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Final 2016 SMFP Need Determinations: State Medical Facilities Plan

The 2016 State Medical Facilities Plan (SMFP) was approved by North Carolina 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 Area​

​Acute Care Bed Need Determination

Certificate of Need Application Due Date​

Certificate of Need Beginning Review Date​

​Orange

​84

​April 15, 2016

​May 1, 2016

OPERATING ROOM NEED DETERMINATION

​Operating Room Service Area

Operating Room Need Determination ​

Certificate of Need Application Due Date​

Certificate of Need Beginning Review Date​

​Brunswick

​1

​November 15, 2016

​December 1, 2016

​New Hanover

​3

​November 15, 2016

​December 1, 2016

​Rowan

​1

​July 15, 2016

​August 1, 2016

​Region 1: HSA

​2*

​April 15, 2016

​May 1, 2016

​Region 2: HSA

​2*

​June 15, 2016

​July 1, 2016

​Region 3: HSA

​2*

​April 15, 2016

​May 1, 2016

​Region 4: HSA I and HSA II

​2*

​June 15, 2016

​July 1,2016

* Need determination is pursuant to the Dental Single Specialty Ambulatory Surgical Facility Demonstration Project   ​ ​ ​ ​

LITHOTRIPTER NEED DETERMINATION

Lithotripters ​

Lithotripter Need Determination ​

Certificate of Need Application Due Date​

Certificate of Need Beginning Review Date​

​Statewide

​1

​June 15, 2016

​ July 1, 2016

FIXED MRI SCANNER NEED DETERMINATION

Services Areas ​

Fixed MRI Scanners Need Determination ​

Certificate of Need Application Due Date ​

Certificate of Need Beginning Review Date​

Brunswick *​

​1

​February 15, 2016

​March 1, 2016

​Guilford

​ 1

​March 15, 2016

​April 1, 2016

​Mecklenburg

​1

​May 16, 2016

​June 1, 2016

Wake​

​ 1

​April 15, 2016

​  May 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 Area

Shared Fixed Cardiac Catheterization Equipment Need Determination​

Certificate of Need Application Due Date​

​Certificate of Need Beginning Review Date

​Cumberland

​1

​August 15, 2016

​September 1, 2016

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​

​Harnett

​1

​April 15, 2016

​May 1, 2016

NURSING CARE BED NEED DETERMINATION

​County

HSA​

​Nursing Home Bed Need Determination

Certificate of Need Application Due Date ​

Certificate of Need Beginning Review Date​

Nash*​

​VI

​40

​June 15, 2016

​July 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

County​

​HSA

​Adult Care Home Bed Need Determination

​Certificate of Need Application Due Date

​Certificate of Need Beginning Review Date

Ashe​

​I

​30

​May 16, 2016

​June 1, 2016

Graham​

I​

20​

​May 16, 2016

​June 1, 2016

Jones​

​VI

​30

​February 15, 2016

​March 1, 2016

​Perquimans

​VI

​50

​February 15, 2016

​March 1, 2016

​Washington

​VI

​20

​February 15, 2016

​March 1, 2016

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

​8

​August 15, 2016

​September 1, 2016

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​

​Eastpointe: Bladen, Columbus,
Duplin, Edgecombe, Greene, Lenoir, Nash, Robeson, Sampson, Scotland, Wayne, Wilson

​V, VI

​29

​April 15, 2016

​May 1, 2016

​Sandhills Center: Anson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, Richmond

​II, IV, V

​1

​April 15, 2016

​May1, 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

​I

​5

​March 15, 2016

​April 1, 2016

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

​32

​April 15, 2016

​May 1, 2016

Sandhills Center: Anson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, Richmond​

​II, IV, V

​4

​April 15, 2016

​May 1, 2016

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​

Eastern Region​

​V, VI

​23

​February 15, 2016

​March 1, 2016

​Central Region

​II, III, IV, V

22​

​February 15, 2016

​March 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 Region

HSA ​

Child/Adolescent Chemical Dependency Treatment Bed Need Determination ​

Certificate of Need Application Due Date ​

Certificate of Need Beginning Review Date​

Eastern Region​

​V, VI

​9

​February 15, 2016

​March 1, 2016

Central Region​

​II, III, IV, V

​19

​February 15, 2016

​March 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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About this Author

Todd Hemprill, Healthcare Attorney, Poyner Spruill Law Firm
Partner

​Todd joined Poyner Spruill on June 1, 2014 from Bode Hemphill, LLP. His practice in Health Law involves representing health care providers, with an emphasis on Certificate of Need law.  His practice focuses on health care strategic planning issues, assisting clients in developing health care development strategies under the Certificate of Need law, negotiating health care transactions, and litigating Certificate of Need awards and denials.  He also represents health care clients on licensure and certification issues, including appeals challenging certification and...

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