Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64I - Division of Health Access and Tobacco › Chapter 64I-5 - RURAL HEALTH NETWORKS › Section 64I-5.002 - Certification/Decertification of Rural Health Networks

Current through Reg. 50, No. 138; July 16, 2024
(1)
				Network Certification Procedures. All applications by Phase I planning and
				development grant recipients for certification as eligible for Phase II
				operation grants shall be processed and reviewed as follows:
(a) An application for certification and two
				copies shall be submitted using an Application for Rural Health Network
				Certification and shall be sent to a requestor within one week of the
				Department having received a written request.
(b) An application will be accepted by the
				Department at any time during normal business hours (8:00 a.m. - 5:00 p.m.,
				Eastern Time) and days (Monday - Friday) of the week, except for official state
				holidays.
(c) There is no fee for
				the submission of an application for certification.
(d) An application for certification must
				contain the following information:
1.
				Corporate information, including corporate name, address, telephone number,
				contact person, date of incorporation, and a current certificate of status per
				Section  607.0128, F.S.,
2. The name of the person filing the
				application,
3. Articles of
				incorporation, corporate bylaws, and applicable certificate from the Secretary
				of State,
4. A list of the board of
				directors, including name, address, telephone number, and affiliation category
				(i.e., health care provider, health care consumer, representative of
				government, representative of an employer, or representative of another
				organization),
5. Name of all
				board officers and their respective positions,
6. An organizational chart of the
				applicant,
7. A copy of a network
				provider membership application which contains a statement indicating the
				provider agrees to comply with the provisions of Section
				 381.0406(4),
				F.S.,
8. A detailed narrative
				description of the network service area, a map of the network service area,
				and, if the network service area contains only census tracts of a county, the
				applicant must submit a copy of the most current U.S. Census Report that
				defines the census tract as rural,
9. A list of the network provider members
				that represent the minimum membership requirements set forth in Section
				 381.0406(3),
				F.S., including the name, address, telephone number, license/certification
				number, provider type (use professional or facility licensure designation), and
				provider category (public health, primary care, emergency medical, acute
				inpatient care, or other category),
10. A list of county public health units
				participating in the network and a description of the network's direct patient
				care services provided by the county public health units,
11. A detailed health care service delivery
				plan adopted by the network board of directors for the delivery of the core
				health care services described in Section
				 381.0406(12)(a),
				F.S.; and,
12. A budget for the
				next fiscal year utilizing the format in Application for Rural Health Network
				Certification, the applicant must also provide a budget narrative, identifying
				the source of funds and projected expenditures by type of
				expenditure.
(e) The
				application for certification must be signed by a board member, attesting to
				the correctness of the application and the approval of the application by the
				board of directors.
(f) The
				following information and documents shall be available for review by the
				Department certification team during regular business hours at the offices of
				the applicant when the Department conducts an examination of the applicant for
				certification:
1. A list of the network
				provider members as defined in Sections
				 381.0406(2)(b) and
				(13), F.S., including the name, address,
				telephone number, license/certification number, provider type (use professional
				or facility licensure designation), provider category (public health, primary
				care, emergency medical, acute inpatient care, or other category), a list of
				core network services provided in accordance with Section
				 381.0406(12)(a),
				F.S., and a list of other network services provided by network providers in
				accordance with Section
				 381.0406  (12)(a)1.-4., F.S.,
2. All current provider agreements
				which include provider service responsibilities, agreements to accept all
				patients referred to the provider by other network members, the extent to which
				the providers will provide care to persons who lack health insurance or are
				otherwise unable to pay for care, the procedures for the transfer and
				maintenance of patient records, the transportation method to be used to
				transport patients between providers, referral procedures, network procedures
				for the transfer of patients to urban providers, and scheduling procedures,
3. All current contracts or
				referral agreements the network has approved for tertiary care, specialty care,
				and other services,
4. A
				description of disease prevention and health promotion programs offered by the
				network to rural residents,
5. A
				copy of the protocol to coordinate and share patient records,
6. A copy of the procedures for maintaining,
				and where applicable, increasing the number of points of entry through which
				rural residents may enter the health care network within the rural health
				network service area,
7. A copy of
				the network's quality assurance plan and a copy of the procedure manual for the
				network's quality assurance system as referenced in subsection
				 64I-5.001(7),
				F.A.C. The quality assurance manual must contain the network's quality
				assurance processes and procedures, names of staff, and procedures used to
				monitor and evaluate the individual providers' quality assurance processes and
				procedures. These procedures must show that the network or the providers in the
				network are monitoring and evaluating patient's access to care,
8. A copy of the network's risk management
				program, as referenced in subsection
				 64I-5.001(8),
				F.A.C., which shall include measures to minimize the risk of injury and adverse
				incidents to patients including risk management and risk prevention education
				and training, and the procedures for monitoring the individual providers' risk
				management systems for minimizing risk,
9. A description of the network's information
				system, which will be utilized to measure the network's success in
				accomplishing the following within the network service area:
a. Improving access to care,
b. Increasing the number of skilled health
				professionals,
c. Developing more
				efficient and effective uses of private and public resources,
d. Providing a continuum of quality health
				services; and,
e. Increasing the
				utilization of the statutory rural hospitals for appropriate health care
				services.
10. A copy of
				marketing materials to be used by the network to recruit health care providers
				and inform the general public of the services to be offered by the network,
11. Documentation that identifies
				the activities the network has undertaken or will undertake to recruit and
				retain health care providers.