Iowa Admin. Code r. 641-202.1
For purposes of this chapter, the following definitions apply:
"Acute care category of bed usage," as the term applies in Iowa Code section 10A.713(2)"k," is the same as the acute care categories listed in the state survey section of the American Hospital Association Annual Survey of Hospitals.
"Any expenditure in excess of five hundred thousand dollars," as defined in Iowa Code section 10A.711(18)"e," means new capital expenditures necessary to operate the service for a year.
"Any mobile health service with a value in excess of one million five hundred thousand dollars," as defined in Iowa Code section 10A.711(18)"l," means the value of all equipment used to provide the service, including the trailer. The party providing the equipment is the applicant regardless of the location of that party.
"Appropriate geographic service area," as the term applies to defining affected persons in Iowa Code section 10A.711(1)"c," is defined as follows:
"Bed capacity" is defined as follows:
"Cardiac catheterization service," as the term applies to anew or changed institutional health service in Iowa Code section 10A.711(18)"m"(1), means the initiation or expansion of this service.
"Consumers served by a new institutional health service" means those consumers residing in the service area as determined by the department.
"Long-term (acute) care hospital," for purposes of these rules, means a hospital that has been approved to participate in the Title XVIII (Medicare) program as a long-term care hospital-prospective payment system (LTCH-PPS) hospital in accordance with 42 CFR Part 412 as amended to March 29, 1985.
"Open heart surgical service," as the term applies to new or changed institutional health service in Iowa Code section 10A.711(18)"m"(2), means the initiation or expansion of this service.
"Organ transplantation service," as the term applies to a new or changed institutional health service in Iowa Code section 10A.711(18)"m"(3), means the initiation or expansion of this service. Each type of organ transplant shall be considered separately.
"Permanent change in bed capacity of an institutional health facility" includes but is not limited to the following:
"Physical facility," as the term applies in Iowa Code section 10A.711(18)"f," means a separately licensed facility.
"Private offices and private clinics of an individual physician, dentist, or other practitioner or group of health care providers." The meaning of this term as used in Iowa Code section 10A.713(2)"a" is determined by looking at factors that include but are not limited to:
This term excludes an ambulatory surgical center as defined in Iowa Code section 135R.1.
"Radiation therapy service applying ionizing radiation for the treatment of malignant disease using megavoltage external beam equipment," as the term applies to new or changed institutional health service in Iowa Code section 10A.711(18)"m"(4), means the initiation or expansion of this service.
"Rehabilitation hospital," for the purposes of these rules, means a hospital that has been approved to participate in the Title XVIII (Medicare) program as an inpatient rehabilitation facility-prospective payment system (IRF-PPS) hospital in accordance with 42 CFR Part 412.23(b), 412.25 or 412.29 as amended to March 29, 1985.
"Relocation of an institutional health facility," as the term applies to new or changed institutional health service in Iowa Code section 10A.711(18)"b," means the replacement of a facility located in one county with a facility located in another county.
"Value in excess of one million five hundred thousand dollars," as used in Iowa Code section 10A.711(18)"g,", "h," "i" and "j," means the value of the equipment including any applicable sales tax, delivery charge and installation charge. With respect to the initiation of radiation therapy services applying ionizing radiation for the treatment of malignant disease using the megavoltage external beam equipment, the term includes the cost of constructing a vault.
Iowa Admin. Code r. 641-202.1