reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33 - CERTIFICATE OF NEED: APPLICATION AND REVIEW PROCESS › Subchapter 4 - THE REVIEW PROCESS › Section 8:33-4.16 - Conditions on approval/monitoring

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Conditions may be
				placed on certificate of need approval by the Commissioner if they relate to
				material presented in the application itself, are prescribed in State rules, relate
				to the criteria specified in
				8:33-4.9 and 4.10 or promote the intent
				of the Health Care Facilities Planning Act,
				26:2H-1 et seq., as amended. The State
				Health Planning Board shall not recommend the inclusion of conditions in a
				certificate of need approval which are not consistent with the provisions of this
				subchapter.
(b) Any conditions placed on
				a certificate of need approval shall become part of the licensure requirements of
				the approved facility. Failure to comply with conditions of approval may result in
				licensure action by the Department and may constitute an adequate basis for denying
				certificate of need applications by an applicant who is out of compliance with
				conditions on previous approvals. The applicant must contest any condition, if at
				all, within 30 days of receipt of notice. The applicant shall vacate his right to
				oppose said condition(s) if he fails to submit written notice that he contests any
				condition to the Department within this time. If the applicant contests a condition,
				the Commissioner shall suspend his or her approval of the certificate of need in
				order to consider the objection. Furthermore, the Commissioner has the right to
				nullify the approval of the certificate of need. The Commissioner may, at his or her
				discretion, consult with the State Health Planning Board to obtain its
				recommendation on the contested condition(s).
(c) When conditions are included in the
				Commissioner's approval letter, the applicant shall file a progress report on
				meeting such conditions with the Certificate of Need and Acute Care Licensure
				Program at least 12 months from the date of approval and annually for the first two
				years after project implementation and at any other time requested by the Department
				in writing. Failure to file such reports may be taken into consideration in the
				review of subsequent certificate of need applications, result in fines and penalties
				imposed through licensure action and/or result in the nullification of the
				unimplemented certificate of need.
(d)
				Where an applicant has failed to meet conditions of approval of previously approved
				certificates of need, it may form an adequate basis for the Department to bar the
				applicant from filing any subsequent certificate of need until the conditions in
				question are satisfied.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33 - CERTIFICATE OF NEED: APPLICATION AND REVIEW PROCESS › Subchapter 5 - EXPEDITED REVIEW PROCESS › Section 8:33-5.1 - Statement of purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The expedited review
				process shall be used for the following types of applications:
1. Establishment of a Statewide restricted
				admissions facility or increase in bed capacity of a Statewide restricted admissions
				facility;
2. Change in scope to an
				unimplemented certificate of need;
3.
				Establishment of or increase in the bed capacity of comprehensive personal care
				homes;
4. Establishment of or increase
				in the capacity of assisted living residences;
5. Establishment of assisted living
				programs;
6. Extension of time to an
				unimplemented certificate of need;
7.
				Conversion of existing, on-site, licensed residential health care beds to long-term
				care beds for long-term care facilities located in Newark, Jersey City, Paterson,
				Atlantic City, Camden, Elizabeth, Trenton, Irvington, East Orange or Union City that
				were issued a certificate of need between January 20, 1987 and September 8, 1992
				pursuant to the methodology contained in then existing N.J.A.C. 8:33H-3.3(b)3 and
				were licensed on or before August 17, 1998;
8. Establishment of demonstration projects in
				accordance with applicable planning rules;
9. Establishment of a cardiac catheterization
				program or emergency or primary coronary angioplasty (PTCA) services with off-site
				cardiac surgery backup in accordance with N.J.A.C. 8:33E;
10. Establishment of a special hospital providing
				long term acute care services in accordance with the Department's licensure
				standards at N.J.A.C. 8:43G-38;
11. The
				relocation of a portion of a health care facility's licensed beds or an entire
				service from one licensed facility (sending facility) to another (receiving
				facility) located within the same planning region, unless the beds or service at
				issue are otherwise exempt from the certificate of need requirement; and
12. The relocation of an entire licensed health
				care facility that is subject to the certificate of need requirement, except for
				general hospitals, within the same planning region.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33 - CERTIFICATE OF NEED: APPLICATION AND REVIEW PROCESS › Subchapter 5 - EXPEDITED REVIEW PROCESS › Section 8:33-5.2 - Process

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The expedited review process shall include 12
				review cycles, where permitted by applicable planning regulations. The beginning of
				each cycle shall be the first business day of each month and a decision shall be
				rendered by the Commissioner no later than 90 days after the application has been
				accepted for processing.
(b) The
				determination of whether or not a project is accepted for processing under the
				expedited review process shall be made by the Department.
(c) Applications shall be reviewed to determine
				whether they are acceptable for processing. An original and nine copies of a signed
				and dated application, completely and accurately filled out shall be accompanied by
				the correct application fee and 10 copies of out-of-State track record reports.
				Applications not meeting these requirements shall not be accepted for processing.
				The Department shall notify the applicant of this decision and the filing fee shall
				be returned. The applicant may file a new application with the appropriate
				information in the next appropriate application submission cycle.
(d) Certificate of need applications subject to
				expedited review shall be reviewed in accordance with the requirements of this
				chapter, the Department's licensing rules and applicable health planning
				rules.
(e) Prospective applicants may
				obtain a certificate of need application for expedited review (form CN-19) on the
				Department's website at
www.nj.gov/health/forms
and shall submit the
				completed application using electronic media and 10 paper copies of the application
				to:
Office of Certificate of Need and Healthcare Facility
				  Licensure
New Jersey Department of Health
PO Box 358
Trenton, NJ 08625-0358
(609) 292-6552 or 292-7228
(f) Applications shall be reviewed by appropriate
				Department staff for the purpose of providing information to assist the Commissioner
				in making the final decision.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33 - CERTIFICATE OF NEED: APPLICATION AND REVIEW PROCESS › Subchapter 5 - EXPEDITED REVIEW PROCESS › Section 8:33-5.3 - General requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Minimum information
				required for all expedited review projects shall consist of:
1. Project description, including changes in beds,
				total project cost, services affected, equipment involved, source of funds,
				utilization statistics, both inpatient and outpatient, and justification for the
				proposed project;
2. The extent to which
				all residents of the area shall have access to services, particularly the medically
				underserved;
3. Applicants for all
				services proposed for expedited review at
				8:33-5.1(a), shall
				document that the following criteria shall be met:
i. Appropriate licensing and construction
				standards; and
ii. Licensure track
				record requirements (8:33-4.10(d) 
				);
4. Additionally, cardiac
				catheterization program and emergency or primary angioplasty applicants shall comply
				with all relevant sections of N.J.A.C. 8:33E; and
5. Long-term acute care hospital applicants shall
				comply with all relevant sections of N.J.A.C. 8:33F and 8:43G-38.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33 - CERTIFICATE OF NEED: APPLICATION AND REVIEW PROCESS › Subchapter 5 - EXPEDITED REVIEW PROCESS › Section 8:33-5.4 - Specific requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In addition to the
				requirements of 8:33-5.3, the following information
				shall be provided, as appropriate, for all expedited review projects:
1. For an applicant who applies under the
				expedited review process to convert existing, on-site, licensed residential health
				care beds to long-term care beds in accordance with
				8:33-5.1(a)7:
i. A commitment that they will accept as a
				condition of certificate of need approval to maintain a minimum of 50 percent bed
				occupancy by direct Medicaid-eligible patients, of which 10 percent shall be
				discharged psychiatric patients from State and county hospitals. The aforesaid 50
				percent and 10 percent bed minimums shall be calculated using the entire licensed
				bed capacity for the facility, shall be achieved no later than one year from
				approval, and shall be maintained at all times thereafter.
ii. A commitment that they will accept as a
				condition of certificate of need approval that the conversion of residential health
				care beds to long-term care beds shall occur within the city limits of the city
				identified in the application and the applicant shall not relocate all or any
				portion of the facility's total licensed long-term care capacity outside of the city
				limits.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33 - CERTIFICATE OF NEED: APPLICATION AND REVIEW PROCESS › Subchapter 6 - CERTIFICATE OF NEED EXEMPTIONS › Section 8:33-6.2 - Process

Current through Register Vol. 56, No. 14, July 15, 2024
(a) This section shall
				apply to projects which are exempt from the certificate of need requirement.
1. For continuing care retirement communities, a
				certificate of authority from the Department of Community Affairs for the operation
				of a continuing care retirement community shall be submitted to the Department prior
				to licensure of the long-term care beds.
2. If an applicant for licensure of a health care
				service or facility that is not subject to certificate of need review so requests,
				the Department shall provide the applicant with a pre-licensure consultation. The
				purpose of the consultation is to provide the applicant with information and
				guidance on rules, regulations, standards and procedures appropriate and applicable
				to the licensure process and licensure requirements. The Department shall conduct
				the consultation within 60 days of receipt of the request of the
				applicant.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33 - CERTIFICATE OF NEED: APPLICATION AND REVIEW PROCESS › Appendix C

Current through Register Vol. 56, No. 14, July 15, 2024
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New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33 - CERTIFICATE OF NEED: APPLICATION AND REVIEW PROCESS › Appendix D

Current through Register Vol. 56, No. 14, July 15, 2024
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New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33 - CERTIFICATE OF NEED: APPLICATION AND REVIEW PROCESS › Appendix E

Current through Register Vol. 56, No. 14, July 15, 2024
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New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 1 - GENERAL PROVISIONS › Section 8:33C-1.1 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The rules contained
				in this chapter address the certificate of need designation and licensure
				requirements for a Maternal and Child Health Consortium (MCHC), and for providers
				seeking and/or requesting a change of the following designations as defined in
				8:33C-1.2:
1. Community Perinatal Center-Birth
				Center;
2. Community Perinatal
				Center-Basic;
3. Community Perinatal
				Center-Intermediate;
4. Community
				Perinatal Center-Intensive; and
5.
				Regional Perinatal Center.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 1 - GENERAL PROVISIONS › Section 8:33C-1.3 - Certificate of need

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In accordance with
				26:2H-1 et seq., and amendments
				thereto, a MCHC or perinatal services shall not be instituted, constructed or
				expanded except upon application for, and receipt of, a certificate of need issued
				by the Commissioner in accordance with this chapter, N.J.A.C. 8:33 and
				26:2H-1 et seq.
(b) Certificate of need applications and
				instructions for completion pursuant to N.J.A.C. 8:33 and this chapter may be
				obtained from:
New Jersey State Department of Health
Division of Certificate of Need and Licensing
PO Box 358
Trenton, New Jersey 08625-0358
(c) The Commissioner may place conditions upon an
				applicant's certificate of need approval, and such conditions shall become part of
				the licensure requirements applicable to the applicant upon implementation of the
				certificate of need and licensure.
(d)
				Applicants shall implement all conditions imposed by the Commissioner as specified
				in the certificate of need approval letter. Failure to implement the conditions may
				result in action by the Commissioner, commensurate with the requirements set forth
				at 8:33-4.16.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 1 - GENERAL PROVISIONS › Section 8:33C-1.4 - Submission of certificate of need applications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) No person shall
				establish a MCHC prior to submission and full review pursuant to
				8:33-4.1(a)  of a
				certificate of need application.
(b) No
				hospital shall engage in any of the activities specified in (b)1 through 4 below
				until it has submitted a certificate of need for full review pursuant to
				8:33-4.1(a), and
				received approval thereof.
1. Changes in its
				membership in a MCHC;
2. Establishment
				and designation of new services as a Regional Perinatal Center, Community Perinatal
				Center-Intensive and Community Perinatal Center-Intermediate;
3. Changing its perinatal designation to Regional
				Perinatal Center, Community Perinatal Center-Intensive and Community Perinatal
				Center-Intermediate; or
4. Increase(s)
				in the number of intermediate or intensive bassinets.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 1 - GENERAL PROVISIONS › Section 8:33C-1.5 - Data reporting requirements of certificate of need applicants

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The proposed MCHC
				shall submit formal letters of agreement, valid for at least five years, with the
				application as follows:
1. Between each facility
				licensed to provide perinatal or pediatric services and the MCHC; and
2. Between each facility licensed to provide
				perinatal or pediatric services and the Regional Perinatal Center.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 2 - MATERNAL AND CHILD HEALTH CONSORTIA › Section 8:33C-2.1 - Establishment of maternal and child health service regions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Every MCHC shall
				have a designated maternal and child health service region which shall define the
				scope of the MCHC's coverage area.
(b)
				To be designated as a maternal and child health service region, a region must
				include all of the following:
1. A distribution of
				perinatal and pediatric providers within a geographically contiguous region that
				will enable the development of a rational and cohesive network of services, in
				accordance with the requirements set forth in this chapter;
2. A sufficient network of hospital members, with
				a three-year documented history of transfer relationships, to deliver a minimum of
				10,000 women a year. The MCHC shall demonstrate conformity with these volume
				criteria by using data provided by the Department for the last three consecutive
				years of data available or the most recent year which is consistently applied to the
				review of all certificate of need applications within a region. The Commissioner
				may, at his or her discretion, grant a waiver to the delivery requirement of 10,000
				women a year, if the applicant has been able to provide quantifiable evidence of
				severe problems of access to needed perinatal services due to geographic isolation.
				However, in no case shall a waiver be granted where the number of deliveries is
				below 8,000 women per year; and
3. At
				least one hospital in the region designated as a Regional Perinatal Center plus a
				geographically balanced distribution of Community Prenatal Centers of all levels.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 2 - MATERNAL AND CHILD HEALTH CONSORTIA › Section 8:33C-2.2 - Membership of the Maternal and Child Health Consortia

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Any organization,
				facility or individual with an interest in maternal and child health within the MCHC
				service regions shall be eligible to join a MCHC as defined at
				8:33C-1.2. General membership from
				within the maternal and child health service region shall include, but not be
				limited to:
1. All licensed hospitals with
				obstetric and/or pediatric services and birth centers;
2. All licensed ambulatory care facilities which
				provide prenatal care, and care to infants and families with children up to age
				21;
3. Professional organizations,
				nonprofit organizations, local or county governmental agencies, home health agencies
				and any other organization or individual concerned with the needs of families with
				infants, children and adolescents, including those with special health care
				needs;
4. Health maintenance
				organizations, managed care providers and other insurers; and
5. Community and consumer organizations.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 2 - MATERNAL AND CHILD HEALTH CONSORTIA › Section 8:33C-2.3 - Governance of the regional Maternal and Child Health Consortia

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All members
				within a maternal and child health service region which agree to associate and apply
				to become a MCHC, shall formally establish a nonprofit corporation consistent with
				the Internal Revenue Code, as set forth in
				26 U.S.C.
				§
										501(c)(3).
(b) The nonprofit organization established in
				accordance with (a) above shall develop by-laws, voted upon by the general
				membership, which shall establish participatory governance by all members and shall
				establish and define the specific composition of a Board of Directors or Trustee.
				Each member agency shall have one vote in the nonprofit organization. Individual
				members, employed by a member agency, shall not be permitted to vote as individual
				members.
(c) The Board of Directors or
				Trustees shall be nominated from and voted upon by the general membership. The Board
				shall consist of a minimum of 18 members, one-third of which shall be hospital
				providers, one-third of which shall be non-hospital providers and one-third of which
				shall be consumers/consumer advocacy organizations. The racial/ethnic composition of
				the maternal and child health service region, as well as an appropriate number of
				agencies concerned with women's reproductive health and the needs of pregnant women,
				infants, young children, adolescents, and children with special needs, shall be
				reflected in the membership of the MCHC Board of Directors or Trustees. At least two
				members shall be physicians, holding a current New Jersey license, one who is board
				eligible or certified in obstetrics, and one who is board eligible or certified in
				pediatrics. At least one member shall be a registered professional nurse, holding a
				current New Jersey license with a certification in either maternal and child health
				nursing or in community health nursing. At least one member shall be a full-time
				health officer, as defined at
				N.J.A.C.
				8:52-2.1.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 2 - MATERNAL AND CHILD HEALTH CONSORTIA › Section 8:33C-2.4 - Budget requirements of the Maternal and Child Health Consortia

Current through Register Vol. 56, No. 14, July 15, 2024
Each MCHC certificate of need applicant shall submit a budget plan
				  for the first complete year of operation which links all projected salary and
				  non-salary costs to the required activities as described at
				  N.J.A.C.
				  8:33C-2.5, Staffing requirement, 5.1, Required
				  services,and 7.3 (, Staff qualifications. Subsequent to certificate of need
				  approval, a projected budget, including the Board approved formula for distribution
				  of the allocated or assessed amount to be paid by member hospitals, shall be
				  provided annually by the MCHC to the Department for review and
				  approval.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 2 - MATERNAL AND CHILD HEALTH CONSORTIA › Section 8:33C-2.5 - Staffing requirements of the Regional Maternal and Child Health Consortia

Current through Register Vol. 56, No. 14, July 15, 2024
Each MCHC applicant shall document the ability to recruit, at a
				  minimum, staffing levels in accordance with the MCHC licensure standards, as set
				  forth at 8:33C-7.3.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 2 - MATERNAL AND CHILD HEALTH CONSORTIA › Section 8:33C-2.6 - Functions of the regional Maternal and Child Health Consortia

Current through Register Vol. 56, No. 14, July 15, 2024
(a) MCHC certificate of
				need applications shall include documentation of the ability to provide the
				following services, consistent with the MCHC licensure standards, as set forth in
				this chapter:
1. A regional perinatal and pediatric
				plan;
2. A region-wide system for
				on-going total quality improvement;
3. A
				system for the provision of regional professional and consumer education;
4. A regional perinatal transport system;
				and
5. A system for the provision of
				infant follow-up services.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 2 - MATERNAL AND CHILD HEALTH CONSORTIA › Section 8:33C-2.9 - Distribution of intermediate and intensive bassinets

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Regional Perinatal
				Centers or Community Perinatal Centers-Intensive shall provide neonatal intensive
				care. The final allocation of such bassinets shall be made by the Commissioner
				through the certificate of need review process.
(b) The minimum size of any neonatal intensive
				care unit shall be six bassinets. The minimum size of any neonatal intermediate care
				unit shall be four bassinets. Waiver of the minimum size of a neonatal intermediate
				care unit may be obtained from the Commissioner in cases where geographic
				inaccessibility is demonstrated and where no additional costs will be incurred.
				Waiver of the minimum size of a neonatal intensive care unit is not available and
				none shall be granted. Applicants seeking a waiver shall follow the process set
				forth at 8:33C-4.4(c).
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 2 - MATERNAL AND CHILD HEALTH CONSORTIA › Section 8:33C-2.10 - Regional professional and consumer education

Current through Register Vol. 56, No. 14, July 15, 2024
The MCHC certificate of need application shall describe planned
				  actions for providing or coordinating an ongoing program of professional and
				  consumer education which covers the maternal and child health service region.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 2 - MATERNAL AND CHILD HEALTH CONSORTIA › Section 8:33C-2.11 - Total quality improvement program

Current through Register Vol. 56, No. 14, July 15, 2024
The MCHC certificate of need application shall describe planned
				  actions for establishing a total quality improvement plan which includes all
				  components specified in the MCHC licensure standards, as set forth at N.J.A.C.
				  8:33C-5. The plan shall include the development of fetal, infant and child death
				  review systems in coordination with the Department. The regional total quality
				  improvement plan, and any subsequent modification(s) thereof, shall be reviewed and
				  approved by the Department prior to implementation.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 2 - MATERNAL AND CHILD HEALTH CONSORTIA › Section 8:33C-2.12 - Regional maternal-fetal and neonatal transport system

Current through Register Vol. 56, No. 14, July 15, 2024
The MCHC certificate of need application shall describe a plan
				  for a regional maternal-fetal and neonatal (perinatal) transport system in
				  accordance with N.J.A.C. 8:43G-19. The transport plan shall be reviewed and approved
				  by the Department subsequent to approval of the MCHC certificate of need application
				  in accordance with the provisions set forth at
				  8:33C-5.1.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 2 - MATERNAL AND CHILD HEALTH CONSORTIA › Section 8:33C-2.13 - Infant follow-up

Current through Register Vol. 56, No. 14, July 15, 2024
The MCHC application shall describe a system for appropriate
				  discharge planning and infant follow-up in accordance with the licensure standards
				  at N.J.A.C. 8:33C-5.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 3 - CERTIFICATE OF NEED REVIEW CRITERIA › Section 8:33C-3.1 - MCHC certificate of need application review criteria

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Certificate of need
				applications for MCHC shall be reviewed on the basis of the following criteria:
1. Full compliance with all standards set forth in
				this chapter;
2. Full compliance with
				methods for addressing existing gaps in services and barriers to care identified in
				the most recent regional perinatal and pediatric plan;
3. Full compliance with methods identified in the
				regional perinatal and pediatric plan in effect at the time of the certificate of
				need application submission, to promote access to preconceptional, prenatal,
				intrapartum, postpartum, family planning and pediatric services by all women and
				infants in the region, including Medicaid beneficiaries and those who are medically
				indigent; and
4. Development of the most
				cost effective linkages with existing hospital and community-based providers.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 3 - CERTIFICATE OF NEED REVIEW CRITERIA › Section 8:33C-3.2 - Facility certificate of need application review criteria

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Certificate of need
				applications submitted by a hospital proposing to provide or expand intermediate or
				intensive care to pregnant women and/or newborns and requesting designation shall be
				reviewed on the basis of the following:
1. The
				existence of need for the proposed service in the community, as stated in the
				regional perinatal and pediatric plan in effect at the time of submission of the
				certificate of need application, in accordance with the appropriate formula as
				specified in accordance with the need methodology set forth at
				8:33C-2.8(a) or (b), as
				appropriate;
2. That the hospital is in
				full compliance with the rules set forth in this chapter, the rules set forth at
				N.J.A.C. 8:33, 8:33A and 8:43G-5.10, as well as compliance with
				26:2H-18 et seq.;
3. That the certificate of need applicant has
				become a general member or is a member in good standing of a MCHC;
4. Documentation that the certificate of need
				applicant has notified the appropriate MCHC of the change in services planned in
				accordance with the application; and
5.
				The certificate of need applicant's intent and ability to assure access to patient
				care services as required through N.J.A.C. 8:33 and 8:33A.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 3 - CERTIFICATE OF NEED REVIEW CRITERIA › Section 8:33C-3.3 - Certificate of need application requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An acute care
				hospital seeking a change in membership from one MCHC to another shall submit a
				certificate of need application to the Department which shall document all of the
				following:
1. Evidence of notification to the MCHC
				that the applicant is leaving and the reasons for same;
2. Impact on service delivery in the MCHC that the
				applicant is leaving;
3. Evidence from
				the new MCHC that the applicant will be accepted into its region; and
4. Impact on service delivery in the MCHC in which
				the applicant is requesting membership.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 3 - CERTIFICATE OF NEED REVIEW CRITERIA › Section 8:33C-3.4 - Designation-specific certificate of need documentation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In addition
				to the requirements specified at
				N.J.A.C.
				8:33C-3.2(a)  and 3.3(b),
				certificate of need applicants seeking designation as Regional Perinatal Centers
				shall provide the following additional information:
1. Documentation that the following minimum volume
				requirements shall be met within two years of initiation of the service:
i. Annual acceptance of over 80 maternal-fetal
				referrals or transports; and
ii.
				Provision of full neonatal case management to over 40 very low birth weight infants
				annually;
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 3 - CERTIFICATE OF NEED REVIEW CRITERIA › Section 8:33C-3.5 - Relationship between licensure and certificate of need requirements

Current through Register Vol. 56, No. 14, July 15, 2024
The provisions of N.J.A.C. 8:43G, Licensing Standards for
				  Hospitals, and N.J.A.C. 8:43A, Standards for Licensure of Ambulatory Care
				  Facilities, are hereby incorporated by reference. Applicants receiving certificate
				  of need approval under the provisions of this chapter shall comply with all
				  applicable licensing requirements of N.J.A.C. 8:43G and 8:43A.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 4 - MATERNAL AND CHILD HEALTH CONSORTIA LICENSURE REQUIREMENTS › Section 8:33C-4.1 - Application for licensure

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Following receipt of
				a certificate of need, any person, organization, or corporation desiring to operate
				a MCHC shall make application to the Commissioner for licensure on forms prescribed
				by the Department, in accordance with the requirements set forth in this chapter.
				Operation of the MCHC shall not commence until the license is issued. Every MCHC
				shall apply for licensure renewal annually. Licensure application forms may be
				obtained from:
Director
Division of Certificate of Need and Licensing
New Jersey State Department of Health
PO Box 360
Trenton, New Jersey 08625-0360
(b) The applicant shall submit to the Department a
				nonrefundable fee of $ 1,000 for the filing of an application for licensure of a
				MCHC, for each annual renewal of the license, and for a transfer of
				ownership.
(c) Each maternal and child
				health consortia shall be assessed a biennial inspection fee of $ 400.00. For
				existing facilities, this fee shall be assessed in the year the facility will be
				inspected, along with the annual licensure fee for that year. The fee shall be added
				to the initial licensure fee for new facilities. Failure to pay the inspection fee
				shall result in non-renewal of the license for existing facilities and the refusal
				to issue an initial license for new facilities. This fee shall be imposed only every
				other year even if inspections occur more frequently and only for the inspection
				required to either issue an initial license or to renew an existing license. It
				shall not be imposed for any other type of inspection.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 4 - MATERNAL AND CHILD HEALTH CONSORTIA LICENSURE REQUIREMENTS › Section 8:33C-4.2 - Licensure

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Department shall
				issue a license to a regional MCHC when the applicant demonstrates it is in
				compliance with the provisions set forth in
				26:2H-1 et seq., the requirements set
				forth in this chapter and all other applicable licensure standards.
(b) The Department shall renew a MCHC's license
				annually on the original licensure date, or within 30 days thereafter, but dated
				back to the original licensure date, following receipt of the required licensure fee
				from the MCHC, if the MCHC continues to be in compliance with all licensure and
				certificate of needs standards applicable to it.
1. The Department shall issue a statement for the
				required licensure fee to the MCHC at least 30 days prior to the MCHC's annual
				licensure renewal date.
2. The
				Department shall not issue a renewal license to an MCHC if its license has been
				suspended or revoked prior to the annual license renewal date.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 4 - MATERNAL AND CHILD HEALTH CONSORTIA LICENSURE REQUIREMENTS › Section 8:33C-4.3 - Surrender of license

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The MCHC shall notify the Department at least
				30 days prior to the voluntary surrender of a license. Whenever a license is subject
				to voluntary surrender, revocation, nonrenewal, or suspension it shall be returned
				to the Division of Certificate of Need and Licensing of the Department within seven
				working days after the voluntary surrender, revocation, non-renewal, or
				suspension.
(b) If the MCHC plans to
				cease operation, within seven working days after the MCHC ceases operation it shall
				notify the Department of the location where records shall be stored and of methods
				for their retrieval within 10 business days.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 4 - MATERNAL AND CHILD HEALTH CONSORTIA LICENSURE REQUIREMENTS › Section 8:33C-4.4 - Waiver

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Commissioner or
				his or her designee, in accordance with the general purposes and intent of
				26:2H-1 et seq., and the rules in this
				chapter, may waive sections of these rules pertaining to licensure requirements if,
				in his or her opinion, such waiver would not endanger the life, safety, or health of
				patient(s) or the public and failure to grant such waiver would result in undue
				hardship to the applicant.
(b) A MCHC
				seeking a waiver of the licensure rules shall apply in writing to the Director of
				the Certificate of Need and Acute Care Licensure Program of the
				Department.
(c) A written request for
				waiver shall include all of the following:
1. The
				specific rule(s) or part(s) of the rule(s) for which waiver is requested;
2. Reasons for requesting a waiver, including a
				statement of the type and degree of hardship that would result to the MCHC if a
				waiver is not approved;
3. An
				alternative proposal which would ensure patient health, safety and welfare;
				and
4. Documentation to support the
				request for waiver and the reasons submitted therefor.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 4 - MATERNAL AND CHILD HEALTH CONSORTIA LICENSURE REQUIREMENTS › Section 8:33C-4.5 - Action against a licensee

Current through Register Vol. 56, No. 14, July 15, 2024
If the Department determines that operational deficiencies exist
				  which may cause the MCHC to be out of compliance with this chapter and/or any other
				  applicable rules, the Department may require that all services, or a portion
				  thereof, provided within the MCHC cease. This may be done simultaneously with, or in
				  lieu of, action to revoke licensure and/or impose a fine. The Commissioner or his or
				  her designee shall notify the MCHC in writing of such determination, including the
				  reasons therefor.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 4 - MATERNAL AND CHILD HEALTH CONSORTIA LICENSURE REQUIREMENTS › Section 8:33C-4.6 - Hearings

Current through Register Vol. 56, No. 14, July 15, 2024
If the Department proposes to suspend, revoke and/or impose other
				  lawful remedies, the licensee may request a hearing which shall be conducted
				  pursuant to the Administrative Procedure Act,
				  52:14B-1 et seq. and 52:14F-1 et seq.
				  and the Uniform Administrative Procedure Rules, N.J.A.C. 1:1.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 4 - MATERNAL AND CHILD HEALTH CONSORTIA LICENSURE REQUIREMENTS › Section 8:33C-4.7 - Relocation

Current through Register Vol. 56, No. 14, July 15, 2024
An MCHC that relocates, voluntarily or involuntarily, shall
				  submit a licensing application for review and approval to the Department, along with
				  a nonrefundable fee of $ 250.00, prior to its relocation.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 4 - MATERNAL AND CHILD HEALTH CONSORTIA LICENSURE REQUIREMENTS › Section 8:33C-4.8 - Transfer of ownership

Current through Register Vol. 56, No. 14, July 15, 2024
An MCHC that transfers ownership, voluntarily or involuntarily,
				  shall submit a licensing application for review and approval by the Department, with
				  a nonrefundable fee of $ 1,000 prior to any transfer of ownership.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 5 - MINIMUM REQUIREMENTS FOR LICENSURE OF MATERNAL AND CHILD HEALTH CONSORTIA › Section 8:33C-5.1 - Required services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The MCHC shall develop and implement a
				five-year regional perinatal and pediatric plan which takes into consideration all
				certificate of need application criteria set forth in this chapter, approved but
				unimplemented certificate of need applications, and the levels of care offered by
				licensed providers of perinatal and pediatric services. The regional perinatal and
				pediatric plan shall be updated and approved by the Department annually. The
				five-year regional perinatal plan and the annual update, as appropriate, shall be
				submitted to the Department on or before October 1 of every year.
(b) The MCHC shall develop and implement a system
				for discharge planning, infant follow-up and child health care coordination in the
				MCHC region. This system shall assure post-discharge continuity of care and shall be
				linked to necessary resources, such as:
1. Primary
				care services for all children in need of a primary care provider;
2. Referral to follow-up services for high-risk
				infants. Guidelines, compliance with which is not mandatory, are available from the
				Department of Health, Regional Services Program, PO Box 364, Trenton, New Jersey
				08625-0364, telephone (609) 292-5616;
3.
				Case management provided in coordination with Special Child and Adult Health
				Services County Case Management Units, as appropriate;
4. Home follow-up; and
5. Counseling services to parents, especially
				those experiencing perinatal and infant loss including, when appropriate, referral
				to the Sudden Infant Death Syndrome Resource Center established pursuant to
				52:17B-88.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 5 - MINIMUM REQUIREMENTS FOR LICENSURE OF MATERNAL AND CHILD HEALTH CONSORTIA › Section 8:33C-5.2 - Data reporting requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The MCHC shall carry
				out the following responsibilities in accordance with
				26:1A-37 through 37.4.
1. Upon request, the MCHC shall submit any
				documents and/or data which are required to be kept, to the Department, including,
				but not limited to, formal letters of agreement between the MCHC member
				facilities;
2. The MCHC shall collect,
				maintain and submit to the Department data required by its obligations to comply
				with N.J.A.C. 8:33E-5.1(a) through (e); and
3. On or before October 1 of every year, the MCHC
				shall submit to the Department, for review and approval, an annual budget plan for
				the next calendar year. The budget plan shall identify all projected salary and
				non-salary costs necessary to implement both the regional perinatal and pediatric
				plan and the functions listed in
				8:33C-5.1. The budget plan must also
				identify revenue sources adequate to support the expenses submitted therein, which
				shall include the amounts to be paid the MCHC by all member hospitals.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA › Subchapter 5 - MINIMUM REQUIREMENTS FOR LICENSURE OF MATERNAL AND CHILD HEALTH CONSORTIA › Section 8:33C-5.3 - Compliance with laws and rules

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If the MCHC provides
				direct medical services and/or nursing services, it shall comply with the applicable
				sections of N.J.A.C. 8:43A, Manual of Standards for Licensure of Ambulatory Care
				Facilities.
(b) The MCHC shall comply
				with patient confidentiality requirements as specified in Hospital Licensing
				Standards, N.J.A.C. 8:43G. The MCHC shall assure that all patient care records it
				possesses will be kept confidential. Information in the patient's records shall not
				be released to anyone outside the MCHC without the patient's approval, unless
				another health care facility to which the patient was transferred requires the
				information, or unless the release of the information is required and permitted by
				law, a third-party payment contract, a medical peer review, or the Department. The
				MCHC may release anonymous data about the patient for studies containing aggregated
				statistics.
(c) The MCHC shall comply
				with applicable Federal, State, and local laws, rules, and regulations.
(d) No MCHC shall be operated by any person
				convicted of a crime relating adversely to the person's capacity to operate the
				MCHC.