1.    An extended stay center shall meet the following minimum standards for registration:

a.    Must be affiliated with one or more facilities certified by the centers for Medicare and Medicaid services as an ambulatory surgical center; b.    Must have no more than two recovery beds for each operating room in the affiliated ambulatory surgical center, not to exceed a total of sixteen recovery beds; c.    Shall discharge patients within forty-eight hours from the time of admission to the extended stay center; d.    Shall conform to all patient safety and facility requirements adopted by the department by rule; e.    Shall use admission criteria based only on the extended stay center’s: (1) Medical screening criteria; (2) Evidence-based surgery guidelines; or

(3) Patient safety standards; f.    Orally and in writing, shall clearly notify patients with Medicare coverage of the services provided by the extended stay center which are not covered by Medicare; and

g.    Shall report data and metrics to the department as prescribed by rule, including the:

(1) Types of procedures performed at the affiliated ambulatory surgical center for which patients are transferred to the extended stay center for recovery; (2) Average duration of patient stays at the extended stay center; (3) Medical acuity of the patients served by the extended stay center; and

(4) Frequency and cause of patient transfers from the extended stay center to a hospital.

2.    An extended stay center only may accept a patient from an ambulatory surgical center.

Each ambulatory surgical center must:

a.    Be separated physically from the extended stay center operations; b.    Have demonstrated safe operating procedures in an outpatient surgery setting for no less than twenty-four consecutive months; and

     c.    Be certified by the centers for Medicare and Medicaid services as participating in the ambulatory surgical center quality reporting program administered by the centers for Medicare and Medicaid services.