Rules of the Tennessee Health Facilities Commission — Introduction

RULES OF THE TENNESSEE HEALTH FACILITIES COMMISSION Andrew Jackson Building, 9th Floor 502 Deaderick Street Nashville, TN 37243 Chapter Title

0720-01 ……………..………………………………….…………………………………......................Repealed

0720-02 ………..……………………………………….…………………………………......................Repealed

0720-03 ……..………………………………………….…………………………………......................Repealed

0720-04 ……..………………………………………….……………………………………...................Repealed

0720-05 ……..………………………………………….……………………………………...................Repealed

0720-06 …….………………………………………….………………………………………................Repealed

0720-07 …….………………………………………….………………………………………................Repealed

0720-08 .…….………………………………………….………………………………..…..Conduct of Business

0720-09 …………………………………………………………………………………………………..Definitions

0720-10 ….…………………………………………..…..Certificate of Need Program-Scope and Procedures

0720-11 ….…………………………..…………………………...Certificate of Need Program-General Criteria

0720-12 ….……………………………..Certificate of Need Program-Application, Disclosure of Information and Reporting Requirements

0720-13 ….…………………………………………..…..…Rules of Procedure for Hearing Contested Cases

0720-14 …………………………………………………………………………………...Standards for Hospitals

0720-15 ………………………………………..………………...Standards for Prescribed Child Care Centers

0720-16 …………………………………………………………………….………………………...Administration

0720-17 …………………………………………………………………….……………………...Patient Services

0720-18 …………………………………………………………………….………Standards for Nursing Homes

0720-19 …………………………………………………Residential Home for Aged Quality Enabling Program

0720-20 .……………………………………...………..Standards for Ambulatory Surgical Treatment Centers

0720-21 ………….……………………..…………………….……………….Standards for Homes for the Aged

0720-22 ………..…………………………………………………………..……………………….Trauma Centers

0720-23 ……………………………….……………………………………..Standards for Residential Hospices

0720-24 …….….………………………………………………Civil Rights Compliance Rules and Regulations

0720-25 ………………………………………………….…………..………..…..Standards for Birthing Centers

0720-26 ……………..……………………………..…………..…Standards for Assisted-Care Living Facilities

0720-27 …...............……….…Standards for Home Care Organizations Providing Home Health Services

0720-28 ……………………………....Standards for Home Care Organizations Providing Hospice Services

0720-29 ………….…………………………………………….....Standards for HIV Supportive Living Centers

0720-30 …........……...........Standards for Home Care Organizations Providing Home Medical Equipment

0720-31 ………………………….………….…….……….Standards for Pediatric Emergency Care Facilities

0720-32 ……………………...…………………………………………….…..Eden Alternative Grants Program

0720-33 ..............................................................................Standards for End Stage Renal Dialysis Clinics

0720-34 ............................................Standards for Quality of Care for Health Maintenance Organizations

0720-35 .......................Standards for Home Care Organizations Providing Professional Support Services

0720-36 ……………………….………………………………..…Standards for Outpatient Diagnostic Centers

0720-37 ……………………………………………………………..Standards for Adult Care Homes – Level 2

0720-38 ......................................................................................Traumatic Brain Injury Residential Homes

0720-39 …………........................Registry of Persons Who Have Abused, Neglected, Misappropriated, or Exploited the Property of Vulnerable Individuals

0720-40 ………………………………….….….………………..…………………Hospital Service License Fee

0720-41 …………………….……………..Civil Rights Compliance Penalty Program Rules And Regulations

0720-42 …………………………………………………………Reimbursement of Health Care Provider Costs

0720-43 ...........................................Review of Health Care Facility Construction Plans and Specifications

0720-44 ………………………………………….…………………..….Nursing Home Civil Monetary Penalties

0720-45 ….…………………..Nursing Home Residents Grant Assistance Program Rules and Regulations

0720-46 ………………………………………………Standards for Temporary Healthcare Staffing Agencies

ADMINISTRATIVE HISTORY Original Chapters 0720-01 through 0720-04 filed October 22, 1975; effective November 21, 1975. The

Administrative History following each rule gives the date on which the rule was certified and the date on which the rule was filed and its effective date, if promulgated after March 11, 1974. The Administrative History after each rule also shows the date of any amendments or repeals. Amendment to rule 0720-02-.02(2)(d) filed January 31, 1977; effective March 2, 1977. Rule 0720-02-.02(e) filed January 31, 1977; effective March 2, 1977. Subsequent subsections renumbered. Amendments to rule 0720-02-.04(3) filed January 31, 1977; effective March 2, 1977. Amendments to rule 0720-02-.04 and 0720-02-.05(1) and (2) filed October 12, 1977; effective November 11, 1977. Original chapter 0720-05 filed December 28, 1979; effective February 11, 1980. Amendments to rules 0720-01-.03 through 0720-01-.06, 0720-02-.01 through 0720-02-.07, 0720-03-.01, and 0720-04-.01 filed December 28, 1979; effective February 11, 1980. Original rules 0720-01-.07, 0720-02-.08, and 0720-02-.09 filed December 28, 1979; effective February 11, 1980. Amendment to rule 0720-02-.04 filed June 16, 1981; effective July 31, 1981. Repeal of rule 0720-02-.03 and renumbering of rules 0720-02-.04 through 0720-02-.09 as 0720-02-.03 through 0720-02-.08 filed December 1, 1982; effective January 3, 1983. Amendments to rules 0720-01-.03, 0720-01-.04, 0720-01-.07, 0720-02-.01 through 0720-02-.06, 0720- 03-.01, and 0720-04-.02 filed December 1, 1982; effective January 3, 1983. Amendment to Chapter 0720-05 filed December 1, 1982; effective January 3, 1983. Amendments to rules 0720-02-.01, 0720-02-.02, and 0720-02-.03 filed October 13, 1983; effective November 14, 1983. Repeal of and new chapters 0720-01 through 0720-05 filed December 28, 1984; effective January 27, 1985. Repeal of chapters 0720-01 through 0720-05 and new chapters 0720-01 through 0720-06 filed March 14, 1986; effective April 13, 1986. Repeal of chapters 0720-01 through 0720-06 and new chapters 0720-01 through 0720-06 filed September 15, 1987; effective October 30, 1987. Amendment to rule 0720-02-.01 filed August 30, 1988; effective October 14, 1988. Original chapter 0720-07 filed October 30, 1992; effective December 14, 1992. Original rule 0720-01-.06 and amendments to rules 0720-01-.01, and 0720-06-.02 and repeal and new rule 0720-01-.03 filed November 30, 1992; effective January 28, 1993. Repeal of and new chapters 0720-01, 0720-02, 0720-03, 0720-05, 0720-06 and amendment to rule 0720- 04-.01 filed November 16, 1993; effective January 30, 1994. Amendment to rules 0720-02-.01, 0720-03-.03 and 0720-03-.06 filed September 12, 1994; effective January 27, 1995. Amendment to rule 0720-01-.04 filed August 13, 1996; effective December 27, 1996. Original rule 0720-03-.07 filed September 23, 1996; effective January 28, 1997. Repeal of chapters 0720-01 through 0720-07 by Section 5 of Chapter 780, Public Acts of 2002. Original chapters 0720-08 through 0720-13 filed August 31, 2005; effective November 14, 2005. Amendment to rule 0720-08-.04 filed June 22, 2012; effective November 28, 2012. Emergency rules 0720-10-.03 and 0720-13-.02 filed July 1, 2016; effective through December 28, 2016. Emergency rules expired effective December 29, 2016, and the rules reverted to their previous statuses. Amendments to rules 0720-10-.03 and 0720-13-.02 filed November 15, 2016; effective February 13, 2017. Emergency rule 0720-11-.01 filed May 31, 2017; effective through November 27, 2017. The emergency rule expired effective November 28, 2017 and reverted to its previous status. Deletion of rule 0720-10-.02 and subsequent renumbering of rules 0720-10-.03 through 0720-10-.06, deletion of rule 0720-12-.03 and subsequent renumbering of rules 0720-12-.04 and 0720-12-.05, amendments to rules 0720-08-.04, 0720-09-.01, 0720-10-.02, 0720-10-.03, 0720-10-.04, 0720-10-.05,

0720-11-.01, 0720-12-.01, 0720-12-.02, and 0720-12-.04, new rule 0720-12-.05, and original rule 0720- 12-.06 filed October 24, 2017; effective January 22, 2018. Emergency rules 0720-08-.01, 0720-08-.06, 0720-09-.01, 0720-10-.02 through 0720-10-.08, 0720-11-.01,

0720-12-.01 through 0720-12-.09, and 0720-13-.01 through 0720-13-.03 filed September 28, 2021; effective through March 27, 2022. Amendments to rule 0720-08-.01, repeal of rule 0720-08-.06, amendments to rules 0720-09-.01 and

0720-10-.01 through 0720-10-.05, new rules 0720-10-.06 through 0720-10-.10, amendments to rules

0720-11-.01, 0720-12-.01, and 0720-12-.02, deletion of rule 0720-12-.03 and subsequent renumbering of rules 0720-12-.04 through 0720-12-.06, amendments to newly renumbered rules 0720-12-.04 and 0720- 12-.05, new rules 0720-12-.06 through 0720-12-.09, and amendments to rules 0720-13-.01 through 0720- 13-.03 filed December 27, 2021; effective March 27, 2022. Administrative changes made to chapters 0720-08, 0720-09, 0720-10, 0720-11, 0720-12, and 0720-13 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-14 transferred from chapter 1200-08-01 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-15 transferred from chapter 1200-08-02 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-16 transferred from chapter 1200-08-03 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-17 transferred from chapter 1200-08-04 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-18 transferred from chapter 1200-08-06 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-19 transferred from chapter 1200-08-07 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-20 transferred from chapter 1200-08-10 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-21 transferred from chapter 1200-08-11 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-22 transferred from chapter 1200-08-12 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-23 transferred from chapter 1200-08-15 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-24 transferred from chapter 1200-08-16 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-25 transferred from chapter 1200-08-24 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-26 transferred from chapter 1200-08-25 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-27 transferred from chapter 1200-08-26 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-28 transferred from chapter 1200-08-27 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-29 transferred from chapter 1200-08-28 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-30 transferred from chapter 1200-08-29 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-31 transferred from chapter 1200-08-30 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-32 transferred from chapter 1200-08-31 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-33 transferred from chapter 1200-08-32 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-34 transferred from chapter 1200-08-33 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-35 transferred from chapter 1200-08-34 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-36 transferred from chapter 1200-08-35 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-37 transferred from chapter 1200-08-36 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-38 transferred from chapter 1200-08-37 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-39 transferred from chapter 1200-08-38 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-40 transferred from chapter 1200-24-01 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-41 transferred from chapter 1200-24-03 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-42 transferred from chapter 1200-24-04 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-43 transferred from chapter 1200-24-05 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-44 transferred from chapter 1200-26-01 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Chapter 0720-45 transferred from chapter 1200-29-01 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Emergency rules 0720-14-.01 and 0720-14-.06 filed December 27, 2022; effective through June 25, 2023. Emergency rules expired effective June 26, 2023, and the rules reverted to their previous statuses. Emergency rules 0720-30-.01 through 0720-30-.04, 0720-30-.06, and 0720-30-.11 filed June 26, 2023; effective through December 23, 2023. Emergency rules expired effective December 24, 2023, and the rules reverted to their previous statuses. Amendments to rules 0720-14-.01 and 0720-14-.06 filed August 11, 2023; effective November 9, 2023. Emergency rules 0720-46-.01 through 0720-46-.08 filed November 7, 2023; effective through May 5, 2024. Emergency rules expired effective May 6, 2024, and the rules reverted to their previous statuses. Amendments to rules 0720-30-.01 through 0720-30-.04, 0720-30-.06, and 0720-30-.11 filed March 4, 2024; effective June 2, 2024. Amendments to rules 0720-14-.07 and 0720-20-.06 filed February 25, 2025; effective May 26, 2025. Amendments to rules 0720-39-.01 through 0720-39-.06 filed May 5, 2025; effective August 3, 2025. Amendments to rules 0720-31-.01 through 0720-31-.05 and Table 1 and new rule 0720-31-.06 filed July 10, 2025; effective October 8, 2025. New rules 0720-46-.01 through 0720-46-.08 filed August 29, 2025; effective November 27, 2025. Amendments to rule 0720-14-.01 filed October 21, 2025; effective January 19, 2026. Amendments to rules 0720-14-.14, 0720-15-.13, 0720-18-.14, 0720-20-.14, 0720-21-.13, 0720-23-.14,

0720-25-.13, 0720-26-.16, 0720-27-.14, 0720-28-.14, 0720-29-.14, 0720-30-.14, 0720-33-.14, 0720-36- .14, 0720-37-.17, and 0720-38-.17 filed December 18, 2025; effective March 18, 2026. Amendments to rules 0720-36-.01 through 0720-36-.04, 0720-36-.06, 0720-36-.08, 0720-36-.09, and

0720-36-.11 through 0720-36-.13 filed January 7, 2026; effective April 7, 2026. Amendments to rules 0720-14-.02 through 0720-14-.09 and 0720-14-.11 through 0720-14-.13 filed January 8, 2026; effective April 8, 2026. Amendments to rules 0720-22-.01, 0720-22-.02, 0720-22-.04, and 0720-22-.05 filed February 5, 2026; effective May 6, 2026.