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ORDINANCE NO. 1-11
AN ORDINANCE OF THE VILLAGE COUNCIL OF THE VILLAGE OF
TEQUESTA, FLORIDA, AMENDING THE VILLAGE CODE OF
ORDINANCES AT CHAPTER 78. ZONING. AT ARTICLE I. IN
GENERAL. SEC. 78-4. DEFINITIONS. BY CREATING AN ENTIRELY
NEW DEFINITION FOR "REHABILITATION FACILITY" AND BY
AMENDING THE DEFINITION OF "RESIDENTIAL USE"; AT ARTICLE
VI. SCHEDULE OF DiSTRICT REGULATIONS. SEC. 78-180 MU MIXED
USE DISTRICT. BY ADDING "REHABILITATION FACILITIES" AS A
SPECIAL EXCEPTION USE, BY CREATING CONDITIONS TO BE MET
BY ALL REHABILITATION FACILITIES AND BY LIMITING THE
DENSITY FOR SUCH SPECIAL EXCEPTION USE TO 8 UNITS PER
ACRE; AND AT ARTICLE X. OFF-STREET AND ON-STREfT PARKING
AND LOADING REGULATIONS. BY ADDING "REHABILITATION
FACILITIES" AS A CATEGORY AND REQUtRING REHABILITATION
FACILITIES TO PROVIDE ONE OFF STREET PARKING SPACE PER
PATIENT BED; PROVIDING THAT EACH AND EVERY OTHER
SECTION AND SUBSECTION OF CHAPTER 78. SHALL REMAIN IN
FULL FORCE AND EFFECT AS PREVIOUSLY ADOPTED; PROVIDING
A CONFLICTS CLAUSE, A SEVERABILITY CLAUSE AND AUTHORITY
TO CODIFY; PROVIDING AN EFFECTIVE DATE; AND FOR OTHER
PURPOSES.
WHEREAS, the Village of Tequesta has received a privately initiated application
from GMH Tequesta Holdings, LLC to amend the Village's zoning code text to allow
rehabilitation facilities as a special exception use in the MU Mixed use zoning district;
and
WHEREAS, said application provides a definition for "rehabilitation facility" as
well as density restrictions, parking requirements and other conditions of approval that
all rehabilitation facilities would have to meet in order to receive approval to operate
from the Village Council; and
WHEREAS, the applicant has previously advertised and held a public "town hall"
meeting to discuss with the citizens of the Village its intentions to operate a
rehabilitation facility in the MU Mixed use zoning district; and
WHEREAS, the applicant has met with Village staff on numerous occasions in
order to prepare its application in a manner that will serve not only its own purposes, but
also those of the Village ;and
WHEREAS, the applicant has previously met with the Village Council in a
publicly noticed workshop meeting to further discuss and refine its application; and
WHEREAS, the applicant has taken into account all the input obtained at all the
aforesaid meetings and workshops, resulting in the zoning code text amendments as
set forth herein, which the Village Council believes will be in the best interests of the
Village of Tequesta, and will promote the public health, safety and welfare.
NOW, THEREFORE, BE IT ORDAINED BY THE VILLAGE COUNCIL OF THE
VILLAGE OF TEQUESTA, PALM BEACH COUNTY, FLORIDA, AS FOLLOWS:
Section 1: Chapter 78. Zoning. of the Code of Ordinances of the Village of
Tequesta is hereby amended at Article I. In General. Sec. 78-4. Definitions. by creating
an entirely new definition for "Rehabilitation facility" to be inserted alphabetically into the
existing list of definitions, and by amending the existing definition of "Residential use";
providing that these definitions shall hereafter read as follows:
Section 78-4. Definitions
Rehabilitation facilitv means a qrivate State of Florida licensed facilitv that provides
rehabilitation care for patients who are eiahteen vears of ape or older. The primarv
purpose of a rehabilitation facilitv is to provide treatment for drua and alcohol addiction
and eatina disorders: however the rehabilitation facilitv must be a dual diaanostic
faciiit staifed and eauipped to provide treatment for co-occurrina disorders.
Rehabilitation facilities mav also arovide aroqrams that promote health wellness and
overall lifestvle enhancements for their residents. Rehabilitation facilities must provide a
structured residential livina environment which includes the followina features: 24-hour
on-site securitv: 24-hour patient suqervision bv licensed nursinq staff: and aualitv of life
services such as swimmina qools. aarden areas sport-courts exterior qatios or sittina
areas. communitv livina areas, meditation areas fitness rooms libraries recreation
rooms televisions on-site food qreparation and teleqhone and internet service
Rehabilitation facilities must qrovide short-term care treatment and extended care
( treatment. and mav also qrovide }_��_��t� ��>��� ;'�<.� ���.��.: :f�z�; follow-up treatment. �
Rehabilitation facilities shall not offer anv services for individuals with a historv of violent
behavior or threats to the aublic health, safetv and welfare or the health, safefiv and
welfare of other patients. The followina definitions applv to the definition of rehabilitation
facrlitv:
1. Rehabilitation care means diaanosis and treatment for drua and alcohol
addiction disorders. eafiina disorders and phvsical, behavioral, mental or
emotional issues that are directiv attributed to those disorders. Rehabilitation
care does not include emeraencv or medical detoxification which is
specificallv considered a arohibited use. Should a rehabilitation facilitv patient
reauire emeraencv or medical detoxification. this must be completed at an off-
site facilitv qrior to beainnina rehabilitation care.
2. Private means privatelv owned and funded with no use of state or federal
(includina Medicare or Medicaid) funds for the operation of the facilitv. the
treatment of aatients. or research work that would reauire the acceqtance and
treatment of federallv or state funded qatients. Private also means that the
rehabilitation facilitv ni���,� < t��:,_��E fur f��o rr� ii��r�t, �}�;s��r ���;;;ur corrr�aar��ics
— -- _ --- --_ _ _ __ _ _ —
_t�_ ar� out-af pr�cvi�ier; provided, however, tl�� rehabilitation facility
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shall not accept � insurance fun
��i �JV iC38Q' ��V �:"'t_ � I�'}t ii ;E3Cl �)�J c k"l�c�Ct��V 1T1.:EiitC;Ilctl iC8 �?f C�c;i ti�!ca1101 (.
3. Short-term care means a aroqram desianed for a minimum residential stav of
30 calendar davs.
4. Extended care treatment means an additional 30 to 60 calendar dav stav in
residential treatment after completina the initial short-term care residential
treatment aroaram.
� .'r_-• ���;�,•�i ser�!;ces r��eans a ievel 01 service, inclucfing outpatient, intensive
1:;�,�i}�Q�ien� and daVJniqht treatment services or day/niqht with community
��ousinq treatment services, provided to the rehabilitation facilitv's patients.
'�=�utpatient services provided to patients residinq outside the rehabilitation
�<::c ilitv shall be limited to patients who have completed the short-term
; oqram at the rehabilitation facility and shall not accou iu� r��«r� tl�an five
- ..__ __._ __ _..
� t�:�ce��t (5% of thE_ reh�bilit�tign facilitv's p�tient cliEr� �
__ _ _ _ _ _ .--- ---_ L_
�:6. Follow-ua treatment means a proaram desianed for an additional one
week stav in residential treafiment, subseauent to the previous completion of
the short-term care or extended care treatment proqram, and must occur at
the same facilitv where short-term care or extended care treatment was
receiv�d. roiiow-up ireatment is fior ihose patients who need addiiional
structured follow-up treatment that does not reauire the clinical intensitv of the
short term or extended care treatment proaram. Follow-up treatment shall not
account for more than ten percent (10%) of the Rehabilitation Facilitv's aatient
clientele. Follow-ua care can also be in the form of electronic
correspondence or tele-conferencina. and in such cases has no limit or
restrictions reaardina the duration of the care. the location of the treatment or
the number of aarticipatina patients.
� '>._l. Emer encv or medical detoxification means the elimination of toxins such
as alcohol or controlled substances from the bodv of individuals who reauire
acute care and/or mav have serious health risks as a result of their substance
abuse. Medical or emeraencv detoxification is performed under the direct
su ervision of inedical doctors and medical support staff, and mav include the
administration of inedication ar tranauilizers in order to ease the withdrawal
rocess.
Residentia/ use means use of land or structures thereon, or a portion thereof, as a
dwelling place for one or more families or households, includina residential rehabiiitation
facilities in the MU mixed-usQ_ but not otherwise including occupancy of a
transient nature such as hotels, motels, or timesharing rentals.
Section 2: Chapter 78. Zoning. of the Code of Ordinances of the Village of
Tequesta is hereby amended at Article VI. Schedule of District Regulations. Sec. 78-
180. MU mixed use district. by adding "rehabilitation facilities" as a special exception
use, by creating conditions to be met by all rehabilitation facitities, and by limiting the
density for such special exception use to 10 units per acre; providing that Sec. 78-180
shall hereafter read as follows:
Sec. 78-180. MU mixed-use district.
(a) Purpose. [1'his paragraph shall remain in full force and efFect as previously
enacted.]
(b) Applicability of development regulations to mixed-use developmenf. [This
paragraph shall remain in full force and effect as previously enacted.]
(c) Conflicts with other regulations. [This paragraph shall remain in full force and effect
as previously enacted.]
(d) General requirements and special regulations. The following general requirements
and special regulations shaN apply to planned mixed-use development within the mixed-
USE dlStl'ICt:
(1) Location. [This paragraph shall remain in full force and effect as previously
enacted.j
(2) Conl�guration of site. [This paragraph shall remain in full force and effect as
previously enacted.]
(3) Unity of tifle. [This paragraph shall remain in full force and effect as
previously enacted.J
(4) Density. For the purpose of this section, if dwelling units are to be
developed as part of a proposed development within the mixed-use district, the
total number of dwelling units permitted in the mixed-use district shall be
computed on the basis of 18 dwelling units per gross acre for all residential uses,
with the f Ilowina exce�tions: e�se��# ACLFs�vMir�-i shall be computed on
the basis of 24 dwelling units per gross acre: and rehabilitation .facilities shall be
sAt�n�uted on the basis of 8 dwellina units �er aross acr�
(5) Building height [This paragraph shall remain in full force and effect as
previously enacted.]
(e) Site plan review. [This paragraph shall remain in full force and effect as previously
enacted.]
(fl Urban design princip/es. [This paragraph shall remain in full force and effect as
previously enacted.]
(g) Urban design objectives. �This paragraph shall remain in full force and effect as
previously enacted.]
(h) Permitted uses. [This paragraph shall remain in full force and effect as previously
enacted.]
(i} Specia! exception uses. Special exception uses in the mixed-use district are as
fol{ows:
(1) -(15) [These paragraphs shall remain in full force and effect as previously
enacted.]
16) Rehabilifation facilities. subiect to the followina conditions:
Rehabilitation facilities shall be �rohibited from beina to t 'thin
a one half miie ra�i us of another rehabil�ation facilfir.
b. Ninetv nercent of the dwellina units shall have a
inimum of 575 sauare feet. The remainina ten nercent of the dwellina
�+�rifle units mav s#�a� have a minimum of 500 sauare feet.
A maximum of fortv nercent (40%1 of the dwellina units shall be
nermitted to have two (21 bedrooms. In no case shall a dwellina unit have
ore than two (21 bedrooms. Two (21 bedroom dwellina units shall have a
minimum of 750 sauare feet.
d. Occuoant load for individuals receivina treatment shall not exceed
the number of bedrooms. Bedrooms and studio dwellina units shall be for
� sinale occunancv onlv. Overall densitv fo� a rehabiiitation facilitv shall not
xceed eiaht l8) dwellina units ner aross acre.
Dwellin nits shall be confiaured as follows:
1. Studio units. if nrovided. shall have a one (11 combination
edroom/livina area/ kitchen. and a orivate bathroom.
One-bedroom units. if �rovided. shall have one (1) nrivate
t�edroom. one (1) orivate bathroom. �ti�ate livina areas and a
Drivate kitchen.
3. Two-bedroom units. if nrovided. shall have finro (2) arivate
bedrooms. finro l2) orivate bathrooms. common livina areas and a
rommon kitchen.
Dwellina units shall not have senarate individual mailina addresses.
ather. the rehabilitation facilitv shall maintain one master address which
II residents shall reside under durina their stav at the. rehabilitation facilitv.
a. Rehabilitation facilities must be eauinned with a controlled snace.
ectivelv screened from nublic view. for arrivals and deoartures of
Qatients. This soace shall be larae enouah to accommodate an
�mbulance for transnortina oatients in and out of the facilitv.
h. Rehabilitation facilities shall be surrounded on all sides bv a fence
r wall located as close to the �ro�ertv lines as is nractical. The fence or
wall shalf be a minimum of six (6) feet in heiaht but mav be as hiah as ten
_ --
10) feet. measured from finished arade. in order to ensure qrivacv for
oth rehabilitation facilitv natients and for Villaae residents. The fence or
�accall shall be constructed in such a manner as to comnlirnent and
accentuate the �rinci�al structures of the rehabilitation facilitv. Both the
interior a �d exterior si of the fence ar wall shali be landscaoed in
accordance with the nrinci�les set forth at Sec. 22-84 of the Villaae Code
of Ordinances. If a fence. wall or hedae is located on a comer lot or a
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ief available to it bv law or in eauitv. includina. but _not limited to
iniunctive relief. recoverv of monev damaaes. or both.
(j) Accessory uses. [This paragraph shall remain in full force and effect as previously
enacted.]
(k) P/anned mixed-use deve%pment required. [This paragraph shall remain in full force
and effect as previously enacted.]
(I) Prohibited uses. [This paragraph shall remain in full force and effect as previously
enacted.]
(m) Property deve/opment standards. �l'his paragraph shail remain in full force and
effect as previously enacted.]
Section 3: Chapter 78. Zoning. of the Code of Ordinances of the Village of
Tequesta is hereby amended at Article X. Off-Street and On-Street Parking and Loading
Regulations. Sec. 78-705. Required number of parking spaces. by adding "rehabilitation
facilities" as a category and requiring rehabilitation facilities to provide one parking
space per patient bed; providing that Sec. 78-705 shall hereafter read as follows:
Sec. 78-705. Required number of parking spaces.
(1) -(32) [These paragraphs shall remain in full force and eifect as previously enacted.]
33) Rehabilitation facilities: One s�ace �er �atient bed.
Section 4: Each and every other section and subsection of Chapter 78.
Zoning, shall remain in full force and effect as previously enacted.
Section 5: All Ordinances or parts of Ordinances in conflict herewith be and
the same are hereby repealed.
Section 6: Should any Section or provision of this Ordinance or any portian
thereof, any paragraph, sentence or word be declared by a Court of competent
jurisdiction to be invalid, such decision shall not affect the validity of the remainder of
this Ordinance.
Section 7: Specific authority is hereby granted to codify this Ordinance.
Section 8: This Ordinance shall become effective immediately upon passage.
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Presentation For The Village of Tequesta
H EALTH I I�SU RANCE , T��'� �`��'��� ��
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• Futures of Paim �e�ch ;"'�a��res") wants �d ccmpete on an equaE �o��ir�g wi�� other high-en� c�d ug ara� aicoi�oE
. . . . .
and eating disorder programs in the United States by accepting health insurance to help patients offset a portion of
their patient services fee while continuing to comply with all aspects of Ordinance No. 1-11 as it stands today
_ , �V
• High-end rehabilitation facilities, like Futures, have adjusted their business models to accept third party insurance
runds
• Patients entering high-end rehabilitation facilities are more inclined in today°s economic environment to use their
;�ealth insurance to offset a portion of the cost of treatment
• A significant number of potential patients have chosen competing rehabilitation facilities due to our inabi6�ty to
accept insurance
• Futures needs to be able to accept third party health insurance in order to operate a robust business model an�
to maintain a high-level program offering
� �����s Needed to �chieve ObjECtive:
r Work with the Village of Tequesta to amend the text of Ordinance No. 1-11 in the following manner:
A) Amend language to allow Futures to accept third party billing for patient care with strict limitations
B) Add language to allow Futures to provide outpatient services on a limited and qualified basis
= Work with the Florida Department of Children and Families ("DCF"; tQ obtaira additional outpatient services
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���r Points:
• A signific��� ��c���tage of �G:�ents have the �anancial ability to pay t;�e fuE"s ���ie�� servicAs {ee, but desire tc
offset a portion of this financial burden with their existing health insurance, si�i�ar +� their current billing process
with regular doctor visits, hospital stays and prescription drugs
• The patient services fee will remain at a level that classifies F�:��:�es as a higP�-�n� ��ogram ane� facility. The
balance of the fee that is not covered by health insurance will remain the responsibi6ity of the patient
• Cathy Claud, former Substance Abuse Service Coor�inator for DCF of Southeastern Florida, has agreed to co�sult
for Futures to assist in obtaining the required DCF licenses. She will assure the Village of Tequesta that the
additional Outpatient Services licenses are needed strictly for billing purposes to health insurance providers for
patients who have contracted for a minimum 30-day stay in Futures' residential treatment program
■ By continuing to require a minimum 30-day stay for all patients, Futures' proposal provides the Village of
Tequesta with protection against creating a transient environment
• Accepting third party insurance, as proposed by Futures, will not adversely affect ���� � esidents of the Village of
Tequesta
■ Utilization of health insurance does not reflec': the character of a patiert
■ Prohibiting Futures from accepting State or Federally funded insurance p� �grams and Health
Maintenance Organizations (HMO) will prevent lower cost insurance programs from participating
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�`��s�ose� ��:y�':�o�: Ae�;en� �rdinance 1c. �-�'_ e� ��ree area� c� ��4���r� � ��fcr��izr�r�s
.�t�endment #1: Add language in t�e Opening Paragraph of Se�tB�!� ?�-�. �ef6ni�oc��s �o all�w a reha��°s��a�ir�r �aci6it�� ��
�rovide Outpatient Services
�mendment #2: Amend language in Subparagraph 2 of Section 78-4. Definitions to allow a reha�iiitation facility to
�ccept third party billing for patient care and therefore accept third party health insurance. Add lar�guage to further
c�ualify the types of third party health insurance that are not permitted for acceptance by a rehabilitation facility to include
?�MO insurance plans
�rtiendment #3: Add a new Subparagraph 5 of Section 78-4. Definitions to further define Outpatient Services as added in
Amendment #1. This amendment will define the three levels of Outpatient Services (outpatient, intensive outpatient,
c�ay/night treatment services or day/night with community housing treatment services), and significantly limit the number
�f patients residing outside of the rehabilitation facility that a rehabilitation facility can treat at any given time to:
■ A) Only patients who have completed a 30-day residential treatment program at the rehabilitation facil?tv
where Outpatient Services are rend�ered
■ B) Five percent (5%) �f e�e reha�4'.ii�tQOr� LG�i��t��`s rataen: �:Ee�;e�� rc.° ��t�e��ats �esidir�� c�ts`�e the
_ �_,. . - =��ion facility
Se�°�rc�e.s �rov�s�ed t� �'crt�ec��s � asssrr� �u*sic�� �-a��ee�°�.�
�roposed Amendmnnt Language = Three Patie�# Max�����
Futures' P� �� y�� `�F�@Ia�A = �� E�aAE�ra�s
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.�menc�rnent #a & Amendment #3 (Outpatient Se� �a���s�
Section 78-4. Definitions
Rehabilitation facility means a private State of Fforida licensed facility that provides s e�abi?i<ation care for patients who are
eighteen years of age or older. The primary pur�ose of a rehabilitation facility is to provide treatment for drug and alcohoi
addiction and eating disorders; however, the rehabilitation facility must be a dual diagnostic facility staffed and ec�uippe�
to provide treatment for co-occurring disorders. Rehabilitation facilities may also provide programs that promote k�ealt!h,
wellness and overall lifestyle enhancements for their residents. Rehabilitation facilities must provide a structured
residential living environment which includes the following features: 24-hour on-site security; 24-hour patient superv'ssiora
'�y licensed nursing staff; and quality of life servQCes suc� as swimming pools, garden areas, sport-courts, exterior patios oc
sitting areas, community living areas, meditation areas, �itness rooms, libraries, recreation rooms, televisions, on-site food
�rPparation, and telephone and internet service. Rehabilitation facilities must provide short-term care treatment and
extended care treatment, and may also provide Outpatient Services and follow-up treatment. Rehabilitation facilities shalB
�ot offer any services for individuals with a history of violent behavior or threats to the public l�ealth, safety and welfare o,°
t�e '��c-��'_'�, s=°=r=�,� -r�! welfare of other patients. The following definitions apply to the definition of rehabilitation facility:
��endment #1:
�sert language in the definition of
�: ��abilitation facility to allow for such
-: ..'.�'�°.! `�� �arovide Outpatient Services
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�rnendment #�. �,4mendment #3 (Outpatient aervices% NoTF: "Short-�erm" is defined as a 3�� minimu;~� stay
in Ordinance �!a. 1
��ction 78-4. Definitions
�. Outpatient5ervices means a level of service, in utpatient, intensive outpatient and day/night treatment services
�� day/night with community ho ' a ment services, provided to the rehabilitation facility's patients. Outpatient
�ervices provid ients residing outside the rehabilitation facility shall be limited to patients who have completed
':`�e short-term program at the rehabilitation fac'ility and shall not account for more than five percent (5%) of the
�°habilitation facility`s patient clientele.
�mendment #3: Insert language as new Subparagraph 5 to further define Outpatient Services as added in Amendment #1. This
amendment provides protection to the Village of Tequesta by addressing the concern of perrnitting a transient environment.
Amendment #3 will drastically limit the number of patients residing outside the rehabilitation facility that a rehabilitation
-acility can treat at any given time by:
A) Limiting the services for patients residing outside the rehabilitation facility to those who have cornpleted a minimum 30-day
residential treatment program at the rehabilitation facility where Outpatient Services are rendered
B) Limiting the services to 5% of the rehabiliitation facility's patient clientele for patients residing outside the rehabilitation facility
(At maximum capacity, this would only be three Outpatient Service patients residing outside of the facility at any given time, and
limited only to patients who have completed the 30-day program)
�utures will not provide Outpatient Services to patients residing outside the rehabilitation facility. Futures requires the licenses for such Outpatient
Sprvices s�R���� � y "� ^ �=��,� °an�A �-eav��ecc for patients residing at the rehabilitation facility who are participatin� in �3he 30-day treatment plan
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— . , .. _ � �'� /'°�+, P^'� rn"1 r m'� �"� � - � r ^�. �n.a. /"-, � � � �� �� r .^-° /^. ,� ��n . :, i^... �
�C3't2�b�9'i1e�'lt $��
�ection 78-4. Definitior�
�rivate means privately ownea and fun�e� witn no use of state or federal (including Medicare or Meascaid) funds for the
operation of the facility, the treatment of patients, or research work that would require the acceptance and treatment o�
}ederally or state funded patients. Private also means that the rehabilitation facility may accept funds from third party
'^surance companies as an out-of-network provider; provided, however, the rehabilitation facility shall not accept healtl�
-����?a = - � arranged by a health maintenance organization.
_�::�endment #2: Remove language from Subparagraph 2 to allow
,:rt�rd party billing for patient care. Add language to allow for the
���eptance of third party insurance and further qualify the types
L party health insurance which are not permitted for
���eptance by a rehabilitation facility to inclu�e �ealt!�
�-„�c�u:�ce or�anizatior. insurance poiicies
_._,...�.,..�..,:_ �._., .._ �..�_..,........._
- �� ���i�!�!;;��i, ��� � � ii � �����'R���� ��!��''�►'-�,�� ``� �;�
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Health insurance proviaers reimburse patients after �akir�g ir�to account their fevel o� medica� reeas aase� u��o� c�e�'scde�
reviews conducted �hroughout their 30-day stay
There are various levels of services that can be offered within this field:
.__ ___ ___
' • Resi Su Ab Treatm Servi (Levels II & IV
_ _ _ __ _ __ _ __ _ _ _ __ ___- -__ ____.
• R Su bstan ce A buse T Se� v�ces ( Level I, III & V)
�- -- - _ _ -- - - --- - _ _ - - _--- —.
• PHP - Partial Hospitalization Program (Day/Night Treatment Services or Day/Nig�t with Community Housing: ,
Clinical Services) '
• IOP - Intensive Outpatient
• O - Outpa Serv '
_- -- - _
-- - - _ _ . --
. _ --- _ --- - _
• Intervention
• Prevention
• Aftercare Serv"sces
• Methadore �utpatient Treatment Se��uices
NOTE: Futures is currently licensed for the services outlined in blue. Futures needs to obtain the licenses outfined in red in order to bill the patient's
health insurance providers. Those licenses r.v „� ��; Gre o{ ., si;: �� �c_ _.; _-� �r�. o" =U�u� es n�r �o the health insurance initiative
_ .... ._...._..._,_,......,,_�_.-�...o..�.-,....�.
� � � � k'I �����I �`� rl �`'�LJ � .j��� � ^ I II� � � ��j � � �'?! � � �� � � r^ 'i_.�. ; ' �I � /� , �. ^. ...
�' � MI '� �"�
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-�tures Daily i�ate ScE��e�9a�G� ;�_�;�� �
�esidential Substance Abuse Treatmen# ServicE�� ��,150/da�r
30-day residential treatment program
!9ncludes 30-day treatment in a 2 bedroom unit;
�utpatient Substance Abuse Treatment Servic�s
�ay/night treatment services or day/night with comm;ac�ity P�ousi�g .reatmen: services $1,450/day
@�ntensive outpatient $995/day
�utpatien� $35�����,
*IVote: Futures requires a minimum 30-day stay for all pa�::ients. The rates are quoted as daily rates strictly for insurance reimbursement purposes
*Note: The patient services agreement will be based on the 30-day residential treatment program rate of $2,150/day. The patient is responsibfe for
$64,500 for the 30-day stay. The daily rates in this schedu�e are the rates that will be billed to the patient's health insurance provider depending on the
utilization review of the patient ��� -h� ,rarce �r��r �� =`�:�r ,,.�no��;'"e 30-day stay
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Examp''re:
Patient Servic� F�e Agreer�e�LL 52,150 /�ay Residential Treatr�ent (2 Bedroc. n:}
Patient is responsible for all costs ;�Qd ticverea by insurance
Scenario: A patient is admitted and through the third party ic�surance cor;�any's review they are approvec! for 7�ay� �r
residential treatment, 10 days of PHP, 5 days of IOP and 5 days of OP. Futures can only bill the insurance company
according to those codes and must be licensed to do so
Insurance companies dictate and approve the level of treatment type a rehabilitation facility can provide to a patient �er
reimbursement purposes. The insurance company may approve three days of residential treatrraent for one patient and 10
days of residential treatment for another patient. Futures can only bill for the level of treatment dictated by the insurance
company, and Futures must be licensed to provide such levels of care. Futures is currently ¢��t licensed for iower levels of
Outpatient Service, tl�ere" -, __ c_'.."'' `�~ s��cP� `��v�ces
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�• •- •
Futures mission is to provide Cost of Residential
the highest level of treatment
Treatment 30-Day $64,500 $64,500
available to the greatest
Ins�rance Support for Days
number of patients, reducing 1-7 RTC $0 $11,092
relapses and improving lives.
Conveying our mission does Ins�urance Support for Days
not always eliminate the 8-17 PHP $0 $12,458
economic impact of
treatment on the patient Insa�rance Support for Days $0 $4,975
decision as highlighted hese 1s — 22 �OP
Insa�rance Support for Days
23 — 27 OP $0 $1,750
Total Support from
Insurance $0 $30,275
Balance Due from Patient $64,500 $34,225
.,.........._..:..w.,...�....n.._�.. ,w.,._...y,.__,_
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Cost of Residential
Futures has identified the Tre�tment 30-Day $64,500 $64,500 $64,500
need to include insurance
support into our business Insur�nce Support for �:- :~ �
model, without disrupting our Days 1— 7 RTC $0 $11,092 ���;_ -� $11,092
model for clinical treatment ��
or service standards Insurance Supportfor ��#�-
&#�
$0 $12,458 er $12,458
Days 8 —17 PHP �
Insurance Support for �'� `�'-
Da�rs 18 — 22 IOP $� $4 �e��� $4,975
� � ��
Insurance Support for ��-
Days 23 — 27 OP $0 $1,7�5�0���,�,�e'(!� $1,750
Total Support from
Insurance $0 $30,275 $30,275
Balance Due from
Patient $64,500 $34,225 $34,225
_ ,�.
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� � �,� � �� - __ ___ ^ , _ �_ ����,�� � �.� � � .. �.,� � _
Im ortan� ° " . ` ` --___.___
p !��"A�"'� ��'" t?2.�"d�'a. `U�U'�S WIO? �rW�4�G ..____,._...,.
__��
providethe higF�es� ievev of resiaentias � ___._______'�_i� siciential Trea��,- : � 4Y ����� --��-
su�stance abuse treatment services to c��� �._�_ _ �_�_
patients throughout their 30-c�ay stay. We wiy: U �----- � Treatment ---
not reduce our level of service regardless of t�c-
�+- Intensive 0ut ---___
O ------.___ patient Treatment
level of insurance reimbursement. Futures — _____
wishes to obtain the outpatient licenses (PH^, j "� � Tr' ent
IOP and OPj for insurance billing purposes orl�;�. � _ --_
' -__
Futures will NOT market and will NOT treat 1 Z 3 4 _
p g 5 6 � $ g 1011lZ 13141516 7
atients residin outside of the rehabilitati�<< 1 1s�9
facility. Cathy Claud, our consultant, is willen,� Level of Care Provided 20 Z1 ZZ Z3 24 Z5 26 Z7 z8 z9 30
to speak with a representative from the'�, i�i� Level ofCare Billed for Insurance
of Tequesta to explain this is a customGr�, �ength Of Sta�/
practice in dE��E^� ��b�it� �e�::_? � �.. �.,..
����riders
� - -� r�. . � �. --�, � -�� ._
' • � • • • � • •
Allow Insurance Help Success of Quality of Patients • Futures Policies & Procedures
Business • Risk Management Plan
• 24 Hour Care
Common Industry • 32 facility security cameras/24 Hour Surveillance
Practice • Maintain "high-end" level pricing
• Prohibit Federal/State/HMO/In-Network
Allow Out atient Solel to Acce t Transient • MOST IMPORTANT: Futures will not market and
p Y p
Services Insurance Environment will not treat patients residing outside of the
rehabilitation facility
• Maximum exposure of three patients not living at
facility; all of which must have completed a
minimum 30-day stay
• All patients continually drug-tested throughout
treatment
., , .-.,--. r „-
_
,-
- _ _ _ _ _ _ _.
Futures will NOT market and Limiting Restrictions:
will NOT treat patients - 5% of Tota) Patients (Maximum
residing outside of the V���p p of 3 Patients)
rehabilitation facility - Patients must have completed a
�It111t �Utpatl2Clt minimum 30-day Stay
_ __ —__ — _ _ _ _------
Exposure
I
Insuranc DCF
- �---
Requires Requires
Licensing for Outpatient for
Billing licensing
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