Definitions of Types of Facilities
Ambulatory Surgical Center
A State licensed and Medicare certified facility that provides elective surgical care to patients who are admitted to and
discharged from the facility within the same day.
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Banked Beds
Banked beds are licensed acute care hospital beds that are not currently in use. Bed banking is allowed only in hospitals
designated as “Critical Access Hospitals”. These beds may be used again at some time in the future, when the
hospital is no longer licensed as a Critical Access Hospital.
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Critical Access Hospital
A Critical Access Hospital is a rural acute care hospital consisting of no more than fifteen (15) acute beds and ten (10)
swing beds, if desired. The total compliment of acute care beds and swing beds will not exceed twenty-five (25). The Critical
Access Hospital must not exceed a ninety-six (96) hour length of stay and will have agreements, contracts or affiliations
for transfer and services. Critical Access Hospitals will be required to meet all of the State of Maine requirements for
designation criteria, which include location, community assessment and financial feasibility, as well as Section 1820c of
the Social Security Act and 42 Code of Federal Regulations, Part 485.
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Comprehensive Outpatient Rehabilitation Facility
A non-residential facility that is established and operated exclusively for the purpose of providing comprehensive diagnostic,
therapeutic, and restorative services to outpatients for the rehabilitation of injured, disabled, or sick persons, at a
single fixed location, by or under the supervision of a physician.
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Dually Certified Nursing Facility
A nursing facility in which all beds are certified for both Medicare and Medicaid reimbursement.
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End Stage Renal Disease Facility
A facility which provides specialized services to assist individuals who have been diagnosed as having an irreversible and
permanent kidney disease which requires dialysis and/or kidney transplantation to maintain life.
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Federally Qualified Health Center
Federally Qualified Health Centers (FQHCs) are made up of those health centers, including the migrant and homeless projects
as well as the standard community health centers (CHCs), which receive a federal grant to assist the centers in providing
the basic package of primary and preventative health care services to a medically underserved area or population group.
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Home Health Agency (Medicare Certified and State Licensed)
A public agency or private organization, or sub-division of such agency or organization, which is primarily engaged in
providing skilled nursing services and at least one other therapeutic service in the residence of the client. Services are
provided under orders for care established by a physician.
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Home Health Care Services (State Licensed)
A public agency or private organization, or sub-division of such agency or organization, which is primarily engaged in
providing nursing and/or therapy services in the residence of the patient/client.
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Hospice
A public agency or private organization that is primarily engaged in providing specified services to terminally ill
individuals and their families. The services provided are nursing care, physician services, physical and speech therapy,
home health aide, homemaker services, pastoral counseling, social work services, occupational therapy, and dietary services
in addition to bereavement counseling. The care may be provided as services to patients in institutions, as respite care,
as routine home care, or as continuous home care.
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Hospital
A facility offering emergency services and inpatient care and services for observation, diagnosis and active treatment of an
individual with a medical, surgical, obstetrical, rehabilitation or psychiatric condition requiring direction or supervision
of a physician and which may or may not offer similar services to outpatients.
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Intermediate Care Facility for People with Mental Retardation (Group Home)
An establishment which provides, in a protective setting, 24-hour non-nursing supervision of the mentally retarded or persons
with related conditions. Facility staff assume the coordination of habilitation, health and rehabilitation services in order
to assist each individual in reaching his/her maximum level of functioning capabilities.
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Intermediate Care Facility for People with Mental Retardation (Nursing Home)
An establishment which provides licensed nurse supervision (at least 8 hours per day), coordinated health treatment,
rehabilitation and habilitation services for the mentally retarded or persons with related conditions. Services are provided
to assist each individual in reaching his/her maximum functioning capabilities.
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Level IV Facility Beds
“Level IV Facility” means a residential care facility with a licensed capacity for seven (7) or more residents.
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Multilevel Facility
“Multilevel Facility” means any nursing facility which is located on the same contiguous grounds with licensed
assisted living services, congregate housing services or home health services.
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Nursing Facility
“Nursing Facility” means an institution or a distinct part of an institution which is primarily engaged in
providing skilled nursing care and related services for residents who require medical or nursing care, rehabilitation
services or health-related care and services above the level of room and board.
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Personal Care Agency
“Personal Care Agency” means a business entity or subsidiary of a business entity that is not otherwise licensed
by the Division of Licensing and Certification, and that hires and employs unlicensed assistive personnel to provide
assistance with activities of daily living to individuals in the places in which they reside, either permanently or
temporarily. An individual who hires and employs unlicensed assistive personnel to provide care for that individual is not
a personal care agency.
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Portable X-Ray Services
Services provided by licensed personnel using mobile equipment which is licensed or registered in accordance with all
applicable state and local laws. The services are provided by independent agencies or practitioners under the supervision
of a qualified physician.
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Rehabilitation Agency
An agency which provides an integrated multidisciplinary program designed to upgrade the physical functioning of handicapped,
disabled individuals by bringing together as a team specialized rehabilitation personnel. At a minimum, a rehabilitation
agency must provide physical therapy or speech pathology services, and a rehabilitation program which, in addition to
physical therapy or speech pathology services, includes social or vocational adjustment services.
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Rural Health Clinic
Services provided in a clinic which is located in a rural area designated as a shortage area, i.e., an area experiencing a
shortage of either personal health services or primary care manpower. The clinic staff includes one or more physicians
and one or more physician assistants or nurse practitioners engaged in providing primary medical care and out-patient
health services.
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Skilled Nursing Facility
“Skilled Nursing Facility” means an institution or a distinct part of an institution which is primarily engaged
in providing skilled nursing care and related services for residents who require medical or nursing care or rehabilitation
services on an inpatient basis and do not require acute level of care.
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Swing Bed Facility
A hospital that is located in a rural area with fewer than one hundred (100) beds and is approved to use a specific number
of its acute care beds interchangeably to furnish Skilled Nursing services.
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Temporary Nurse Agency
A business entity or subdivision that provides nurses within the state to another organization on a temporary basis.
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Title XVIII Agency
A facility certified by the Centers for Medicare and Medicaid as complying with all codes of federal regulations under Title
XVIII of the Social Security Act. This certification entitles the agency to Medicare reimbursement for services.
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