Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 220 - VIRGINIA MEDICAL CARE FACILITIES CERTIFICATE OF PUBLIC NEED RULES AND REGULATIONS › Part V - Standard Review Process › Section 12VAC5-220-200 - One hundred ninety-day review cycle

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
				  department shall review the following groups of completed applications in
				  accordance with the following 190-day scheduled review cycles and the following
				  descriptions of projects within each group, except as provided for in
				  12VAC5-220-220.
BATCH GROUP
GENERAL DESCRIPTION
REVIEW CYCLE
Begins
Ends
A
General Hospitals/Obstetrical Services/Neonatal
							 Special Care Services
Feb. 10 Aug. 10
Aug. 18 Feb. 16
B
Open Heart Surgery/Cardiac Catheterization/Ambulatory
							 Surgery Centers/Operating Room Additions/Transplant Services
Mar. 10 Sep. 10
Sep. 16 Mar. 19
C
Psychiatric Facilities/Substance Abuse
							 Treatment/Mental Retardation Facilities
Apr. 10 Oct. 10
Oct. 17 Apr. 18
D/F
Diagnostic Imaging Facilities/Services Selected
							 Therapeutic Facilities/Services
May 10 Nov. 10
Nov. 16 May 19
E
Medical Rehabilitation Beds/Services
June 10 Dec. 10
Dec. 17 Jun. 18
D/F
Selected Therapeutic Facilities/Services Diagnostic
							 Imaging Facilities/Services
July 10 Jan. 10
Jan. 16 Jul. 18
G
Nursing Home Beds at Retirement Communities/Bed
							 Relocations/Miscellaneous Expenditures by Nursing Homes
Jan. 10 Mar. 10 May 10 July 10 Sep. 10 Nov. 10
Jul. 18 Sep. 16 Nov. 16 Jan. 16 Mar. 19 May 19
Batch Group A includes:
1. The establishment of a general
				  hospital.
2. An increase in the
				  total number of general acute care beds in an existing or authorized general
				  hospital.
3. The relocation at the
				  same site of 10 general hospital beds or 10% of the general hospital beds of a
				  medical care facility, whichever is less, from one existing physical facility
				  to another in any two-year period if such relocation involves a capital
				  expenditure with an expenditure exceeding the threshold amount as determined
				  using the formula contained in subsection B of this section (see
				  12VAC5-220-280 ).
4. The introduction into an existing medical
				  care facility of any new neonatal special care or obstetrical services that the
				  facility has not provided in the previous 12 months.
5. Any capital expenditure with an
				  expenditure exceeding the threshold amount as determined using the formula
				  contained in subsection B of this section and not defined as a project category
				  included in Batch Groups B through G, by or in behalf of a general hospital.
Batch Group B includes:
1. The establishment of a specialized center,
				  clinic, or portion of a physician's office developed for the provision of
				  outpatient or ambulatory surgery or cardiac catheterization services.
2. An increase in the total number of
				  operating rooms in an existing medical care facility or establishment of
				  operating rooms in a new facility.
3. The introduction into an existing medical
				  care facility of any new cardiac catheterization, open heart surgery, or organ
				  or tissue transplant services that the facility has not provided in the
				  previous 12 months.
4. The addition
				  by an existing medical care facility of any medical equipment for the provision
				  of cardiac catheterization.
5. Any
				  capital expenditure with an expenditure exceeding the threshold amount as
				  determined using the formula contained in subsection B of this section and not
				  defined as a project category in Batch Group A or Batch Groups C through G, by
				  or in behalf of a specialized center, clinic, or portion of a physician's
				  office developed for the provision of outpatient or ambulatory surgery or
				  cardiac catheterization services.
6. Any capital expenditure with an
				  expenditure exceeding the threshold amount as determined using the formula
				  contained in subsection B of this section and not defined as a project category
				  in Batch Group A or Batch Groups C through G, by or in behalf of a medical care
				  facility, that is primarily related to the provision of surgery, cardiac
				  catheterization, open heart surgery, or organ or tissue transplant services.
Batch Group C includes:
1. The establishment of a mental hospital,
				  psychiatric hospital, intermediate care facility established primarily for the
				  medical, psychiatric or psychological treatment and rehabilitation of
				  alcoholics or drug addicts, or mental retardation facility.
2. An increase in the total number of beds in
				  an existing or authorized mental hospital, psychiatric hospital, intermediate
				  care facility established primarily for the medical, psychiatric or
				  psychological treatment and rehabilitation of alcoholics or drug addicts, or
				  mental retardation facility.
3. An
				  increase in the total number of mental hospital, psychiatric hospital,
				  substance abuse treatment and rehabilitation, or mental retardation beds in an
				  existing or authorized medical care facility that is not a dedicated mental
				  hospital, psychiatric hospital, intermediate care facility established
				  primarily for the medical, psychiatric or psychological treatment and
				  rehabilitation of alcoholics or drug addicts, or mental retardation
				  facility.
4. The relocation at the
				  same site of 10 mental hospital, psychiatric hospital, substance abuse
				  treatment and rehabilitation, or mental retardation beds or 10% of the mental
				  hospital, psychiatric hospital, substance abuse treatment and rehabilitation,
				  or mental retardation beds of a medical care facility, whichever is less, from
				  one existing physical facility to another in any two-year period if such
				  relocation involves a capital expenditure with an expenditure exceeding the
				  threshold amount as determined using the formula contained in subsection B of
				  this section (see
				  12VAC5-220-280 ).
5. The introduction into an existing medical
				  care facility of any new psychiatric or substance abuse treatment service that
				  the facility has not provided in the previous 12 months.
6. Any capital expenditure with an
				  expenditure exceeding the threshold amount as determined using the formula
				  contained in subsection B of this section and not defined as a project category
				  in Batch Groups A and B or Batch Groups D/F through G, by or in behalf of a
				  mental hospital, psychiatric hospital, intermediate care facility established
				  primarily for the medical, psychiatric or psychological treatment and
				  rehabilitation of alcoholics or drug addicts, or mental retardation
				  facilities.
7. Any capital
				  expenditure with an expenditure exceeding the threshold amount as determined
				  using the formula contained in subsection B of this section and not defined as
				  a project category in Batch Groups A and B or Batch Groups D/F through G, by or
				  in behalf of a medical care facility, which is primarily related to the
				  provision of mental health, psychiatric, substance abuse treatment or
				  rehabilitation, or mental retardation services.
Batch Group D/F includes:
1. The establishment of a specialized center,
				  clinic, or that portion of a physician's office developed for the provision of
				  computed tomographic (CT) scanning, magnetic resonance imaging (MRI), magnetic
				  source imaging (MSI), positron emission tomographic (PET) scanning, or nuclear
				  medicine imaging, except for the purpose of nuclear cardiac imaging.
2. The introduction into an existing medical
				  care facility of any new computed tomography (CT), magnetic resonance imaging
				  (MRI), magnetic source imaging (MSI), positron emission tomographic (PET)
				  scanning, or nuclear medicine imaging services, except for the purpose of
				  nuclear cardiac imaging that the facility has not provided in the previous 12
				  months.
3. The addition by an
				  existing medical care facility of any equipment for the provision of computed
				  tomography (CT), magnetic resonance imaging (MRI), magnetic source imaging
				  (MSI), positron emission tomographic (PET) scanning.
4. Any capital expenditure with an
				  expenditure exceeding the threshold amount as determined using the formula
				  contained in subsection B of this section and not defined as a project category
				  in Batch Groups A, B, C, E, and G, by or in behalf of a specialized center,
				  clinic, or that portion of a physician's office developed for the provision of
				  computed tomographic (CT) scanning, magnetic resonance imaging (MRI), magnetic
				  source imaging (MSI), positron emission tomographic (PET) scanning, or nuclear
				  medicine imaging, except that portion of a physician's office dedicated to
				  providing nuclear cardiac imaging.
5. Any capital expenditure with an
				  expenditure exceeding the threshold amount as determined using the formula
				  contained in subsection B of this section and not defined as a project category
				  in Batch Groups A, B, C, E, and G, by or in behalf of a medical care facility,
				  which is primarily related to the provision of computed tomographic (CT)
				  scanning, magnetic resonance imaging (MRI), magnetic source imaging (MSI),
				  positron emission tomographic (PET) scanning, or nuclear medicine imaging,
				  except for the purpose of nuclear cardiac imaging.
Batch Group E includes:
1. The establishment of a medical
				  rehabilitation hospital.
2. An
				  increase in the total number of beds in an existing or authorized medical
				  rehabilitation hospital.
3. An
				  increase in the total number of medical rehabilitation beds in an existing or
				  authorized medical care facility that is not a dedicated medical rehabilitation
				  hospital.
4. The relocation at the
				  same site of 10 medical rehabilitation beds or 10% of the medical
				  rehabilitation beds of a medical care facility, whichever is less, from one
				  existing physical facility to another in any two-year period, if such
				  relocation involves a capital expenditure with an expenditure exceeding the
				  threshold amount as determined using the formula contained in subsection B of
				  this section (see
				  12VAC5-220-280 ).
5. The introduction into an existing medical
				  care facility of any new medical rehabilitation service that the facility has
				  not provided in the previous 12 months.
6. Any capital expenditure with an
				  expenditure exceeding the threshold amount as determined using the formula
				  contained in subsection B of this section and not defined as a project category
				  in Batch Groups A, B, C, D/F, and G, by or in behalf of a medical
				  rehabilitation hospital.
7. Any
				  capital expenditure with an expenditure exceeding the threshold amount as
				  determined using the formula contained in subsection B of this section and not
				  defined as a project category in Batch Groups A, B, C, D/F, and G, by or in
				  behalf of a medical care facility, that is primarily related to the provision
				  of medical rehabilitation services.
Batch Group D/F includes:
1. The establishment of a specialized center,
				  clinic, or that portion of a physician's office developed for the provision of
				  gamma knife surgery, lithotripsy, or radiation therapy.
2. Introduction into an existing medical care
				  facility of any new gamma knife surgery, lithotripsy, or radiation therapy
				  services that the facility has not provided in the previous 12
				  months.
3. The addition by an
				  existing medical care facility of any medical equipment for the provision of
				  gamma knife surgery, lithotripsy, or radiation therapy.
4. Any capital expenditure with an
				  expenditure exceeding the threshold amount as determined using the formula
				  contained in subsection B of this section and not defined as a project in Batch
				  Groups A, B, C, E, and G, by or in behalf of a specialized center, clinic, or
				  that portion of a physician's office developed for the provision of gamma knife
				  surgery, lithotripsy, or radiation therapy.
5. Any capital expenditure with an
				  expenditure exceeding the threshold amount as determined using the formula
				  contained in subsection B of this section and not defined as a project in Batch
				  Groups A, B, C, E, and G, by or in behalf of a medical care facility, which is
				  primarily related to the provision of gamma knife surgery, lithotripsy, or
				  radiation therapy.
Batch Group G includes:
1. The establishment of a nursing home,
				  intermediate care facility, or extended care facility of a continuing care
				  retirement community by a continuing care provider registered with the State
				  Corporation Commission pursuant to Chapter 49 (§ 38.2-4900 et seq.) of
				  Title 38.2 of the Code of Virginia.
2. The establishment of a nursing home,
				  intermediate care facility, or extended care facility that does not involve an
				  increase in the number of nursing home facility beds within a planning
				  district.
3. An increase in the
				  total number of beds in an existing or authorized nursing home, intermediate
				  care facility, or extended care facility of a continuing care retirement
				  community by a continuing care provider registered with the State Corporation
				  Commission pursuant to Chapter 49 (§ 38.2-4900 et seq.) of Title 38.2 of
				  the Code of Virginia.
4. An
				  increase in the total number of beds in an existing or authorized nursing home,
				  intermediate care facility, or extended care facility that does not involve an
				  increase in the number of nursing home facility beds within a planning
				  district.
5. The relocation at the
				  same site of 10 nursing home, intermediate care facility, or extended care
				  facility beds or 10% of the nursing home, intermediate care facility, or
				  extended care facility beds of a medical care facility, whichever is less, from
				  one physical facility to another in any two-year period, if such relocation
				  involves a capital expenditure with an expenditure exceeding the threshold
				  amount as determined using the formula contained in subsection B of this
				  section (see
				  12VAC5-220-280 ).
6. Any capital expenditure with an
				  expenditure exceeding the threshold amount as determined using the formula
				  contained in subsection B of this section and not defined as a project category
				  in Batch Groups A through D/F, by or in behalf of a nursing home, intermediate
				  care facility, or extended care facility, which does not increase the total
				  number of beds of the facility.
7.
				  Any capital expenditure with an expenditure exceeding the threshold amount as
				  determined using the formula contained in subsection B of this section and not
				  defined as a project category in Batch Groups A through D/F, by or in behalf of
				  a medical care facility, that is primarily related to the provision of nursing
				  home, intermediate care, or extended care services, and does not increase the
				  number of beds of the facility.