South Carolina’s Review Panel Releases Recommendations

South Carolina’s CON Review Panel recently released their recommendations for CON rules and processes. The recommendations include raising the capital threshold, requiring applications to be submitted electronically, discouraging frivolous law suits and batching CON applications together.

Comments on the recommendations may be submitted via email to Melinda Bradshaw at bradshmw@dhec.sc.gov. Robin Gage, a Senior Consultant with RPC served as a the member of the CON Review Panel, whose qualifications can be found here.

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North Carolina 2013 State Medical Facilities Plan

The North Carolina Division of Health Service Regulation has posted the Draft 2013 State Medical Facilities Plan on their website. Although the 2013 State Medical Facilities Plan (SMFP) has not received final approval from the Governor, it has already undergone the public comment period. A few of the recommended need determinations of note are:

Home Health

  • Need for 1 office in Forsyth County
  • Need for 1 office in Brunswick County

Hospice Home Care Offices

  • Need for 1 office in Granville County
  • Need for 1 office in Cumberland County

Acute Care Bed Need

  • 1 in Bertie
  • 53 in Cumberland-Hoke
  • 40 in Mecklenburg

 

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Florida Fixed Need Pool – Other Beds and Programs 2nd Batching Cycle – 2012

According to the most recent Florida Administrative Weekly published on September 28, 2012 , there is no net need for the following services: hospice, pediatric open heart surgery programs and pediatric cardiac catheterizations.

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Georgia Batching Cycle Notifications – Fall 2012

The Georgia Department of Community Health released batching cycle notifications for the fall cycle on September 25, 2012. The table below shows services that will be reviewed in the fall cycle, along with applicable rules and need determinations if available. Letters of Intent are due by Friday October 25, 2012 and applications are due by Monday November 26, 2012. The next batching cycle notification will released around March 25, 2013.

Service Applications Accepted Pursuant To: Calculated Need

Neonatal Intensive Care Services

Yes

Need and Exceptions

Region 3 – 8 beds

Region 5 – 9 beds

Region 4 – 14 beds

Neonatal Intermediate Care Unit Yes Exceptions No
Skilled Nursing Facilities/ Intermediate Care Facilities Yes Exceptions No
Inpatient Physical Rehabilitation Yes Exceptions No
Ambulatory Surgery Services Yes Exceptions No
Obstetrical Services Yes Exceptions No
Home Health Services No - No
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North Carolina’s Proposed CON Rule Changes

The North Carolina Division of Health Service Regulation (DHSR) has published proposed amendments and repeals to CON rules on its website.  The proposed changes are the result of the agency’s rule review, in accordance with  Executive Order 70.

CON regulation for air ambulance has been unenforceable in North Carolina since a 2008 court decision that ruled CON regulation of air ambulance was preempted by the Airline Deregulation Act.  The proposed rule changes repeal CON for Air Ambulance, as the relevant rules have been obsolete since the 2008 ruling.  Similarly, DHSR has proposed repeal of the CON rules for Health Maintenance Organizations, as the authority to enforce the rules was repealed in 2005 under Session Law 2005-325 S. 2.

The proposed changes to Rule sections .1701-.1705 are the most substantive, and respond to a petition “to address the performance standards for heart-lung bypass machines when they are not operated specifically to provide open-heart surgery.”

A public hearing on the proposed changes will be held October 31, 2012 at the DHSR’s Wright Building in Charlotte.

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Comments on North Carolina SMFP Available

Written comments  on North Carolina’s Proposed 2013 State Medical Facilities Plan (SMFP) that were submitted by August 1st are now available to view online.  The North Carolina Division of Health Service Regulation received over 15 petitions with proposed adjustments to the SMFP as well as several sets of comments.

Both Cape Fear Valley Health System and Vidant Medical center petitioned for a reduction in the number of acute care beds published in the SMFP. There were also several petitions for additional nursing home beds, inpatient hospice beds and cardiac catheterization services.

All comments and petitions related to the materials submitted on August 1st must be submitted to the North Carolina Division of Health Service Regulation by August 17, 2012.

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Draft 2013 State Medical Facilities Plan Released

North Carolina recently released its Proposed 2013 State Medical Facilities Plan (SMFP). The proposed SMFP is currently in a public comment period, which lasts through August 1, 2012. All comments or petitions related to the August 1st comments are due by August 17, 2012. All comments will be available on the Medical Facilities Planning Branch website after the comment period.

During the comment period, the State Health Coordinating Council (SHCC) will preside over six public hearings throughout the state. At the hearings, the public is invited to comment on the SMFP, and members of the Medical Facilities Planning Branch will be available to respond to any questions regarding the content of the plan. Details on the time and locations for the six public hearings is available on the Medical Facilities Planning Branch website.

The State Health Coordinating Committee will make all final recommendations on the SMFP to the Governor after their final meeting on October 3, 2012

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Georgia Batching Cycle Notifications – Summer 2012

The Georgia Department of Community Health released batching cycle notifications for the summer cycle on June 22, 2012. The table below shows services that will be reviewed in the summer cycle, along with applicable rules and need determinations if available. Letters of Intent are due by Monday, July 23, and applications are due by Tuesday August 21, 2012.

Service

Applications Accepted

Pursuant to:

Calculated Need

Adult Open Heart Surgery Services

Yes

Need

No

Non-Special Megavoltage Radiation Therapy*

Yes

Need and Exceptions

SSDR 2 – 2 units

SSDR 3 – 1 unit

Special Purpose Megavoltage Radiation Therapy**

Yes

Need and Exceptions

No

Psychiatric and Substance Abuse Inpatient Programs

Yes

Standards

No

Positron Emission Tomography Units

Yes

Exceptions

No

Freestanding Birthing Centers

No

n/a

n/a

Pediatric Cardiac Cath and Open Heart Surgery

No

n/a

n/a

Notes:

* A Non-Special Megavoltage Radiation Therapy (MRT) means a MRT unit other than an MRT unit meeting the definition of special purpose MRT unit.

** Special Megavoltage Radiation Therapy (MRT) includes any of the following types of of units: heavy particle accelarator, gamma knife, dedicated linear accelerator stereotactic radiosurgery unit (SRS LINAC), including CyberKnife, or OR-based IORT unit.

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North Carolina’s Draft 2013 SMFP up for Adoption-May 30th

North Carolina’s State Health Coordinating Committee (SHCC) is having its next meeting on May 30, 2012. Materials for the upcoming meeting, including the agenda and committee reports are available on the meeting website. After hearing recommendations from each of the committees, the SHCC will vote on the proposed 2013 State Medical Facilities Plan (SMFP).  All of the SMFP sections are online in draft form.

 A few highlights from the proposed SMFP sections and provider petitions include:

  • Need determination of one hospice in both Cumberland and Granville Counties
  • Hospice of Wake County petitioned to increase the need threshold for a new Home Health Agency from 275 patients to 350 patients. The long term care committee recommends approving the petition.
  • Acute Care bed need determination for:
    • 119 beds in Cumberland/Hoke counties
    • 40 beds in Mecklenburg
    • 24 beds in Pitt/Greene/Hyde counties
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North Carolina Home Health CON Applications

The 2012 State Medical Facilities Plan published a need for one Medicare-certified home health agency in Wake County. In response to this need, there were five applications submitted in the April batching cycle as listed below.

  • Hillcrest Home Health of the Triangle
  • Healthkeeperz
  • Maxim Healthcare Services
  • Assisted Care of the Carolinas
  • Oakland Homecare NC

A public hearing will take place on June 11, 2012 at 10 am to discuss the applications, and a final decision is expected by July 29, 2012.

The next batching cycle addresses the published need for two home health agencies  in Mecklenburg County. Applications are due on July 16, 2012.

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