United States:
Final 2017 SMFP Need Determinations
05 January 2017
Poyner Spruill LLP
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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. |
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.
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