Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart D - Health Planning › Chapter 301 - LIMITATION ON FEDERAL PARTICIPATION FOR CAPITAL EXPENDITURES › Section 301.2 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this chapter,
					 have the following meanings, unless the context clearly indicates
					 otherwise:
Act
-The Social Security Act,
					 42 U.S.C.A. §§
											201-7706.
Applicant
-A person proposing a capital
					 expenditure.
Designated planning agency or DPA or
					 Department
-The Department of Health.
HHS
-The United States Department of
					 Health and Human Services.
Health care facility
-The term includes
					 hospitals, psychiatric hospitals, tuberculosis hospitals, skilled nursing
					 facilities, kidney disease treatment centers, including freestanding
					 hemodialysis units, intermediate care facilities and ambulatory surgical
					 facilities, but does not include Christian Science sanatoriums operated, or
					 listed and certified, by the First Church of Christ, Scientist, Boston,
					 Massachusetts. For purposes of this definition:
(i)
Hospital.
An institution
				  which is primarily engaged in providing to inpatients, by or under supervision
				  of physicians, diagnostic services and therapeutic services for medical
				  diagnosis, treatment and care of injured, disabled or sick persons, or
				  rehabilitation services for the rehabilitation of injured, disabled or sick
				  persons. The term does not include psychiatric and tuberculosis
				  hospitals.
(ii)
Psychiatric
				  hospital.
An institution which is primarily engaged in providing to
				  inpatients, by or under the supervision of a physician psychiatric services for
				  the diagnosis and treatment of mentally ill persons.
(iii)
Tuberculosis hospital.
An institution which is primarily engaged in providing to inpatients, by or
				  under the supervision of a physician, medical services for the diagnosis and
				  treatment of tuberculosis.
(iv)
Skilled nursing facility.
An institution or a distinct part of
				  an institution which is primarily engaged in providing to inpatients skilled
				  nursing care and related services for patients who require medical or nursing
				  care, or rehabilitation services for the rehabilitation of injured, disabled or
				  sick persons.
(v)
Intermediate care facility.
An institution which provides, on
				  a regular basis, health-related care and services to individuals who do not
				  require the degree of care and treatment which a hospital or skilled nursing
				  facility is designed to provide, but who because of their mental or physical
				  condition require health-related care and services (above the level of room and
				  board).
(vi)
Ambulatory
				  surgical facility.
A facility, not a part of a hospital, which
				  provides surgical treatment to patients not requiring hospitalization. The term
				  does not include the offices of private physicians or dentists, whether for
				  individual or group practice.
Health maintenance organization
-A public
					 or private organization, organized under the laws of a state, which:
(i) Provides or otherwise makes available to
				  enrolled participants health care services, including at least the following
				  basic health care services: Usual physician services, hospitalization,
				  laboratory, X-ray, emergency and preventive services and out-of-area
				  coverage.
(ii) Is compensated,
				  except for co-payments, for the provision of the basic health care services
				  listed in subparagraph (i) of this definition to enrolled participants on a
				  predetermined periodic rate basis.
(iii) Provides physicians' services primarily
				  directly through physicians who are either employes or partners of the
				  organization or through contracts or other arrangements with individual
				  physicians or one or more groups of physicians organized on a group practice or
				  individual practice basis.
Health systems agency or HSA
-An entity
					 performing regional health planning and regulatory functions and duly
					 designated by the Secretary of HHS under provisions of the Public Health
					 Service Act (42 U.S.C.A.
					 §§
											201-300cc-15).
Person
-An individual, a trust or estate,
					 partnership, a corporation, including associations, joint-stock companies and
					 insurance companies, the Commonwealth, or a political subdivision or
					 instrumentality, including a municipal corporation, of the Commonwealth.