Section 1250.2040  Cost Effectiveness

a)         Criteria #1:  Alcoholism Treatment Services should operate at an efficient level of utilization.

b)         Standard #1:  There should be an average annual occupancy rate of 80% for dedicated Residential Alcoholism Rehabilitation units with a bed capacity of 20 beds or less.

c)         Data Factors:

1)         Number of Residential Alcoholism Rehabilitation Services beds.

2)         Utilization data (Number of Residential Alcoholism Rehabilitation Services Patient Days by age groups).

d)         Standard #2:  There should be an average annual occupancy rate of 85% for dedicated Residential Alcoholism Rehabilitation units with a bed capacity of 21 beds or more.

e)         Data Factors:

1)         Number of Residential Alcoholism Rehabilitation Services beds.

2)         Utilization data (Number of Residential Alcoholism Rehabilitation Services Patient Days by age groups).

f)          Standard #3:  There should be an average annual occupancy rate of 65% for dedicated Detoxication units (operated as dedicated units) with a bed capacity of 10 beds or less.

g)         Data Factors:

1)         Number of Detoxication beds.

2)         Utilization data (Number of Detoxication Patient Days by Age groups).

h)         Standard #4:  There should be an average annual occupancy rate of 70% for dedicated Detoxication units (operated as dedicated units) with a bed capacity of 11 beds or more.

i)          Data Factors:

1)         Number of Detoxication beds.

2)         Utilization data (Number of Detoxication Patient Days by age groups).

j)          Criteria #2:  Inpatient Alcoholism Residential Treatment Services should be provided only to individuals who cannot be served in ambulatory settings.

k)         Standard #1:  One hundred percent (100%) of Residential Alcoholism Treatment programs should utilize specific admission criteria and procedures which ensure that each potential patient is assessed to determine whether the patient could be served in ambulatory programs or non-hospital residential programs.

l)          Data Factors:  Written admission criteria and procedures.

m)        Standard #2:  One hundred percent (100%) of Residential Alcoholism Treatment Services should utilize specific admission criteria and procedures which identify the explicit patient assessment characteristics which result in admission to the service.

n)         Data Factors:  Written patient assessment characteristics applied to each patient prior to admission.

o)         Criteria #3:  A reasonable and consistent relationship should exist between costs and charges.

p)         Standard #1:  Facilities offering Alcoholism Treatment Services shall provide full written documentation on direct and indirect costs of providing the service as computed in accordance with generally accepted accounting principles, and shall demonstrate a reasonable and consistent relationship between costs of providing the service and the charges for the service.

q)         Data Factors:

1)         Cost information.

2)         Schedule of charges.

(Source:  Added at 5 Ill. Reg. 3214, effective March 18, 1981)