(a) Licensing Procedure. - (i) For an initial license to be issued, the Licensing Division shall receive:
- (A) A completed application form as supplied by the Licensing Division;
- (B) A copy of the Director, Department of Health's written notice of designation to become a Critical Access Hospital;
- (C) The required licensure fee identified in Chapter 1, Rules and Regulations for Health Care Facilities Licensure Fees. The check or money order shall be made payable to the Treasurer, State of Wyoming.
- (D) Applicant shall demonstrate full compliance with the licensure requirements in paragraph (b) of this section.
- (ii) For renewal of a full license for one (1) year beginning July 1st, and unless suspended or revoked, expiring on June 30th of the following year, the Licensing Division shall receive:
- (A) A completed application form by the date stated in the application cover letter supplied by the Licensing Division; and
- (B) The license fee as required in paragraph (a)(i)(C) of this section.
- (C) Demonstration of compliance with the requirements for licensure as required in paragraph (b) of this section.
(b) Requirements for Licensure. - (i) Meet the criteria required by the Wyoming State Rural Health Plan for designation as a Critical Access Hospital by the Director, Department of Health.
- (ii) The Critical Access Hospital shall be in compliance with all laws and standards relating to communicable and reportable diseases as required by the Department of Health, State Health Officer and Public Health Division.
- (iii) Cited survey and complaint investigation deficiencies shall not create a hazard to the health, safety or welfare of the patient's.
- (iv) The Critical Access Hospital shall make a positive effort to correct all survey and complaint investigation deficiencies.
- (v) Policies and procedures shall be in place to guide operations.
- (vi) An adequate number of appropriately trained staff shall be maintained.
- (vii) An organized quality improvement plan shall be in place and implemented.
- (viii) There shall be an approved plan of correction for all survey and complaint investigation deficiencies.
(c) Issuance of License. - (i) For initial licensure, the date of license shall be:
- (A) The date of the survey, if there are no deficiencies; or
- (B) If deficiencies exist, the date that an acceptable plan of correction is developed.
- (C) The period of license shall be one year beginning on July 1st, and unless suspended or revoked, shall expire on June 30th of the following year.
(d) Transfer of License. - (i) A license shall apply only to the geographical location described in the license application.
- (A) Whenever ownership of a Critical Access Hospital is transferred from the individual or entity named in the license application to any other individual or entity, written notification of change of ownership shall be made to the Licensing Division. The transferee shall notify the Licensing Division of the transfer and apply for a new license.
- (l) Any license granted to the transferee shall be subject to the plan of correction submitted by the previous owner as approved by the Survey Division.
- (B) The transferor shall notify the Licensing Division at least thirty (30) days before the transfer.
- (ii) If the Critical Access Hospital's name is changed, the Licensing Division shall be advised in writing and a new license shall be issued upon receipt of the licensure fee and application.
(e) Conditions for Denying, Revoking, or Suspending a License. - (i) Denial, revocation, or suspension of a license may occur for noncompliance with any provisions of these licensure rules.
(f) Suspension of Admissions. - (i) The Licensing Division may suspend new admissions or re-admissions to a Critical Access Hospital when conditions are such that patient needs cannot be met. Conditions in a Critical Access Hospital shall not jeopardize the patient's health and/or safety.
(g) Monitor. - (i) When conditions are such that patient needs are not being met, the Licensing Division shall install a Department of Health approved monitor at the expense of the Critical Access Hospital.
(h) Hearings. - (i) Any Critical Access Hospital aggrieved by a decision of the Licensing Division may request a hearing by submitting a written request within ten (10) days of the date of receipt of the notice of adverse action.
- (ii) Except in matters concerned with the spread of communicable disease, the Licensing Division shall present the preliminary decisions and reasons for the decision to the parties concerned and shall provide an opportunity for a hearing. Any request for a hearing shall adhere to the time frame of (i) above.
- (iii) In matters concerned with the spread of communicable disease, the Wyoming State Health Officer or designated representative shall present the preliminary decisions and reasons for the decision to the parties concerned and shall provide an opportunity for a hearing. Any request for a hearing shall adhere to the time frame in (i) above.
- (iv) Hearings requested under the terms of these licensure rules shall be held in accordance with the provisions of the Wyoming Administrative Procedures Act.
(i) Posting of License. - (i) The current license issued by the Licensing Division shall be displayed in a public area within the Critical Access Hospital.
(j) Surveys for Licensure. - (i) The Survey Division or designed representative shall perform initial and periodic surveys for the renewal of licensure.
- (A) These surveys shall be based on the current Licensure Rules and Regulations for Critical Access Hospitals as promulgated by the Wyoming Department of Health.
- (B) The Survey Division shall provide, within ten (10) working days after the last day of survey, copies of the cited deficiencies to the Critical Access Hospital.
- (C) The Critical Access Hospital shall provide an acceptable plan of correction for all cited deficiencies, within ten (10) working days after receipt of the deficiencies to the Survey Division.
- (ii) At the time of survey, all records, including patient medical records, pertaining to matters involved in the survey shall be made available to members of the survey team in their assigned disciplines.
(k) Voluntary Closure. - (i) If a Critical Access Hospital voluntarily ceases to operate, it shall notify the Licensing Division in writing at least fifteen (15) working days prior to closure.
- (ii) The first working day after closure, the Critical Access Hospital's license shall be hand carried to or sent by certified mail to the Office of Health Facilities; 2020 Carey Avenue, Eighth Floor; Cheyenne, WY 82002.
048-17 Wyo. Code R. § 17-5