West Virginia Code of State Rules › Agency 65 - Health Care Authority › Title 65 - LEGISLATIVE RULE HEALTH CARE AUTHORITY › Series 65-24 - Exemption For Birthing Centers › Section 65-24-2 - Definitions

Current through Register Vol. XLI, No. 28, July 12, 2024
2.1. Birthing
				Center -- A short-stay ambulatory health care facility designed for low-risk
				births following normal uncomplicated pregnancy.
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 Board -- The governing board
				of a community-based primary care center which has a sufficient community
				representation to qualify that center as a federally qualified health
				center.
2.4. Eligible Hospital -- A
				nonprofit hospital with less than one hundred (100) licensed acute care
				beds.
2.5. Eligible Primary Care
				Center -- A facility which is nonprofit, has a community board, and provides
				primary care services to people in its community without regard to ability to
				pay.
2.6. 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, 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. 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. Primary care services shall, furthermore, not include an obligation
				for a capital expenditure incurred by or on behalf of the facility in excess of
				the expenditure minimum of seven hundred fifty thousand dollars
				($750,000.00).
2.7. Rural Area --
				An area which does not contain a municipality with a population of twenty
				thousand (20,000) people.
2.8.
				State Agency -- Health Care Cost Review Authority.
2.9. Underserved Service Area -- A service
				area in which any of the following are true:
2.9.1. There is one (1) delivering physician
				or nurse-midwife per one-hundred (100) deliveries per year.
2.9.2. There is one (1) delivering physician
				or nurse-midwife per ten-thousand (10,000) total population.
2.9.3. There is one (1) delivering physician
				or nurse-midwife per two thousand five hundred (2,500) women of childbearing
				age.
2.9.4. A physician who works
				in collaboration with a certified nurse midwife shall not be counted separately
				in determining if an area is underserved with respect to low-risk obstetrical
				services.