Section 394.461 - Designation of receiving and treatment facilities and receiving systemsThe department is authorized to designate and monitor receiving facilities, treatment facilities, and receiving systems and may suspend or withdraw such designation for failure to comply with this part and rules adopted under this part. The department may issue a conditional designation for up to 60 days to allow the implementation of corrective measures. Unless designated by the department, facilities are not permitted to hold or treat involuntary patients under this part.
(1) RECEIVING FACILITY.-The department may designate any community facility as a receiving facility. Any other facility within the state, including a private facility or a federal facility, may be so designated by the department, provided that such designation is agreed to by the governing body or authority of the facility.(2) TREATMENT FACILITY.-The department may designate any state-owned, state-operated, or state-supported facility as a state treatment facility. A civil patient shall not be admitted to a state treatment facility without previously undergoing a transfer evaluation. Before the close of the state's case-in-chief in a hearing for involuntary placement, the state may establish that the transfer evaluation was performed and the document was properly executed by providing the court with a copy of the transfer evaluation. The court may not consider the substantive information in the transfer evaluation unless the evaluator testifies at the hearing. Any other facility, including a private facility or a federal facility, may be designated as a treatment facility by the department, provided that such designation is agreed to by the appropriate governing body or authority of the facility.(3) PRIVATE FACILITIES.-Private facilities designated as receiving and treatment facilities by the department may provide examination and treatment of involuntary patients, as well as voluntary patients, and are subject to all the provisions of this part.(4) REPORTING REQUIREMENTS.-(a) A facility designated as a public receiving or treatment facility under this section shall report to the department on an annual basis the following data, unless these data are currently being submitted to the Agency for Health Care Administration: 1. Number of licensed beds.2. Number of contract days.3. Number of admissions by payor class and diagnoses.4. Number of bed days by payor class.5. Average length of stay by payor class.6. Total revenues by payor class.(b) For the purposes of this subsection, "payor class" means Medicare, Medicare HMO, Medicaid, Medicaid HMO, private-pay health insurance, private-pay health maintenance organization, private preferred provider organization, the Department of Children and Families, other government programs, self-pay patients, and charity care.(c) The data required under this subsection shall be submitted to the department no later than 90 days following the end of the facility's fiscal year.(d) The department shall issue an annual report based on the data required pursuant to this subsection. The report shall include individual facilities' data, as well as statewide totals. The report shall be posted on the department's website.(5) RECEIVING SYSTEM.-The department shall designate as a receiving system one or more facilities serving a defined geographic area developed pursuant to s. 394.4573 which is responsible for assessment and evaluation, both voluntary and involuntary, and treatment, stabilization, or triage for patients who have a mental illness, a substance use disorder, or co-occurring disorders. Any transportation plans developed pursuant to s. 394.462 must support the operation of the receiving system.(6) RULES.-The department may adopt rules relating to:(a) Procedures and criteria for receiving and evaluating facility applications for designation, which may include onsite facility inspection and evaluation of an applicant's licensing status and performance history, as well as consideration of local service needs.(b) Minimum standards consistent with this part that a facility must meet and maintain in order to be designated as a receiving or treatment facility and procedures for monitoring continued adherence to such standards.(c) Procedures and criteria for designating receiving systems which may include consideration of the adequacy of services provided by facilities within the receiving system to meet the needs of the geographic area using available resources.(d) Procedures for receiving complaints against a designated facility or designated receiving system and for initiating inspections and investigations of facilities or receiving systems alleged to have violated the provisions of this part or rules adopted under this part.(e) Procedures and criteria for the suspension or withdrawal of designation as a receiving facility or receiving system.s. 6, ch. 71-131; s. 3, ch. 72-396; s. 5, ch. 73-133; s. 1, ch. 77-90; s. 203, ch. 77-147; s. 6, ch. 79-298; ss. 1, 2, ch. 80-384; s. 9, ch. 82-212; s. 7, ch. 84-285; s. 42, ch. 85-167; s. 707, ch. 95-148; s. 13, ch. 96-169; s. 1, ch. 2007-169; s.81, ch. 2014-19; s.6, ch. 2016-241; s.23, ch. 2017-3; s. 1, ch. 2023-270; s.5, ch. 2024-245.Amended by 2024 Fla. Laws, ch. 245,s 5, eff. 7/1/2024.Amended by 2023 Fla. Laws, ch. 270,s 1, eff. 7/1/2023.Amended by 2017 Fla. Laws, ch. 3, s 23, eff. 7/4/2017.Amended by 2016 Fla. Laws, ch. 241, s 6, eff. 7/1/2016.Amended by 2014 Fla. Laws, ch. 19, s 81, eff. 7/1/2014.