Illinois Administrative Code
Title 77 - PUBLIC HEALTH
Part 1100 - NARRATIVE AND PLANNING POLICIES
Subpart D - NEED ASSESSMENT
Section 1100.740 - Subacute Care Hospital Model

Current through Register Vol. 48, No. 12, March 22, 2024

a) Planning Area:

1) the City of Chicago;

2) Cook County outside the City of Chicago;

3) DuPage, Kane, Lake, McHenry, and Will Counties;

4) Municipalities with a population greater than 50,000 not located in the areas described in subsections (a)(1), (2), and (3) of this Section. Municipalities means geographic areas designated as a Metropolitan Statistical Area (MSA) by the Bureau of the Census pursuant to the 1990 census but shall not include any counties within an MSA having a 1990 population of less than 35,000. Counties with a 1990 population less than 35,000 and which are located in an MSA are: Boone, Clinton, Grundy, Jersey, Menard, Monroe, and Woodford counties. These counties shall be classified as rural areas pursuant to subsection (a)(5) of this Section; and

5) Rural areas, i.e., all areas exclusive of subsections (a)(1), (2), (3), and (4) of this Section.

b) Age groups: All ages

c) Occupancy Targets: Modernization/Establishment 75%

d) Bed capacity:

1) the lesser of measured bed capacity or functional bed capacity per individual room utilized for subacute care for facilities licensed or operated pursuant to the Hospital Licensing Act [210 ILCS 85 ]; or

2) the licensed bed capacity per individual room utilized for subacute care for facilities licensed pursuant to the Nursing Home Care Act [210 ILCS 45 ].

e) Need Determination: There shall be no more than:

1) Three subacute alternative health care models in the City of Chicago; one in an existing licensed hospital, one in an existing licensed long-term care facility and one located on a designated site which shall have been licensed as a hospital under the Illinois Hospital Licensing Act within the ten years immediately before the application for a license (Section 30 of the Alternative Health Care Delivery Act [210 ILCS 3/30 ]) but which is not now currently operating as such.

2) Two subacute alternative health care models in Cook County outside the city of Chicago; one of which must located in an existing licensed hospital and the other in an existing licensed long-term care facility.

3) Two subacute alternative health care models in DuPage, Kane, Lake, McHenry and Will Counties; one of which must be located in an existing licensed hospital and the other in an existing licensed long-term care facility.

4) Two subacute alternative health care models in municipalities with a population greater than 50,000 not located in areas included in subsections (e)(1), (2), or (3) of this Section; one of which must be located in an existing licensed hospital and the other in an existing licensed long-term care facility.

5) Four subacute alternative health care models in rural areas; two of which must be located in existing licensed hospitals and the other two in existing long-term care facilities.

f) Beds approved for a subacute care hospital model shall be inventoried for the category of service utilized prior to permit issuance during the demonstration period.

g) If after a period of one year from the effective date of this regulation, the need in a planning area for a subacute care hospital model to be located in either an existing licensed hospital or long-term care facility has not been met, the need may be met by either an existing hospital or an existing long-term care facility.

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