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:
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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
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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
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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
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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�.
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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�
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° 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
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°���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
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����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���
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.�97T9�EO�Q71V`�"a�'��V� {���, ��'S �f�1�(E'at47li�h"��,'?It%'I _v"i::a �(�'�ii'� r°T�,'�;0�"�:�'1$ ���'Q91�L'��
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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
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�tB��fN�.�lo'a't��1'o'ic �$:il. �s��i'�e:^u����11�Ts'oi� �'� P����i��� ��:�'�9��51� �!OTE: "Short-term" is defined as a 30-day minimum stay
ira Ordinance No. 1-11
�2.�1���CT Ica.�•, i��
_. ;.i���p��,��1_°��� �:'2''.�.�,d�. ri;i To��..c:'t'�:: � �'�::£`�.C'xa�'t�:4"d :3 ���:���E��.-'u�ii',� �V�ed,: i`' ;ad'� d�d,iC wi,F, _, cii 'J: �l�dE'.'S'd:�Y�F�11Y%�b SE.'�JICC-�S: �d'C'�J:�
�ounseVing, individual counseling, relapse prevention counseling, an�' ucational lectures. Outpatient treatr�acra=� .�y;-;�
�e offered at the following levels: "partial hospitalization" whp ' pr�vides � minimum of 25 hours of services per
�atient per week; "intensive outpatient" which provi �� -24- hours of services per patient per week; and "outpatie�
yare" which provides less than 9 hours of servi�� per �atient per week. At any given time, Outpatient treatment ma�,
only be provided to a maximum number ^ non-residential patients equivalent to five percent (5%} of the
Rehabilitation facility's current shor terrn care, extended care and residential Follow-up treatment clientele.
�utpatient treatment services can also be provided to the Rehabilitation facility's patients who are currently receiv�r�.._
�hort-term care, Extended care or residential Follow-up teeatra�ent� and in such cases has no limit or restrictions
� the number of participating patients
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,�ru��wa�aro�����C fi��1 �R ��;,��^���°����� ��:�'�_�o't�.ai���:r�$ 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
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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.
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�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
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��������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.
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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)
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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 �
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° �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
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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
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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
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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
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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
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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
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;r��s��r�nce Su�port for $1 750 e ��.s `"," $1 750
�ays 23 — 27 ��' $� � � •
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7�4.�� Supgaa��t �rom
6r�surance �� $30,275 $30,275
��p��,c;� ��a� f�
���o�m� $6�, xQ�� �34,225 $3�,225
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substance a�use ¢°��at�� ���. �t;�v��,� � �o ��u� • � � , _,
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patients �I���o�aghc��.yt fi1�e�r 3�-Q�da� �'ti�uy�. l�/e �,��✓iAE t.,� � � � _ ... _ � _.��_ i �
�ot redu!c� o�ar le�re! �t sr�; rF��r�c�less :�r �E�� � , , _� . �,� ; . . .
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level of ir�,�arance rei�r,��ars�rner�t. F�atF�a-e� �-..,
wis�es f.r�. abfairi td�e autna$iee�� �icenses (PI-��, � - � _ _ _: , �.;
IOF' and O!' far ir�s^,�ranc� billir�� �,-, �
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�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 �
$O 5�7ea�; 1Nft�Y �� e�:,.CeSP r_�r V� �evel ofCare Billed for nsurance � z6 Z� 28 z9 30
r��a�r�N�,� � orr the Vo,�,a�;�
of3�quest� to e;c�.}�:�in fh�:; is � cass�t�mary �EYlgt�i Of St��
prac�ice is� aa�a9ir�g wit� �e�E�h �y
providers
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�\I�ow Onsur�nce �e1;� Su��cAs�y o� (�a�aiify of Patienfis � Fu�ures Policies & Procedures
B�asir��s5 � Risk Management Plan
° 24 Hour Care
�artiirr►or� 9r��r�stry � 32 facility security �cameras/24 Hour Surveillance
Y�r�c�oce ° Mairatairr "high-end" level pricing
° Prohibit Federal/State/HMO/In-Network
/�IEaw C)��'��ratient ��:����8y ic: ,Arc��� �f�r�nsie�t ° fVIOST IMPORTAf�T: Futures will not market and
Ser�iic�s an„ar d r:�rar�-�e��r�ent wil6 not t. patierrts residing outside of the
rehabilit�tion facility
° Maximum exposure of three patients not living at
facplit��r; aEl of which must have completed a
mdrrimurr� 30-day stay
� AIQ patients continually drug-tested throug�out
treatrnent
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F�Et�res v�5�6 ���i �i�e��p�� a,�c� ,�
�/ Limiting Restrictions:
4voEl fVC�T td�.�at p��ye!��:s - 5% of Total Patients �Maximu�n
residin� o�n�side e�f the � ��" � ofi 3 Patients)
�e��abilita fac�lity ' ---�
/ - Patients must have completed a
_ _ ( �II'1'�B'� ��R'�pc�'���8�$ minimum 30-day Stay
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