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NC Register Volume 16 Issue 15 - Office of Administrative Hearings

NC Register Volume 16 Issue 15 - Office of Administrative Hearings

NC Register Volume 16 Issue 15 - Office of Administrative Hearings

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(A) If the number <strong>of</strong> five-bed ICF/MRfacilities in the mental healthplanning region in which the beds arelocated equals or exceeds the number<strong>of</strong> reallocated beds, the beds shall bereallocated solely within the planningregion after considering therecommendation <strong>of</strong> the RegionalTeam <strong>of</strong> Developmental DisabilitiesServices Directors.(B) If the number <strong>of</strong> five-bed ICF/MRfacilities in the mental healthplanning region in which the beds arelocated is less than the number <strong>of</strong>reallocated beds, the MedicalFacilities Planning Section shallreallocate the excess beds to otherplanning regions after considering therecommendation <strong>of</strong> theDevelopmental Disabilities Section inthe Division <strong>of</strong> Mental Health,Developmental Disabilities, andSubstance Abuse Services. TheMedical Facilities Planning Sectionshall then allocate the beds among theplanning areas within those planningregions after considering therecommendation <strong>of</strong> the appropriateRegional Teams <strong>of</strong> DevelopmentalDisabilities Services Directors.(C) The Department <strong>of</strong> Health andHuman Services, Division <strong>of</strong> FacilityServices, Certificate <strong>of</strong> Need Sectionshall schedule reviews <strong>of</strong> applicationsfor these beds pursuant toSubparagraph (a)(5) <strong>of</strong> this Rule.(b) CHANGES IN NEED DETERMINATIONS(1) The need determinations in 10 <strong>NC</strong>AC 03R.6356 through 10 <strong>NC</strong>AC 03R .6384 shall berevised continuously by the Medical FacilitiesPlanning Section throughout the calendar yearto reflect all changes in the inventories <strong>of</strong>:(A) the health services listed at G.S.131E-176 (<strong>16</strong>)f;(B) health service facilities;(C) health service facility beds;(D) dialysis stations;(E) the equipment listed at G.S. 131E-176 (<strong>16</strong>)f1;(F) mobile medical equipment; and(G) operating rooms as defined in 10<strong>NC</strong>AC 03R .6358(b).as those changes are reported to the MedicalFacilities Planning Section. However, needdeterminations in 10 <strong>NC</strong>AC 03R .6356through .6384 shall not be reduced if therelevant inventory is adjusted upward 30 daysTEMPORARY RULES<strong>16</strong>:<strong>15</strong> NORTH CAROLINA REGISTER February 1, 20021700or less prior to the first day <strong>of</strong> the applicablereview period.(2) Inventories shall be updated to reflect:(A) decertification <strong>of</strong> Medicare-certifiedhome health agencies or <strong>of</strong>fices,intermediate care facilities for thementally retarded, and dialysis(B)stations;delicensure <strong>of</strong> health service facilitiesand health service facility beds;(C) demolition, destruction, ordecommissioning <strong>of</strong> equipment aslisted at G.S. 131E-176(<strong>16</strong>) f1 and G.S. 131E-176(<strong>16</strong>) (s);(D)(E)(F)elimination or reduction <strong>of</strong> a healthservice as listed at G.S. 131E-176(<strong>16</strong>)(f);addition or reduction in operatingrooms as defined in 10 <strong>NC</strong>AC 03R.6358(b);psychiatric beds licensed pursuant toG.S. 131E-184(c);(G) certificates <strong>of</strong> need awarded,relinquished, or withdrawn,subsequent to the preparation <strong>of</strong> theinventories in the State MedicalFacilities Plan; and(H)corrections <strong>of</strong> errors in the inventoryas reported to the Medical FacilitiesPlanning Section.(3) Any person who is interested in applying for anew institutional health service for which aneed determination is made in 10 <strong>NC</strong>AC 03R.6356 through 10 <strong>NC</strong>AC 03R .6384 mayobtain information about updated inventoriesand need determinations from the MedicalFacilities Planning Section.(4) Need determinations resulting from changes ininventory shall be available for a reviewperiod to be determined by the Certificate <strong>of</strong>Need Section, but beginning no earlier than 60days from the date <strong>of</strong> the action identified inSubparagraph (b)(2) <strong>of</strong> this Rule, except fordialysis stations which shall be determined bythe Medical Facilities Planning Section andpublished in the next Dialysis Report. Notice<strong>of</strong> the scheduled review period for the needdetermination shall be mailed by theCertificate <strong>of</strong> Need Section to all persons onthe mailing list for the State Medical FacilitiesPlan, no less than 45 days prior to the due datefor submittal <strong>of</strong> the new applications.History Note: Authority G.S. 131E-176(25); 131E-177(1);131E-183(b);Temporary Adoption Eff. January 1, 2002.10 <strong>NC</strong>AC 03R .6356 ACUTE CARE BED NEED DETERMINATION (REVIEW CATEGORY A)It is determined that there is need for 32 additional acute care beds in Brunswick Community Hospital's "Hospital Service System." Itis determined that there is no need for additional acute care beds anywhere else in the State.

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