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-1.040 - New Hospital Inpatient Psychiatric 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 psychiatric services as
				defined in this rule for children, adolescents and adults in need of these
				services regardless of their ability to pay. This rule regulates the
				establishment of new inpatient psychiatric hospitals and new inpatient
				intensive residential treatment facilities for children and adolescents, and
				specifies which services can be provided by licensed or approved providers of
				hospital inpatient psychiatric 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 Psychiatric Bed." A proposed hospital inpatient
				psychiatric bed for which an exemption pursuant to paragraph
				59C-1.005(6)(i),
				F.A.C., or notification pursuant to paragraph
				59C-1.0085(2)(b),
				F.A.C., 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 psychiatric bed need for adults, or for children
				and adolescents, 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) "Gross Bed Need." The
				number of hospital inpatient psychiatric beds projected for a District for the
				applicable planning horizon under paragraph (4)(c) or (4)(f) of this rule,
				except that the number of licensed beds and approved beds is not subtracted
				from the projected total.
(j)
				"Hospital Inpatient Psychiatric Bed." A bed designated for the exclusive use of
				patients receiving hospital inpatient psychiatric services as defined by this
				rule.
(k) "Hospital Inpatient
				Psychiatric Services." Services provided under the direction of a psychiatrist
				or clinical psychologist to persons whose sole diagnosis, or in the event of
				more than one diagnosis, the principal diagnosis is a psychiatric disorder
				defined in subsection (2) of this rule.
(l) "Intensive Residential Treatment Program
				for Children and Adolescents." An inpatient program which provides intensive
				residential treatment services for children and adolescents, as described in
				Section 395.002(15),
				F.S. The net need for intensive residential treatment program beds for children
				and adolescents in facilities seeking to have the beds licensed as specialty
				hospital beds is included in the net need for hospital inpatient psychiatric
				beds for children and adolescents calculated under paragraph (4)(f) of this
				rule.
(m) "Planning Horizon." The
				projected date by which a proposed hospital inpatient psychiatric 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.
(n) "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.
(o) "Separately Organized Unit." A specific
				section, ward, wing, or floor with a separate nursing station designated
				exclusively for the care of hospital inpatient psychiatric services
				patients.
(p) "Specialty Beds."
				Specialty beds include hospital inpatient substance abuse beds, hospital
				inpatient psychiatric beds and beds in intensive residential treatment programs
				for children and adolescents licensed as specialty hospital beds.
(q) "Specialty Hospital." A specialty
				hospital as defined by subsection
				395.002(28),
				F.S.
(r) "Substance Abuse." The
				misuse or abuse of, or dependence on alcohol, illicit drugs, or prescription
				medications which requires inpatient hospitalization.