New Jersey Administrative Code › Title 8 - HEALTH › Chapter 33 - CERTIFICATE OF NEED: APPLICATION AND REVIEW PROCESS › Appendix A

Current through Register Vol. 56, No. 14, July 15, 2024
EXHIBIT 1
Health Care Services
A.
Bed-related
1.
Pediatric intensive or critical care
2.
Comprehensive rehabilitation
3.
General long-term care
4.
Specialized long-term ventilator care
5.
Specialized long-term care for severe behavior management
6.
Pediatric long-term care
7.
Adult acute psychiatric (open and closed)
8.
Adult intermediate and special psychiatric
9.
Child and adolescent acute psychiatric
10.
Child and adolescent intermediate psychiatric
11.
Long term acute care
B.
Non-bed-related
1.
Home health agency
C.
Special Services
1.
Invasive cardiac diagnostic services
2.
Invasive therapeutic cardiac services
3.
Burn center, unit or program
4.
Organ transplant/organ procurement
5.
Perinatal services including neonatal intensive or intermediate
						services and maternal and child health consortia
6.
Mobile intensive care or advanced life support services
7.
Comprehensive personal care home
8.
Assisted living residence
9.
Bone marrow transplant/harvesting including stem cell
10.
Trauma services
11.
Specialty acute care children's hospitals
12.
Central service agency
13.
Community Perinatal Center-Intermediate
14.
Community Perinatal Center-Intensive
15.
Regional Perinatal Center
16.
Assisted living program
17.
Any service for which regionalization criteria or health
						planning regulations have been developed.
EXHIBIT 2
Examples of Major Moveable Equipment
Cardiac catheterization laboratory equipment
EXHIBIT 3
Certificate of Need Review
BED-RELATED HEALTH CARE
						FACILITY/SERVICES
NEW/EXPANSION
TYPE OF
REVIEW
Adult family care
Exempt
Assisted living program
Expedited
Assisted living residence
Expedited
Burn center, unit or program
Full
Comprehensive personal care home
Expedited
General hospital
Full
Hospital-based subacute care unit
Exempt
ICU/CCU beds (adult)
Exempt
Medical detoxification program (hospital based)
Exempt
Medical/surgical
Exempt
Long term acute care
Expedited
Long-term care facility
Additions greater than 10 beds or 10 percent, whichever is
Exempt
less in accordance with
						26:2H-7.2
General long-term care
Full
Pediatric long-term care
Full
Specialized long-term ventilator care
Full
Specialized long-term care for behavior management
Full
Statewide restricted admissions facility
Expedited
Obstetric service
Exempt
Pediatric service (excluding intensive/critical care)
Exempt
Pediatric service (intensive/critical care)
Full
Psychiatric hospital
Acute
Full
Intermediate and special
Full
Rehabilitation hospital (in-patient)
Full
Residential health care facility
Exempt
Residential substance abuse treatment facility
Exempt
Special hospital
Full
Specialty acute care children's hospital
Full
DECREASE IN BEDS
Exempt
REPLACEMENT OF BEDS
Exempt
RELOCATION OF LICENSED BEDS OR AN ENTIRE SERVICE
						SUBJECT TO CN REVIEW
Within the same planning region in accordance with N.J.A.C.
Expedited
8:33-3.4(a)3
RELOCATION OR REPLACEMENT OF AN ENTIRE LICENSED BED
						RELATED FACILITY
SUBJECT TO CN REVIEW
General hospital/within or outside county
Full
All other/within same planning region in accordance with
Expedited
8:33-3.5(a)4
All other/at the same site in accordance with N.J.A.C.
Exempt
8:33-3.5(a)2
TERMINATION/DISCONTINUANCE OF LICENSED BEDS,
						SERVICES OR FACILITIES
General hospital (all beds/services)
Full
General hospital (some beds/services)
No access problems
Exempt
Access problems
Expedited
All other health care facilities
Exempt
NON-BED RELATED HEALTH CARE SERVICES/FACILITIES
NEW/EXPANSION
Ambulatory care
Exempt
Ambulatory surgery facility
Exempt
Birth center
Exempt
Bone marrow transplant/harvesting including stem cell
Full
Cardiac diagnostic services/invasive (catheterization)
New full service
Expedited
New or addition to low risk
Expedited
Addition of catheterization equipment to full service
Exempt
Replacement of equipment
Exempt
Cardiac surgical service
Full
New
Full
Addition of operating rooms to licensed cardiac surgery
Exempt
service
Cardiac transplant service
Full
Central service agency
Full
Comprehensive outpatient rehabilitation Facility
Exempt
Emergency medical service helicopter
Exempt
Extracorporeal shock wave lithotripter (kidney and/or
Exempt
biliary)
Gamma knife
Exempt
Hemodialysis and peritoneal dialysis
Exempt
Home health agency
Full
Hyperbaric chamber
Exempt
Kidney transplant service
Full
Lung transplant service
Full
Magnetic resonance imaging/nuclear magnetic resonance
Exempt
Megavoltage radiation oncology/linear accelerator
Exempt
Mobile intensive care or advanced life support service
						(new)
Full
Mobile intensive care unit (additions to vehicles or hours
Exempt
of operations)
Operating rooms
Exempt
Organ bank
Full
Organ transplantation/procurement
Full
Perinatal service: Maternal and Child Health Consortia
New service
Full
Change in membership
Full
Perinatal service: Regional Perinatal Center, CPC-Intensive
CPC-Intermediate
New service and designation
Full
Change in designation
Full
Increased number of intermediate or intensive bassinets
Full
Perinatal service: CPC-Basic, CPC-Birth Center Designation
Exempt
Positron emission tomography scanning
Exempt
Satellite emergency department
Exempt
Special child health clinics providing tertiary services
Exempt
Trauma service
Full
Any other new health/medical care technologies that the
Full
Department identifies as having a Statewide or regional
						impact
CAPITAL IMPROVEMENTS AND RENOVATIONS TO HEALTH CARE
Exempt
FACILITIES
REPLACEMENT OF EXISTING NON-BED RELATED HEALTH CARE
Exempt
FACILITY/SERVICE
TRANSFER OF OWNERSHIP
LICENSED FACILITY
General hospital
Full
All other
Exempt
UNIMPLEMENTED CERTIFICATE OF NEED
Less than 10 percent transfer of stock
Expedited
Limited partnership interests
Expedited
Membership of nonprofit corporations
Expedited
Death of applicant
Expedited
Change in entity without change in principals
Expedited
All other changes
Not Accepted
UNIMPLEMENTED CERTIFICATE OF NEED
CHANGE IN COST in accordance with
						8:33-3.9(a)
Exempt
CHANGE IN FINANCING
Exempt
CHANGE IN SCOPE
Increase in beds/MME/services
Not subject to CN review
Exempt
Subject to CN review
Not Accepted
Decrease in beds/MME/services
Exempt
CHANGE OF SITE
Within same county in accordance with N.J.A.C.
Exempt
8:33-3.9(b)1,3
Within same planning region in accordance with N.J.A.C.
Expedited
8:33-3.9(b)2,4
EXTENSION OF TIME
Expedited
CN = Certificate of Need
CPC = Community Perinatal Center
MME = Major Moveable Equipment