Current Providers
Provider Maintenance
Provider approval letters include the expiration date and requirements to continue as an approved provider.
Provider Information Update Process (PDF)
This process is used for updating mailing or remittance addresses only.
Direct Deposit Form (PDF)
Must be mailed and include the original signature to the Department of Financial Services (DFS). DFS will not accept a fax or email. Forms received by Provider Registration will not be forwarded.
Provider Information Update Form (PDF)
Used for VR providers who need to update their name, address or contact information.
Provider Re-Registration Process (PDF)
Change a Provider Number (Tax/SSN) (PDF)
Provider Withdrawal Form (PDF)
Used by registered providers who no longer wish to provide services for VR or for any company who wishes to remove a provider who has recently terminated their employment.
Provider Resources
My Florida Marketplace Quick Reference Guide (PDF)
Provider Qualifications Manual (PDF)
VR Medical Provider Presentation (PowerPoint)
Group Medical Providers of two or more health care providers licensed by the Florida Department of Health legally organized as a partnership, professional corporation or similar association.
Providers who work with individuals who are Deaf, Late-Deafened, Hard of Hearing or Deaf-Blind
- Guide for Provision of Interpreting Services for Individuals with Hearing Loss Part A (PDF)
- Guide for Provision of Interpreting Services for Individuals with Hearing Loss Part B Purchasing Vendor Services (PDF)
- Sign Language Interpreter Application (PDF)
- Sign Language Interpreter Update Administration and Board Member (PDF)
- Sign Language Interpreter Employee Contractor Form for Group Agency (PDF)
- Sign Language Interpreter Semi-Annual Employee Contractor Report for Group Agency (PDF)
On-the-Job Training