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HomeMy WebLinkAboutDocumentation_Local Planning Agency_Tab 06_06/20/2013 O1tDINANCE NO. 22-13 AN ORDINANCE OF THE VILLAGE COUNCIL OF THE VILI,AGE �DF TEQUESTA, FLORIDA, AMENDING THE VILI,AGE CODE OF ORDINAIVCES AT CHAPTER 7�. ZQNIl`TG. ARTICLE I. IN GENEItAL. SEC. 78-4. DEFINITION�. BY AMENDIATG T�IE l3EFINITION FOR "REHABILITATION FACILIT�"' TO PROVVIIDE FOR THE LIMITED PROVISION OF OUTPATIEN'T TRE�TIVIENT, �TD THE �.IMITEID COLLECTION OF INSURANCE PAYMENTS FOR PATIENT CA1tE; Al�D BY AlVIENDING �TICLE VI. SCHEDIJLE OF DISTRICT REGULATIONS. SEC. 78-180(i)(16) MU 1VIIXED ITSE DISTRICT. SPECIAL EXCEPTION USES. REHABILITATION FACII.ITIES. TO REQUIRE BOTH MONTHLY REPORTS Al�TD �T ANl�Ur�L �EPENDENT AUDIT BE PROVIDEI) TO THE VII,I.AGE 12EGARDING COIVIPLI�,l�CE WI'TH F'iJNDING OCCiTPAl�TCY ANn TREATMElVT REQUIRElVIEN'Y'S9 AND �T A1tTICI,E X. OFF-S'TRF,E1� �1) 01�1-STREET PAItI�TG �RTD LOABIl�G I�GLTL,ATIOP�tS. B�' Y�TCREASING THE P�I�TG REQi7IRE1VIEI+�TS FOR ItEIIABII,ITATIOl�T FACII,ITIES 'P��' P120�E OUTPA'TIE1�T 'I'REATMENT; PRO�i)IN� ��T E��Ii r�Nl) EVEl��' OT�EI$ SECTIOl�T AIeTD SIJBSECTI�l� �F CHAl'TEl� 7�. S�I. ItE�Il�t Y�t FiTLL FORCE Al�TI) EFFECT AS PI2EVIOUSLY ADOPTEI); PI�O�ING A CONFI,IC'I'S CI.AUSE, A S�V�1tABII,IT�' CI.AiTSE ANI) tBiJ�g�l\l. d S d� 1,.��iS Y SAS� W d2111\`Y til� ���L' O. 11 i' L' IJL��L` 'y 1$17� FOl� E)THER Pi31tPOSES. WI�EIt�AS, the Village of Tequesta has received a privately initiated applicat�ion fram GMH Tequesta. Holdings, LLC tc� amer�d the Village's zonir,g code text to allaw rehabiiita�i�n facilities to provi�e limited ou�atisnt ��eatm�nt a�id to allow ±he limit�d : ellectior, of ins�rancP payments for patient care; and WgIE1�EAS, said appli��rion pr��,�i�es for �oth monthly repc�rts and an ���.,nu�l inc��per�dent audii �o be m�de �o t�nP Jillage r�gar�ing compliance w'th funding, �ccupanvy and treatment reqvire�e�ts, a?�a �lso �r�v ���iition�.i ofi stre�t park.�r�b rec�uirezndn�s f�r rehabilitation facil:ties that prc►yidd oatpati�nt tr��tment; and VVgIE1�E.�.S, the ap�;l�cani ha� prev�i�usly provide� informational �resentati��s at °�s�iage C�uncil meetings and vvorksho�s; an3 ��EI�EA�, the applicant has met with Village staft in �rder to prepare its ap�l�cat�an in a rnanner ihat v��ili sGrv� rot �nly its cwr pui�os:;s, b also those �f ihe Village; and dVHEREAS, the applicant has taken into account all the input obtained at all the aforesaid meetings and workshops, resl�lting i�� the zoning code text amendments as set fortY: 1 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 ORl)AINEIT BY T'HE VILI.AGE Ct3UliTCI�, OF THE VII,LAGE OF TEQUESTA, Pr�LIVI BEACH COUNTY, I+LORIDA, AS FOI,LOWS: 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 amending the definition far "Rehabilita.tion facility" to provide for limited outpatient treatment and to provide for limited insurance billing for patient care; providing that this definition sha11 herea�fter read as follows: Seetion 7�-4. Ijefinirions Rehabilitation facility means a private State of Florida licensed facility that provides rehabilitation care for patients who are eighteen years �f age or older. The primary purpose of a rehabilitation facility is to provide treatment for drug and alcohol addiction and eating disorders; however, the rehabilitation facility must be a dual diagnostic facility staffed and equipped to provide treatment for co-occurring disorders. Rehabilitation facilities may also provide programs that promote health, wellness and overall lifestyle enhancements for their residents. R�habiiitation facilities must provide a stnictured resid�ntial Iiving environment which includes the following features: 24-hour on-site security; 24-hour patient supervision by lic�nsed nursing sta��; and quality of life services such as swimrning pools, garden areas, snort-courts, exterior patios or sitting areas, community living areas, meditation areas, fitness rooms, libraries, recreation rooms, televisions, on-site fuod prepara�ion, and ielephone and internet service. Rehabilitation facilities must provide rehabilitatiar care �v sneans of snori-te��n c�e treatrnent und :,xtended care treatmetit as neecied, a:�d may also pro��id� foil��w�up treatrrient and outnatient ±rea_�r:ent t� cur_-ent residenti�.l natients of the Rer�.Cilit2.�ion fa��iitv= as u e�I �s a limi�ed number ��f n�n-r�sider�tsa: �tients wr�o have. at a miinirn�zm. suc�es�:�ll co:r_�i�te short-terrr� care tr�a�r��n� at �i� R�habilitation �acilitv. R�hat�ilitation �aci�it�es s:ha1l no� offer any sErvices far inc�i�idu�ls �s✓zt� a�isto�y s�f v:c,Ient be:h�vi�r or ;hrea�s #o �:�r publa�, �e�th, safety and vrelfarv �r the h��Iih safety arci wslfaze of �ther pati�nts. The rolicwing 3erni±ic�rs �pp1y to the definition �f �e�abiliration facT4ity: ?. 1?e�abilit�tion care m��ns diagro�is �d ti•��.ti�:en� for ��ag an� ale�hol addiction 3iserders, eating disord�rs and physi�al, b�liacriora?, mental or em�tional =ssues th�t arL dire��tly attrit�ute� to t��se dis�►��.;,rs. �t��a�i�i�a�ie�n care doPs �ot includ� emer�ency �r mec:ical detoxificati�n, u�r,ich is specifcally cor�sidered a prohibited use. Should a rehabilitation facility patient re�uire e�nerg�ncy or medi�al ��toxificaron, thss must b� com�letea at an off-sitP facility prior to beginnirg rPhabilitation care. 2. P:��vate means priv�,tPly awnea an� fiirde=3 u✓i�h r�o usr cr s±ate �r federal iincl�ciinQ Meaicare or Medicaid} fur�ds for t�le aperatian of the facility, thE ireatment of pati�nts, or research work that would require *he acceptance and treatment of fe�erally or state funde�' patients. P�ivate also m�ans that the Rehabilitation facility 2 shall not accept third party � navments or reimbursements from health maintenance or�anizations or from nre-ne�otiated. in-network insurance nlans for patient care. Partial navments from out-of-network insurance nlans mav be accented bv the Rehabilitation facilitv for natient care so lon� as such artial a en ts are not a nre-nesotiated reduced amount meant to constitute full vavment for Rehabilitation care. 3. Short-tenn care means a program designed for a minimum residential stay of 30 calendar days. 4. Extended cat�e treatment means an additiona130 to 60 calendar day stay in residential treatment after completing the initial short-term care residential treatment program. 5. Follow-up treatment means a program designed for an additional one week stay in residential treatment, subsequent to the previous completion of the Short-term care or Extended care treatment program, and must occur at the same facility where Short- term care or Extended care treatment was received. Follow-up treatment is for those patients who need additional structured follow-up treatment that does not require the clinical intensit� of the Short term or Extended care treatment program. At anv Qiven time. Follow-up treatrnent shall not account for more than ten percent (10%) of the Rehabilitation facility's patient clientele. Follow-up treatrnent c-a� can also be in the form of electronic correspondence or tele-conferencing, and in such cases has no limit or restrictions regarding the duration of the care, the location of the treatment or the number of participating patients. 6. Outvatient trQatment means a resimen of treatrnent that mav include anv or all of the followins s sroun counselin�, individual counseiin�, reiapse �revention counselin�. �nd edu:,ational lectures. Outr�atient treat�er:t mav l�e offer�d at the followin� levels: "Dav or Ni�ht with Communitv Housing" which nrovides a minimurn of 25 hours of services ber natient ner week: "Dav or Ni�ht" which nrovides 12-24 hours of services ner natient ner weel�. "Intensive OutnatienY' which rovid�s �-11 h�urs of serv�c�s ner �natient ner ��eek: a.r.� "C�utroatient'' v��hich nravid�s Iess ih�.n 3 fiouxs of services ner n�.tient ner week. At anv �iv�n ti�ne O�t�satiEr�t tre�tmynt n�.v cnly be nrovEded �o a maxirn�xn� numbzY Of tiv�3.-�'�Si:��lltil� pati��ts e�uiv�,Ien� t� five �er�ent (5%1 of the Rehabilitation iocirii��'s c��r Shart �errn care. Exte�:derl car� and resi�ential Follow-un treatment clienteie. � atie�li tr�atment se�c�s va also �e �rovi3�d to the P�ehabilita facili b�.tierit� whu ar� c�rrentiv r�eei��n� S�ort care Exter�ded carv �e resi�e�t�a.� F�llc�w-u� �reatni�r�i Q,r�d �n su:,h c;a�es the number of r�articipa�i�� na�iFn�s is onlv l�z�itec� bv tl�e �ehabi�isa�i�n faeiljtv'� �esi€ien�ial o�cunancv limits as set fGit�. �.t S�c. 7�� i�'l� . 7. Emerg�ercy cr tn��'icc�Z cieiox.T'fzcatien mea.ns the e�.im?nati�n of to�ins sucr as alcar�ol c�r ���tro?Ied subsf�r�,�s frorn the body of indivi��als u;�ho r�q�ire acu�e ;�r� a��d/or may have serious �ealth risks as a resuit of their su�starice a�use. r.�'�edical or emerg��cy detoxifica�ic3n ;s pe:formed under the �irec� s��pervision of inedical d�cta�s and medical sapport staff, ard ma� �nclude the ad�niristrat�on of a���dicatj.�n or h•axiquilizers � order to ease the withdrawal process. Emer�enc� or rnedicai deto is a�rvh�b�ted use in a Rehabilitation Facilitv. v Sect�on 2: Chap�er 78. Z�ning. of the Code of Ordinances of the Villagc of Tequesta is hereby arnended at Article VI. Sched.ule of District Reguiations. Sec. 78-18C(i)(16�. MU 3 a double frontage lot, a vehiculax and pedestrian visibility triangle of a size and dimension which complies with current traffic engineering standards of the American Association of State Highway and Transportation Officials (AASHTO) and the county shall be provided in both directions frorn the intersection point of the property lines. i. The rehabilitation facility shall include a backup generator system. The system sha11 be sized for the building occupancy load and have a fuel source sufficient to operate the facility for a minimum of seven days. j. The rehabilitation facility shall by separate agreement � arantee payment to the primary fire rescue provider for patient ambulance transport service. k. In conjunction with the application for special exception use, the rehabilitation facility shall submit a security plan that includes patient off-site visits. The security plan shall be approved by the Village Council with input from the Chief of Police. l. The rehabilitation facility shall. throu�h its le�al counsel or cornorate officers, submit monthlv �t�� reports to the Village's Community Development Director no later than the 15�` dav of the month. that establish and document the nrevious month's compliance with all rehabilitation facility fiinding reauirements � as well as occupancy and treatrnent requirements and restrictions with an emnhasis on the ratio of the number of�atients receivin� outuatient treatment to the number of natients receiving short term and extended care services Additionallv the rehabilitatian facilitv sha1� nro�,�ide the �lilla�e Mana�er with an annual ind enendent audit documentins Gomnliance with those reauirements and restrictions durin� the nrevious calendar vear na later than June 3 Q of each vear. m. In conjunction with the application for special exception use the Village m2y, at its discretion, secure an impact an�lysis st�dy, performed by an independent entity, detailin� the pro�osed rehabilitation faciiity's pro�ected c�mmunity w:de impacts. Th�s study, if pre�are�', shall specifically adclress the relzabilitts.tion fa�iiity's �•otertial ecc�riamic irr�pa�t to tr�e Villagti, �he cr�azion �� conti;�i.3a�ion oi jobs, the �otent��.l i�npaet �n x�w P�f�rcemer�t a�??d crimiral act�vity, and ih� potential impact on tnc V�liage�s einerge�cy medical resources. in addition, the stu�y shauld address the proposed rehabilitaticn ;acility's irnpact on t�ie quality of life for neig.h�o�in� ptopsrEies ��i� ta�e ��illag� as a wliole. n. In con�unction with �� ��:�lic,ai:i�n. Ter � b�,�sin.ess tax re�,eipt and th� anFYUaI renewal thEreof, a r�h�rilitat�c�ii faciti�y sha?i sisbrnit to tl�e Vil�age, in the iorm of a swor� affidavi� by the r�ha�iiita�ion �ac�lit;�'s 1zgal xepresen�ative whE� is au��orized to d� so, v��ri�e� c�cc�zm�rat�,��aon t��r �r�e rehahilita?��n facility is i� ec►mpliance with all re�uirements of icl�is sectian as weil as the ciefiniii�nal re�uir�ments of Sec. 78-4. S�o�asc� tYze rehabilitation ia•,iiity's bus?ness tax receipt be issued based upon a:alse affidavit the Viila�� niay szek io ir�pose a11 �enalties allovved by law, pursuari± �a �hapter 7Ci, Article iI of the Viilage Cade of Jrdir:un;,es. o. Should the rehabilitation facility at any time violate any of the requirements of this section or any of the defi�utional requirements of Sec. 78-4, the Village may obtain relief thro�agh the code enic�rcement special magistrate 5 process pursuant to Chapter 2, Article IV of the Village Code of Ordinances. For purposes of the code enforcement special magistrate process, each day that the rehabilitation facility is found to be in violation shall be considered a separate offense. In addition to the code enforcement special magistrate process, the Village may seek any and all relief available to it by law or in equity, including, but not limited to injunctive relief, recovery of money damages, or both. 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 amending the "rehabilitation facilities" category to provide for additional parking for the provision of outpatient treatment; providing that Sec. 78-705(33) shall hereafter read as follows: Sec. 78-705. Required aau�ber of parka�ag sp�ces. (33) Rehabilitation facilities: �ne spa�e per patient bed. Ir. addition, rehabilitation facilities that vrovide outnatient breatment to non-residential natients shall nrov an additional number of narkins snaces eauivalent to 5% of the narkin$ snaces reauired to be nrovided based o� uatient beds. Section 4o Each and every other Section and Subsection of Chapter 78. Zoning. shall remain in full force a.nd zffeci as previously adopted. Secfaon 5: t�ll ordinances or parts of ordinances in conflict be and th� same are hereby repealed. �ec�f�a� 5: Sl�culd any section or provision of this Ordinance or any po� thereof, any par�-agra�h, sentence Gr worc� be declared by a court af competent jurisdictiar� �o �e i�va1id, such �Lcisi�n sha�l ��t �f�ecs the v�ii�ity �f the remainder of this �J�dina��;c-. ���t��r� i: S��cific au�h�rity i� her�by granted to cadify �iiis �rdina���;c. See��on $� This Grdix�a.nce sh�11 talce eff�ct imm�ed�ately upan p�.ssag�. 6 E � r� v o' G �:. �F,� . VILLAGE OF TEQUESTA Ck. # � � y Department of Community Development Rec. #� :.� 345 Tequesta Drive Date: ; F_��i� a � Q Tequesta, FL 33469 � `'� � � Phone:561.768.0450 ��` � . �� °v Fax: 561.768.0598 CD �����c��ro� ��� zo�rl�r� ��x� �������r� P�TIlT'I�I+I I�1UI9���ib (Fo�° Offce IJse Only): _ � pgg�,���� ���� Futures of Paim Beach p�Qy����g� �,��g�s�. 701 Old Dixie Highway, Tequesfa, FL 33469 Z�leil[NG fl�ES��NA'TII�I�t: �U Mixed Use Estimated Project �oste ��A Applicaeat A1ame: GMH Tequesta Hoidings LLC �ppiicaaat's .�cidress: "� � Campus Bivd., lVewtown Square, PA 19073 �g�plicant's �'hove I�1o.: 610-355-8145 �,�� � 610-355-8445 �ell l�o.• 917-453-2890 �-mail Address• mhoiloway@gmh-inc.com Prop�;rty �a�vner's i�1��ane: GMH Tequesfa Holdings LLC �'ropQrty �w�er's Addressc �0 Campus Blvd., Newtown Square, PA 19073 Propea°Qg� �v+�n�a�'s Phone 1�To.: 610-355-8945 g, � 610-355�8445 (:eli 1�'�.: �"i 7-453-2890 E-�A�1 �a��a��s,: mhvllowa�,�@gmh-inc.com y��g��g� � g��y,T �� �,��g� Amendmeni to Ord;narce No. 1-`I 1 to perrr:it reh�biiita�ion faci!ities to accep fi�!nds frcm th9rd purty� ir�sur�nce companies and permif out�aiieni serv�css � he arnli�a��i ��,�ill sub�n;t to lhe Villa.ge of TeqnESta f�epa� �meFit of �on�mti�n�ty L'eveiopment the iollowing documen�s a minimum of 30 ci�ys p�ior to the Local r ianning rlgei�cy t LPA j Ti%eeting �ate: 1) Fif�e�n (IS) sets of Plans 11a17 size, and related materia�s, 2) A lzt*er �escribing ir detail the inte�t o"r'tlie Zoi�ing Text Ai�?�ndinvrf. 3) �ny oiher docurrien�s that may help clarif}! the ��r�ose �f Z.ning lexf Amendrr,ent. . ��%� 1 �� f r'� ��, c�'x r�1� �/u �L � � � �� �A�PL T) � �_�_P.e_,_.. � r �i'.��." EIFPLICAI�T' f�CtvATU � � (p g � ��� ? DATE 1�1��'E: t�ll a�eeadering�, a�odels, draea�i�ngs, photos, ete., s�abmitted to the �lillage vvult beco�ee the p�op�a�lg� of �Ye Vitlage �f Ti'eque�ia. , �_� �- � , June 5, 2013 Viilage of Tequesta Department of Community Development 345 Tequesta Drive Tequesta, FL 33469 Re: Zoning Text Amendment To Whom It May Concern: GlVrH Tequesta Holuings LLC is ap�lying for a zoning text amenament to Ordinance No. 1-i1. At chapter 78. Zoning. At krticle i. IN GENERAL. SEC. 78-4. DEFINITIONS. We are applying for a zoning text amendment specificaily within the definition for a"Rehabilitation Facility", where we would like to revise the text ta allow toe a Rehabilitaiion Facility to accept third party insurance fiunds and provide outpatient services. The intent o¢ the zoning text amendment is to allow Futures of Palrr Eeach to accept third party health insu� a�ce for patients, and to provide autpatient services fio patierits solely for purposes of billing for third party insurance. The industry has shifted over the past 12 months causing high-end rehabilitation facilities to accept third parYy health insurance funds, therefore causing Futures of Palm Beach to be at a r..ampetitive disadvantage within.the market. Our intent is to be �bl� to compete on an �qual playing field with our competitors by having the abiiity to accep� thir� party health insurance and provide outpatient services to patients. We have attached a presentation that defines the need for our proposes text amendment. Accompanying this letter are th� f�llowing: 1� Application far Zoniiig i ent �rrien�mznt 2) Power p�int presentaiie�i ;:�ac!e �o th� 4'iHage of Tequesia Council or �llay �, 2G1 � de��nin� �ur propos�l 3) Revise� pow�r �oirt �rese;i�atiun aated June a, 201� ic indude rzv;s2d Zoning Te;ct i;i�end�r�n� Langua�e provided �y Keith Da�ris of ths !lillage of Tea,uesCa 4j A checic for $2,��`G covering aur app�ieaii�n feE: f�r the Zoring 't'exY pme�d;r,ent 5) A�opy of our nro;�os2d Z�r3'sn� Text Amendment based on the �evised i�ngi�agP pr���iried k�}� Keith Davis of �he Vi;fage of �Tequest� 6) A le�i:er from �he St�t� of t=loriGa De�arment of Children and Famil:es ap�r�ving eur prcposed ZoEiing 7ex�� Amendment I�r�gu��2 3�r.iiLe��si::g purposes Sincerely� ------ .� %' -�-� '� , s;. �., �-- �ichae� HaUow y � ! 1 � � President � 10 Campus Boule��ard Newtowli Square PA 190?3 610.35�.£i000 !' G10.i55.E00; F Fv�n�v,�,grnh-vencsres.com ` ��p�PART� e � � �' C�C S�'� ° �� � ( � State of Plorida Govemor w Department �f Childre�n and Fart�ilie� � y � � �`; Dad�d E. wosk�n$ ���, a . p c r- Secr�tary MYFE.F�an�ttuES,c€�nn Dennis Nltles Regfon�l Managing Jurte 4, 2013 �irect+rar Tc Whom It May Concern: An June 4, 2093 th� Department of Children and �amilies, Substance Abuse and lVlental Hea�h Program Office reviewed the proposed amendm�nt to the �Ilage of Tequesta's Ordinance No. 1 �11. Ti� newr languag� is as foltows: .�e�biditatiora facality means a privat� State of Flo�ida licensed facili� tl�t pravides rehabilitation care for patients who are eightsen years of age or older. The primary purpose of a xehabilit�i�on facility is to provide treaiment far drug and a1cm1�1 addiction and eating diso�ders; ho�ever, the rehabilita.tion facility must be a dual diagr�stic €acility stai�ed �d equipped tm provide treaiment for c�oc�urring disorders. Rehabilitation facilities may als� provad� p�c+gr�n.s that prcaffiote health, wellness and �verallifestyle enhancem�uts for their resideats. �e�a.baligataon fa�alities �uust pa�ovide a stra�tured residemtial living enva�onnaent which �ncputies t.�e follovving feaxures: 24-hour on�site s�ta�itg�; 24-hQ�r �ti�nt saz�avisaon by licet�ed n�g sta±fp �nd qualit3r �f lif� s�rices �uch as swiann�in� p��� gardept a�s sport ca�iarts, exteric�r �fios �r sitting a�ss, commu�ity li�g a*�eas, mecu�fz�m area�, fitnes� moa�, librara�s, rp.,,�reataon rooms, teie�risi�ns, on-�ite food. prepar��i��, anai telephone and �te�net sea�fce. R.�habilitaftoa fa�ili#i�s must p�sovide re�abiflita#iun � by �� �f sho�t t�rm car� �eatm�t �uud �. car� treafi�xien� as �eed�, gnd r�;r als� �s�d� follo�v-u� �reata��nt a�. outgati�n� �es�t t� �urr�nt P�sid�tial �Sat�e�t�� �f t�� �'�.�h���t��i�n ia�il��, as �,rell ��, lim��ed x€au�ab�rr c�� ��r�.�a��9d�ta�l patients �v]x� �v� a� a� ���a, ��es���r ��pl�t�d �hc�rt-ter�n c�ar� tr�atm�nt at the Itehabilita�rio� facility. 1Z�habi�at�.t��n �fl�� sl� not o;f�er �cy se�vir�:s �r �zl;vi�ival� wit� a i�istory c,f viclen� belr��or a�� t�r�a�s s� fhe �ttb�� hea�th, s�ff�^y �nd welfaa� cr �� he�t�, ��fe�y �s� �elf� �f s�i��� ����.�� Tl�� ���,?Q��z� �i�fi�i�on,s a�sply � th� de��o� �� �e�hcrbzlitc�tir�ra �'s�cad=ty: ��er�� trecatnze�at means � r���s �f �r�a�a�rt ttl�# �a� iasd�ude any or alI �f the fcll�v�ti�� �d�ri�s: g�c�up �a�sel°�g, in�i=��dt�� s��se��, r�i�p� �-����r��c��a �oa�elirng �ad. �i�cati�rtalle�tur�s. �utpatie�t tr�atme�t ms� tYe c��err� aY tt�e f�llo�►i�� levels: "I�ay �x I�Tight �t� C��m�ity �i��ing'° ��ich gr��ri�s a�,�i.t� �f 25 k�our� �f s�r�rnc.�s pe� patient p� ��k, "I�ay o� I�Tag�a�" vvhich ��vides 1���� hours s�f �i��� p� patien# p�r vvee�, "Intt�r,sa*ae Outp�ent" v�rhi�h pr�vides 9� 11 ho�zrs �f sa,-�vic�s g�r �,�.�t ger �eek; �n€i 66 �tttpata��" r�ich �r� N��� ��s� t� 5 h��rs of �rrvi��s �r pa�ae�t ,�� ��k. �A� �iy �.v� tia���, �aatien� �Ere�tmerr�t ana.y ca�}r b� p�vi��� to a m�x�s��m �.�b� �f�a�-res�d�.tia1 �ati��ts eq�i��t to five percent (S%) of the Rehabilitation facility's current sl3cr�t t�rm care, exte8ded c�r� and Southe�st Region - +�ir�uit 15 191 South Sapodiila Avenue, Weat Palm B�t, FL 3340i �Aission: Protect the Vulnerable, 6�romote Strong 2�nd Economica8y S��r-Sufficient Families, ar�d Aoivance Persar�al and Familv Re�v�ry and R�sifi�ncy residential Follaw-up tr�eatment clientele. Outpatient treatment services can also be provided to the RehabiIitation facility's patienis who are currently receiving Short-term care, Extended care or xesidential Follow�up treatment, and in such cases has no limit or restrictions regarding the numbeY° of p�rticipating gatients. If the �Ilag� mf T�qu�sta approves Ordinance No. 1�11 as st�ted �bave, fh� Department Qf �hildren and Families wilt be able to issue Gf�1H 'Te�u�sta H�Idi�gs LLC dba Futures of Palm Beach licenses to provide Outpatient, Irrtensive Outpatient and Day ar Night vvith Commun6iy Mousing substance abuse ser��es. If yau ha�re a�ny ques#ions, please do not hesitate to contact th� Circuit 15 Substanoe Abuse and Mer�tai H�alth Program Office at 5fi9-273-495�. Sin�r�ly, C�� � Garoi €dlur�d C15 Substance Abuse �icensing �pecialisf Departr�ent of �i�ildren and FatYailies S�IIH Program Qffic� �,��� �� � ,��,,��/�` i (.;. �.,-��/ � �� --. �� � � ,� �ti :,�- � ,.-, � (_ -.. � 1 �'� ► �.�_ i��� � � ����� :� ��� ��� �C����� ��' ����7����1 � ��,I��� � �! � � ��4I'1� �� '�l I'��l �'^�;�'��^i �^'�,;-r^ �����;� ���� ���� , � _�s�. �� �. '� , —� r-- �� -,` n r- -, , - � - , �, � � %' , � � � / i i , �l , -- � —, � i � — ---- �_���0°��� ° F��tur�s of �a!n�� �e�r� ("t��atdares") vJa���s ta coi�ipete or� an equal footing with other high-end drug and alcohol aw»l �ati��� di�,:,-�er �arc��rarr�s �r� t���• Jriteca ���tes by accepting health insurance to help patients offset a portion of th4�+r pa�tien� ser �e� �r„��ae c;car7cc�r.�3,7g±� co�np�>i evith all aspects of Ordinance I�o. 1-11 as it stands today � °�igl�-e�c� reh3�o9i�a�a�e�� ��+crii�ies, ril<F�� �Fr��tur�s, Gi�ve adja�sted their b�sirsess rriodeEs to accept third party insurance ft�r�ds ° 4���ie�ats eroter;rr� higE�-��ci reha�?iheratoor� r�cilities are rnor� unclir�ed in to�lay's economic env�ronment to use their hc�lth insoarar��e te of�se� ���c�r�i��� of tG1e �:ost of treatmen� � A s�gn��ic�ant r��,umk,er c�o� ya��i.��iri�� pataent� have choseri compet�ng rehabilitation facilities due to our inability to acc�pt �r�surance °��utures ��eecCs �c� Fae. �,6�+Ic �e accc�at thirr� party health insurar�ce ir� orderto operate a robust business mddel ar�d to maint��c� a {�ig6�-Etv�i �re��ram .�e�fierin�; A�$u�a�ti ii�����^��! �t� �`��C�a��:��� ��������r�, °\l1�or �ni��h the liilfage �f - �eq��es�a� to �m�nc� the t�xt of �rdinancz f�o. 1-11 in �he followir�g man�er: a; /�me¢�� �,a����a�e t�a a3lavv d-u�u��es to accept third party billing �or patient care with strict limitations f3� �'�,dc! 9�r�+�daage �� aEiov�� Fu��r�s tc, p��vide outpatient services on a �a�u���➢ �w�➢ �a��Vaffu��l basis ° 1f+,i,:.�P�k uvi�h ti�e Fra� d�V�r �E�aa� c�� Chifdr�en ar�d Fannolies ("DCF") to obtain additional outpatient services 9�r.�- tc. b� e�s�aai sc,��M� ��r�9r �i�9io�� ;�7.,trpo��s ,.._.. ... __ ._. ._ _._ ___ _ __._ ; � .....:..w,. �. �,� ,-� -. ,- - � r, � -, - --� - � ;� � � ,� � � � -- � � -_ �� ���f(��So °���g9����car�t parr_•e;����e rf �a�:ies�ts `,+�+�e �he fanao�cial abslity to pay the full patient services �fee, but desire to u��fset a�orti��; �� t+�is � �r���nci�k l���r�,�� �n,�i±l� t9��eir existing h,ealtl� i�surance, similar to their current bill�ng prc�cess �,vi�'� re��Ei�r N�^::,�r vis���, r s±�,ys �-+��� prescrip�ion drugs °�f�h� patiRn� ��:� s��� ��°Wily ;err�Usn at � kev�l that classifies �ut�a� as a high-end program ar�d facility. The b�i�r�ce of th� �fc�� ��4��t 6� ��.r,.r�` ccvcrr�c� �:,y ��eaith ir�surance v��il� rernain the responsibility of the patient ° r':�th�� C&aa��1, �,� ,r��r ;��M*s�asic� E'�b;,ys� �°ti�rv�c� Coord�na�or for DCF of So�theastern Florida, has agreed to consult �ar 1��aturPs to �csis� i;� ����:�T�r�i; k����h r�r��ir�e�' DCF Iscerises. She will assure the Village of Tequesta that the ad�4�tia�iaE OU���t�er°rt Se+ ���res 6ic�r�ses are nee��ed str�ict�y for billing purposes to health insurance providers for p�cients vvV�o h���� r.�r�t�r:c��d for � rr,�r�iiti��m 3C�-dav stay on Futures' res�dential treatment program � By r..c�r��driui;��'cv r�e�o�i��� � sr,irair�urr7 30-day stay for aIP �a�rients, Fut�res' proposal provides �he Village of T���,d�5[d v,���,.�; r,��otec:t�orr a�a�nst creating a trac�sient environrnent ° Azcep�ir�g �h�ir�? �aarfy iei,�r�r,c�, as p�~oposee� b� Futu� will not aaverseYy af�ect the residents of the Village of Yequesta ° lDtiliz�tio�� �f heal ansurar�ce does not reflec� the character af a patient �� Pro�i�ix��� Fu��a,��s f� �cce�t�ng State or F�derally fur�c�ed insurance programs and Health M�oi���e+iancE C'rg�rrizaf�r�,ns (HNIO) will �re��e��'� lowe� cos�. insurance programs from participating �� I�� n r� ^ _ �,� ' i r ''_ i � � � - / � i ( �i I� r�-. . 1 � �-• - � r� I r'-1 ^ : A � � � I �.'� n i� ,'� r ! _ . '. , -� i �. -'. _ � � I .. � � ,. � � - i i i ��. i - � � � ' i� - ' , � -, � �.. � ._, �_ -, , - __ -- ._ _ . ����a�9 xa���a$°s�v�a:_ Nr���s�d (�c��rar�c� f�o. 1-�_2 iru ���9�e� �r�eas af ����uc��u �I�-�o ��ffaU�oiko�ws �s����a�lUV���a�: �&�.: Add tlangua�;e i� the ��c.���¢�ug ��U�g����i of �c��guar�m 71���, �D�ffo�u$u��as to a71ow a rehabilitation facility to �rovide O�a�kpa�ie�rt �ervices �1��o�a��i��i�� ��: A��r��r�c� I�n{��aag� ir� �u��i�c��U� � of ����u��i� ��-�> ��ffuo�u�u��os $m allo�ni a rehabilrtation faciiity to accep$ third par�v bil0ir�i� ior �a�iea�t �ac�� a�,d t'�er�efor�e accept �hirc6 party health insurance. Add language to further c�,u�alify 1:F;�� types of tho�c; �artr�� � a;��ii'eh insurance tlhat are not �eremett�ed for acceptance �y a rehabilitation facility �to include FiMO ira��rance �tari� °�°����'-�"�?�'•�'� ��� , yd� �°""�=�n�' 'w�����[�.���'�i�;!�'a���� � �f ����o�a� �$-�o �i��a6�A�tu��s to further define Outpatient Ses�vices as added in Ament�rr���ri #+1. �his ���rs�1,�a��r�� uvi�R ��e����e �he thr�ee levels o�� Out�atie�nt Serv9ces (outpatient, intensive outpatient, day/nigc�� tre�trn�nfi ser��s;,:; z�r �ay/ruigl�t v��� c�mm�u;�dty� housing treatrnen� services) ar�d significantly limit the number �f patients r�sid^r�g autsMC.�1P of �d�� s�eh���ii;�;��dcn �a�sli*•� th�t � rehabilitatic�n facility can treat at any given time to: �, A) Ory9y pa���r�i:s ar,�9 �av� ror�7pV�t�ti� a 30-day res`d�ntial treatrnerat p�rogram at �he rehabilitation facility �wl�e�'� Uui;�at�����1 ����~��ac;e�s a+'E� r���nc��r�c� ° �y �=i�ru ��F,: ��i3; n� �:he reh�����y�tat��� - Faa;ili��r°s patien cliente�e for pa�:ients residing o�tsicle the u f�culity ,��c�i��r�:� ,�d"r;AN�+Bft�7�+�i' f,�� I�'�9$�c��u'�'$ G�N,/�B��il �e,6�'�'e2�7� �¢Afi'aAC'�P� �'Ua��������1 �������u�.�mr���n� ��o��o.o��� = �I�U�� ���u�o�� G�1V�xuov�a��ro �a�s�.��«��' �c����:��� �� ��� �u�0��� = N�9� �����o�r��� � � i � � ^ _ r , l l, — � ' . ._ _ ` � — fl , � ,� , �' � _, — r- -� -, I � � I�� � _ -��� ' �� . � n �\ i �, ' ,. i - �' � !� ; i ;� ; ` '-\ � � I /-� -..i -� r /'1 ,--� r � � � - ' �- � - �� --� � r -� --^ _ � � � �, _ �_ � . _, ti � " - � ..._� ._._.�- ---- - -- _. �. _.. _ - __. - --- .�97T9�EO�Q71V`�"a�'��V� {���, ��'S �f�1�(E'at47li�h"��,'?It%'I _v"i::a �(�'�ii'� r°T�,'�;0�"�:�'1$ ���'Q91�L'�� — - _ _. �.—�� � S���A���u v��-4, �:y�tir��a�:a�4°N� Reho�;f.�ta�ion��ucility �•�����;�s � r����.��a���;tar.c c�;� �Ec�raaa lirensec� facility that �rovides rehah�ilitation care for patoents who ar? eigG�tu��r� years c��� ar,�.�� �r o��'e!�, Th� p; ;,r,a�ry ��rpose �o'� a rehabilitation facility is to provide treatrnent for drug and � Iccahoi ar�dicti�an ar�d c� �i�sr�rc�er.:�; hc����rev�r; fihQ � facility must be a dtaal diagnostic facslity staffed and eGuippec� k�o pr�vi�le'tr���c��e�� ficr co-c�ccu� c➢isor�ers. Re�a{�iletation facilities may alco provide programs that pr�ma�te 1��a1���, we!lr�ss a�•ic{ �v�r �i�es��!e enhancerrr�ents �ar �heir resid�nts. Rehabilitation facilities must provide a structur�� r�siderrtial 6R��in� �r;��=sr�r�ment v���k�uch inr�ludes the follr�v�ring features: 24-hour on-site security; 24-hour patient supprvosi�rn by iWr„ensea r?urs�r�� si:�ff; and ��.�alety c�f life services sucf� as svuimming pools, garden areas, sport-courts, exterio� ��tios or si�ti��g a- �c�rn� liv��g areas, meditatic�n areas, �itr�ess rooms, ii6�raries, rec� rooms, te�evis6ons, on-s�1te �ood �r��Oaraiiara, ar�cE f�'ephoc�e �c�d interne� s�rvice. Rehabilitation facilities must provide -�G��'''- `�" �."=' : ��s s�� sr�ort-t�rc+� care trea�mer�t and ex�ec�ded care fireatm�nt �s nee���: , and r�ay also provide foliow-�a�r ticeatrvte�t.�..:� ou���� c. ��e .. _u�<<:� . �a� � � . �.����: _�.�,:� w ��e����,i � ; �� �eha�s�it����^�^ i as �nre�� as w �� _�.� ��.�,., ,._ . �-.�esor���.. � .��.,�����c.����� ;�, � w��� w� - � - .� �; _, �� •, �� �� , .��.;.. � �:, s �,.��.�.,, ��.. �,�-� �. ..�i�� ��a�: s[��� �-�'�e �.? ��«� �:d��a������� �_�:: ���� �:�. -.- `=�. ��.� ��- �. ;:',�, Re�a,���3i��tian �a�c�!:ties sl�al! ��ot offer �ny services for individuals with a history of violent uehavio�� cr j�hrtats tc� �he �L;f�lc� ��e�lfih, safcty ��r? w�lyare or th� health, safety and welfare of other patients. The �o9Cowing �eFinii_��a�s �r,:,,�9��� �,�� %�� ���i��tinr� �� re6��uilitation faciRity: �+�,�vu��t����;���� #��1; - --------- 8����ert la��ua�� �c� f"rr�� �I�^�;rr�tic��� s.:�f •e;�:a�iiiit�tion fa�,ibity� to allow for such facility fio provide Outpatient Services n - r -� � � .r � � � � ' �'� � ; � ; i . � -, � , i ' _ � " � i ', ! ' �, � -�' _ ' �� , � ��� , � --, ,--� --.� — 1 `�' r � � „ � ,-. ,-, ��, , ! i � , —,' - � --. - � �tB��fN�.�lo'a't��1'o'ic �$:il. �s��i'�e:^u����11�Ts'oi� �'� P����i��� ��:�'�9��51� �!OTE: "Short-term" is defined as a 30-day minimum stay ira Ordinance No. 1-11 �2.�1���CT Ica.�•, i�� _. ;.i���p��,��1_°��� �:'2''.�.�,d�. ri;i To��..c:'t'�:: � �'�::£`�.C'xa�'t�:4"d :3 ���:���E��.-'u�ii',� �V�ed,: i`' ;ad'� d�d,iC wi,F, _, cii 'J: �l�dE'.'S'd:�Y�F�11Y%�b SE.'�JICC-�S: �d'C'�J:� �ounseVing, individual counseling, relapse prevention counseling, an�' ucational lectures. Outpatient treatr�acra=� .�y;-;� �e offered at the following levels: "partial hospitalization" whp ' pr�vides � minimum of 25 hours of services per �atient per week; "intensive outpatient" which provi �� -24- hours of services per patient per week; and "outpatie� yare" which provides less than 9 hours of servi�� per �atient per week. At any given time, Outpatient treatment ma�, only be provided to a maximum number ^ non-residential patients equivalent to five percent (5%} of the Rehabilitation facility's current shor terrn care, extended care and residential Follow-up treatment clientele. �utpatient treatment services can also be provided to the Rehabilitation facility's patients who are currently receiv�r�.._ �hort-term care, Extended care or residential Follow-up teeatra�ent� and in such cases has no limit or restrictions � the number of participating patients �.. .__.,,.�.r.....,.,,..�..,.�.�., i � _ ! __ i ' �, i_n �� i _ , � . �'� � - �� -� �^ � � � i �� _ � ,� r� ^ I _ ' � � � �\ � r'I In � � j ' ` , �� � � � I r � r -.� ,- ^ ��. n r l v - _._. �. _ �_ _ - � -'------�.__..._____. __. ,�ru��wa�aro�����C fi��1 �R ��;,��^���°����� ��:�'�_�o't�.ai���:r�$ s���»��� ���itu��rn �%�-��, I���u�aoita�r�� �,rr�ru��P�lc���av. ��o �c�sert f�n�Li�;;�Y �;; ;���uv � 5 to further defirae Outpatierat Services as added in Amendment #1. This Gmendm�nt provides �as�otecto�ra ;�c� fhe Vsll��e of � �y auldressing the concerrr of permitting a transient environrnent. Amendr�t�r�� #3 u���ll dras�ic�!!y kir�,;�_ thF r�����nber o� patients residing outsir�e the rehaY�ilita�tion facility that a rehabilitation �aciiity �car� '�reat at a� �y ��vvr� rir�uc� f�y: A� �imithng the sci fior Nac�er�ts � outside the rehabilitation facility to those who have completed a minimum 30-day resider,tial �reatr�e�t �rc��rarn at �i�e rehab�lit�tion facili'ty whEre Outpatient Services are rendered B? + imitiri� the services to 5°io of th� rc��cah�litatiun racility's patient clientele foc patients residing outside the rehabilitation facility (P,i rnaximum ca�a��t�r, tl��s U��o�eld o�7iy be three Outpatient Service patients residing outside of the facility at any given time, and I?A��ited oi�ur�� to nar�ents ��v��ia i�avt can��ieted the 30-day program) ��a�urea �.2-i8: r�og �r��,ud� �(i���tLraici��,t� ��� ,•v�cPS t�.i r»:aa:��a��s resic�irag o�atside t9�e ��habilita$soa� faci�i$y. Cru�ures requires th� licenses for �uch Outpatient Sep�unces s�.�Pe�� ts� Baspp he�n�!� d��srara��c� �.�rmyii�ler� r'�r° ;�afi��r�'hs r�siding �fi fhe e�ehabilita��ora facdlity who are �oarticipa4ing in ta�e 30-dav treatmen4 plan . �y , .a�.._ . �..__ . ..-a. . . , .. . .� 1 .. . �—� � n _ . . , ., ,-i n !� r " f; . � �\ � �, �� �� i ,_ - � - ,-- � �'- - --� _ � � -, � r, ; � � r- . �:, � I � � � I - - � � . � I ' I �- 1 _. I .�, � /--� � , 1 1 i ��I � _. ^V . � � ^ � � I � _ i —\� �'_ \ � ^ —�� i ^ r� /'1 � \ r -i r �' �' i ! I . --� -' � � � , ` .� � ., _ ����Ufi�B�li �`� ���$i��rn ��-�. ��fii�ro��tu¢:u�a� Private ra pr�va�lei�� o�NC �n� fur�cC�G with no use of sra�e or federal (includ�ng IVledicare or Medicaid) funds for the operafion of t�ie f�ci�ity, - ta�c� �rp�tsn�n�: o� p�atients, or research worl< that would require the acceptance and tre�cs�r��nt of �ecYer�saly ur statrcJ ti`L�raae�' �atPents. Private aRso rneans that the Rehabilitation facility shall not accept third paY[`�/�'Ja9fV"l'�,.�'`��S ":"',"°9 �„�!�"5' ::�:�ul.S ,t�s6�a'i� �@C������s0 dd9c:'d'�"w'i��4ic��'di.:�u:,�aoc1�S'3s"Za'a:i'�;�'mS�����if(3ri(� y�Ye Ifl ;:ms�ranc� plans far� y��ioer�� �.�w �artial payments from out-of-network insurance plans may be accepted by t��� ;�ehabilitation faca���i���.�� ��-, i,,o��ti���,��� ���-e� so long as suc9� ����������i � _�.o���,_ . �s �i. c .�o �;` , ^���-:�or ����i��e� reduced amount ��1ean� ��.:� cor�sti��te full �at�������r�� �i��s� `�����:�ar��i�9i�e�tico�� �c��re. <:;i; �a.����n���9��?��ri� ��� ��emove� I;�ngua�e fr�om Subpa� 2 to allow �E�F�eE F�a��t� ��i�la���� f�sr �a�e��r��: car�. Au"d I�nguage to allow for the �a�;�:cy�;����.:e c�s ��:.���r� par��� ir�surance au�d �urther qualifv the types c:�� rV��f��1 n�rty� �ealth i�ns�arance whirh ae not perrnitted for ��:c��;�:�r�r�e k�y a c�c�ha�iilitatiar� facility to anclude health mair�r�r�ad�::e ��rg�oneza�:ion i� policies _ ._._..._. «,,, _ _ r� �' - � -, - - � � - _ ,� � � � � - � � .� �� ' _� � -. � � ' �i '�. � ii - � ,,--�i � ��-� - � � � I '� ._ ��_ ' �-,'� "�'^ . , i -�� � I _ , 1 '�r' „ -, � � - , � � _ _ i � -, --., --� � � � I - � . � � � - � - � �� '�-, - .� � -, .� _ - - _...._._ , _ - --- - � -_ --- --- -... ��. ��l�lu�uers��a1 ����:c���c��U`�,e ��������u�'� ��ao Sectic��� 7�-� �.��finirions (�.) Follow �Jp Ti Amended the language to use the defined term o� "Er.tendec care" as 4n��l� as d��`s�+ecV the rr�e�sa;rem`ea�t �period for �ollow lJ� Treafr�ent clientele as "at any given time". ��nr��n���:�� �:�e Sect�orr 7�3-�! f�efir�i�.ic.�ns j 7.; En�ergency or medical detoxificatio� . Added language to reiterate the prohibitio� af emer��r�c�, �r?d rr���ica! �lE�tcx a�_ tE�e'Facility. ������a�i��.�� ��: Sec. 7�'-1��. �VIU mixec;-usP �istrict (iJ (16) (IJ. Arnended language to change the facility's reports fi �;uarte�rpy to morw��hly. �c��n�a iC�� ��mi:�g ��e�� c��n�tent requirements �f the facility's rraonthly reports to the Village. Added lan�u�g� �o rec�t�ire t�e �a��ii���� :;� �r�v��e t;�� `���I��,ge wBti� �n annuai �ndependent audit documenting compliance with surh r���;re�er?trs. ���,�av��v�i��ru������ �#;r�, Sec. �:.-7ti�, ��: �;Urrz�c! rrc,�rn��r v,Y;�cr-l�i;�g s��+xces (33) Rehabilitation faci(ities. Added language to req�ire aclditicr�af �arkirg s���,c�s. ^ r'' �l-I.I� '� i , �' .. �h�'�! ._ _ ,��� i \ � r �� ti ..... � -� ' .. '. �.' i I . . � _ . � � i � , r� - � r _ r r r � � � I _ , � �, � I � , , , i � , -, � _ - , � � , � � � i ,—, �, , .--� .,..� -„�� ����i;'I! -- --�- '�,!' i��� I �� ��,_, ' !� �� ���_�`_� —� ----- ------ — ------------ ------- — -- Health insuran.r,e pr+�vis��� e�e�rr���+� pa�ier�ts a��tertaking into account t�eir level of o�edical o�eeds based upon �eriodic r2�iiews cco�r��ected �:hrc�gh��ufi �hei�� 30-c�av s��y There are �,,arious 4evehs nf serv�r�s fiF�a c��� be �uffei�ed vvithir� this field: ° �es�dt�rif:i�� ���s���7c; ,"�b!�s� T��c a�m�nt S�rvices (Leve@s II & 9V) ° �ee��d��its�ar :;a,��st�ruc� llbuse ���r��t��nt S�rvices (L�ve6 d, CII & V) -- ___ _ _ __ _ _ _— c C�ir�ir�l Ser �i�g� a���r�+��y������� ��tl�r.am (Uay/fVi�fit Tre�trnent Services or Day/RlAght with Community Housing: I ° BOP — Int2n,ove (.,,����,���i�u�tt � � �rP --- �u*��,;��i�n�r ��r��^ir:�s ' . __ __ __ __ _ _ __ _ ° �rate�r�a��n��on _ __ _ _ �° Freu�r���io��a ° A�Ftercar� Sen°vic�s ° IVleth��dor,e �Jaat�aa����M�,. is�e���n�+en#: S�rveces NQTE: Futures us currently licensed fc�r the services outVined �n 'Uir.x�=. Futures needs to obtain the licenses outlined in ��e� in order to bill the patient's health insurar�ce providers. Tl�,osc licenses nUt out�ine��' �re of no significance to the operations of Futures nor to the health insurance initiative „�., -- - � ' �� � .— � n \ ��. ._ `.I� -' f � � r"..� _ _ � •. �---., � .--• �-' f,-i, .'� i. � \ ; i_ � ,, '� .rL. --��,� I�I �� i �; —'� , ��� ��l -�'` ��� �� �, -, ' � � -, � � i� .; � _�; ,���� _ �'� �, �, ,i��., �� � ,. r � _ r �' -� i � -- �' , i , �. i _ -.� _ i . � � i -� ��' � ' ^� � - - - - -' - I i — ' --� - !' : �� � � �_ ' � -, - _ — -- _. ._ --- I�a�����4� ���¢�� I�,��� ��ri�n�Frt;°�u��� ��-��y ��$�s I��so������4�G �aa&��t�r��� �a���� ii"r���ito��������$ ��r e������ ��,�1��/�9�� 30-day resideni:i�! t�reatrmerri �r��;�awr, �Ir�duc�es 30-�ay ��reac�� a? a 1!��ed{�oor�n ���not;l �>U�i�C���O(�if1� ;��ti'�ll;�iL��B'��C� N.�.?)UJ1;TG� �u�C'�'�1�ti �i�J�Vi1$ '�:��t@I'6N:i�,�x ��:y/negh� trc��trr�ent se���,;�c�� c�a� u�ay;/s�righ� �Wt?yt�� co��inunity h+�usic�g f:reatrnent services $1,450/day Intensi�ia a�ia�pa�y�n-� $995/day O�htpat�ea-�� $350/day *Note: Fut�, e� req��res a mir�i:r�um 30-d�y stari �u� aif patients.. The rates are quoted as daily rates strictly for insurance r�imbursement purposes *Note: The patiert sr rvic�� a�reeir�e� vuill b� �aseca on the 30-day residential treatment program rate of $2,150/day. The patient is responsible for $64,�00 Fur the 30-ciay stay. � I daily i��tes in this s�nec��,�1e are the rates that w�ill be billed to the patient's health insurar;ce provider dependir�g on the uti�iz�tion reuiew of t�ie patier�t ay �he in;uran�e ,•�rovider throughaut the 30-day stay �� � — �. � r ' -�, -- , i i . . � � .-1 ^ ' ,. c , —� � � '� '��� ,'� ,R � i'I�_,1 i'' "�.��^ _ r ii ^ �� !-' il i i `� �� �� � _�, � •,i I �. '� �•-, — — �'� \ �II � n - _ �-. - - - -� ... � . n r � �I.., - , -, � � _ I in I � � i i I ^ -- , _ � � ,- , I r '� ! i -� � � r � �� -� - r�-� � . �-� i� , , --,�� I I � i I ,--, -, � 'I i i � ,- , -. II . , .. '-- � . i . , �I i i, _ �. _. . i r �3t� UU� � a �!: f��i�o���: ���U•�wu��: �"�� ��zU����ua�u�u� $?,�.50 �' k�ay Residential Treatment (2 Bedroorri) Patient �s �,•�espans�b4F �coh� a!� a..e;���s �ut c�����r�� �ay in�urance ���w��rn��° �'�, �a�:iPr�t �� �eir�s���ra t��,� �h�rr�lac;;��� s:�e fhird p�r�ty insur�r�ce corrapany's review they are approved for 7 days of � freatr��n�, :��� d�y�<� �f �'�-�P. 5 c;a�.,�; af fOP �rc" 5��ays of UP. Fut��res ca�n only bill the insurance company accordir��to tG�ose cc����� �r�� �r�,.�sc f�ye ��c�v���s�cd to d�� so I��suranc� re�m��anies �X,�..a�� �rrc� �z�p��c�ve f�Ge fevcl �f trea�ment ��ype a rehabilitation facility can provide to a patient for recr��burs�rnerrt p�urnosa5. ����e ar.s.ara�nr.e ��c�rr��au�y .ra��y apprr�ve three days of residential �reatmen�t for one patient ancl 10 c�ays oi res�a9e�ti�� ta�ea�`�r���nr �r�r �r��ther �a��i�r�t. FutGres can ��ly bill far the levei o� treatment dictated by the ensurance cornpar�y, �nd f=�tur�s rv�oast. l�t iic,�rdse-c� i:a nrGVide such I�vels of care. Fu�ures is currently not licensed for lower ievels of Outpatwer�� �ervice, ther eiforc, can��oc�t k�sll f�r s�ach services f-,� � r �' n f� -� ' �- .- n - -, �• .--�, ,-� -. i .-� , i ' - I �. '. ��� i . . � i ' ^ ' . - � . . .� -, � __ , . ' _ _, �� '� �. , i ' " r , i � __^ • • ' • F�atu�'�s �r��ssA�� is �� �r2;��rM�� Cost c�f R�si�enfiial the hi�h�s't ievel cui� ��°��;���-���K-N��. 3r�a�m�ent 30-E�ay $�4.500 $64,500 �v�ila��l� f� tl�� �rQ,����* �nsu� 5upport for Days ��,�mb�r �.�f p�t:�cr�o�s ���4����A�� 1— 3 �.�� $0 $11,092 r�Bap�� a �cad ��pr����r��H� pMr�r��, �:c►nve������g C���r� '�'n�a��?:�� t���; or►�uc�ar��� Sup�o�f fic�r Days r�of alv���ys elir���in��� �Fy� � --1� ��� $ $1�,45s econor�oc `rmp���t: �f 9r�a�ar�!�ce Suppoi7t ��r Days $� t�'c��tP�'t�:C'It ot� $'.�� ��i$9�6���� $4,975 clecise�r� �s heg�li�R���� ����� �-s — 2z 8�� ac�yur�a�ce S��►poet for Days $� ?_3 — �7 �P $1y75�J Total Suppor�� fror� $O Insuran�e $30,275 fi�s���a��� �ue �rmrrv� �a$u�o�� $6�,5�� �34�,225 j , ... - e ;,.. _ �-- �. �, - _ r ' �--� � ,-, � ,--,,,_ �� - , i._. 1 r ', . , .-, - -� � -, i i - ., ,� i , � . � I , , __ __---- ----------- -- , i , . _ _ _ _ i i I _, __ T. ' =��, • � - • .. _ _� . FutuP'�S �'��s V�1��1tC{a�� �If�a� '�:�st �.�f R�si��ratial $64,500 "�f�e�trnent 30-U�y $64,500 $64,500 n�ed �:�� �ca�luc?� i�:,,s,��a�ti�,� SlUp�d�"t VG1�0 ��'P� ��.ii:i��'V��:'� YC15�,;I2N'�C(? �U'�77p2�1't tOP" 'rrt�de9� '�,'i�f�:hc��'r C�w�C'�a�aito��� ;:s��^�r ��ys 1— 7 ff8�� $0 $11,�92 � �, =;,.- - $11,092 ��' � v; r�ode9 f�� �li��caf �:r�����r����: �,��;°�`�' or ser�ri�n stacM��r�2� Sr�s�r�r�ce 5u�pp�rt for �'�, �`� �':. L��ys � --1� P�B� �� $12,45�8�,�er�`' $12,458 2ns�ar�nce Support for �' '� ' Days 18 — 22 V�P �� $4,975 � me ��,5 �,.� �, $4,975 �.,�� �:� y ;r��s��r�nce Su�port for $1 750 e ��.s `"," $1 750 �ays 23 — 27 ��' $� � � • � ���rw ;� 7�4.�� Supgaa��t �rom 6r�surance �� $30,275 $30,275 ��p��,c;� ��a� f� ���o�m� $6�, xQ�� �34,225 $3�,225 r—. ... � ' � � I � �'� i � r ^ ' ,� r'1 �y � n. r ."� �I ��� ��� '� ��Z-. , r. '� . ', I t I � � , � , i ' � � � � � . _ �,-. . . I , - . � , -i � . L. I _ _ i r— � _ . , r � � r� � ( _ , � �, r � � � I' ' � - � � � � �� �� '� _ ��-,. 1 ',.-, ; - , �� ; , - �� , !,; _ _ i i . � _. -- - - - — - ,-. ,� � � — i Q6��lr$Cd0"i''u'' ��2U@6'D�,��s� ��'ri,::': � ?r ���si�°+;.0 _ . _.. � provide t��o;: h�gh+es{_ leve; �f ��,ss�xc�a°rtial _ , , _ _ � _>. _ , , - _ substance a�use ¢°��at�� ���. �t;�v��,� � �o ��u� • � � , _, c� - - patients �I���o�aghc��.yt fi1�e�r 3�-Q�da� �'ti�uy�. l�/e �,��✓iAE t.,� � � � _ ... _ � _.��_ i � �ot redu!c� o�ar le�re! �t sr�; rF��r�c�less :�r �E�� � , , _� . �,� ; . . . _ �.;,:._ level of ir�,�arance rei�r,��ars�rner�t. F�atF�a-e� �-.., wis�es f.r�. abfairi td�e autna$iee�� �icenses (PI-��, � - � _ _ _: , �.; IOF' and O!' far ir�s^,�ranc� billir�� �,-, � � b ��1� �lOSpS OG�011. � �a.o��a��s er����V 6�9��' �r���rl'�c�� �6��9 �����Cu 6��2D�V �r��it 1 z 3 4 5 b � ���u � I' t�e� c ��illi � LevelofCareFrovide� $ 910„iZ-J 1` � 15_6i7 1819zC�1�� 23Z4 � $O 5�7ea�; 1Nft�Y �� e�:,.CeSP r_�r V� �evel ofCare Billed for nsurance � z6 Z� 28 z9 30 r��a�r�N�,� � orr the Vo,�,a�;� of3�quest� to e;c�.}�:�in fh�:; is � cass�t�mary �EYlgt�i Of St�� prac�ice is� aa�a9ir�g wit� �e�E�h �y providers { ����' �..�� ._ . ., .� ,�.�� � .. �• '• • � �.. � �', • • �\I�ow Onsur�nce �e1;� Su��cAs�y o� (�a�aiify of Patienfis � Fu�ures Policies & Procedures B�asir��s5 � Risk Management Plan ° 24 Hour Care �artiirr►or� 9r��r�stry � 32 facility security �cameras/24 Hour Surveillance Y�r�c�oce ° Mairatairr "high-end" level pricing ° Prohibit Federal/State/HMO/In-Network /�IEaw C)��'��ratient ��:����8y ic: ,Arc��� �f�r�nsie�t ° fVIOST IMPORTAf�T: Futures will not market and Ser�iic�s an„ar d r:�rar�-�e��r�ent wil6 not t. patierrts residing outside of the rehabilit�tion facility ° Maximum exposure of three patients not living at facplit��r; aEl of which must have completed a mdrrimurr� 30-day stay � AIQ patients continually drug-tested throug�out treatrnent �� - - � -�^., r-� r-�^ - ��.. _ : , � _. � i � _ / ✓--_ F�Et�res v�5�6 ���i �i�e��p�� a,�c� ,� �/ Limiting Restrictions: 4voEl fVC�T td�.�at p��ye!��:s - 5% of Total Patients �Maximu�n residin� o�n�side e�f the � ��" � ofi 3 Patients) �e��abilita fac�lity ' ---� / - Patients must have completed a _ _ ( �II'1'�B'� ��R'�pc�'���8�$ minimum 30-day Stay EX�C,S�1C� � � '�\\\ � , � �A'�S�C'�71�7��' `�,..�., \ ��� �� �'d.�tl�°�::5 � ��q�,9GP"�'S d_���������z�:; ��a� �� , O�s�:�at���� �o� M `��, �J?�y���; �� ' wo�eo�si�� � � .� '��. �,`� �.. � �..` µ�� �, ./ i i � �� � 0 � ( f-- -- �--- � j - - �� �- -- I C --_ _ .. i=- � ,