reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart C - CATEGORY OF SERVICE REVIEW CRITERIA › Section 1110.215 - Neonatal Intensive Care

Current through Register Vol. 48, No. 28, July 12, 2024
This Section contains Review Criteria that pertain to the
				  Neonatal Intensive Care category of service.
a) Staffing
1) The applicant must document that the
				personnel possessing proper credentials in the following categories are
				available to staff the service:
A) Full-time
				Neonatal Director - a neonatologist.
B) Full-time Subspecialty Obstetrical
				Director - an obstetrician certified by the American Board of Obstetrics and
				Gynecology in the subspecialty of Maternal and Fetal Medicine or a licensed
				osteopathic physician with equivalent training and experience and certified by
				the American Osteopathic Board of Obstetrics and Gynecology.
C) Other neonatologists and obstetricians
				sufficient in number to serve the projected number of maternal and neonatal
				patients to be served by the facility and to ensure adequate back-up to the
				neonatal and obstetrical directors so that there will be continuity of patient
				care and consultation. Backup neonatologists and obstetricians shall have
				credentials equivalent to those of Neonatal and Obstetrical
				Directors.
D) Full-time
				Nurse-Director of the obstetric-newborn nursing service who is experienced in
				perinatal nursing, with a master's degree.
E) Other nurses adequate in number to serve
				the projected number of maternal and neonatal patients to be served by the
				facility.
F) Obstetric anesthesia
				services under the direct supervision of a board-certified anesthesiologist
				with training in maternal, fetal and neonatal anesthesia shall be available 24
				hours a day. The directors of obstetric anesthesia services shall ensure the
				backup supervision of their services when they are unavailable.
G) One or more licensed social workers with
				perinatal/neonatal experience.
H)
				Respiratory therapists with experience in neonatal care and adequate in number
				to ensure availability of a minimum of one respiratory therapist for every 4
				patients on mechanical ventilators.
I) Registered dietician with experience in
				perinatal nutrition.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart C - CATEGORY OF SERVICE REVIEW CRITERIA › Section 1110.225 - Cardiac Catheterization

Current through Register Vol. 48, No. 28, July 12, 2024
This Section contains Review Criteria that pertain to the
				  Cardiac Catheterization category of service.
a) Peer Review
Any applicant proposing the establishment or modernization of
				  a cardiac catheterization unit shall detail in its application for permit the
				  mechanism for adequate peer review of the program. Peer review teams will
				  evaluate the quality of studies and related morbidity and mortality of patients
				  and also the technical aspects of providing the services such as film
				  processing, equipment maintenance, etc.
b) Establishment or Expansion of Cardiac
				Catheterization Service
There shall be not additional adult or pediatric
				  catheterization categories of service started in a health planning area
				  unless:
1) the standards as outlined
				in 77 Ill. Adm. Code
				1100.620
				are met; unless
2) in the
				circumstances where area programs have failed to meet those targets, the
				applicant can document historical referral volume in each of the prior 3 years
				for cardiac catheterization in excess of 400 annual procedures (e.g.,
				certification of the number of patients transferred to other service providers
				in each of the last 3 years).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart C - CATEGORY OF SERVICE REVIEW CRITERIA › Section 1110.230 - In-Center Hemodialysis Projects

Current through Register Vol. 48, No. 28, July 12, 2024
a) Introduction
1) This Section applies to projects involving
				the In-Center Hemodialysis category of service. Applicants proposing to
				establish, expand or modernize this category of service shall comply with the
				applicable subsections of this Section as follows:
PROJECT TYPE
REQUIRED REVIEW CRITERIA
Establishment of Services or Facility
(b)(1)
-
Planning Area Need - 77 Ill. Adm. Code 1100 (formula
							 calculation)
(b)(2)
-
Planning Area Need - Service to Planning Area
							 Residents
(b)(3)
-
Planning Area Need - Service Demand - Establishment
							 of In-Center Hemodialysis
(b)(5)
-
Planning Area Need - Service Accessibility
(c)(1)
-
Unnecessary Duplication of Services
(c)(2)
-
Maldistribution
(c)(3)
-
Impact of Project on Other Area Providers
(e)
-
Staffing
(f)
-
Support Services
(g)
-
Minimum Number of Stations
(h)
-
Continuity of Care
(i)
-
Relocation (if applicable)
(j)
-
Assurances
Expansion of Existing Services
(b)(2)
-
Planning Area Need - Service to Planning Area
							 Residents
(b)(4)
-
Planning Area Need - Service Demand - Expansion of
							 In-Center Hemodialysis
(e)
-
Staffing - Availability
(f)
-
Support Services
(j)
-
Assurances
In-Center Hemodialysis Modernization
(d)(1)
-
Deteriorated Facilities
(d)(2) & (3)
-
Documentation
(f)
-
Support Services
2)
				If the proposed project involves the relocation of an existing facility or
				service, the applicant shall comply with the requirements listed in subsection
				(a)(1) (Establishment of Services or Facility), as well as requirements in
				Section 1110.290 (Discontinuation) and subsection (i) of this Section
				(Relocation of Facilities).
3) If
				the proposed project involves the replacement of a facility or service (onsite
				or new site), the number of stations being replaced shall not exceed the number
				justified by historical utilization rates for each of the latest 2 years,
				unless additional stations can be justified per the criteria for Expansion of
				Existing Services.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart C - CATEGORY OF SERVICE REVIEW CRITERIA › Section 1110.235 - Non-Hospital Based Ambulatory Surgical Treatment Center Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Projects Not
				Subject to this Section
The specific criteria of this Subpart will not apply to
				  hospital projects that will provide ambulatory surgical service and that will
				  be operated in accordance with the provisions of the Hospital Licensing
				  Act.
b) Recognition
1) Due to revisions in this Section, HFSRB
				shall recognize the existence of the non-hospital based ASTC services for
				licensed facilities that are able to verify the existence of these ASTC
				services prior to January 1, 2014. The following documentation shall be
				submitted to HFSRB to substantiate the claim that the ASTC services existed
				prior to that date:
A) verification that
				identified outpatient surgical procedures were performed at the facility prior
				to January 1, 2014; and
B)
				verification that the facility obtained a license as an ASTC prior to January
				1, 2014;
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart C - CATEGORY OF SERVICE REVIEW CRITERIA › Section 1110.240 - Selected Organ Transplantation

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Introduction
1) This subsection (a) applies
				to projects involving the following category of service: Selected Organ
				Transplantation. Applicants proposing to establish or modernize this category
				of service shall comply with the applicable subsections of this Section, as
				follows:
PROJECT TYPE
REQUIRED REVIEW CRITERIA
Establishment of Services or Facility
(b)(1)
-
Planning Area Need - 77 Ill. Adm. Code 1100 (formula
							 calculation)
(b)(2)
-
Planning Area Need - Service to Planning Area
							 Residents
(b)(3)
-
Planning Area Need - Service Demand - Establishment
							 of Category of Service
(b)(4)
-
Planning Area Need - Service Accessibility
(c)(1)
-
Unnecessary Duplication of Services
(c)(2)
-
Maldistribution
(c)(3)
-
Impact of Project on Other Area Providers
(e)
-
Staffing Availability
(f)
-
Surgical Staff
(g)
-
Collaborative Support
(h)
-
Support Services
(i)
-
Performance Requirements
(j)
-
Assurances
Category of Service Modernization
(d)(1)
-
Deteriorated Facilities
(d)(2) & 3
-
Documentation
(d)(4)
-
Utilization
(i)
-
Performance Requirements
(j)
-
Assurances
2)
				If the proposed project involves the replacement of a facility or service on
				site, the applicant shall comply with the requirements listed in subsection
				(a)(1) (Category of Service Modernization) plus subsection (j)
				(Assurances).
3) If the proposed
				project involves the relocation of an existing facility or service, the
				applicant shall comply with the requirements of subsection (a)(1)
				(Establishment of Services or Facility), as well as requirements in Section
				1110.290 (Discontinuation) and Section
				1110.230(i)
				(Relocation of Facilities).
4) If
				the proposed project involves the replacement of a hospital or service (onsite
				or new site), the number of key rooms being replaced shall not exceed the
				number justified by historical occupancy rates for each of the latest 2
				years.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart C - CATEGORY OF SERVICE REVIEW CRITERIA › Section 1110.245 - Kidney Transplantation

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Introduction
1) This Section applies to
				projects involving the following category of service: Kidney Transplantation.
				Applicants proposing to establish or modernize this category of service shall
				comply with the applicable subsections of this Section, as follows:
PROJECT TYPE
REQUIRED REVIEW CRITERIA
Establishment of Services or Facility
(b)(1)
-
Planning Area Need - 77 Ill. Adm. Code 1100 (formula
							 calculation )
(b)(2)
-
Planning Area Need - Service to Planning Area
							 Residents
(b)(3)
-
Planning Area Need - Service Demand - Establishment
							 of Category of Service
(b)(4)
-
Planning Area Need - Service Accessibility
(c)(1)
-
Unnecessary Duplication of Services
(c)(2)
-
Maldistribution
(c)(3)
-
Impact of Project on Other Area Providers
(e)
-
Staffing Availability
(f)
-
Surgical Staff
(g)
-
Support Services
(h)
-
Performance Requirements
(i)
-
Assurances
Category of Service Modernization
(d)(1)
-
Deteriorated Facilities
(d)(2) & (3)
-
Documentation
(d)(4)
-
Occupancy
(h)
-
Performance Requirements
2)
				If the proposed project involves the replacement of a facility or service
				onsite, the applicant shall comply with the requirements listed in subsection
				(a)(1) (Category of Service Modernization) plus subsection (i)
				(Assurances).
3) If the proposed
				project involves the relocation of an existing facility or service, the
				applicant shall comply with the requirements of subsection (a)(1)
				(Establishment of Services or Facility), as well as requirements in Section
				1110.30 (Discontinuation) and Section
				1110.230(j)
				 (Relocation of Facilities).
4) If the proposed project involves the
				replacement of a facility or service (onsite or new site), the number of beds
				shall be replaced on a 1:1 basis. If the applicant proposes to add beds to the
				replacement service or facility, the applicant shall also comply with the
				requirements listed in subsection (a)(1) for "Expansion of Existing
				Services".
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart C - CATEGORY OF SERVICE REVIEW CRITERIA › Section 1110.250 - Subacute Care Hospital Model

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Introduction
1) This Section contains review
				criteria that pertain to the subacute care hospital model category of service.
				Definitions pertaining to this Subpart are contained in the Act, in 77 Ill.
				Adm. Code 1100 and 1130, and in the Alternative Health Care Delivery Act. The
				subacute care hospital model category of service is a demonstration program
				that is authorized by the Alternative Health Care Delivery Act. These subacute
				care hospital model review criteria are utilized in addition to the applicable
				review criteria of this Subpart C and 77 Ill. Adm. Code 1120. This Subpart also
				contains the methodology the State Board will utilize in evaluating competing
				applications, if any, for the establishment of any subacute care hospital
				models.
2) A facility at any time
				may be caring for subacute patients. A permit must be obtained to establish a
				subacute care hospital model. Existing hospitals and long term care facilities
				providing subacute care are not required to obtain a permit,
provided,
				however, that the facilities shall not hold themselves out to the public as
				subacute care hospitals
(Section 15 of the Alternative Health Care
				Delivery Act). Establishment of a subacute care hospital model category of
				service occurs when a facility holds itself out to the general public as a
				subacute care hospital. In these instances, failure to obtain a permit will
				result in the application of sanctions as provided for in the Illinois Health
				Facilities Planning Act.
3) As the
				purpose of the demonstration project is to evaluate the subacute care hospital
				model for quality factors, access and the impact on health care costs, each
				applicant approved for the category of service will be required to periodically
				submit data necessary for evaluating the model's effectiveness.
4) Applications received for the subacute
				care hospital model shall be deemed complete upon receipt by HFSRB. Due to the
				comparative nature of the subacute care hospital model review, applicants will
				not be allowed to amend the application or provide additional supporting
				documentation during the review process. The application as submitted to HFSRB
				shall serve as the basis for all standard and prioritization
				evaluation.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart C - CATEGORY OF SERVICE REVIEW CRITERIA › Section 1110.255 - Postsurgical Recovery Care Center Alternative Health Care Model

Current through Register Vol. 48, No. 28, July 12, 2024
a) Introduction
1) This Section contains review criteria that
				pertain to the postsurgical recovery care center alternative health care model
				category of service. Definitions pertaining to this Section are contained in
				the Act, 77 Ill. Adm. Code 1100 and 1130, and the Alternative Health Care
				Delivery Act. The postsurgical recovery care center alternative health care
				model category of service is a demonstration program that is authorized by the
				Alternative Health Care Delivery Act. These postsurgical recovery care center
				alternative health care model review criteria are utilized in addition to the
				applicable review criteria of Subpart B and 77 Ill. Adm. Code 1120. This
				Section also contains the methodology HFSRB will utilize in evaluating
				competing applications, if any, for the establishment of any postsurgical
				recovery care center alternative health care models.
2) A postsurgical recovery care center
				alternative health care model must obtain a CON permit to establish the
				category of service prior to receiving a license for the service. Failure to
				obtain a permit will result in the application of sanctions as provided for in
				the Illinois Health Facilities Planning Act.
3) As the purpose of the demonstration
				project is to evaluate the model for quality factors, access and the impact on
				health care cost, each applicant approved for the category of service will be
				required to periodically submit data necessary for evaluating the model's
				effectiveness. All data requests of this type shall be a component of the
				semiannual progress reports required of all permit holders. Data collected
				shall be provided to IDPH and the Illinois State Board of Health for use in
				their evaluation of the model.
4)
				Applications received for the postsurgical recovery care center alternative
				health care model shall be deemed complete upon receipt by HFSRB. All
				postsurgical recovery care center alternative health care models, for the
				purposes of review, shall be considered the establishment of a category of
				service rather than an addition of beds. Due to the comparative nature of the
				postsurgical recovery care center alternative health care model review,
				applicants will not be allowed to amend the application or provide additional
				supporting documentation during the review process prior to the initial HFSRB
				decision. The application, as submitted to HFSRB, shall serve as the basis for
				all standard and prioritization evaluations.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart C - CATEGORY OF SERVICE REVIEW CRITERIA › Section 1110.260 - Community-Based Residential Rehabilitation Center Alternative Health Care Model

Current through Register Vol. 48, No. 28, July 12, 2024
a) Introduction
1) This Section contains review criteria that
				pertain to the community-based residential rehabilitation center category of
				service. Definitions pertaining to this Section are contained in the Act, 77
				Ill. Adm. Code 1100 and 1130, and the Alternative Health Care Delivery Act. The
				community-based residential rehabilitation category of service is a
				demonstration program authorized by the Alternative Health Care Delivery
				Act.
2) As the purpose of the
				demonstration project is to evaluate the community-based residential
				rehabilitation model for quality factors, access, and the impact on health care
				costs, the model approved for the category of service will be required to
				periodically submit data necessary for evaluating the model's effectiveness.
				Data collected shall be provided to IDPH and the Illinois State Board of Health
				for use in their evaluation of the model.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart C - CATEGORY OF SERVICE REVIEW CRITERIA › Section 1110.265 - Long Term Acute Care Hospital Bed Projects

Current through Register Vol. 48, No. 28, July 12, 2024
a) Introduction
1) This Section applies to projects involving
				Long Term Acute Care Hospital (LTACH) services. Applicants proposing to
				establish, expand or modernize an LTACH category of service shall comply with
				the applicable subsections of this Section, as follows:
PROJECT TYPE
REQUIRED REVIEW CRITERIA
Establishment of Services or Facility
(b)(1)
-
Planning Area Need - 77 Ill. Adm. Code 1100 (formula
							 calculation )
(b)(2)
-
Planning Area Need - Service to Planning Area
							 Residents
(b)(3)
-
Planning Area Need - Service Demand - Establishment
							 of Category of Service
(b)(5)
-
Planning Area Need - Service Accessibility
(c)(1)
-
Unnecessary Duplication of Services
(c)(2)
-
Maldistribution
(c)(3)
-
Impact of Project on Other Area Providers
(e)
-
Staffing Availability
(f)
-
Performance Requirements
(g)
-
Assurances
Expansion of Existing Services
(b)(2)
-
Planning Area Need - Service to Planning Area
							 Residents
(b)(4)
-
Planning Area Need - Service Demand - Expansion of
							 Category of Service
(e)
-
Staffing Availability
(f)
-
Performance Requirements
(g)
-
Assurances
Category of Service Modernization
(d)(1)
-
Deteriorated Facilities
(d)(2) & (3)
-
Documentation
(d)(4)
-
Occupancy
(f)
-
Performance Requirements
2)
				If the proposed project involves the replacement of a hospital or service
				on-site, the applicant shall comply with the requirements listed in subsection
				(a)(1) (Category of Service Modernization) plus subsection (g)
				(Assurances).
3) If the proposed
				project involves the replacement of a hospital or service on a new site, the
				applicant shall comply with the requirements of subsection (a)(1)
				(Establishment of ASTC Facility or Additional ASTC Service).
4) If the proposed project involves the
				replacement of a hospital or service (onsite or new site), the number of beds
				being replaced shall not exceed the number justified by historical occupancy
				rates for each of the latest 2 years, unless additional beds can be justified
				per the criteria for Expansion of Existing Services.
5) If the proposed project involves the
				conversion of existing acute care beds to LTACH services, the applicant shall
				comply with the requirements of subsection (a)(1) (Establishment of ASTC
				Facility or Additional ASTC Service), as well as requirements in subsection
				(b)(6) (Conversion of Existing General Acute Care Beds).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart C - CATEGORY OF SERVICE REVIEW CRITERIA › Section 1110.270 - Clinical Service Areas Other Than Categories of Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) Introduction
1) These criteria are applicable only to
				those projects or components of projects (including major medical equipment),
				concerning Clinical Service Areas (CSAs) that are not Categories of Service,
				but for which utilization standards are listed in Appendix B, including:
A) Surgery
B) Emergency Services and/or Trauma
C) Ambulatory Care Services (organized as a
				service)
D) Diagnostic and
				Interventional Radiology/Imaging (by modality)
E) Therapeutic Radiology
F) Laboratory
G) Pharmacy
H) Occupational Therapy/Physical
				Therapy
I) Major Medical
				Equipment
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart C - CATEGORY OF SERVICE REVIEW CRITERIA › Section 1110.285 - Birth Center Services

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Introduction
1)
A birth center shall
				obtain a certificate of need from the Health Facilities and Services Review
				Board under the Health Facilities Planning Act before receiving a license by
				the Department.
[210 ILCS
				170/17(a) ]
2)
All birth centers in existence as
				of
September 1, 2023,
shall obtain a valid license to operate
				by
September 1, 2025. ([210 ILCS 170/10 ] and 77 Ill.
				Adm. Code 264.1250(a)).
3)
If, after obtaining an initial
				certificate of need
under subsection (a)(1),
a birth center
				seeks to increase the bed capacity of the birth center, the birth center must
				obtain a certificate of need from the Health Facilities and Services Review
				Board before increasing bed capacity.
[210 ILCS
				170/17(b) ]
4)
A birth center that is located in
				a medically underserved area, as determined by the U.S. Department of Health
				and Human Services, shall receive priority in obtaining a certificate of
				need.
[210 ILCS
				170/17(c) ]
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart C - CATEGORY OF SERVICE REVIEW CRITERIA › Section 1110.290 - Discontinuation - Review Criteria

Current through Register Vol. 48, No. 28, July 12, 2024
These criteria pertain to the discontinuation of categories
				  of service and health care facilities.
a) Information Requirements - Review
				Criterion
The applicant shall provide at least the following
				  information:
1) Identification of the
				categories of service and the number of beds, if any, that are to be
				discontinued;
2) Identification of
				all other clinical services that are to be discontinued;
3) The anticipated date of discontinuation
				for each identified service or for the entire facility;
4) The anticipated use of the physical plant
				and equipment after discontinuation occurs;
5) The anticipated disposition and location
				of all medical records pertaining to the services being discontinued and the
				length of time the records will be retained;
6) For applications involving discontinuation
				of an entire facility, certification by an authorized representative that all
				questionnaires and data required by HFSRB or the Illinois Department of Public
				Health (IDPH) (e.g., annual questionnaires, capital expenditures surveys, etc.)
				will be provided through the date of discontinuation and that the required
				information will be submitted no later than 60 days following the date of
				discontinuation.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1110 - PROCESSING, CLASSIFICATION POLICIES AND REVIEW CRITERIA › Subpart C - CATEGORY OF SERVICE REVIEW CRITERIA › Appendix A - ASTC Services

Current through Register Vol. 48, No. 28, July 12, 2024
The following is a list of ASTC services for Non-Hospital
				  Based Ambulatory Surgical Treatment Centers (ASTC):
1. Cardiovascular
2. Colon and Rectal Surgery
3. Dermatology
4. General Dentistry
5. General Surgery
6. Gastroenterology
7. Neurological Surgery
8. Nuclear Medicine
9. Obstetrics/Gynecology
10. Ophthalmology
11. Oral/Maxillofacial Surgery
12. Orthopaedic Surgery
13. Otolaryngology
14. Pain Management
15. Physical Medicine and Rehabilitation
16. Plastic Surgery
17. Podiatric Surgery
18. Radiology
19. Thoracic Surgery
20. Urology
Other ASTC services will be considered on a
				  case-by-case basis.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1120 - HEALTH FACILITIES AND SERVICES FINANCIAL AND ECONOMIC FEASIBILITY REVIEW › Subpart A - STATUTORY AUTHORITY, DEFINITIONS, INTRODUCTION AND APPLICABILITY › Section 1120.10 - Statutory Authority and Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
a) Statutory Authority
This Part is filed pursuant to Section 12 of the Illinois
				  Health Facilities Planning Act (Act) [20
				  ILCS 3960/12 ]. A public hearing on this Part was held
				  in accordance with the provisions of Section 12 of the Act. A record of the
				  public hearing on this Part is available for inspection at the HFSRB offices at
				  525 West Jefferson Street, Springfield IL 62761.
b) Definitions
1) "Agency" means the Illinois Department of
				Public Health (DPH).
2) "Audit"
				means the most recent formal examination, correction and official endorsement
				of financial reports by an independent certified public accountant that is in
				accordance with generally accepted auditing standards.
3) "Capital Expenditure" means an expenditure
				as defined in Section 3 of the Act [20 ILCS
				3960/3 ] and includes expenditures made by, through,
				or on behalf of a health care facility as specified at 77 Ill. Adm. Code
				1130.
4) "Debt Financing" means all
				or any portion of project costs financed through borrowing. Leasing, for
				purposes of this Part, is considered borrowing. Portions of lease payments that
				are for service, insurance, or other noncapital costs are not considered
				borrowing.
5) "Economically
				Feasible" means the costs of financing, constructing, acquiring, and operating
				a proposed project are reasonable and the expected impact of the project's
				operating and capital costs on the overall costs of health care are
				reasonable.
6) "Estimated Total
				Project Cost" means the dollar amount of all expenditures or other transactions
				estimated to complete a project. This amount includes all items that are to be
				capitalized and also includes the fair market value of any items that may be
				acquired through lease, donation, gift or other means.
7) "Fair Market Value" means the dollar value
				of a project or any component of a project that is accomplished by lease,
				donation, gifts or any other means that would have been required for purchase,
				construction, or acquisition.
8)
				"Financially Feasible" means that funds are available or will be obtained, and
				that are equal to or in excess of the estimated total project and related
				costs, without jeopardizing the applicant's financial viability.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1120 - HEALTH FACILITIES AND SERVICES FINANCIAL AND ECONOMIC FEASIBILITY REVIEW › Subpart A - STATUTORY AUTHORITY, DEFINITIONS, INTRODUCTION AND APPLICABILITY › Section 1120.20 - Financial and Economic Feasibility - Introduction and Applicability

Current through Register Vol. 48, No. 28, July 12, 2024
a) Introduction
1) This Section contains the review criteria
				that pertain to the financial and economic feasibility of a project. HSFRB
				shall consider a project's conformance with these criteria (as applicable), as
				well as a project's conformance with all other applicable review
				criteria.
2) Applications shall be
				subject to this Part except for those that are classified as emergency, those
				requesting a certificate of exemption, those for long-term care facilities and
				categories of service, and those that have no estimated project cost.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1120 - HEALTH FACILITIES AND SERVICES FINANCIAL AND ECONOMIC FEASIBILITY REVIEW › Subpart B - INFORMATION REQUIREMENTS AND REVIEW CRITERIA › Section 1120.120 - Availability of Funds - Review Criteria

Current through Register Vol. 48, No. 28, July 12, 2024
Applicants shall document that financial resources will be
				  available and be equal to or exceed the estimated total project cost plus any
				  related project costs by providing evidence of sufficient financial resources
				  from the following applicable sources:
a) Cash and Securities - statements (e.g.,
				audited financial statements, letters from financial institutions, board
				resolutions) as to:
1) the amount of cash and
				securities available for the project, including the identification of any
				security, its value and availability of those funds; and
2) interest to be earned on depreciation
				account funds or to be earned on any asset from the date of applicant's
				submission through project completion;
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1120 - HEALTH FACILITIES AND SERVICES FINANCIAL AND ECONOMIC FEASIBILITY REVIEW › Subpart B - INFORMATION REQUIREMENTS AND REVIEW CRITERIA › Section 1120.130 - Financial Viability - Review Criteria

Current through Register Vol. 48, No. 28, July 12, 2024
a) Financial Viability Waiver
The applicant is NOT required to submit financial viability
				  ratios if:
1) all project capital
				expenditures, including capital expended through a lease, are completely funded
				through internal resources (cash, securities or received pledges); or
HFSRB NOTE: Documentation of internal resources availability
				  shall be available as of the date the application is deemed
				  complete.
2) the applicant's
				current debt financing or projected debt financing is insured or anticipated to
				be insured by Municipal Bond Insurance Association Inc. (MBIA) or its
				equivalent; or
HFSRB NOTE: MBIA Inc is a holding company whose subsidiaries
				  provide financial guarantee insurance for municipal bonds and structured
				  financial projects. MBIA coverage is used to promote credit enhancement as MBIA
				  would pay the debt (both principal and interest) in case of the bond issuer's
				  default.
3) the applicant
				provides a third-party surety bond or performance bond letter of credit from an
				A rated guarantor (insurance company, bank or investing firm) guaranteeing
				project completion within the approved financial and project
				criteria.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1120 - HEALTH FACILITIES AND SERVICES FINANCIAL AND ECONOMIC FEASIBILITY REVIEW › Subpart B - INFORMATION REQUIREMENTS AND REVIEW CRITERIA › Section 1120.140 - Economic Feasibility - Review Criteria

Current through Register Vol. 48, No. 28, July 12, 2024
a) The applicant shall document the
				reasonableness of financing arrangements by submitting a notarized statement
				signed by an authorized representative that attests to one of the following:
1) That the total estimated project costs and
				related costs will be funded in total with cash and equivalents, including
				investment securities, unrestricted funds, received pledge receipts and funded
				depreciation; or
2) That the total
				estimated project costs and related costs will be funded in total or in part by
				borrowing because:
A) A portion or all of the
				cash and equivalents must be retained in the balance sheet asset accounts in
				order to maintain a current ratio of at least 2.0 times for hospitals and
				1.5 times for all other
				facilities; or
B) Borrowing is less
				costly than the liquidation of existing investments, and the existing
				investments being retained may be converted to cash or used to retire debt
				within a 60-day period.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1125 - LONG-TERM CARE › Subpart A - AUTHORITY › Section 1125.110 - Statutory Authority

Current through Register Vol. 48, No. 28, July 12, 2024
a) This
				Part is promulgated by authority granted to the Illinois Health Facilities and
				Services Review Board under the Illinois Health Facilities Planning Act [ 20
				ILCS 3960 ].
b) After the effective
				date of this Part, all applications in the review process and all projects for
				which permits or exemptions have been issued, but have not yet been completed,
				shall be subject to this Part.
c)
				The HFSRB rules in effect on the date of alleged violation of the Act or rules
				shall be applicable concerning all considerations and issues of compliance with
				HFSRB requirements.
d) Advisory
				Subcommittee
1) The Long-term Care Facility
				Advisory Subcommittee is created by the Act to:
A)
Develop and recommend to the Board
				a separate set of rules and guidelines for long-term care that recognizes that
				nursing homes are a different business line and service model from other
				regulated facilities;
and
B)
Provide continuous review and
				commentary on policies and procedures relative to long-term care and the review
				of related projects.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1125 - LONG-TERM CARE › Subpart A - AUTHORITY › Section 1125.120 - Introduction

Current through Register Vol. 48, No. 28, July 12, 2024
This Part has been developed, per the Act, for projects
				  involving the establishment, expansion or modernization of general long-term
				  care facilities and specialized long-term care facilities and establishes the
				  procedures and requirements for processing and review of applications for
				  permits, applications for exemption and other matters that are subject to the
				  Act and to determinations by HFSRB. This Part pertains to, but is not limited
				  to, persons and transactions subject to the Act; the requirements for
				  submission of applications for permits or exemptions; the HFSRB review process;
				  public hearing procedures for applications and proposed rules; requirements for
				  maintaining valid permits; declaratory rulings; and administrative
				  hearings.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1125 - LONG-TERM CARE › Subpart A - AUTHORITY › Section 1125.130 - Purpose

Current through Register Vol. 48, No. 28, July 12, 2024
a) The purpose of
				the Act is to establish a procedure designed to reverse the trends of
				increasing costs of health care, including long-term care, resulting from
				unnecessary construction of health care facilities. This program is established
				to:
1) improve the financial ability of the
				public to obtain necessary health services, establish an orderly and
				comprehensive health care delivery system which will guarantee the availability
				of quality health careto the general public;
2) maintain and improve the provision of
				essential health care services and increase the accessibility of those services
				to the medically underserved and indigent;
3) assure that the reduction and closure of
				health care services or facilities is performed in an orderly and timely
				manner, and that these actions are deemed to be in the best interests of the
				public; and
4) assess the financial
				burden to patients/residents caused by unnecessary health care construction and
				modification. [20
				ILCS 3960/2 ]
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1125 - LONG-TERM CARE › Subpart A - AUTHORITY › Section 1125.150 - HFSRB Procedural Rules

Current through Register Vol. 48, No. 28, July 12, 2024
The Certificate of Need review process and all applicable
				  procedures and requirements are contained in 77 Ill. Adm. Code
				  1130.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1125 - LONG-TERM CARE › Subpart B - PLANNING POLICIES › Section 1125.220 - Specialized Long-Term Care Categories of Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) Categories of Service:
1) Chronic Mental Illness (MI);
2) Long-Term Care for the Developmentally
				Disabled (Adult) (DD-Adult); and
3)
				Long-Term Care for the Developmentally Disabled (Children)
				(DD-Children).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1125 - LONG-TERM CARE › Subpart C - GENERAL INFORMATION REQUIREMENTS › Section 1125.310 - Introduction

Current through Register Vol. 48, No. 28, July 12, 2024
The information requirements contained in this Subpart are
				  applicable to all projects. An applicant shall document the qualifications,
				  background, character and financial resources to adequately provide a proper
				  service for the community and also demonstrate that the project promotes the
				  orderly and economic development of LTC facilities in the State of Illinois
				  that avoids unnecessary duplication of facilities or service. [20
				  ILCS 3960/2 ]
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1125 - LONG-TERM CARE › Subpart C - GENERAL INFORMATION REQUIREMENTS › Section 1125.320 - Purpose of the Project - Information Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
The applicant shall document that the project will provide
				  health services that improve the long-term nursing care or well-being of the
				  market area population to be served. The applicant shall define the planning
				  area or market area, or other, per the applicant's definition.
a) The applicant shall address the purpose of
				the project, i.e., identify the issues or problems that the project is
				proposing to address or solve. Information to be provided shall include, but is
				not limited to, identification of existing problems or issues that need to be
				addressed, as applicable and appropriate for the project. Examples of this
				information include:
1) The area's
				demographics or characteristics (e.g., rapid area growth rate, increased aging
				population) that may affect the need for services in the future;
2) The population's morbidity or mortality
				rates;
3) The incidence of various
				diseases in the area;
A) The population's
				financial ability to access LTC (e.g., financial hardship, increased number of
				charity care patients/residents, changes in the area population's insurance or
				managed care status);
B) The
				physical accessibility to necessary LTC (e.g., new highways, other changes in
				roadways, changes in bus/train routes or changes in housing
				developments).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1125 - LONG-TERM CARE › Subpart C - GENERAL INFORMATION REQUIREMENTS › Section 1125.330 - Alternatives to the Proposed Project - Information Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
The applicant shall document that the proposed project is the
				  most effective or least costly alternative for meeting the LTC needs of the
				  population to be served by the project.
a) Alternative options shall be addressed.
				Examples of alternative options include:
1)
				Proposing a project of greater or lesser scope and cost;
2) Pursuing a joint venture or similar
				arrangement with one or more providers;
3) Developing alternative settings to meet
				all or a portion of the project's intended purposes; and
4) Utilizing other LTC resources that are
				available to serve all or a portion of the population proposed to be served by
				the project.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1125 - LONG-TERM CARE › Subpart D - GENERAL LONG-TERM CARE - REVIEW CRITERIA › Section 1125.510 - Introduction

Current through Register Vol. 48, No. 28, July 12, 2024
a) This Subpart
				applies to projects involving General Long-Term Care. Applicants proposing to
				establish, expand or modernize the General Long-Term Care category of service
				shall comply with the applicable subsections of this Section, as follows:
PROJECT TYPE
REQUIRED REVIEW CRITERIA
Section
Subject
Establishment of Services or
							 Facility
.520
Background of the Applicant
.530(a)
Bed Need Determination
.530(b)
Service to Planning Area Residents
.540(a) or (b) + (c) + (d) or (e)
Service Demand - Establishment of General Long Term
							 Care
.570(a) & (b)
Service Accessibility
.580(a) & (b)
Unnecessary Duplication & Maldistribution
.580(c)
Impact of Project on Other Area Providers
.590
Staffing Availability
.600
Bed Capacity
.610
Community Related Functions
.620
Project Size
.630
Zoning
.640
Assurances
Expansion of Existing Services
.520
Background of the Applicant
.530(b)
Service to Planning Area Residents
.550(a) + (b) or (c)
Service Demand - Expansion of General Long-Term
							 Care
.590
Staffing Availability
.600
Bed Capacity
.620
Project Size
.640
Assurances
Continuum of Care - Establishment or
							 Expansion
.520
Background of the Applicant
.560(a)(1) through (3)
Continuum of Care Components
.590
Staffing Availability
.600
Bed Capacity
.610
Community Related Functions
.630
Zoning
.640
Assurances
Defined Population - Establishment or
							 Expansion
.520
Background of the Applicant
.560(b)(1) & (2)
Defined Population to be Served
.590
Staffing Availability
.600
Bed Capacity
.610
Community Related Functions
.630
Zoning
.640
Assurances
Modernization
.650(a)
Deteriorated Facilities
.650(b) & (c)
Documentation
.650(d)
Utilization
.600
Bed Capacity
.610
Community Related Functions
.620
Project Size
.630
Zoning
b)
				If the proposed project involves the replacement of a facility or service
				onsite, the applicant shall comply with the requirements listed in Section
				1125.650(Modernization)
				plus Section
				1125.640.
c) If the proposed project involves the
				replacement of a facility or service on a new site, the applicant shall comply
				with the requirements listed in the chart in subsection (a) under Establishment
				of Services or Facility.
d) If the
				proposed project involves the replacement of a facility or service (onsite or
				new site), the number of beds being replaced shall not exceed the number
				justified by historical occupancy rates for each of the latest two years,
				unless additional beds can be justified per the criteria for Expansion of
				Existing Services in the chart in subsection (a).
e) All applicants shall address the
				requirements listed in Section
				1125.520
				(Background of the Applicant).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1125 - LONG-TERM CARE › Subpart D - GENERAL LONG-TERM CARE - REVIEW CRITERIA › Section 1125.520 - Background of the Applicant - Review Criterion

Current through Register Vol. 48, No. 28, July 12, 2024
All applicants shall comply with the requirements of this
				  Section, as follows:
a) An applicant
				must demonstrate that it is fit, willing and able, and
has the
				qualifications, background and character, to adequately provide a proper
				standard of
LTC
service for the community
. [
				20
				ILCS 3960/6 ] In evaluating the qualifications,
				background and character of the applicant, HFSRB shall consider whether adverse
				actions have been taken against the applicant, or against any LTC facility
				owned or operated by the applicant, directly or indirectly, within three years
				preceding the filing of the application. An LTC facility is considered "owned
				or operated" by every person or entity that owns, directly or indirectly, an
				ownership interest. If any person or entity owns any option to acquire stock,
				the stock shall be considered to be owned by that person or entity. (See
				Section
				1125.140
				for the definition of "adverse action".)
b) Examples of Facilities Owned or Operated
				by an Applicant
1) The applicant, Partnership
				ABC, owns 60% of the shares of Corporation XYZ that manages the Good Care
				Nursing Home under a management agreement. The applicant, Partnership ABC, owns
				or operates Good Care Nursing Home.
2) The applicant, Healthy LTC, a corporation,
				is a subsidiary of Universal Health, the parent corporation of Healthcenter
				Services, its wholly-owned subsidiary. The applicant, Healthy LTC, owns and
				operates Healthcenter Services.
3)
				Dr. Wellcare is the applicant. His wife is the director of a corporation that
				owns an LTC. The applicant, Dr. Wellcare, owns or operates the LTC.
4) Drs. Faith, Hope and Charity own 40%, 35%
				and 10%, respectively, of the shares of Healthfair, Inc., a corporation, which
				is the applicant. Dr. Charity owns 45% and Drs. Well and Care each own 25% of
				the shares of XYZ Nursing Home, Inc. The applicant, Healthfair, Inc., owns and
				operates XYZ Nursing Home, Inc.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 1125 - LONG-TERM CARE › Subpart D - GENERAL LONG-TERM CARE - REVIEW CRITERIA › Section 1125.530 - Planning Area Need - Review Criterion

Current through Register Vol. 48, No. 28, July 12, 2024
The applicant shall document that the number of beds to be
				  established or added is necessary to serve the planning area's population,
				  based on the following:
a) Bed Need
				Determination
1) The number of beds to be
				established for general LTC is in conformance with the projected bed need
				specified and reflected in the latest updates to the HFSRB Inventory.
2) The number of beds proposed shall meet or
				exceed the occupancy standard specified in Section
				1125.210(c).