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 AreaAcute Care Bed Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Mecklenburg5010/15/1811/01/18
Moore2202/15/1803/01/18

Operating Room Need Determination

Operating Room Service AreaOperating Room Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Buncombe/Madison/Yancey205/15/1806/01/18
Catawba106/15/1807/01/18
Cumberland104/16/1805/01/18
Durham411/15/1812/01/18
Forsyth405/15/1806/01/18
Mecklenburg610/15/1811/01/18
Orange611/15/1812/01/18
Wake608/15/1809/01/18

Inpatient Rehabilitation Bed Need Determination

Service AreaInpatient Rehabilitation  Bed Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
HSA III89/17/1810/01/18

Mobile Dedicated PET Scanner Need Determination

Service AreaMobile Dedicated PET Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Statewide111/15/1812/01/18

Fixed MRI Scanner Need Determination

Service AreaFixed MRI Scanners Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Union106/15/1807/01/18

Fixed Cardiac Catheterization Equipment Need Determination

Cardiac Catheterization Service AreaFixed Cardiac Catheterization Equipment Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Buncombe/Graham/Madison/Yancey108/15/1809/01/18

Shared Fixed Cardiac Catheterization Equipment Need Determination

Cardiac Catheterization Service AreaShared Fixed Cardiac Catheterization Equipment Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Caldwell101/16/1802/01/18

Nursing Care Bed Need Determination

CountyHSANursing Care Bed Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
DavieII2102/15/1803/01/18

Adult Care Home Bed Need Determination

CountyHSAAdult Care Home Bed Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
AsheI3004/16/1805/01/18
CherokeeI6002/15/1803/01/18
GreeneVI2004/16/1805/01/18
JonesVI2007/16/1808/01/18
WashingtonVI1007/16/1808/01/18

Home Health Agency or Office Need Determination

CountyHSAHome Health Agencies/Office Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
WakeIV210/15/1811/01/18

Hospice Home Care Office Need Determination

CountyHSAHospice Home Care Office Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
CumberlandV106/15/1807/01/18
HydeVI102/15/1803/01/18

Hospice Inpatient Bed Need Determination

CountyHSAHospice Inpatient Beds Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
CumberlandV1006/15/1807/01/18
WakeIV1004/16/1805/01/18

Child/Adolescent Psychiatric Bed Need Determination

Local Management Entity-Managed Care Organization (LME-MCO) and CountiesHSAChild/Adolescent Psychiatric Bed Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Eastpointe: Bladen, Columbus, Duplin, Edgecombe, Greene, Lenoir, Robeson, Sampson, Scotland, Wayne, WilsonV, VI2708/15/1809/01/18
Sandhills Center: Anson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, RichmondII, IV, V707/16/1808/01/18
Vaya Health: Alexander, Alleghany, Ashe, Avery, Buncombe, Caldwell, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Watauga, Wilkes, YanceyI1303/15/1804/01/18

Adult Chemical Dependency (Substance Abuse) Treatment Bed Need Determination

Mental Health Planning RegionHSAAdult Chemical Dependency Treatment Bed Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Central RegionII, III, IV, V1405/15/1806/01/18

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

Mental Health Planning RegionHSAChild/Adolescent Chemical Dependency Treatment Bed Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Central RegionII, III, IV, V1503/15/1804/01/18
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