18 years of age, is required if the applicant is challenging the exam without completion of an approved training program.

Applicants to become a Certified Nursing Assistant by Examination must successfully pass the required background screening and meet one of the following requirements:

  1. Has successfully completed an approved training program and achieved a minimum score, established by rule of the board, on the nursing assistant competency examination, which consists of a written portion and skills-demonstration portion approved by the board and administered at a site and by personnel approved by the department.
  2. Has achieved a minimum score, established by rule of the board, on the nursing assistant competency examination, which consists of a written portion and skills-demonstration portion (written portion only if the applicant successfully completed an approved training program within 6 months of applying), approved by the board and administered at a site and by personnel approved by the department and:
    1. Has a high school diploma, or its equivalent; or
    2. Is at least 18 years of age.
  3. Has completed the curriculum developed under the Enterprise Florida Jobs and Education Partnership Grant and achieved a minimum score, established by rule of the board, on the nursing assistant competency examination, which consists of a written portion and skills-demonstration portion, approved by the board and administered at a site and by personnel approved by the department.

Note: If an applicant fails to pass the nursing assistant competency examination in three attempts, the applicant is not eligible for reexamination unless the applicant completes an approved training program.

Electronic Fingerprinting

Applicants for initial licensure must use a Livescan service provider to have their fingerprints submitted electronically to the Florida Department of Law Enforcement (FDLE) for conducting a search for any Florida and national criminal history records that may pertain to applicant. The results will be returned to the Care Provider Background Screening Clearinghouse (Clearinghouse) and made available to the Department for consideration during the licensure process. The Livescan fingerprints submitted by the applicant will be retained by FDLE and the Clearinghouse. All costs for conducting a criminal history background screening are borne by the applicant. The Department cannot accept hard fingerprint cards or results. All results must be submitted electronically to the Clearinghouse.

It is important to use the correct Originating Agency Identification (ORI) when submitting fingerprints. If you do not provide an ORI number or if you provide an incorrect ORI number to the service provider, the board office will not receive your fingerprint results, so it is extremely important to use the correct ORI when having your fingerprints scanned.

Applicants can use any FDLE approved Livescan service provider to submit their fingerprints. The applicant is fully responsible for selecting the service provider and ensuring the results are reported to the Department. For more information, FAQs, and a list of all approved Livescan service providers please visit the Background Screening website.

Please take the CNA Endorsement Electronic Fingerprinting Form with you to the Livescan provider. Please check the service provider’s requirements to see if you need to bring any additional items. Please verify the Originating Agency Identification (ORI) number submitted by the Livescan service provider matches the information provided.

Applicants with Criminal History

Any applicant who has ever been found guilty of or pled guilty or no contest/nolo contendere to any charge other than a minor traffic offense must list each offense on the application. Failure to disclose criminal history may result in denial of your application. Each application is reviewed on its own merits.

Staff cannot make determinations in advance as laws and rules do change over time. Violent crimes and repeat offenders are required to be presented to the Board of Nursing for review. Evidence of rehabilitation is important to the board members when making licensure decisions.

*Please note: In order to qualify for licensure, CNAs must also pass a background screening (in accordance with Sections 435.04, 435.07, and 408.809, FS) for employment with an Agency for Health Care Administration (AHCA) regulated facility (or qualify for an Exemption from Disqualification).

For Felony Disqualifying Offenses (regardless of adjudication), you would not be eligible for an Exemption until 3 years have passed since the completion of any non-monetary obligations (confinement, probation, community service, etc.). All fines, fees, restitution, etc. must also be paid in full.
Applicants with prior criminal convictions are required to submit the following documentation to the board:

Self-Explanation – Applicants who have listed offenses on the application must submit a letter in your own words describing the circumstances of the offense.

Final Dispositions/Arrest Records – Final disposition records for offenses can be obtained at the clerk of the court in the arresting jurisdiction. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.

Completion of Probation/Parole/Sanctions – Probation and financial sanction records for offenses can be obtained at the clerk of the court in the arresting jurisdiction. Parole records for offenses can be obtained from the Department of Corrections or at the clerk of the court in the arresting jurisdiction. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.

Letters of Recommendation – Applicants who have listed offenses on the application must submit 3-5 professional letters of recommendation from people you have worked for or with.

Applicants with Disciplinary History

Applicants who have ever been denied licensure, had disciplinary action taken against their license, or have action pending against their license to practice any health care related profession by a licensing authority are required to submit the following documentation to the board:

Self-Explanation – Applicants who have listed disciplinary action on the application must submit a letter in your own words describing the circumstances of the action.

Agency Records – All relevant documentation regarding the action should be sent to the board office by the licensing agency. If the records are not available, you must have a letter on agency letterhead sent from the licensing agency attesting to their unavailability.

Applicants with Health History

If a “Yes” response was provided to any of the questions in this section, provide the following documents directly to the board office:

A letter from a licensed health care practitioner, who is qualified by skill and training to address the condition identified, which explains the impact the condition may have on the ability to practice the profession with reasonable skill and safety. The letter must specify that the applicant is safe to practice the profession without restrictions or specifically indicate the restrictions that are necessary. Documentation provided must be dated within one year of the application date.

Health Care Fraud; Disqualification for License, Certificate, or Registration

Effective July 1, 2012, Section 456.0635, Florida Statutes (F.S.), provides that health care boards or the department shall refuse to issue a license, certificate or registration and shall refuse to admit a candidate for examination if the applicant:

  1. Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under Chapter 409, F.S., (relating to social and economic assistance), Chapter 817, F.S., (relating to fraudulent practices), Chapter 893, F.S., (relating to drug abuse prevention and control) or a similar felony offense(s) in another state or jurisdiction unless the candidate or applicant has successfully completed a drug court program for that felony and provides proof that the plea has been withdrawn or the charges have been dismissed. Any such conviction or plea shall exclude the applicant or candidate from licensure, examination, certification, or registration, unless the sentence and any subsequent period of probation for such conviction or plea ended:
    • For the felonies of the first or second degree, more than 15 years from the date of the plea, sentence and completion of any subsequent probation;
    • For the felonies of the third degree, more than 10 years from the date of the plea, sentence and completion of any subsequent probation;
    • For the felonies of the third degree under section 893.13(6)(a), F.S., more than five years from the date of the plea, sentence and completion of any subsequent probation;
  2. Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under 21 U.S.C. ss. 801-970 (relating to controlled substances) or 42 U.S.C. ss. 1395-1396 (relating to public health, welfare, Medicare and Medicaid issues), unless the sentence and any subsequent period of probation for such conviction or pleas ended more than 15 years prior to the date of the application;
  3. Has been terminated for cause from the Florida Medicaid program pursuant to section 409.913, F.S., unless the candidate or applicant has been in good standing with the Florida Medicaid program for the most recent five years;
  4. Has been terminated for cause, pursuant to the appeals procedures established by the state or Federal Government, from any other state Medicaid program, unless the candidate or applicant has been in good standing with a state Medicaid program for the most recent five years and the termination occurred at least 20 years before the date of the application;
  5. Is currently listed on the United States Department of Health and Human Services Office of Inspector General’s List of Excluded Individuals and Entities.
Process

1. Applicant submits completed application with all required fees to Prometric.

Be sure you have submitted the current version of the application, and that you have answered all questions (including providing a SSN if you have one) correctly, signed, and dated the application, and that your handwriting is legible to prevent any delays in receipt or approval of your application.

2. If you do not already have a shareable Livescan screening in the Agency for Health Care Administration’s (AHCA) Clearinghouse, then you will need to schedule an electronic fingerprint appointment (you can complete this step prior to applying to expedite the process). You can find a list of approved providers here; the Electronic Fingerprint Form can be given to the Livescan provider.

If you already have a shareable screening in the Clearinghouse, it will load within 72 hours of us receiving your application. It is very important that the name, DOB and SSN listed on your application match the information submitted with your screening. Any discrepancies will cause your results not to load automatically, and a copy of your Driver’s License and Social Security Card will be required in order to correct the discrepancy.

Note: It is statutorily required for you to have a photograph taken at the time of fingerprinting to be entered into the Clearinghouse. Without it, your screening can NOT be shared among state agencies. For a screening to be Clearinghouse-compliant and thus shareable, you must have a) retained fingerprints, b) photograph, and c) signed privacy policy.

If you completed a screening without a photograph (sometimes necessary with the hard card process) then your results may be entered in the Clearinghouse; however, they will not be shareable. For example, if you used an AHCA ORI number and did not have a photograph taken, the Department of Health cannot view or use the results of that screening for your application/license.

3. Once the application is received, a processor will review them. If any additional information is needed, you will be notified at that time.

4. Once your application is approved, you will be notified via email, and Prometric will receive your eligibility within 72 hours.

5. Prometric schedules your exam within 7-14 business days and sends out “admission ticket” for testing to you via email.

Applicants who fail one or both of the exams, would need to reapply with Prometric. Any information already on file that can be used will be, you would not need to submit duplicate information when reapplying.

Top 10 Tips for Exam Applicants

Applicants, both first-time and re-certifying, must pass the Prometric CNA Exam which is a two-part examination, consisting of a written and a performance (skills) section. The Written Test is a ninety (90) minute  test with sixty (60) multiple-choice questions written in English. An Oral or Spanish Test may be requested for the Written Test if you have difficulty reading English and you must ask for it when you submit your application. The Manual Skills Evaluation requires the applicant to perform five (5) randomly selected nursing assistant skills.

The application and candidate information bulletins are available through the state’s contracted test administrator, Prometric.

Website: https://www.prometric.com/nurseaide/fl

Email: FLCNA@prometric.com

Phone: (888) 277-3500

Fees

Examination: All fees are paid directly to Prometric and the Livescan service provider.

Statutes and Rules

Click on Chapter or Section Number to View

Florida Statutes

Chapter 464, Part II: Certified Nursing Assistants

Chapter 456: Health Professions and Occupations: General Provisions

Chapter 435: Employment Screening

Section 408.809: Background Screening; prohibited offenses

Florida Administrative Code

Chapter 64B9-15: Certified Nursing Assistant

License by MOBILE Endorsement

Click on the appropriate tab below to see the Initial Licensing Requirements, Process, Fees, Statutes and Administrative Rules for a Certified Nursing Assistant by Endorsement.

Requirements
General Requirements by Mobile Endorsement

To be licensed as a Certified Nursing Assistant in Florida through the MOBILE Endorsement pathway you must meet the following requirements in
section 456.0145, Florida Statutes:

1. Must hold an active, unencumbered license issued by another state, the District of Columbia, or a territory of the United States in a profession with a similar scope of practice, determined by the board or the department, as applicable.

2. Must have actively practiced the profession for at least three years during the four-year period immediately preceding the date of submission of this application.

3. Must not have ever been reported to the National Practitioner Data Bank, unless the applicant successfully appealed to have the report removed.

4. Must not be the subject of a disciplinary proceeding in a jurisdiction in which he or she holds a license or by the United States Department of Defense for reason related to the practice of the profession for which the applicant is applying.

5. Must not have had disciplinary action taken in the five years immediately preceding the date of submission of the application.

6. Refer to section 456.0145(2)(c), Florida Statutes, for licensure ineligibility criteria.

8. Must submit electronic fingerprinting.

Electronic Fingerprinting

Applicants for initial licensure must use a Livescan service provider to have their fingerprints submitted electronically to the Florida Department of Law Enforcement (FDLE) for conducting a search for any Florida and national criminal history records that may pertain to applicant. The results will be returned to the Care Provider Background Screening Clearinghouse (Clearinghouse) and made available to the Department for consideration during the licensure process. The Livescan fingerprints submitted by the applicant will be retained by FDLE and the Clearinghouse. All costs for conducting a criminal history background screening are borne by the applicant. The Department cannot accept hard fingerprint cards or results. All results must be submitted electronically to the Clearinghouse.

It is important to use the correct Originating Agency Identification (ORI) when submitting fingerprints. If you do not provide an ORI number or if you provide an incorrect ORI number to the service provider, the board office will not receive your fingerprint results, so it is extremely important to use the correct ORI when having your fingerprints scanned.

Applicants can use any FDLE approved Livescan service provider to submit their fingerprints. The applicant is fully responsible for selecting the service provider and ensuring the results are reported to the Department. For more information, FAQs, and a list of all approved Livescan service providers please visit the Background Screening website.

Please take the CNA Endorsement Electronic Fingerprinting Form with you to the Livescan provider. Please check the service provider’s requirements to see if you need to bring any additional items. Please verify the Originating Agency Identification (ORI) number submitted by the Livescan service provider matches the information provided.

Applicants with Disciplinary History

Applicants who have ever been denied licensure, had disciplinary action taken against their license, or have action pending against their license to practice any health care related profession by a licensing authority are required to submit the following documentation to the board:

Self-Explanation – Applicants who have listed disciplinary action on the application must submit a letter in your own words describing the circumstances of the action.

Agency Records – All relevant documentation regarding the action should be sent to the board office by the licensing agency. If the records are not available, you must have a letter on agency letterhead sent from the licensing agency attesting to their unavailability.

Applicants with Criminal History

Any applicant who has ever been found guilty of or pled guilty or no contest/nolo contendere to any charge other than a minor traffic offense must list each offense on the application. Failure to disclose criminal history may result in denial of your application. Each application is reviewed on its own merits.

Staff cannot make determinations in advance as laws and rules do change over time. Violent crimes and repeat offenders are required to be presented to the Board of Nursing for review. Evidence of rehabilitation is important to the board members when making licensure decisions.

*Please note: In order to qualify for licensure, CNAs must also pass a background screening (in accordance with Sections 435.04, 435.07, and 408.809, FS) for employment with an Agency for Health Care Administration (AHCA) regulated facility (or qualify for an Exemption from Disqualification).

For Felony Disqualifying Offenses (regardless of adjudication), you would not be eligible for an Exemption until 3 years have passed since the completion of any non-monetary obligations (confinement, probation, community service, etc.). All fines, fees, restitution, etc. must also be paid in full.
Applicants with prior criminal convictions are required to submit the following documentation to the board:

Self-Explanation – Applicants who have listed offenses on the application must submit a letter in your own words describing the circumstances of the offense.

Final Dispositions/Arrest Records – Final disposition records for offenses can be obtained at the clerk of the court in the arresting jurisdiction. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.

Completion of Probation/Parole/Sanctions – Probation and financial sanction records for offenses can be obtained at the clerk of the court in the arresting jurisdiction. Parole records for offenses can be obtained from the Department of Corrections or at the clerk of the court in the arresting jurisdiction. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.

Letters of Recommendation – Applicants who have listed offenses on the application must submit 3-5 professional letters of recommendation from people you have worked for or with.

Applicants with Health History

If a “Yes” response was provided to any of the questions in this section, provide the following documents directly to the board office:

A letter from a licensed health care practitioner, who is qualified by skill and training to address the condition identified, which explains the impact the condition may have on the ability to practice the profession with reasonable skill and safety. The letter must specify that the applicant is safe to practice the profession without restrictions or specifically indicate the restrictions that are necessary. Documentation provided must be dated within one year of the application date.

Health Care Fraud; Disqualification for License, Certificate, or Registration

Effective July 1, 2012, Section 456.0635, Florida Statutes (F.S.), provides that health care boards or the department shall refuse to issue a license, certificate or registration and shall refuse to admit a candidate for examination if the applicant:

  1. Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under Chapter 409, F.S., (relating to social and economic assistance), Chapter 817, F.S., (relating to fraudulent practices), Chapter 893, F.S., (relating to drug abuse prevention and control) or a similar felony offense(s) in another state or jurisdiction unless the candidate or applicant has successfully completed a drug court program for that felony and provides proof that the plea has been withdrawn or the charges have been dismissed. Any such conviction or plea shall exclude the applicant or candidate from licensure, examination, certification, or registration, unless the sentence and any subsequent period of probation for such conviction or plea ended:
    • For the felonies of the first or second degree, more than 15 years from the date of the plea, sentence and completion of any subsequent probation;
    • For the felonies of the third degree, more than 10 years from the date of the plea, sentence and completion of any subsequent probation;
    • For the felonies of the third degree under section 893.13(6)(a), F.S., more than five years from the date of the plea, sentence and completion of any subsequent probation;
  2. Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under 21 U.S.C. ss. 801-970 (relating to controlled substances) or 42 U.S.C. ss. 1395-1396 (relating to public health, welfare, Medicare and Medicaid issues), unless the sentence and any subsequent period of probation for such conviction or pleas ended more than 15 years prior to the date of the application;
  3. Has been terminated for cause from the Florida Medicaid program pursuant to section 409.913, F.S., unless the candidate or applicant has been in good standing with the Florida Medicaid program for the most recent five years;
  4. Has been terminated for cause, pursuant to the appeals procedures established by the state or Federal Government, from any other state Medicaid program, unless the candidate or applicant has been in good standing with a state Medicaid program for the most recent five years and the termination occurred at least 20 years before the date of the application;
  5. Is currently listed on the United States Department of Health and Human Services Office of Inspector General’s List of Excluded Individuals and Entities.
Process

Applicants must complete the following steps:

1. Contact the state board(s) in which a license has been held to request License Verification be sent to Florida. If the state has an online verification including disciplinary actions, we will accept the online verification.

2. Apply online at www.flhealthsource.gov and upload any supplemental documentation.

3. If applicants have any affirmative answers in the Criminal, Personal, or Disciplinary sections of the application, submission of the personal statement and supporting documentation can be uploaded with the online application.

4. Schedule an electronic fingerprint appointment and be printed. For more information on background checks and a list of Livescan service providers, please visit our Background Screening page.

5. Please allow up to 10 business days for initial review of new applications. All applications and document submissions are reviewed in the order they are received. After your application is reviewed, any deficiencies will be communicated to you in writing by our Board staff. To expedite processing, please submit all required supporting documentation

Certified Nursing Assistant by MOBILE Endorsement
with your application. If you are having documentation submitted by another entity on your behalf, please verify the Board office’s mailing address to ensure delivery.

6. When all requirements are met the license will be issued to qualified within

7 days pursuant to Section 456.0145(2)(e), Florida Statutes.

• Department of Health Board of Nursing 4052 Bald Cypress Way Bin C-02 Tallahassee, FL 32399-3258

Fees

Applicants are responsible for fees required by the Livescan provider for electronic fingerprinting process. Fees may vary from provider to provider.

Statutes and Rules

Click on Chapter or Section Number to View

Florida Statutes

Chapter 464, Part II: Certified Nursing Assistants

Chapter 456: Health Professions and Occupations: General Provisions

Chapter 435: Employment Screening

Section 408.809: Background Screening; prohibited offenses

Florida Administrative Code

Chapter 64B9-15: Certified Nursing Assistant

Apply Online / Return to Login

To apply online visit MQA Services Portal to create an account or return to your account by clicking the button below.

Processing Times

Florida law provides that an initial application must be reviewed within 30 days. Below is the average number of days at which we are currently processing.

Statutes and Rules

Click on Chapter or Section Number to View

Florida Statutes

Chapter 464, Part II: Certified Nursing Assistants

Chapter 456: Health Professions and Occupations: General Provisions

Chapter 435: Employment Screening

Section 408.809: Background Screening; prohibited offenses

Florida Administrative Code

Chapter 64B9-15: Certified Nursing Assistant

Renewing Your License

Click on the appropriate tab below to see the Renewal Requirements, Process, Fees and In-Service Training Requirements for a Certified Nursing Assistant.

Requirements
Renewal Requirements

Certified Nursing Assistants (CNA) are renewed by the department in two groups:

Group 1 – current license will expire at midnight, Eastern Standard Time, May 31, 2025. Licenses that expired May 31, 2023 will go null and void on June 01, 2025 if not renewed.

Group 2 – current licenses will expire at midnight, Eastern Standard Time, May 31, 2026. Licenses that expired May 24, 2024 will go null and void on June 01, 2026 if not renewed.

In order to renew the CNA license at the end of the two year renewal cycle, CNAs are required to perform nursing-related services for monetary compensation within the last 24 consecutive months in order to remain on the registry.

Licensees who fail to meet these requirements must reapply for licensure and comply with current laws and rules. Licensees who have become Null and Void or elected to Voluntarily Relinquish their CNA license must reapply for licensure and meet current requirements.

Note: CNAs who administer medication to patients of a home health agency should also be aware of the requirements of s. 464.2035, F.S.

Options for Non-Renewal of Your License

Options:

  1. Delinquent & Null/Void – Take no action. The license will go delinquent after the expiration date and Null/Void 2 years after the expiration date. Once Null/Void, the license cannot be reactivated.
  2. Voluntarily Relinquish – Submit a formal request in writing to the Board for relinquishment of the license, the license number is discontinued and cannot be reactivated
Process

Renewal Instructions:

  1. Go to www.flhealthsource.gov and click the “Renew A License” button.
  2. Enter your Personal Identifying Information (PII), then click the Login button.
  3. Confirm or update your MQA Services Account email address, then click the “Continue” button.
  4. You are now in the Dashboard. During renewals, a “Renew My License” option will populate no later than 90 days prior to your license expiration date. (Note: If you do not see the “Renew My License” option, please check back at a later time.)

*** If the “PII Failed” screen displays, click the “Other Login Option” button and enter your existing User ID and password to access your account.***

Additional Information:

  • You may renew online if you have a credit or debit card to complete the transaction. Please note that you can now renew online, print a copy of your application summary and mail it with your cashier’s check or money order to:
    Division of Medical Quality Assurance
    P.O. Box 6320
    Tallahassee, FL 32314-6320
  • If you are renewing your license after the expiration date and your status still indicates Clear/Active, you will be assessed a delinquency fee. The delinquency fee will be in addition to your renewal fees.
  • If your license was Delinquent/Active before the renewal deadline, it will be moved to Null and Void status after the renewal deadline. You should contact your board office for further instruction.
  • Note: Do not submit certificates of completion of in-service hours to the Florida Board of Nursing.

Fees

If renewing BEFORE your license expires, your fees will be:

Active to Active$55.00*

If renewing AFTER your license expires, your fees will be:

Active to Active$105.00*

If renewing 120 day Notified Delinquent, your fees will be:

Active to Active$160.00*

*Pursuant to s. 456.065(3), Florida Statutes, a $5 fee to fund efforts to combat unlicensed activity will be assessed of each licensee upon initial licensure and at each renewal. This fee is included in the renewal fee.

Statutes and Rules

Florida Statutes

Section 464.2035:  Administration of medication

Florida Administrative Code

Section 64B9-15.011:  In-Service Training Requirements for Certified Nursing Assistants

64B9-15.0045 Certified Nursing Assistant Renewal Fee

Renew Online

To renew online visit the MQA Services Portal by clicking the button below.

In-Service Training

To locate board approved In-Service Courses for this profession, please click here

All CNAs must complete a minimum of 24 hours of in-service training each biennium. In-service training hours shall include, but are not limited to, the following areas:

  • Bloodborne Pathogens, Infection Control
  • Domestic Violence
  • Medical Record Documentation and Legal Aspects Appropriate to Nursing Assistants
  • Resident Rights
  • Communication with cognitively impaired clients
  • CPR skills
  • Medical Error Prevention and Safety

Note: CNAs who administer medication to patients of a home health agency should also be aware of the requirements of s. 464.2035, F.S.

Other Payer Registration for CNA Employers

The Florida Department of Health, Division of Medical Quality Assurance (MQA), is pleased to offer employers of Certified Nursing Assistants an option to pay for their employees’ renewal fees.

Certified Nursing Assistants may complete and submit a renewal online using an ‘Other Payer Code.’ Instead of the employee providing their own credit card for payment, they will have the option to enter the ‘Other Payer Code’ to complete the renewal process. The renewal will be uploaded for processing and will stay in pending status until the other payer makes payment.

Interested employers will need to register with the Board of Nursing by providing a completed application form provided by the department. Please indicate if you require more than one payment code or a code expiration date and sign the application indicating that all of the provided information is true and correct. Please email the application to MQA.CNA@flhealth.gov, or submit the application to:

4052 Bald Cypress Way
Bin C-02
Tallahassee, FL 32399-325
Fax: (850) 617-6460

It is important that employers keep all contact information current and correct. After the initial letter to confirm registration the Department will send all correspondence regarding the Other Payer Account through the email address on file.

Once the employer is registered, the Board of Nursing will mail a notification letter including the payment code. The employer will need to provide their ‘Other Payer Code’ to employees prior to them renewing online.

Please contact the Board of Nursing by email MQA.CNA@flhealth.gov if you have any questions.

Renewing CNA licensees using Other Payer method

Note: All invoices should be paid no later than May 18th to ensure that the licensee will receive their new license before the current expiration date. May 11th will be the last day for CNAs to use an ‘Other Payer Code’ to complete online renewal instead of paying with a credit/debit card.

Once you receive your other payer code you may distribute the code to employees for use during their renewal. Other Payer Codes cannot be used by delinquent licensees.

Employers who elect to use the Other Payer Code will be required to log-on to MQA’s secure on-line services website to approve and submit payment.

After a CNA has completed renewal using your other payer code they will appear in your Other Payer Invoicing under ‘Pending Transaction Count’. Simply click on your other payer code to review the list of licensees that have used your code.

You may accept all of the licensees that have entered the code by clicking ‘Continue’ to create your invoice. The employer will be able to deselect licensees who are not eligible to use their ‘Other Payer Code’. You may pay invoice online by Credit Card or print out the invoice and mail with cashier’s check or money order to:

Department of Health
Post Office Box 6330
Tallahassee, FL 32314-6320

Please download this user guide for detailed instructions.

Special Testing Accommodations

The Department of Health will provide reasonable and appropriate special testing accommodations due to disability, religious conflict, or English as a second language (ESL). Please note, accommodations for ESL are only for Mental Health Counselors and Electrologist.

Special Testing Accomodations

In accordance with section 64B-1.005, Florida Administrative Code and the Americans with Disabilities Act, the Department of Health will provide reasonable and appropriate testing accommodations to individuals with documented disabilities or religious conflict who demonstrate a need for accommodation and complete the required application.

Applications for special testing accommodations are processed through the Operational Support Services Section as a separate requirement from the licensure examination application process.

NOTE: Candidates who request testing accommodations must also have a completed licensure examination application on file with their profession’s board office.

Special testing accommodation application forms may be downloaded from this page or received via mail by contacting the Operational Support Services Section. Please do not send any documentation unless it pertains directly to the testing accommodation request (e.g., transcripts, licensure information, payment, etc.)

Download the Application for Special Testing Accommodations. (pdf)

Medical documentation in support of an accommodation request is required and shall be used by department medical consultants to independently assess the reported condition for purposes of authorizing appropriate accommodations. Documentation should include a detailed report of evaluation completed by a licensed psychologist or physician addressing the following:

  • Clinical history or copies of ongoing treatment records;
  • Description of current functional restrictions in the daily activities;
  • Differential diagnostic considerations, ruling out alternative explanations as substance abuse, prescription side effects, treatable physical conditions;
  • Documentation of the signs and symptoms that support the diagnosis;
  • Response to treatment, with assessment of residual signs and symptoms.

Download the Information Booklet  for Special Testing Accommodations.

Candidates who have previously received special testing accommodations for a Department of Health licensure examination and need accommodation for another examination attempt must submit a reapplication with the Operational Support Services Section.

Download the Reapplication for Special Testing Accommodations. (pdf)

Special Testing Accomodations Due to Religious Conflicts

Modification to reporting times or alternate test dates may be requested by candidates who, due to their religious beliefs, cannot attend the examination at the scheduled reporting time or date.

Download the Application for Special Testing Accommodations Due to Religious Conflict. (pdf)

Deactivation

Florida became part of the NLC on January 19, 2018. Compact rules do not allow a license to be maintained or renewed if the nurse has a license in another party state that allows them to practice in Florida.

What is my responsibility if I leave Florida?

Moving from Florida to a Compact State

When moving (changing primary state of legal residence) to a new NLC state, it is the nurse’s responsibility to apply for licensure by endorsement. This should be completed upon moving and the nurse should not delay. There is no grace period. The nurse may not wait until the former license expires to apply in the nurse’s new state of legal residency. The nurse may practice on the former home state license only UNTIL the multistate license in the new NLC home state is issued. Proof of residency such as a driver’s license may be required. Upon issuance of a new multistate license, the former license is inactivated.

Moving from Florida to a Non Compact State

The nurse is responsible for applying for licensure by endorsement in the new state of residence. The nurse may apply before or after the move. The multistate license of the former NLC state is changed to a single state license upon changing legal residency to a noncompact state. The nurse is responsible for notifying the board of nursing (BON) of the former NLC state of the new address and to request a change in status to “single state”. This request may be emailed to MQA.Nursing@FlHealth.gov

Why was my Florida license deactivated?

Moving from Florida to a Compact StateYou hold a single state license in Florida and hold a multistate license in another Compact state. Nurse Licensure Compact Rule 302.4, party states shall not renew or reinstate a single state license if the nurse has a multistate license in another party state.

Or

You hold a multistate license in Florida and also another multistate license in another party state. As required by Section 464.0095, Article IV (3), Florida Statutes, an RN or LPN who changes his or her primary state of residence by moving from a party state to another party state must apply for licensure in the new home state. The multistate license issued by the prior home state must be deactivated in accordance with applicable rules adopted by the Interstate Commission which governs the Nurse Licensure Compact.

Deactivated incorrectly? How to proceed

The definition of ‘Deactivated’ is Licensed practitioner holds a Multistate License in another Nurse Licensure Compact (NLC) jurisdiction. More information about the Nursing Compact can be found at https://floridasnursing.gov/final-nurse-compact-rules/

You can look up your multistate license in NURSYS by using this link: https://www.nursys.com/LQC/LQCTerms.aspx. Nurses are eligible to work in Florida when they hold a valid multistate license from another Compact State.

If your primary state of residency is Florida, please email the Board of Nursing at MQA.Nursing@FlHealth.gov.

Are Fees and Continuing Education required?

If you are a nurse practicing in Florida under the privilege of a different party state license, you are not required to pay any fees or complete continuing education requirements for the State of Florida. Please refer to the requirements for the state that has issued the license.

How to obtain Florida licensure in the future

Moving to Florida from a Compact State

When moving (changing primary state of legal residence) to a new NLC state, it is the nurse’s responsibility to apply for licensure by endorsement. This should be completed upon moving and the nurse should not delay. There is no grace period. The nurse may not wait until the former license expires to apply in the nurse’s new state of legal residency. The nurse may practice on the former home state license only UNTIL the multistate license in the new NLC home state is issued. Proof of residency such as a driver’s license may be required. Upon issuance of a new multistate license, the former license is inactivated.

Moving to Florida from a Non Compact State

The nurse is responsible for applying for licensure by endorsement in the new state of residence. The nurse may apply before or after the move. A multistate license may be issued if residency and eligibility requirements are met. If the nurse holds a single state license issued by the noncompact state, it is not affected.

For licensure by endorsement requirements and to apply online, please visit https://floridasnursing.gov/licensing.