Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59C - Certificate of Need › Chapter 59C-1 - PROCEDURES FOR THE ADMINISTRATION OF SECTIONS 408.031-408.045, FLORIDA STATUTES, HEALTH FACILITY AND SERVICES DEVELOPMENT ACT › Section 59C-1.039 - Comprehensive Medical Rehabilitation Inpatient Services

Current through Reg. 50, No. 138; July 16, 2024
(1) Agency Intent. It is the intent of the
				Agency to ensure the availability of Comprehensive Medical Rehabilitation
				Inpatient Services for persons in need of these services, including Medicaid
				and charity care patients. This rule regulates the establishment of new
				Comprehensive Medical Rehabilitation Inpatient Services, the construction or
				addition of new Comprehensive Medical Rehabilitation Inpatient Beds, and the
				conversion of licensed hospital acute care beds to Comprehensive Medical
				Rehabilitation Inpatient Beds.
(2)
				Definitions.
(a) "Agency." The Agency for
				Health Care Administration.
(b)
				"Approved Comprehensive Medical Rehabilitation Inpatient Bed." A proposed
				Comprehensive Medical Rehabilitation Inpatient Bed for which a Certificate of
				Need, a letter of intent to grant a Certificate of Need, a signed stipulated
				agreement, or a final order granting a Certificate of Need was issued,
				consistent with the provisions of paragraph
				59C-1.008(2)(b),
				F.A.C., as of the most recent published deadline for Agency initial decisions
				prior to publication of the Fixed Need Pool, as specified in paragraph
				59C-1.008(1)(g),
				F.A.C.
(c) "Charity Care." As
				defined in Section 409.911(1),
				F.S.
(d) "Comprehensive Medical
				Rehabilitation Inpatient Services." An organized program of integrated
				intensive care services provided by a coordinated multidisciplinary team to
				patients with severe physical disabilities, such as stroke; spinal cord injury;
				congenital deformity; amputation; major multiple trauma; fracture of femur (hip
				fracture); brain injury; polyarthritis, including rheumatoid arthritis;
				neurological disorders, including multiple sclerosis, motor neuron diseases,
				polyneuropathy, muscular dystrophy, and Parkinson's disease; and
				burns.
(e) "District." A district
				of the Agency defined in Section
				408.032(5),
				F.S.
(f) "Fixed Bed Need Pool." The
				numerical Comprehensive Medical Rehabilitation Inpatient Bed need for the
				applicable planning horizon, as established by the Agency in accordance with
				this rule and subsection
				59C-1.008(2),
				F.A.C.
(g) "General Hospital." Any
				facility which meets the provisions of Section
				395.002(12),
				F.S.
(h) "Local Health Council."
				The council referenced in Section
				408.033, F.S.
(i) "Planning Horizon." The projected date by
				which a proposed comprehensive medical rehabilitation inpatient service would
				be initiated. For purposes of this rule, the planning horizon for applications
				submitted between January 1 and June 30 is July of the year 5 years subsequent
				to the year the application is submitted; the planning horizon for applications
				submitted between July 1 and December 31 is January of the year 5 years
				subsequent to the year which follows the year the application is submitted. For
				example, an application submitted in March 2016 would have a planning horizon
				of July 2021; an application submitted in September 2016 would have a planning
				horizon of January 2022.
(j)
				"Separately Organized Unit." A specific section, ward, wing, or floor with a
				separate nursing station designated exclusively for the care of comprehensive
				medical rehabilitation patients.
(k) "Specialty Bed." A category of hospital
				inpatient beds for which the Agency has promulgated a separate rule specifying
				need determination criteria, including hospital inpatient general psychiatric
				beds, hospital inpatient substance abuse beds, Level II and Level III Neonatal
				Intensive Care Unit Beds; and the Comprehensive Medical Rehabilitation
				Inpatient Beds regulated under this rule.
(l) "Specialty Hospital." As defined in
				Section 395.002(28),
				F.S., a specialty hospital is any facility which meets the provisions of
				Section 395.002(12)
				F.S., and which regularly makes available either:
1. The range of medical services offered by
				general hospitals, but restricted to a defined age or gender group of the
				population, or
2. A restricted
				range of services appropriate to the diagnosis, care and treatment of patients
				with specific categories of medical or psychiatric illnesses or disorders,
				or
3. Intensive residential
				treatment programs for children and adolescents as defined in Section
				395.002(15),
				F.S.