Current through Register Vol. 47, No. 12, March 26, 2025
(a)
This methodology will be utilized to evaluate certificate of need applications
involving the initiation of adult day health-care programs. It is the intent of
the State Hospital Review and Planning Council that this methodology, when used
in conjunction with the planning standards and criteria set forth in section
709.1 of this Part, become a
statement of planning principles and decisionmaking tools for directing the
distribution of adult day health-care programs. The goals and objectives of the
methodology expressed herein are expected to ensure that an adequate number of
adult day health-care programs are available to provide access to care and
avoid the unnecessary duplication of resources. Additionally it is intended
that the methodology provide sufficient flexibility to consider additional
circumstances that reflect on the need for adult day health care.
(b) The factors and methodology for
determining the public need for adult day health-care services in each county
shall include, but not be limited to:
(1) An
estimate of the capacity needed in adult day health-care programs to serve
adult day health-care registrants. For purposes of this section, capacity means
the number of registrants that an adult day health-care program can accommodate
at one time based on factors such as availability of staff, furniture and
equipment and the number and size of the rooms used for the program. This
capacity is calculated using population estimates for each county projected
five years in the future. This capacity shall be calculated using the following
age cohorts and capacity measures:
(i)
capacity for 0.04 registrants per 1,000 population aged 20-64;
(ii) capacity for 2.5 registrants per 1,000
population aged 65-74; and
(iii)
capacity for 3.65 registrants per 1,000 population aged 75 and over.
(2) The estimates for each of the
age cohorts shall be summed to derive the total capacity needed for adult day
health-care services in a county.
(3)
(i) To
determine unmet need for adult day health-care program capacity in a county,
capacity of the approved programs in such county shall be subtracted from the
total capacity needed for such county.
(ii) The capacity of approved adult day
health-care programs shall be determined as follows:
(a) for a program that was approved with a
specific capacity, such approved capacity shall be utilized;
(b) for a program that was approved for a
total number of registrants without a specific capacity, such number shall be
divided by two to determine the program's capacity;
(c) for a program that was not approved with
a specific capacity or for a total number of registrants, the department will
determine, based on the most recently received and processed data, the total
number of current registrants of such program and such number shall be divided
by two to determine the program's capacity.
(iii) The number of registrants is divided by
two in order to determine an proved program's capacity under clauses (ii)(b)
and (c) of this paragraph, since it is estimated that each unit of adult day
health-care program capacity will serve two registrants.
(4) In counties where the total capacity
needed for adult day health-care services is less than the minimum capacity
required in order to be approved under the operational standards set forth in
Part 425 of this Title, one program may be approved despite such minimum
capacity requirement, provided that all other criteria for approval are
met.
(5) Notwithstanding that need
may otherwise have been determined to be met under this section, additional
adult day health-care program capacity may be approved within a county if:
(i) all existing programs within the county
are operating at their approved capacities; and
(ii) there is evidence of further need for
adult day health-care services as demonstrated by factors which include, but
need not be limited to:
(a) waiting lists for
adult day health-care services; and
(b) the number of people on alternate level
of care in the county who could benefit from adult day health-care
services.
