Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 9 - Primary Health Care Services
Chapter 159 - Introduction
Section I-15903 - Determining the Smaller of the Two Primary Service Area Definitions
Universal Citation: LA Admin Code I-15903
Current through Register Vol. 50, No. 9, September 20, 2024
A. The Department of Health and Hospitals proposes the following process to determine if the hospital's primary service area is the smaller of either the 25 miles radius of the rural hospital or the number of postal zip codes, commencing with the rural hospital's zip code, in which 75 percent of a rural hospital's zip code, in which 75 percent of a rural hospital's patients reside, as determined by using data derived from the hospital's most recent 12 month Medicare cost reporting period.
1.
Primary service
area will be defined as the 25 mile radius of the rural hospital
unless a formal request is made in writing to the Department of Health and
Hospital's Bureau of Primary Care and Rural Health for a determination on the
smaller of the two primary service area definitions. The request must include
the legal name and address of the entity requesting the determination, the name
and address of the rural hospital impacted by the request and the type of
healthcare facility that seeks to locate in the service area of the rural
hospital. Requests for this primary service area determination will be sent to
DHH-Bureau of Primary Care and Rural Health.
2. Within 30 days of receipt of the written
request for a primary service area determination, the Bureau of Primary Care
and Rural Health will request cost report data with service area zip codes from
the rural hospital identified in the request. Cost report data will be required
to be submitted to the Bureau of Primary Care and Rural Health within 30 days
of the bureau's request.
3. Within
30 days of receipt of this cost report data, the Bureau of Primary Care and
Rural Health will geocode and map the zip codes of the cost report data to
assess the primary service area of the rural hospital. The results of this
analysis will be provided to the party issuing the request for the primary
service area determination and the rural hospital impacted by the
request.
AUTHORITY NOTE: Promulgated in accordance with R.S. 37:1306-1310.
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