Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 230 - STATE MEDICAL FACILITIES PLAN › Part XII - Mental Health Services › Article 1 - Acute Psychiatric and Acute Substance Abuse Disorder Treatment Services › Section 12VAC5-230-860 - Need for new service

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
					 combined number of acute psychiatric and acute substance abuse disorder
					 treatment beds needed in a health planning district with existing acute
					 psychiatric or acute substance abuse disorder treatment beds or both will be
					 determined as follows:
((UR x PROPOP)/365)/.75
Where:
UR = the use rate of the health planning district
						expressed as the average acute psychiatric and acute substance abuse disorder
						treatment patient days per population reported for the most recent five-year
						period; and
PROPOP = the projected population of the health planning
						district five years from the current year as reported in the most recent
						published projections by a demographic entity as determined by the Commissioner
						of the Department of Mental Health, Mental Retardation and Substance Abuse
						Services.
For purposes of this methodology, no beds shall be
						included in the inventory of psychiatric or substance abuse disorder beds when
						these beds (i) are in facilities operated by the Department of Mental Health,
						Mental Retardation and Substance Abuse Services; (ii) have been converted to
						other uses; (iii) have been vacant for six months or more; or (iv) are not
						currently staffed and cannot be staffed for acute psychiatric or substance
						abuse disorder patient admissions within 24 hours.
B. Subject to the provisions of
					 12VAC5-230-70,no additional acute
					 psychiatric or acute substance abuse disorder treatment beds should be
					 authorized for a health planning district with existing acute psychiatric or
					 acute substance abuse disorder treatment beds or both if the existing inventory
					 of such beds is greater than the need identified using the above methodology.
Preference may also be given to the addition of acute
						psychiatric or acute substance abuse beds dedicated for the treatment of
						geriatric patients in health planning districts with an excess supply of beds
						when such additions are justified on the basis of the specialized treatment
						needs of geriatric patients.
C. No existing acute psychiatric or acute
					 substance disorder abuse treatment beds should be relocated unless it can be
					 reasonably projected that the relocation will not have a negative impact on the
					 ability of existing acute psychiatric or substance abuse disorder treatment
					 providers or both to continue to provide historic levels of service to Medicaid
					 or other indigent patients.
D. The
					 combined number of acute psychiatric and acute substance abuse disorder
					 treatment beds needed in a health planning district without existing acute
					 psychiatric or acute substance abuse disorder treatment beds will be determined
					 as follows:
((UR x PROPOP)/365)/.75
Where:
UR = the use rate of the health planning region in which
						the health planning district is located expressed as the average acute
						psychiatric and acute substance abuse disorder treatment patient days per
						population reported for the most recent five-year period;
PROPOP = the projected population of the health planning
						district five years from the current year as reported in the most recent
						published projections by a demographic entity as determined by the Commissioner
						of the Department of Mental Health, Mental Retardation and Substance Abuse
						Services.
E. Preference may
					 be given to the development of needed acute psychiatric beds through the
					 conversion of unused general hospital beds. Preference will also be given to
					 proposals for acute psychiatric and substance abuse beds demonstrating a
					 willingness to accept persons under temporary detention orders (TDO) and that
					 have contractual agreements to serve populations served by community services
					 boards, whether through conversion of underutilized general hospital beds or
					 development of new beds.
Statutory Authority
§ 32.1-102.2 of the Code of
						  Virginia.