The 2018 State Medical Facilities Plan (SMFP) was approved by Governor Cooper on December 11, 2017, and has been issued effective January 1, 2018. 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 changed in the final SMFP based on petitions filed with the State Health Coordinating Council (SHCC) or because of updated data which justified their addition or removal. Of particular note is the SHCC’s decision to significantly revise the methodology for determining need for operating rooms. As shown below, those revisions resulted in a larger number of operating rooms becoming available for development than in past years.
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 |
| Mecklenburg | 50 | 10/15/18 | 11/01/18 |
| Moore | 22 | 02/15/18 | 03/01/18 |
Operating Room Need Determination
| Operating Room Service Area | Operating Room Need Determination | Certificate of Need Application Due Date | Certificate of Need Beginning Review Date |
| Buncombe/Madison/Yancey | 2 | 05/15/18 | 06/01/18 |
| Catawba | 1 | 06/15/18 | 07/01/18 |
| Cumberland | 1 | 04/16/18 | 05/01/18 |
| Durham | 4 | 11/15/18 | 12/01/18 |
| Forsyth | 4 | 05/15/18 | 06/01/18 |
| Mecklenburg | 6 | 10/15/18 | 11/01/18 |
| Orange | 6 | 11/15/18 | 12/01/18 |
| Wake | 6 | 08/15/18 | 09/01/18 |
Inpatient Rehabilitation Bed Need Determination
| Service Area | Inpatient Rehabilitation Bed Need Determination | Certificate of Need Application Due Date | Certificate of Need Beginning Review Date |
| HSA III | 8 | 9/17/18 | 10/01/18 |
Mobile Dedicated PET Scanner Need Determination
| Service Area | Mobile Dedicated PET Need Determination | Certificate of Need Application Due Date | Certificate of Need Beginning Review Date |
| Statewide | 1 | 11/15/18 | 12/01/18 |
Fixed MRI Scanner Need Determination
| Service Area | Fixed MRI Scanners Need Determination | Certificate of Need Application Due Date | Certificate of Need Beginning Review Date |
| Union | 1 | 06/15/18 | 07/01/18 |
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 |
| Buncombe/Graham/Madison/Yancey | 1 | 08/15/18 | 09/01/18 |
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 |
| Caldwell | 1 | 01/16/18 | 02/01/18 |
Nursing Care Bed Need Determination
| County | HSA | Nursing Care Bed Need Determination | Certificate of Need Application Due Date | Certificate of Need Beginning Review Date |
| Davie | II | 21 | 02/15/18 | 03/01/18 |
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 | 04/16/18 | 05/01/18 |
| Cherokee | I | 60 | 02/15/18 | 03/01/18 |
| Greene | VI | 20 | 04/16/18 | 05/01/18 |
| Jones | VI | 20 | 07/16/18 | 08/01/18 |
| Washington | VI | 10 | 07/16/18 | 08/01/18 |
Home Health Agency or Office Need Determination
| County | HSA | Home Health Agencies/Office Need Determination | Certificate of Need Application Due Date | Certificate of Need Beginning Review Date |
| Wake | IV | 2 | 10/15/18 | 11/01/18 |
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 | 06/15/18 | 07/01/18 |
| Hyde | VI | 1 | 02/15/18 | 03/01/18 |
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 | 10 | 06/15/18 | 07/01/18 |
| Wake | IV | 10 | 04/16/18 | 05/01/18 |
Child/Adolescent Psychiatric 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, Robeson, Sampson, Scotland, Wayne, Wilson | V, VI | 27 | 08/15/18 | 09/01/18 |
| Sandhills Center: Anson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, Richmond | II, IV, V | 7 | 07/16/18 | 08/01/18 |
| Vaya Health: Alexander, Alleghany, Ashe, Avery, Buncombe, Caldwell, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Watauga, Wilkes, Yancey | I | 13 | 03/15/18 | 04/01/18 |
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 |
| Central Region | II, III, IV, V | 14 | 05/15/18 | 06/01/18 |
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 | 15 | 03/15/18 | 04/01/18 |