W. Va. Code R. § 65-21-10

Current through Register Vol. XLI, No. 50, December 13, 2024

Section 65-21-10 - Criteria and Standards

Statement of Purpose: In order to ensure an appropriate supply of health services to the citizens of West Virginia while discouraging unnecessary duplication and high costs, the Health Care Cost Review Authority shall conduct a thorough public review and evaluation of proposed projects.s

The goal of the Certificate of Need Program is to provide for the continued orderly development of the health care system in West Virginia through a public review of proposed applications that are evaluated in accordance with established Criteria and Standards. The purpose of the Criteria and Standards is twofold:

(1) To serve as guidelines in the continued orderly development of the health care system in West Virginia in accordance with the Certificate of Need statute; and

(2) To promote cost-effective alternatives to higher-cost services.

10.1. On a statewide basis, a maximum of one hundred eighty (180) long term care beds may be developed in conjunction with the development of life care retirement centers. The long term care beds shall be certified only as medicare skilled nursing beds.

10.2. There shall be minimum of twenty (20) beds and a maximum of sixty (60) long term care nursing beds in each approved life care retirement center.

10.3. The life care retirement center shall meet all federal and state licensing certification and operational requirements applicable to nursing homes.

10.4. The life care retirement center must demonstrate a need for the project:

10.4.1. The applicant must demonstrate a need or demand for the life care retirement center through a market analysis that targets specific populations.

10.4.2. The applicant must demonstrate a need for the number of nursing care beds proposed exclusively for use by the residents of the life care retirement center.

10.4.3. The number of proposed nursing care beds must bear a reasonable relationship to the number of residents of the life care retirement center.

10.5. The life care retirement center must offer long term nursing care, personal care, home health services, independent living units and other lower levels of care to its residents such as chore and homemaker services.

10.6. The life care retirement center must demonstrate both short and long-term financial feasibility.

10.6.1. The short-term financial feasibility includes evidence of the applicant's resources and ability to finance the construction and operation of the life care retirement center in accordance with section 4.2.11.a. and b. of this rule.

10.6.2. The long-term financial feasibility includes evidence of the applicant's policies and procedures to safeguard the resident's and organization's assets.

W. Va. Code R. § 65-21-10