Alabama Administrative Code

(1) An REH shall be constructed, arranged, and maintained to ensure the safety of the patient, and to provide facilities for diagnosis and treatment of patients. (2) An REH shall comply with the applicable requirements of the Guidelines for Design and Construction of Health Care …

(1) Each REH shall have in effect an agreement with at least one Medicare-certified hospital that is a Level I or Level II trauma center for the referral and transfer of patients requiring emergency medical care beyond the capabilities of the REH. The certified hospital receiving…

(1) The members of the REH medical staff shall conform to the medical staff bylaws and rules and regulations of the hospital, as approved by the governing authority, and shall be responsible for the quality of medical care provided to patients by the hospital. (2) The medical sta…

(1) The REH shall participate in the QAPI Program and shall be governed by the Board's Rules for Hospitals, Chapter 420-5-7, Ala. Admin. Code, with the exception of the provisions governing performance improvement projects. The REH must maintain and demonstrate evidence of its QA…

(1) The REH shall have an organized nursing service that provides 24-hour nursing services that meets the needs of the patients. The nursing services shall be furnished and supervised by an RN. An RN, Clinical Nurse Specialist, or LPN must be on duty whenever the REH has one or m…

(1) The REH shall provide a sanitary environment to avoid sources and transmission of infections and communicable diseases. There shall be an active program for the prevention, control, and investigation of infections and communicable diseases supervised and administered by the h…

(1) The REH shall have a medical record service that has administrative responsibility for medical records and maintains the medical records system in accordance with written policies and procedures. Each REH shall also maintain any picture archiving and communications system (PA…

(1) The REH shall have appropriate food and beverages available for the patients and shall be responsible for meeting the nutritional needs of patients. (2) The REH may, at its discretion, make available food and beverage service to staff and visitors. The available food and beve…

(1) The REH shall meet the emergency needs of its patients in accordance with acceptable standards of practice and organized under the direction of a qualified member of the medical staff. There must be adequate medical and nursing personnel qualified in emergency care to meet th…

The REH shall have pharmaceutical services that meet the needs of its patients and shall be governed by the Board's Rules for Hospitals, Chapter 420-5-7, Ala. Admin. Code, and all applicable federal and state law and rules governing the maintenance and provision of pharmaceutical…

The REH shall maintain, or have available, diagnostic radiologic services according to the needs of the patients. If therapeutic services are also provided, the therapeutic, as well as the diagnostic services, must be furnished by the REH and provided by personnel qualified under…

(1) The REH shall have basic laboratory services essential to the immediate diagnosis and treatment of the patient, consistent with nationally recognized standards of care for emergency services. Laboratory services shall be governed by the Board's Rules for Hospitals, Chapter 42…

If the REH provides nuclear medicine services, those services shall meet the needs of the patients in accordance with acceptable standards of practice and shall be governed by the Board's Rules for Hospitals, Chapter 420-5-7, Ala. Admin. Code. Notes Ala. Admin. Code r. 420-5-23-.…

(1) The REH shall meet the needs of its patients for respiratory care services in accordance with acceptable standards of practice and shall be governed by the Board's Rules for Hospitals, Chapter 420-5-7, Ala. Admin. Code. (2) Respiratory care services may be provided by RNs who…

(1) If the REH provides outpatient medical and health services in addition to providing emergency services and observation care, those services shall meet the needs of the patients in accordance with acceptable standards of practice and shall be governed by the applicable Board r…

(1) If the REH provides outpatient surgical services, surgical procedures must be performed in a safe manner by qualified and credentialed practitioners who have been granted clinical privileges by the REH's governing authority in accordance with the REH's approved policies and p…

The patient or their representative shall be provided written discharge instructions regarding follow up referrals/appointments, medication management and procurement, durable medical equipment, availability of community resources and other identified needs at the time of dischar…

(1) The REH shall develop and implement a comprehensive plan that complies with all applicable federal, state, and local emergency preparedness requirements to ensure that the safety and wellbeing of patients are assured during emergency situations. An REH's emergency preparednes…

(1) An REH may include a unit of the facility that is a distinct part licensed and certified as a skilled nursing facility to furnish post-hospital extended care services and be considered a hospital with less than 50 beds for purposes of the exception to the payment limit for ru…

(1) Legal Authority. Under and by virtue of authority vested in it by the Legislature of Alabama, Code of Ala. 1975, § 22-21-20, et seq., the State Board of Health does hereby adopt and promulgate the following rules governing all hospitals, sanatoria, and other related instituti…

(1) Issuance of License. (a) Applications for a license to operate cerebral palsy treatment centers must be made in writing upon a form provided by the State Board of Health and shall contain such information as the licensing agency may require. (b) The application for a license …

(1) The State Board of Health, with the advice and after approval by the Advisory Board, shall have the power to make and enforce, and may modify, amend and rescind reasonable rules governing the operation and conduct of cerebral palsy treatment centers as defined in Code of Ala.…

(1) Personnel. (a) There shall be one person in charge of the institution at all times. This person may be the owner of the business or a person employed for the purpose who is qualified to assume the management and operation of the institution. (b) Each institution shall have su…

(1) Legal Authority for Adoption of Rules. Under and by virtue of the authority vested in it by the Legislature of Alabama, Code of Ala. 1975, Sections 22-21-20, et. seq., the Alabama State Board of Health does hereby adopt and promulgate the following Rules governing all assiste…

(1) Classifications of Licenses. All licenses are granted for the calendar year and shall expire on December 31 unless renewed by the owner for the succeeding year.(a) Regular License. A regular license shall be granted by the State Board of Health upon a determination by the Boa…

(1) The Assisted Living Facility Governing Authority. (a) An assisted living facility shall have an identified sole proprietorship, corporation, partnership, limited partnership, or other business entity that is its governing authority, or it shall have a designated individual or…

(1) An assisted living facility shall ensure personnel are employed and on duty to meet the care and safety needs of all residents 24 hours a day, 7 days a week. (a) An assisted living facility shall be staffed at all times by at least one individual who has a current certificati…

(1) General. (a) Responsibility for Records. The administrator shall prepare and file all records, or shall oversee the preparation and filing of records. This duty shall be assigned to other employees in the administrator's absence. (b) All records and reports required by these …

(1) Medical Direction and Supervision. The medical care of residents shall be under the direction and supervision of a physician. (a) Designation of Attending Physician. Upon admission, each resident shall be asked to designate an attending physician of his or her choice. If the …

(1) General. (a) Direction and Supervision. The services of a dietitian shall be provided to any resident of an assisted living facility who requires a therapeutic diet. Congregate assisted living facilities shall be under the direction and supervision of a full or part-time prof…

(1) Administrative Facilities. Each assisted living facility shall provide office space(s) or administrative office(s) . (a) As a minimum, the administrative office (s) shall be provided with a desk, file cabinet, and related office equipment and supplies. (b) Congregate assisted…

(1) General. (a) Direction and Supervision. Responsibility for laundry services shall be assigned to an employee. (b) Linen. Linens shall be handled, stored, processed, and transported in a manner consistent with generally accepted infection control practices. (2) Location and Sp…

(1) Sanitation (a) Water Supply. 1. If at all possible, all water shall be obtained from a public water supply. If it is impossible to connect to a public water system, the private water supply shall meet the approval of the local County Health Department. 2. Water under pressure…

(1) General. (a) Fire Safety and Emergency Plan. All assisted living facilities shall maintain a current written fire safety, relocation, and evacuation plan. In facilities which do not have multiple smoke compartments, an evacuation floor plan shall be appropriately posted in a …

(1) Buildings and Grounds (a) The assisted living facility including site and grounds must be constructed, arranged, and maintained to ensure the safety of the residents and building occupants. (b) Building Classification. 1. Family assisted living facilities shall be planned to …

(1) Legal Authority. (a) Adoption of Rules. Under and by virtue of authority vested in it by the Legislature of Alabama, Code of Ala. 1975, Sections 22-21-20, et. seq., the State Board of Health does hereby adopt and promulgate the following Rules governing the operation of End S…

(1) Governing Authority. (a) Responsibility. The governing authority or the owner or the person or persons designated by the owner as the governing authority shall be the supreme authority of the facility, responsible for the management, control, and operation of the facility, in…

(1) General. (a) Medical Supervision and Emergency Coverage. The facility ensures that the health care of each patient is under the continuing supervision of a physician and that a physician is available 24 hours a day, seven days a week for emergency situations. A roster of phys…

(1) Submission of Plans and Specifications. (a) Scope. A facility constructed or renovated after the effective date of these rules shall be classified as Ambulatory Health Care Occupancy of the Life Safety Code, and Business Occupancy of the Standard Building Code, and shall comp…

Notes Ala. Admin. Code r. 420-5-6-.01 Filed September 1, 1982. Repealed and New Rule adopted in lieu thereof: Filed March 31, 1987. Amended: Filed January 20, 1999; effective February 24, 1999. (1) Statutory Authority for Adoption of Rules. Under and by virtue of authority vested…

(1) Each application for a certificate of authority under Code of Ala. 1975, §§ 27-21A-1, et seq., shall be made to the Commissioner of the Department of Insurance and to the State Health Officer. "Certificate of Authority" means the document issued by the State Insurance Commiss…

(1) Within the statutory time frames, the Department will determine whether the information submitted in the application for a Certificate of Authority is complete. If the information is not complete, the Department will send notification in writing to the applicant stating that …

(1) A health maintenance organization shall provide at least basic health care services: basic health care services means emergency care, inpatient hospital and physician care, and outpatient medical services. (a) Emergency. A medical condition manifesting itself by acute symptom…

(1) The health maintenance organization shall be organized in a manner which allows the accomplishment of its stated mission which shall include, as a minimum, delivery of basic health care services, as well as covered frequently utilized specialty services and ancillary services…

(1) A health maintenance organization shall have available sufficient personnel to meet the standards set forth in this Chapter and its contractual obligations. (2) When health care services are not provided directly, a health maintenance organization shall develop and maintain w…

(1) A health maintenance organization shall develop and implement a quality improvement program subject to the approval of the State Health Officer that includes organizational arrangements and ongoing procedures for the identification, evaluation, resolution, and follow-up of po…

(1) A health maintenance organization shall have an enrollee complaint process, to include an informal review, a formal review, and an expedited formal review for the prompt resolution of complaints regarding such things as (a) the availability, delivery, or quality of health car…

(1) An enrollee contract is the document which is to be issued to employers, unions, trustees, or other organizations and individuals. Every health maintenance organization shall offer at least one contract to all enrollees which shall include: (a) Definitions; (b) Eligibility fo…

(1) "Provider contract" means a written agreement executed between a health maintenance organization and a health care provider in which the health care provider agrees to furnish specified services to enrollees of the health maintenance organization. The health maintenance organ…

(1) Professional staff standards. (a) A health maintenance organization shall have a sufficient number of physicians to adequately cover the health care needs of enrollees. 1. The health maintenance organization shall conduct an annual affirmative capacity analysis of availabilit…