RULE 049.00.09-003 - Psychiatric Residential Treatment Facility Methodology Change - Moratorium

RULE 049.00.09-003. Psychiatric Residential Treatment Facility Methodology Change - Moratorium

HSC Regulation 110M. Psychiatric Residential Treatment Facilities (PRTF) Bed Need Methodology (03/07)

DEFINITION: "Psychiatric residential treatment facility" means a residential child care facility in a non hospital setting that provides a structured, systematic, therapeutic program of treatment under the supervision of a physician licensed by the Arkansas State Medical Board who has experience in the practice of psychiatry, for children who are emotionally disturbed and in need of daily nursing services, physician's supervision, and residential care, but who are not in an acute phase of illness requiring the services of an inpatient psychiatric hospital. Act 2234 of 2005

I. Population Based Methodology

A. Projection Time Frame. Each July 1st bed need will be projected five years from the current year, i.e., July 1, 2006 projections will be made for the year 2011.

B. Service Area is by PRTF Area.

Area 1

Area 2

Area 3

Area 4

Area 5

Area 6

Counties

Counties

Counties

Counties

Counties

Counties

Benton

Clay

Saline

Clark

Arkansas

Mississippi

Carroll

Craighead

Pulaski

Garland

Cleveland

Poinsett

Madison

Greene

Lonoke

Hot Spring

Grant

Cross

Washington

Lawrence

Prairie

Montgomery

Jefferson

Crittenden

Crawford

Baxter

Pope

Pike

Lincoln

St. Francis

Franklin

Woodruff

Yell

Calhoun

Ashley

Lee

Logan

Randolph

Johnson

Columbia

Bradley

Phillips

Polk

Cleburne

Faulkner

Dallas

Chicot

Monroe

Scott

Fulton

Conway

Nevada

Desha

  

Sebastian

Independence

Perry

Ouachita

Drew

  

Searcy

Izard

  

Union

     

Boone

Dackson

  

Hempstead

     

Marion

Sharp

  

Howard

     

Newton

Stone

  

Miller

     
  

Van Buren

  

Lafayette

     
  

White

  

Little River

     
        

Sevier

     

C. Bed Need Formula.

1. 1.001 beds per 1000 persons age 6-17

.78 beds per 1000 persons age 18-21

2. Before additional beds may be approved existing PRTFs must have averaged 80% occupancy for the previous calendar year.

D. Review Priorities. Applicants will be approved in the following ranked order:

1. Existing PRTFs that are transferring beds.

2. Existing PRTFs wishing to expand and replace an older facility.

3. Applicants for new PRTFs in sections of the State that are more than one and a half hours travel time from existing PRTFs.

4. Applicants for new PRTFs.

II. Transfer of Beds

An existing PRTF may apply to transfer beds if the applicant:

* is fully licensed, is in good standing and has no pending adverse action before its licensing board and

* is transferring to an existing facility in which capacity is available and is fully licensed, is in good standing and has no pending adverse action before its licensing board and

* the number of transferred beds does not exceed the net need of beds for that area or the applicant submits rationale for the transfer that demonstrates that the transfer will (1) improve the quality and access to care for the region to which the beds are being transferred, (2) will meet and unmet need in the region and (3) will not significantly impact the quality of an care or access in the region from which the beds are being transferred.

and

* submits an operation and finance plan that is economically feasible and

* documents ability to adequately staff the facility.

III. Unfavorable Review

The Agency may consider an applicant's compliance and enforcement history, both in Arkansas and out of state, in determining whether to grant a Permit of Approval.

IV. Moratorium

Beginning February 1, 2008, there will be a moratorium on the construction or addition of any additional PRTF beds beyond the current number of permitted and licensed beds for the State. Applications for additional beds will not be accepted during the moratorium.

(1/16/2009)

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