What is the purpose of the Cec Rps 1B form?
The Cec Rps 1B form is designed to identify the types of beds or services requested for various health facilities, including adult day health centers and acute hospitals. It helps facilitate the application process for new facilities or existing ones that wish to change their service capacity or bed classification.
Who needs to fill out the Cec Rps 1B form?
This form must be completed by administrators or authorized personnel from health facilities. It is necessary for new facilities seeking approval or for existing facilities looking to modify their operations, capacity, or classification of services they provide.
What information is required in this form?
The form requests information such as the name, type, address, and ZIP code of the facility. Additionally, it requires the number of existing and requested beds in various categories, as well as a list of currently provided and requested services.
Where should the completed Cec Rps 1B form be submitted?
The completed form should accompany the application form HS 200, which is submitted to the California Department of Public Health. Both forms should be sent to the relevant department for processing and approval.
Are there specific categories for beds and services listed in the Cec Rps 1B form?
Yes, the form has specific categories for different types of beds, such as Acute Respiratory Care Services, Burn Center, and Psychiatric Unit, among others. It also includes a range of existing and requested services, like Adult Day Program and Physical Therapy.
What happens if a facility submits incorrect information on the Cec Rps 1B form?
If incorrect details are provided, it may lead to delays in the approval process or even rejection of the application. It is crucial for facilities to ensure that all information is accurate and up-to-date before submitting the form.