Final 2016 SMFP Need Determinations

The 2016 State Medical Facilities Plan (SMFP) was approved by Governor McCrory on December 15, 2015, and has been issued effective January 1, 2016. It includes several need determinations of interest to hospitals. These include need determinations 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 that justified their addition or removal.

All of the SMFP need determinations are listed below. Application due dates are absolute deadlines. Applications must be filed with the Healthcare Planning and Certificate of Need Section, which is 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
Orange	84	April 15, 2016	May 1, 2016

OPERATING ROOM NEED DETERMINATION

Operating Room Service Area	Operating Room Need Determination	Certificate of Need Application Due Date	Certificate of Need Beginning Review Date
Brunswick	1	November 15, 2016	December 1, 2016
New Hanover	3	November 15, 2016	December 1, 2016
Rowan	1	July 15, 2016	August 1, 2016
Region 1: HSA	2*	April 15, 2016	May 1, 2016
Region 2: HSA	2*	June 15, 2016	July 1, 2016
Region 3: HSA	2*	April 15, 2016	May 1, 2016
Region 4: HSA I and HSA II	2*	June 15, 2016	July 1,2016
* Need determination is pursuant to the Dental Single Specialty Ambulatory Surgical Facility Demonstration Project

LITHOTRIPTER NEED DETERMINATION

Lithotripters	Lithotripter Need Determination	Certificate of Need Application Due Date	Certificate of Need Beginning Review Date
Statewide	1	June 15, 2016	July 1, 2016

FIXED MRI SCANNER NEED DETERMINATION

Services Areas	Fixed MRI Scanners Need Determination	Certificate of Need Application Due Date	Certificate of Need Beginning Review Date
Brunswick *	1	February 15, 2016	March 1, 2016
Guilford	1	March 15, 2016	April 1, 2016
Mecklenburg	1	May 16, 2016	June 1, 2016
Wake	1	April 15, 2016	May 1, 2016
* In response to a petition, the State Health Coordinating Council approved the adjusted need determination for one additional fixed MRI scanner for Brunswick County. Applicants must be a licensed North Carolina acute care hospital with emergency care coverage 24 hours a day, seven days a week. Due to the unique factors that impact access and value, the MRI scanner shall have a threshold capacity of 1,716 annual MRI procedures. The performance standards in 10A NCAC 14C .2703 would not be applicable.

FIXED CARDIAC CATHETERIZATION EQUIPMENT NEED DETERMINATION

Cardiac Catheterization Service Area	Shared Fixed Cardiac Catheterization Equipment Need Determination	Certificate of Need Application Due Date	Certificate of Need Beginning Review Date
Cumberland	1	August 15, 2016	September 1, 2016

SHARED FIXED CARDIAC CATHETERIZATION EQUIPMENT NEED DETERMINATION

Cardiac Catheterization Service Area	Shared Fixed Cardiac Catheterization Equipment Need Determination	Certificate of Need Application Due Date	Certificate of Need Beginning Review Date
Harnett	1	April 15, 2016	May 1, 2016

NURSING CARE BED NEED DETERMINATION

County	HSA	Nursing Home Bed Need Determination	Certificate of Need Application Due Date	Certificate of Need Beginning Review Date
Nash*	VI	40	June 15, 2016	July 1, 2016
* In response to a petition, the State Health Coordinating Council approved the adjusted need determination for 40 additional nursing care beds for Nash County. Applicants must demonstrate these beds will be limited to patients who, upon admission, have the following conditions/needs: ventilator-dependence; tracheostomies; tracheostomies with bi-level positive airway pressure; bariatric status with tracheostomies; bariatric status over 300 pounds; IV antibiotics administered more than once daily; total parenteral nutrition; complex wounds; dialysis; ventilator dependency and/or tracheostomies combined with dialysis.

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	May 16, 2016	June 1, 2016
Graham	I	20	May 16, 2016	June 1, 2016
Jones	VI	30	February 15, 2016	March 1, 2016
Perquimans	VI	50	February 15, 2016	March 1, 2016
Washington	VI	20	February 15, 2016	March 1, 2016

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	8	August 15, 2016	September 1, 2016

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
Eastpointe: Bladen, Columbus, Duplin, Edgecombe, Greene, Lenoir, Nash, Robeson, Sampson, Scotland, Wayne, Wilson	V, VI	29	April 15, 2016	May 1, 2016
Sandhills Center: Anson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, Richmond	II, IV, V	1	April 15, 2016	May1, 2016
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	5	March 15, 2016	April 1, 2016

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	32	April 15, 2016	May 1, 2016
Sandhills Center: Anson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, Richmond	II, IV, V	4	April 15, 2016	May 1, 2016

ADULT CHEMICAL DEPENDENCY (SUBSTANCE ABUSE) TREATMENT BED NEED DETERMINATION

Mental Health Planning Region	HSA	Adult Chemical Dependency Treatment Bed Need Determination	Certificate of Need Application Due Date	Certificate of Need Beginning Review Date
Eastern Region	V, VI	23	February 15, 2016	March 1, 2016
Central Region	II, III, IV, V	22	February 15, 2016	March 1, 2016
Note: Initial need determinations are residential, unless reallocated at which time the need would be either for residential or inpatient treatment beds.

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
Eastern Region	V, VI	9	February 15, 2016	March 1, 2016
Central Region	II, III, IV, V	19	February 15, 2016	March 1, 2016
Note: Initial need determinations are residential, unless reallocated at which time the need would be either for residential or inpatient treatment beds.

The content of this article is intended to provide a general guide to the subject matter. Specialist advice should be sought about your specific circumstances.