United States: Final 2017 SMFP Need Determinations

Last Updated: January 5 2017
Article by S. Todd Hemphill

The 2017 State Medical Facilities Plan (SMFP) was approved by Governor McCrory on December 14, 2016, and has been issued effective January 1, 2017. It includes need determinations of interest to a number of different types of providers. Several of the need determinations were different from the proposed SMFP issued last summer, but were included in or deleted from the final SMFP based on petitions filed with the State Health Coordinating Council or because of updated data which justified their addition or removal.

All of the SMFP need determinations identified are listed below. Please note that application due dates are absolute deadlines. Applications must be filed with the Healthcare Planning and Certificate of Need Section, which is located at 809 Ruggles Drive, Raleigh, NC 27603. The filing deadline is 5:30 p.m. on the application due date.

Acute Care Bed Need Determination

Service Area Acute Care Bed Need Determination Certificate of Need Application Due Date Certificate of Need Beginning Review Date
Durham 96 October 16, 2017 November 1, 2017
Mecklenburg 60 June 15, 2017 July 1, 2017
Orange 41 April 17, 2017 May 1, 2017

Operating Room Need Determination

Operating Room Service Area Operating Room Need Determination Certificate of Need Application Due Date Certificate of Need Beginning Review Date
Davie 1 February 15, 2017 March 1, 2017
Moore 1 August 15, 2017 September 1, 2017
New Hanover 1 November 15, 2017 December 1, 2017
Union 1 May 15, 2017 June 1, 2017

Fixed Dedicated PET Scanner Need Determination

Service Area Fixed Dedicated PET Need Determination Certificate of Need Application Due Date Certificate of Need Beginning Review Date
HSA IV 1 August 15, 2017 September 1, 2017

Fixed MRI Scanner Need Determination

Services Areas Fixed MRI Scanners Need Determination Certificate of Need Application Due Date Certificate of Need Beginning Review Date
Lincoln 1 November 15, 2017 December 1, 2017
Mecklenburg 1 October 16, 2017 November 1, 2017
In addition, the SHCC approved Policy TE-3, which authorizes any licensed North Carolina acute care hospital with emergency care coverage 24 hours a day, seven days a week that does not currently have an existing or approved fixed MRI scanner as reflected in the inventory in the applicable SMFP to apply to acquire a fixed MRI scanner. The applicant must demonstrate that the proposed fixed MRI scanner will perform at least 850 weighted MRI procedures during the third full operating year. The fixed MRI scanner must be located on the hospital's "main campus" as defined in N.C. Gen. Stat. § 131E-176(14n)a. Fixed MRI CON applications filed pursuant to Policy TE-3 are included in Category H in the review schedule contained in Chapter 3 of the SMFP, and there are multiple filing dates in that category available during the year.

Fixed Cardiac Catheterization Equipment Need Determination

Cardiac Catheterization Service Area Fixed Cardiac Catheterization Equipment Need Determination Certificate of Need Application Due Date Certificate of Need Beginning Review Date
Wake* 1 April 17, 2017 May 1, 2017
*This need determination was made in response to a petition that was approved by the SHCC.

Adult Care Home Bed Need Determination

County HSA Adult Care Home Bed Need Determination Certificate of Need Application Due Date Certificate of Need Beginning Review Date
Ashe I 30 February 15, 2017 March 1, 2017
Graham I 20 February 15, 2017 March 1, 2017
Greene VI 20 February 15, 2017 March 1, 2017
Jones VI 30 July 17, 2017 August 1, 2017
Montgomery* V 16 April 17, 2017 May 1, 2017
Washington VI 10 July 17, 2017 August 1, 2017
*This need determination was made in response to a petition and was approved by the SHCC with a preference for CON applications which are proposing the addition of SCU beds.

Home Health Agency Need Determination

County HSA Home Health Agency Need Determination Certificate of Need Application Due Date Certificate of Need Beginning Review Date
Mecklenburg III 1 April 17, 2017 May 1, 2017

Hospice Home Care Office Need Determination

County HSA Hospice Home Care Office Need Determination Certificate of Need Application Due Date Certificate of Need Beginning Review Date
Cumberland V 1 June 15, 2017 July 1, 2017

Hospice Inpatient Bed Need Determination

County HSA Hospice Inpatient Beds Need Determination Certificate of Need Application Due Date Certificate of Need Beginning Review Date
Cumberland V 9 April 17, 2017 May 1, 2017

Dialysis Station Need Determination

County HSA End Stage RenalDialysis Station Need Determination* Certificate of Need Application Due Date Certificate of Need Beginning Review Date
Graham I Minimum 5 stations; Maximum as projected in the January 2017 SDR March 15, 2017 April 1, 2017
*In response to a petition filed by the Graham County Commissioners, the SHCC identified a need for a new dialysis facility in Graham County with at least 5 stations and a maximum projected as needed for Graham County in the Semiannual Dialysis Report available prior to the certificate of need application due date. The Certificate of Need shall impose a condition requiring the approved applicant to document that it has applied for Medicare certification no later than three (3) years from the effective date on the certificate of need. Graham County will remain in the Cherokee-Graham-Clay service area.

Child/Adolescent Psychiatric Inpatient Bed Need Determination

Local Management Entity-Managed Care Organization (LME-MCO) and Counties HSA Child/ Adolescent Psychiatric Bed Need Determination Certificate of Need Application Due Date Certificate of Need Beginning Review Date
Alliance Behavioral Healthcare: Cumberland, Durham, Johnston, Wake IV, V 36 May 15, 2017 June 1, 2017
Eastpointe: Bladen, Columbus, Duplin, Edgecombe, Greene, Lenoir, Nash, Robeson, Sampson, Scotland, Wayne, Wilson V, VI 36 August 15, 2017 September 1, 2017
Partners Behavioral Health Management: Burke, Catawba, Cleveland, Gaston, Iredell, Lincoln, Surry, Yadkin I, II, III 1 March 15, 2017 April 1, 2017
Sandhills Center: Anson, Guilford, Harnett, Hoke,

Lee, Montgomery, Moore, Randolph, Richmond

II, IV, V 18 July 17, 2017 August 1, 2017
Smoky Mountain Center: Alleghany, Alexander, Ashe, Avery, Buncombe, Caldwell, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Watauga, Wilkes, Yancey I 15 August 15, 2017 September 1, 2017

Adult Psychiatric Inpatient Bed Need Determination

Local Management Entity-Managed Care Organization (LME-MCO) and Counties HSA Adult Psychiatric Bed Need Determination Certificate of Need Application Due Date Certificate of Need Beginning Review Date
Alliance Behavioral Healthcare: Cumberland, Durham, Johnston, Wake IV, V 25 May 15, 2017 June 1, 2017
Sandhills Center: Anson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, Richmond II, IV, V 15 July 17, 2017 August 1, 2017

Child/Adolescent Chemical Dependency (Substance Abuse) Treatment Bed Need Determination

Mental Health Planning Region HSA Child/Adolescent Chemical Dependency Treatment Bed Need Determination Certificate of Need Application Due Date Certificate of Need Beginning Review Date
Central Region II, III, IV, V 17 March 15, 2017 April 1, 2017
Note: Initial need determinations are residential, unless reallocated at which time the need would be either for residential or inpatient treatment beds.

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