Conn. Agencies Regs. § 19a-630-2 - Criteria for determining if an entity is a central service facility

Current through March 4, 2022

(a) An entity shall be a central service facility if it meets one or more of the following criteria:
(1) The entity is institutional in nature and practice;
(2) Patient care is or may be the responsibility of the entity rather than of the individual physicians or practitioners;
(3) Nonmedical personnel, owners or managers can or may be able to influence the operation of the entity to a significant degree;
(4) With the exception of practicing physician groups, the entity that is or may be providing services for the prevention, diagnosis or treatment of human health conditions to two or more providers;
(5) The owner, partner or manager of an entity as described in subdivision (4) of this subsection is a physician who is not practicing medicine at the entity; or
(6) A partnership with general and managing partners exists.
(b) In determining whether a particular entity meets any of the criteria in subsection (a) of this section, the commissioner, commissioner's designee or deputy commissioner may consider the following:
(1) Whether the entity is or may be licensed or designated as any type of health care facility or institution by the department;
(2) Whether the patients have any prior familiarity with the physician or practitioner or any ongoing relationship with the physician or practitioner;
(3) Whether services such as laboratory, pharmacy, x-ray, linear accelerator and imaging, are or may be available with no free choice of the provider of such services by the patient;
(4) Whether the entity can continue to function even if the license of its physician or physicians has, have been or may be suspended or revoked, since the entity can simply retain another physician or practitioner;
(5) Whether bills and charges are or may be determined by the entity rather than the individual physicians or practitioners who provide the care or the service;
(6) Whether income distribution is or may be determined by the entity rather than entirely by the individual physicians or practitioners who provide the care of service;
(7) Whether there are present interlocking relationships, corporate relationships or entities with other health related corporate relationships, entities or properties;
(8) Whether the location and services provided are a small part of a larger entity; and
(9) Any other information the commissioner, commissioner's designee or deputy commissioner deems relevant or pertinent.

Notes

Conn. Agencies Regs. § 19a-630-2
Effective April 9, 2013

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