NC Register Volume 16 Issue 15 - Office of Administrative Hearings

TEMPORARY RULES34 Lenoir E 1036 Roanoke-Chowan E 437 Tideland E 538 Albemarle E 1039 Duplin-Sampson E 10(b) "Detox-only beds for adults" are chemical dependency treatment beds that are occupied exclusively by persons who are eighteenyears of age or older who are experiencing physiological withdrawal from the effects of alcohol or other drugs.(c) Detox-only beds for adults may be developed outside of the mental health planning area in which they are needed if:(1) The beds are developed in a contiguous mental health planning area that is within the same mental health planningregion, as defined by 10 NCAC 03R .6353(c); and(2) The program board in the planning area in which the beds are needed and the program board in the planning area inwhich the beds are to be developed each adopt a resolution supporting the development of the beds in the contiguousplanning area.History Note:Authority G.S. 131E-176(25); 131E-177(1); 131E-183(b);Temporary Adoption Eff. January 1, 2002.10 NCAC 03R .6384 INTERMEDIATE CARE BEDSFOR THE MENTALLY RETARDED NEEDDETERMINATION (REVIEW CATEGORY C)(a) Adult Intermediate Care Beds for the Mentally Retarded. Itis determined that there is no need for additional AdultIntermediate Care Beds for the Mentally Retarded (ICF/MRbeds).(b) Child/Adolescent Intermediate Care Beds for the MentallyRetarded. It is determined that there is no need for additionalChild/Adolescent Intermediate Care Beds for the MentallyRetarded (ICF/MR beds).History Note:Authority G.S. 131E-176(25); 131E-177(1);131E-183(b);Temporary Adoption Eff. January 1, 2002.10 NCAC 03R .6385 POLICIES FOR GENERALACUTE CARE HOSPITALS(a) Use of Licensed Bed Capacity Data for Planning Purposes.For planning purposes the number of licensed beds shall bedetermined by the Division of Facility Services in accordancewith standards found in 10 NCAC 03C .3102(d) and Section.6200.(b) Utilization of Acute Care Hospital Bed Capacity.Conversion of underutilized hospital space to other neededpurposes shall be considered an alternative to new construction.Hospitals falling below utilization targets in Paragraph (d) of thisRule are assumed to have underutilized space. Any suchhospital proposing new construction must clearly andconvincingly demonstrate that it is more cost-effective thanconversion of existing space.(c) Exemption from Plan Provisions for Certain AcademicMedical Center Teaching Hospital Projects. Projects for whichcertificates of need are sought by academic medical centerteaching hospitals may qualify for exemption from provisions of10 NCAC 03R .6356 through .6384.(1) The State Medical Facilities Planning Sectionshall designate as an Academic MedicalCenter Teaching Hospital any facility whoseapplication for such designation demonstratesthe following characteristics of the hospital:(A) serves as a primary teaching site for aschool of medicine and at least oneother health professional school,providing undergraduate, graduateand postgraduate education;(B) houses extensive basic medicalscience and clinical researchprograms, patients and equipment;and(C)serves the treatment needs of patientsfrom a broad geographic area throughmultiple medical specialties.(2) Exemption from the provisions of 10 NCAC03R .6356 through .6384 shall be granted toprojects submitted by Academic MedicalCenter Teaching Hospitals designated prior toJanuary 1, 1990 which projects comply withone of the following conditions:(A)(B)(C)necessary to complement a specifiedand approved expansion of thenumber or types of students, residentsor faculty, as certified by the head ofthe relevant associated professionalschool; ornecessary to accommodate patients,staff or equipment for a specified andapproved expansion of researchactivities, as certified by the head ofthe entity sponsoring the research; ornecessary to accommodate changes inrequirements of specialty educationaccrediting bodies, as evidenced bycopies of documents issued by suchbodies.(3) A project submitted by an Academic MedicalCenter Teaching Hospital under this policythat meets one of the above conditions shallalso demonstrate that the Academic MedicalCenter Teaching Hospital’s teaching orresearch need for the proposed project cannotbe achieved effectively at any non-AcademicMedical Center Teaching Hospital providerwhich currently offers the service for whichthe exemption is requested and which is within16:15 NORTH CAROLINA REGISTER February 1, 20021711