Medicaid program; extended phase out provisions of intermediates care facilities for the mentally retarded (ICFs/MR) correction plans: Health Care Financing Administration. Notice of proposed rulemaking.
This regulation would authorize intermediate care facilities for the mentally retarded (ICFs/MR) to negotiate revisions to their 1977 plans of correction for Life Safety Code, living, dining, and therapy area deficiencies under certain circumstances. Under this proposed regulation, the Secretary would be authorized to approve revised plans of correction from facilities which have completed at least 25 percent of their original plans of correction under 42 CFR 442.115 (c) and (d) and which propose to phase out an increased number of previously certified beds not already schedules for phase out under the existing plan of correction. The timetable for the phase out and the actual number of beds to be phased out will be negotiated with target figures established for each six-month period of the plan, with the total time for the plan not to exceed five years from the effective data of the final rule. Facilities would still be required to meet the July 18, 1982 deadline currently established in 42 CFR 442,115(b) for those aspects of existing plans of correction which include construction or renovation of units which will remain in use after planned phase out is completed. The intent of this regulation is to stimulate an overall reduction in the number of certified beds in large residential facilities, while forestalling further expenditures of capital funds for the renovation of existing facilities or the construction of new units where an expanded phase out of units is feasible.
D006275:Health Facility Planning / Q000331:legislation & jurisprudence*; D006801:Humans; D008607:Intellectual Disability; D007380:Intermediate Care Facilities / Q000592:standards*; D008484:Medicaid / Q000331:legislation & jurisprudence; D009735:Nursing Homes / Q000592:standards*; D014481:United States