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-1.041 - New Hospital Inpatient Substance Abuse 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 hospital inpatient substance abuse
				services for children, adolescents and adults in need of these services
				regardless of their ability to pay. This rule regulates the establishment of
				new inpatient substance abuse hospitals, and specifies which services can be
				provided by licensed or approved providers of hospital inpatient substance
				abuse services.
(2) Definitions.
(a) "Adolescent." A person age 14 through
				17.
(b) "Adult." A person age 18
				and over.
(c) "Agency." The Agency
				for Health Care Administration.
(d)
				"Approved Hospital Inpatient Substance Abuse Bed." A proposed hospital
				inpatient substance abuse bed for which an exemption, notification, 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.
(e) "Charity Care." Is
				defined the same as in Section
				409.911(1),
				F.S.
(f) "Child." A person under
				the age of 14 years.
(g)
				"District." A District of the Agency defined in Section
				408.032(5),
				F.S.
(h) "Fixed Bed Need Pool." The
				numerical hospital inpatient substance abuse bed need for adults for the
				applicable planning horizon, as established by the Agency in accordance with
				this rule and subsection
				59C-1.008(2),
				F.A.C.
(i) "General Hospital."
				Means any facility which meets the provisions of Section
				395.002(12),
				F.S.
(j) "Hospital Inpatient
				Substance Abuse Bed." A bed designated for the exclusive use of patients
				receiving hospital inpatient substance abuse services as defined by this
				rule.
(k) "Hospital Inpatient
				Substance Abuse Services." Services provided under the direction of a
				professional trained and experienced in substance abuse services, including a
				psychiatrist, a physician certified by the American Society of Addiction
				Medicine, a physician subspecialty certified in Addiction Medicine by the
				American Osteopathic Association, a Certified Addictions Professional, a
				clinical psychologist, a clinical social worker (as defined in Section
				491.003(2),
				F.S.) or a certified master social worker (as defined in Section
				491.0145, F.S.) to persons whose
				sole diagnosis, or in the event of more than one diagnosis, the principal
				diagnosis is a substance abuse disorder defined in paragraph (2)(s) of this
				rule.
(l) "Planning Horizon." The
				projected date by which a proposed hospital inpatient substance abuse 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.
(m) "Psychiatric
				Disorder." For purposes of this rule, a psychiatric disorder is a mental
				illness as defined in Section
				394.455(18),
				F.S., which requires inpatient hospitalization.
(n) "Separately Organized Unit." A specific
				section, ward, wing, or floor with a separate nursing station designated
				exclusively for the care of hospital inpatient substance abuse services
				patients.
(o) "Specialty Hospital."
				A specialty hospital is as defined by subsection
				395.002(28),
				F.S.
(p) "Substance Abuse." The
				misuse or abuse of, or a dependence on alchohol, illicit drugs or prescription
				medications which requires inpatient hospitalization. A disorder coded in any
				sub-classification of categories 291, 292, 303, 304 or 305 in Axis I or Axis II
				consistent with the diagnostic categories defined in the Diagnostic and
				Statistical Manual of Mental Disorders (DSM-III-R), incorporated herein by
				reference; or equivalent codes in the following sub-classifications in the
				International Classification of Disease (ICD 9), incorporated herein by
				reference: category 291, 292, 303, 304 or 305.