Section 1100.740  Subacute Care Hospital Model

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.

(Source:  Amended at 19 Ill. Reg. 10143, effective June 30, 1995)