Current through Reg. 50, No. 187; September 24, 2024
(1) Each chronic care hospital and skilled
nursing care facility approved by the Department for the provision of health
services to CMS participants must have or meet the following:
(a) An active, valid State of Florida
license.
(b) Accreditation from the
Joint Commission on Accreditation of Health Organizations (JCAHO).
(c) A physically definable hospital unit or
ward to which only children are admitted. The entire pediatric unit or ward
must maintain an annual average daily census of fifteen children or more,
excluding normal newborns and those in neonatal intensive care units. In making
the selection and designation of approved facilities, CMS will give priority to
those facilities that demonstrate an emphasis on quality children's medical
services, including the presence of an adolescent unit or ward, a neonatal
(level two or level three) intensive care unit, and a pediatric intensive care
unit.
(d) Applicable national
specialty standards, when available, commensurate with any specialty health
care services provided by the facility that will be available to CMS
participants.
(2) Each
primary care hospital, approved by the CMS area office for the provision of
health care to CMS participants, must have or meet the following:
(a) An active, valid State of Florida
license;
(b) Accreditation from the
Joint Commission on Accreditation of Health Organizations (JCAHO);
(c) A separate pediatric unit, which has at
least five rooms available;
(d) A
designated chief of pediatrics;
(e)
Board certified pediatricians following the patients and available 24 hours a
day;
(f) A qualified and
experienced pediatric nursing staff with at least one RN on duty in the unit 24
hours a day;
(g) A pediatric code
cart on the unit along with appropriate pediatric resuscitation equipment; and,
(h) The capability for rapid
transfer to pediatric intensive care units.
(3) When a hospital within a CMS Service area
is the only facility available within that area to admit CMS participants, a
provisional exception to the designation criteria shall be made by the Deputy
Secretary for Children's Medical Services, upon recommendation from the area
CMS Medical Director, in order to provide participants access to health care
not immediately available through CMS approved physician
providers.
Rulemaking Authority 391.026(18) FS. Law Implemented
391.026(10), 391.035 FS.
New 1-1-77, Amended 2-11-85, Formerly 10J-5.08, Amended
3-28-96, Formerly 10J-5.008, Amended
2-2-03.
