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 AreaAcute Care Bed Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Orange84April 15, 2016May 1, 2016

OPERATING ROOM NEED DETERMINATION

Operating Room Service AreaOperating Room Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Brunswick1November 15, 2016December 1, 2016
New Hanover3November 15, 2016December 1, 2016
Rowan1July 15, 2016August 1, 2016
Region 1: HSA2*April 15, 2016May 1, 2016
Region 2: HSA2*June 15, 2016July 1, 2016
Region 3: HSA2*April 15, 2016May 1, 2016
Region 4: HSA I and HSA II2*June 15, 2016July 1,2016
* Need determination is pursuant to the Dental Single Specialty Ambulatory Surgical Facility Demonstration Project

LITHOTRIPTER NEED DETERMINATION

LithotriptersLithotripter Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Statewide1June 15, 2016July 1, 2016

FIXED MRI SCANNER NEED DETERMINATION

Services AreasFixed MRI Scanners Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Brunswick *1February 15, 2016March 1, 2016
Guilford1March 15, 2016April 1, 2016
Mecklenburg1May 16, 2016June 1, 2016
Wake1April 15, 2016May 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 AreaShared Fixed Cardiac Catheterization Equipment Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Cumberland1August 15, 2016September 1, 2016

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
Harnett1April 15, 2016May 1, 2016

NURSING CARE BED NEED DETERMINATION

CountyHSANursing Home Bed Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Nash*VI40June 15, 2016July 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

CountyHSAAdult Care Home Bed Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
AsheI30May 16, 2016June 1, 2016
GrahamI20May 16, 2016June 1, 2016
JonesVI30February 15, 2016March 1, 2016
PerquimansVI50February 15, 2016March 1, 2016
WashingtonVI20February 15, 2016March 1, 2016

HOSPICE INPATIENT BED NEED DETERMINATION

CountyHSAHospice Inpatient Beds Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
CumberlandV8August 15, 2016September 1, 2016

CHILD/ADOLESCENT PSYCHIATRIC INPATIENT 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, Nash, Robeson, Sampson, Scotland, Wayne, Wilson
V, VI29April 15, 2016May 1, 2016
Sandhills Center: Anson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, RichmondII, IV, V1April 15, 2016May1, 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
I5March 15, 2016April 1, 2016

ADULT PSYCHIATRIC INPATIENT BED NEED DETERMINATION

Local Management Entity- Managed Care Organization (LME-MCO) and CountiesHSAAdult Psychiatric Bed Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Alliance Behavioral Healthcare: Cumberland, Durham, Johnston, WakeIV, V32April 15, 2016May 1, 2016
Sandhills Center: Anson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, RichmondII, IV, V4April 15, 2016May 1, 2016

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
Eastern RegionV, VI23February 15, 2016March 1, 2016
Central RegionII, III, IV, V22February 15, 2016March 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 RegionHSAChild/Adolescent Chemical Dependency Treatment Bed Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Eastern RegionV, VI9February 15, 2016March 1, 2016
Central RegionII, III, IV, V19February 15, 2016March 1, 2016
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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