No. 27117 (Amendment): R523-1-10. Allocation of Utah State Hospital Bed Days to Local Mental Health Authorities

DAR File No.: 27117
Filed: 04/27/2004, 11:05
Received by: NL

 

RULE ANALYSIS

Purpose of the rule or reason for the change:

The current section does not establish a formula, as required by statute, to allocate adult beds to local mental health authorities.

 

Summary of the rule or change:

The proposed section establishes a formula to allocate state hospital adult beds to local mental health authorities as required by statute

 

State statutory or constitutional authorization for this rule:

Subsection 62A-15-611(2)(a)

 

This rule or change incorporates by reference the following material:

None

 

Anticipated cost or savings to:

the state budget:

Beds at the Utah State Hospital are funded in the state budget and number of beds allocated is based on that budget per Section 62A-15-612 so no new cost to the state budget is anticipated.

 

local governments:

Re-allocation of beds at the Utah State Hospital may result in the loss of a bed for some local authorities and additional beds for others. Those authorities that lose beds could incur additional costs for hospitalizations in local hospitals, those that gain beds could experience a saving by cutting the cost of using local hospital beds. Each hospital has a different bed day rate and the length of stay for each individual would vary consequently an aggregate cost or saving cannot be calculated.

 

other persons:

State Statue allocates beds the State Hospital to local authorities who may contract with private not for profit entities to provide mental health services for residents in their catchment area. The loss of a bed at the hospital may cause them to incur additional hospital costs by needing to use beds at local hospitals or they could experience a saving by gaining an additional bed at the State Hospital by decreasing the reliance on local hospitals.

 

Compliance costs for affected persons:

Re-allocation of beds at the Utah State Hospital may result in the loss of a bed for some local authorities or the gain of a bed for others. Those authorities that lose a bed might incur additional costs for hospitalizations in local hospitals those that gain a bed could experience a saving. Each hospital has a different bed day rate and the length of stay for each individual would vary, consequently the cost or saving for each affected person cannot be calculated.

 

Comments by the department head on the fiscal impact the rule may have on businesses:

Local authorities in some areas of the State contract with private not for profit entities to provide mental health services for residents in their catchment area. The loss or gain of a bed at the Utah State Hospital may cause them to incur additional hospital costs at local hospitals or additional savings by not using local hospital beds.

 

The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:

Human Services
Mental Health
120 N 200 W 4TH FL
SALT LAKE CITY UT 84103-1500

 

Direct questions regarding this rule to:

Janina Chilton at the above address, by phone at 801-538-4072, by FAX at 801-538-3993, or by Internet E-mail at [e-mail]

 

Interested persons may present their views on this rule by submitting written comments to the address above no later than 5:00 p.m. on:

06/14/2004

 

This rule may become effective on:

06/15/2004

 

Authorized by:

Robin Arnold-Williams, Executive Director

 

 

RULE TEXT

R523. Human Services, Mental Health.

R523-1. Policies and Procedures.

R523-1-10. Allocation of Utah State Hospital Bed Days to Local Mental Health Authorities.

[All adult general psychiatric beds at the Utah State Hospital for individuals who meet the requirements of 62A-12-209(2)(a); shall be provided to mental health catchment areas governed by a local mental health authority or association of local mental authorities; and shall provide for allocation of these beds based on:

A. the percentage of the state's population that is located within a mental health catchment area.

B. a differential to compensate for additional demand of state hospital beds in the urban areas of the state.]1. Pursuant to UCA 62A-15-611(2)(a), the Board herein establishes, by rule, a formula to allocate to local mental health authorities adult beds for persons who meet the requirements of UCA 62A-15-610(2)(a).

2. The formula established provides for allocation based on (1) the percentage of the state's adult population located within a mental health catchment area: and (2) a differential to compensate for the additional demand for hospital beds in mental health catchment areas that are located within urban areas.

3. The Board hereby establishes a formula to determine adult bed allocation:

a. The most recent available population estimates are obtained from the Utah Population Estimates Committee.

b. The total adult population figures for the State are identified which includes general adults and geriatric populations. Adult means age 18 through age 64. Geriatric means age 65 and older.

c. Adult and Geriatric population numbers are identified for each county.

d. The urban counties are identified (county classifications are determined by the lieutenant governor's office pursuant to UCA 17-50-501 and 17-50-502 and the most recent classifications are used to determine which counties are defined as urban) and given a differential as follows:

i. The total number of adult beds available at the Utah State Hospital are determined, from which the total number of geriatric beds and adult beds are identified.

ii. 4.8% is subtracted from the total number of beds available for adults to be allocated as a differential.

iii. 4.8% is subtracted from the total number of beds available for geriatrics to be allocated as a differential.

e. The total number of available adult beds minus the differential is multiplied by the county's percentage of the state's total adult and geriatric populations to determine the number of allocated beds for each county.

f. Each catchments area's individual county numbers are added to determine the total number of beds allocated to a catchment area. This fractional number is rounded to the nearest whole bed.

g. The differential beds are then distributed to urban counties based on their respective percentage of urban counties as a whole.

h. At least one adult (18 - 64) bed is allocated to each community mental health center.

4. In accordance with UCA 62A-15-611(6), the Board shall periodically review and make changes in the formula as necessary to accurately reflect changes in population.

5. Applying the formula.

a. Adjustments of adult beds, as the formula is applied, shall become effective at the beginning of the next fiscal year.

b. The Division of Substance Abuse and Mental Health, as staff to the Board, is responsible to calculate adult bed allocation as directed by the Board or as required by statute.

c. Each local mental health authority will be notified of changes in adult bed allocation.

6. The number of allocated adult beds shall be reviewed and adjusted as necessary or at least every three years as required by statute.

7. A local mental health authority may sell or loan its allocation of adult beds to another local mental health authority.

 

KEY: bed allocations, due process, prohibited items and devices, fees

[September 8, 2003]2004

Notice of Continuation December 11, 2002

62A-12-102

62A-12-104

62A-12-209.6(2)

62A-12-283.1(3)(a)(i)

62A-12-283.1(3)(a)(ii)