Section 127.02. Definitions.

  In this chapter:

(1)  "Adverse action" means an action initiated by a state or federal agency, based on the licensee's noncompliance in the operation of health care services, that resulted in civil money penalties, suspension of payments, the appointment of temporary management, denial, suspension or revocation of licensure or termination or nonrenewal of provider participation under medicaid or medicare.

(2)  "Ambulatory surgery center" has the meaning given in 42 CFR 416.2 .

(3)  "Applicant" means a person or persons who apply for a license to operate a rural medical center, who ultimately will be responsible for the operation of the rural medical center and legally responsible for decisions and liabilities related to the rural medical center. If a corporation, "applicant" means each person serving as director as indicated under ss. 180.0202 (2) (a) and 181.0202 (2) (a) , Stats. If a partnership, "applicant" means persons identified in s. 178.03 (1) , Stats. If a limited partnership, "applicant" means persons identified in ch. 179 , Stats. If a limited liability company, "applicant" means each person organizing the company as identified under s. 183.0202 (5) , Stats.

(4)  "Critical access hospital" has the meaning given in s. 50.33 (1g) , Stats.

(5)  "Department" means the Wisconsin department of health services.

(6)  "End-stage renal disease service" has the meaning given in 42 CFR 405.2102 .

(7)  "Good standing" means that the applicant has a history of compliance with state and federal statutes, regulations and rules that promote the provision of quality care to patients and residents.

(8)  "Health care services" or "services" means any of the following:

(a) Care that is provided in or by any of the following:

1. A hospital.

2. A nursing home.

3. A hospice.

4. A rural health clinic.

5. An ambulatory surgery center.

6. A critical access hospital.

(b) Home health services.

(c) Outpatient physical therapy services.

(d) End-stage renal disease services.

(e) Services that are provided by a rehabilitation agency.

(f) Outpatient occupational therapy services.

(9)  "Home health services" has the meaning given in s. 50.49 (1) (b) , Stats.

(10)  "Hospice" has the meaning given in s. 50.90 (1) , Stats.

(11)  "Hospital" has the meaning given in s. 50.33 (2) (a) or (b) , Stats.

(12)  "Medicare" means Title XVIII of the federal Social Security Act of 1935, as amended, 42 USC 1395 to 1395ccc .

(13)  "Nursing home" has the meaning given in s. 50.01 (3) , Stats.

(14)  "Outpatient occupational therapy services" has the meaning given in 42 USC 1395x (g).

(15)  "Outpatient physical therapy services" has the meaning given in 42 USC 1395x (p).

(16)  "Patient" means an individual who receives health care services, except nursing home services, from a rural medical center.

(17)  "Provisional license" means department approval to operate a rural medical center for a temporary period of time, issued to a person who is either not currently licensed by the department or certified by the federal government to provide one or more of the health care services that the person seeks to provide as a rural medical center.

(18)  "Rehabilitation agency" has the meaning given in 42 CFR 405.1702 (i).

(19)  "Resident" means a person who receives nursing home services from a rural medical center.

(20)  "Rural health clinic" has the meaning given in 42 USC 1395x (aa)(2).

(21)  "Rural medical center" or "center" means an arrangement of facilities, equipment, services and personnel that is all of the following:

(a) Organized under a single governing and corporate structure.

(b) Capable of providing or assuring health care services, including appropriate referral, treatment and follow-up services, at one or more locations in a county, city, town or village with a population of less than 15,000 and that is in an area that is not an urbanized area as defined by the federal bureau of the census.

(c) A provider of at least 2 health care services under the arrangement or through a related corporate entity.

History: Cr. Register, February, 1999, No. 518 , eff. 3-1-99; corrections in (3) and (5) made under s. 13.92 (4) (b) 6. and 7. , Stats., Register January 2009 No. 637 ; C R 10-091 : am. (2) Register December 2010 No. 660 , eff. 1-1-11.