N.J. Admin. Code § 8:43A-3.12

Current through Register Vol. 56, No. 23, December 2, 2024

Section 8:43A-3.12 - Reporting requirements for ambulatory surgery facilities

(a) As part of the annual licensure renewal process, all ambulatory surgery facilities shall submit to the Department's licensing program an audited statement that the facility has complied with the access requirements specified in the facility's certificate of need approval letter during the preceding licensure period. The audited statement shall include, but not be limited to, the following:

1. Total surgical case volume;

2. Surgical case volume for care provided to Medicaid-eligible and medically indigent persons, and its percentage of the total surgical case volume;

3. The cost of providing surgical care to Medicaid-eligible and medically indigent persons, excluding costs associated with bad debt or partial payment for individuals who are not Medicaid-eligible or medically indigent, and its percentage of the total cost of providing care; and

4. A description of the facility's free-care and partial-pay programs, including criteria of eligibility for each.

(b) As of July 15, 1996, each newly licensed ambulatory surgery facility shall submit to the Department the report of a survey of the facility performed by an independent accreditation organization approved by the Department. Such organizations shall be approved on the basis of their demonstrated ability to perform an operational survey using standards substantially equivalent to or exceeding the Federal Conditions for Coverage at 42 C.F.R. Part 416. The survey shall be performed, and the report shall be submitted to the Department, within the 12 months immediately following receipt of a 12-month temporary license from the Department. A full license shall not be issued upon expiration of the temporary license unless the report of the independent survey is submitted in accordance with this rule. Ambulatory surgery facilities licensed prior to July 15, 1996 shall have until July 15, 1999 in which to be surveyed by an independent accreditation organization. Following submission of the initial report, each licensed facility shall submit a report of the most recent survey by an independent accreditation organization as part of the annual licensure renewal process. Such survey shall have been performed within three years of licensure renewal. The survey report shall include, but not be limited to, corrective actions recommended and/or undertaken.

1. Licensure shall not be conditioned upon attainment by the ambulatory surgery facility of "accreditation" or "certification" or other such status granted by the independent accreditation organization.

N.J. Admin. Code § 8:43A-3.12