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Article 10. Frontier Extended Stay Clinics. Rule 7 AAC 12.450. Determination of a frontier extended stay clinic 7 AAC 12.453. Scope of service 7 AAC 12.457. Additional licensure requirements for frontier extended stay clinics 7 AAC 12.460. Periodic program evaluation and quality assurance 7 AAC 12.465. Medical staff 7 AAC 12.470. Personnel and staffing 7 AAC 12.473. Ancillary services 7 AAC 12.475. Drugs, chemicals, and biologicals 7 AAC 12.477. Radiological service 7 AAC 12.480. Laboratory service 7 AAC 12.483. Medical records 7 AAC 12.485. Emergency services 7 AAC 12.487. Physical plant 7 AAC 12.490. Definitions 7 AAC 12.450. Determination of a frontier extended stay clinic. (a) The department will consider a rural health clinic, including a community health center and a federally qualified health center, to be a frontier extended stay clinic subject to the applicable requirements of this chapter if the department finds that the clinic is a permanent entity that is

(1) located

(A) at least 75 miles by public highway from the nearest hospital; or

(B) in an area where the nearest hospital is inaccessible by public highway; and

(2) capable of providing care and extended stay services for individuals who

(A) are seriously ill, critically ill, or seriously injured and who cannot be transferred to a general acute care hospital, rural primary care hospital, or critical access hospital because of adverse weather conditions, unavailability of a transport vehicle, or another similar unavoidable circumstance;

(B) are seriously ill, critically ill, or seriously injured and require transfer to a general acute care hospital, rural primary care hospital, or critical access hospital but exercise the right, against the medical advice of the attending practitioner, not to be transferred, and elect to receive extended stay services appropriate to manage the individual’s illness or injuries to the extent possible within the clinic’s capability; or