(1)
Qualifications. All hospitals licensed in the state of Iowa or
in another state and certified as eligible to participate in Part A of the
Medicare program (Title XVIII of the Social Security Act) are eligible to
participate in the medical assistance program, subject to the additional
requirements of this rule.
(2)
Referral to health home services provider. As a condition of
participation in the medical assistance program, hospitals must establish
procedures for referring to health home services providers any members who seek
or need treatment in the hospital emergency department and who are eligible for
health home services pursuant to 441-subrule 78.53(2).
(3)
Psychiatric bed tracking
system. As a condition of participation in the medical assistance
program, hospitals must establish procedures for participating in and updating
the statewide psychiatric bed tracking system.
a. Definitions.
"Adult beds" means the number of staffed and
available psychiatric beds ready for admission to individuals 18 years of age
to 60 years of age.
"Child beds" means the number of staffed and
available psychiatric beds ready for admission to individuals up to the age of
18.
"Gender" means female or male.
"Geriatric beds" means the number of staffed
and available psychiatric beds ready for admission to individuals 60 years of
age and older.
"Hospital," for purposes of this subrule,
means any licensed hospital providing inpatient psychiatric services and the
state mental health institutes.
"Psychiatric bed tracking system" means a
web-based electronic system managed by the department that can be searched to
locate inpatient psychiatric services at an Iowa hospital.
b. Hospitals are required to participate in
the psychiatric bed tracking system.
c. Hospitals shall update the psychiatric bed
tracking system, at a minimum, two times per day. The first update shall be
entered between 12:00:01 a.m. and 9:59:59 a.m. each day; the second update
shall be entered between 8:00:00 p.m. and 11:59:59 p.m. each day.
d. Each update must include the number of
child beds by gender, the number of adult beds by gender, and the number of
geriatric beds by gender.
e.
Failure to comply with the psychiatric bed tracking reporting may result in
sanctions in accordance with rule
441-79.2 (249A).
This rule is intended to implement Iowa Code section
249A.4.
Notes
Iowa Admin. Code
r. 441-77.3
ARC 0198C, lAB 7/11/12,
effective 7/1/12
Amended by
IAB
May 9, 2018/Volume XL, Number 23, effective
7/1/2018
