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 AreaAcute Care Bed Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Durham96October 16, 2017November 1, 2017
Mecklenburg60June 15, 2017July 1, 2017
Orange41April 17, 2017May 1, 2017

Operating Room Need Determination

Operating Room Service AreaOperating Room Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Davie1February 15, 2017March 1, 2017
Moore1August 15, 2017September 1, 2017
New Hanover1November 15, 2017December 1, 2017
Union1May 15, 2017June 1, 2017

Fixed Dedicated PET Scanner Need Determination

Service AreaFixed Dedicated PET Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
HSA IV1August 15, 2017September 1, 2017

Fixed MRI Scanner Need Determination

Services AreasFixed MRI Scanners Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Lincoln1November 15, 2017December 1, 2017
Mecklenburg1October 16, 2017November 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 AreaFixed Cardiac Catheterization Equipment Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Wake*1April 17, 2017May 1, 2017
*This need determination was made in response to a petition that was approved by the SHCC.

Adult Care Home Bed Need Determination

CountyHSAAdult Care Home Bed Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
AsheI30February 15, 2017March 1, 2017
GrahamI20February 15, 2017March 1, 2017
GreeneVI20February 15, 2017March 1, 2017
JonesVI30July 17, 2017August 1, 2017
Montgomery*V16April 17, 2017May 1, 2017
WashingtonVI10July 17, 2017August 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

CountyHSAHome Health Agency Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
MecklenburgIII1April 17, 2017May 1, 2017

Hospice Home Care Office Need Determination

CountyHSAHospice Home Care Office Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
CumberlandV1June 15, 2017July 1, 2017

Hospice Inpatient Bed Need Determination

CountyHSAHospice Inpatient Beds Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
CumberlandV9April 17, 2017May 1, 2017

Dialysis Station Need Determination

CountyHSAEnd Stage RenalDialysis Station Need Determination*Certificate of Need Application Due DateCertificate of Need Beginning Review Date
GrahamIMinimum 5 stations; Maximum as projected in the January 2017 SDRMarch 15, 2017April 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 CountiesHSAChild/ Adolescent Psychiatric Bed Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Alliance Behavioral Healthcare: Cumberland, Durham, Johnston, WakeIV, V36May 15, 2017June 1, 2017
Eastpointe: Bladen, Columbus, Duplin, Edgecombe, Greene, Lenoir, Nash, Robeson, Sampson, Scotland, Wayne, WilsonV, VI36August 15, 2017September 1, 2017
Partners Behavioral Health Management: Burke, Catawba, Cleveland, Gaston, Iredell, Lincoln, Surry, YadkinI, II, III1March 15, 2017April 1, 2017
Sandhills Center: Anson, Guilford, Harnett, Hoke,Lee, Montgomery, Moore, Randolph, RichmondII, IV, V18July 17, 2017August 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, YanceyI15August 15, 2017September 1, 2017

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, V25May 15, 2017June 1, 2017
Sandhills Center: Anson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, RichmondII, IV, V15July 17, 2017August 1, 2017

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

Mental Health Planning Region HSAChild/Adolescent Chemical Dependency Treatment Bed Need DeterminationCertificate of Need Application Due DateCertificate of Need Beginning Review Date
Central RegionII, III, IV, V17March 15, 2017April 1, 2017
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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