R523-24-4. Allocation of Hospital Adult Bed Days to Local Mental Health Authorities

(1) The formula to determine adult bed allocation in circumstances when the department assists LMHAs in utilizing unused beds shall be based on: (a) the most recent available population estimates obtained from the Utah Department of Health and Human Service Indicator-Based Information System website; (b) the total adults in the state; and (c) the total number of adults in each mental health catchment area. (2) LMHAs within counties that are currently classified as third class, fourth class, fifth class, and sixth class by the lieutenant governor's office pursuant to Section 17-50-501 are given a rural differential as follows: (a) the total number of adult beds available at the Utah State Hospital shall be determined; and (b) 4.8% shall be subtracted from the total number of adult beds available for adults to be allocated as an urban differential. (3) The total number of available adult beds minus the urban differential shall be multiplied by the mental health catchment area percentage of the state's total adult population to determine the number of allocated adult beds for each LMHA. (4) Each LMHA shall be allocated the total number of beds within the LMHA's mental health catchment area, and any fractional number shall be rounded to the nearest whole bed. (5) The urban differential shall be distributed to each LMHA within an urban county based on the mental health catchment area's respective percentage of urban counties as a whole. (6) Each LMHA shall be allocated at least one adult bed. (7) Adjustments of adult beds, as the formula is applied, shall become effective at the beginning of the next fiscal year. (8) The Office of Substance Use and Mental Health shall: (a) calculate the adult bed allocation; (b) address any rounding issues to ensure allocated adult beds do not exceed total adult beds; and (c) notify each LMHA of any change in adult bed allocations.