West Virginia Code of State Rules › Agency 65 - Health Care Authority › Title 65 - LEGISLATIVE RULE HEALTH CARE AUTHORITY › Series 65-23 - Exemptions For New Primary Care Services › Section 65-23-2 - Definitions

Current through Register Vol. XLI, No. 28, July 12, 2024
2.1. Allowable
				Distance -- In rural areas, for primary roads in non-mountainous terrain,
				twenty (20) miles; for primary roads in mountainous terrain, fifteen (15)
				miles; for interstates or other limited access highways, twenty-five (25)
				miles. In non-rural areas, for areas linked primarily by primary roads, seven
				(7) miles; and for areas linked primarily by interstates and other limited
				access highways, ten (10) miles.
2.2. Board -- The West Virginia Health Care
				Cost Review Authority which is designated to administer the Certificate of Need
				Program pursuant to W. Va. Code '16-29B-11.
2.3. Community-Based Primary Care
				Organization -- A facility operated by a tax exempt, non-profit organization
				with a community board that provides or will provide primary care services to
				people without regard to ability to pay and offers health education and
				preventive services to people in its service area. The facility must be open to
				provide primary care services for a minimum of thirty-two (32) hours per
				week.
2.4. Community Board -- The
				governing board of a community-based primary care organization which has a
				sufficient community representation to qualify that center as a federally
				qualified health center.
2.5. New
				Primary Care Services -- Health-related services that emphasize first contact
				patient care and that link the patient to the full spectrum of health services,
				including health education, preventive services, and secondary and tertiary
				care. The services may include maternal and child health programs, pediatric
				services, dental care, nutrition programs, adolescent care programs, women's
				health services, geriatric care, pharmaceutical services, lifestyle
				modification, wellness, and programs aimed at special community needs such as
				black lung and other occupational health clinics, health screening programs,
				and transportation services. Primary care services may be provided by
				physicians, nurse practitioners, physician assistants, and nurse-midwives. New
				primary care services shall not include the acquisition, offering, or
				development of major medical equipment otherwise subject to review under the
				provisions of W. Va. Code '16-2D-1 et
				seq. or the acquisition, offering, or development of CT scanners, ambulatory
				surgical facilities, lithotripsy, magnetic resonance imaging or radiation
				therapy. New primary care services shall, furthermore, not include an
				obligation for a capital expenditure incurred by or on behalf of the
				community-based primary care organization in excess of the expenditure minimum
				of seven hundred fifty thousand dollars ($750,000.00).
2.6. Rural Area -- An area which does not
				contain a municipality with a population of 20,000 people.
2.7. Service Area -- For each community-based
				primary care organization, the service area is the geographic area or
				population groups approved by the Public Health Service of the United States
				Department of Health and Human Services as the organization's service area. If
				a community-based primary care organization does not report its service area to
				the Public Health Service, the organization shall obtain approval of its
				service area from the Office of Community and Rural Health Services, within the
				state Department of Health and Human Resources.
2.8. State Agency -- Health Care Cost Review
				Authority.
2.9. Underserved
				Communities -- A community is considered underserved with respect to new
				primary care services if any of the following are true:
2.9.1. The services are to be located within
				the service area of the community-based primary care organization proposing the
				services; and the services are not located within the service area of other
				community-based primary care organizations; or
2.9.2. The services are located at least the
				allowable distance from another community-based primary care
				organization.