The 2017 State Medical Facilities Plan (SMFP) was approved by Governor McCrory on December 14, 2016, and has been issued effective January 1, 2017. It includes need determinations of interest to a number of different types of providers. Several of the need determinations were 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 which justified their addition or removal.
All of the SMFP need determinations identified are listed below. Please note that application due dates are absolute deadlines. Applications must be filed with the Healthcare Planning and Certificate of Need Section, which is located 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 |
| Durham | 96 | October 16, 2017 | November 1, 2017 |
| Mecklenburg | 60 | June 15, 2017 | July 1, 2017 |
| Orange | 41 | April 17, 2017 | May 1, 2017 |
Operating Room Need Determination
| Operating Room Service Area | Operating Room Need Determination | Certificate of Need Application Due Date | Certificate of Need Beginning Review Date |
| Davie | 1 | February 15, 2017 | March 1, 2017 |
| Moore | 1 | August 15, 2017 | September 1, 2017 |
| New Hanover | 1 | November 15, 2017 | December 1, 2017 |
| Union | 1 | May 15, 2017 | June 1, 2017 |
Fixed Dedicated PET Scanner Need Determination
| Service Area | Fixed Dedicated PET Need Determination | Certificate of Need Application Due Date | Certificate of Need Beginning Review Date |
| HSA IV | 1 | August 15, 2017 | September 1, 2017 |
Fixed MRI Scanner Need Determination
| Services Areas | Fixed MRI Scanners Need Determination | Certificate of Need Application Due Date | Certificate of Need Beginning Review Date |
| Lincoln | 1 | November 15, 2017 | December 1, 2017 |
| Mecklenburg | 1 | October 16, 2017 | November 1, 2017 |
| In addition, the SHCC approved Policy TE-3, which authorizes any licensed North Carolina acute care hospital with emergency care coverage 24 hours a day, seven days a week that does not currently have an existing or approved fixed MRI scanner as reflected in the inventory in the applicable SMFP to apply to acquire a fixed MRI scanner. The applicant must demonstrate that the proposed fixed MRI scanner will perform at least 850 weighted MRI procedures during the third full operating year. The fixed MRI scanner must be located on the hospital’s “main campus” as defined in N.C. Gen. Stat. § 131E-176(14n)a. Fixed MRI CON applications filed pursuant to Policy TE-3 are included in Category H in the review schedule contained in Chapter 3 of the SMFP, and there are multiple filing dates in that category available during the year. | |||
Fixed Cardiac Catheterization Equipment Need Determination
| Cardiac Catheterization Service Area | Fixed Cardiac Catheterization Equipment Need Determination | Certificate of Need Application Due Date | Certificate of Need Beginning Review Date |
| Wake* | 1 | April 17, 2017 | May 1, 2017 |
| *This need determination was made in response to a petition that was approved by the SHCC. | |||
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 | February 15, 2017 | March 1, 2017 |
| Graham | I | 20 | February 15, 2017 | March 1, 2017 |
| Greene | VI | 20 | February 15, 2017 | March 1, 2017 |
| Jones | VI | 30 | July 17, 2017 | August 1, 2017 |
| Montgomery* | V | 16 | April 17, 2017 | May 1, 2017 |
| Washington | VI | 10 | July 17, 2017 | August 1, 2017 |
| *This need determination was made in response to a petition and was approved by the SHCC with a preference for CON applications which are proposing the addition of SCU beds. | ||||
Home Health Agency Need Determination
| County | HSA | Home Health Agency Need Determination | Certificate of Need Application Due Date | Certificate of Need Beginning Review Date |
| Mecklenburg | III | 1 | April 17, 2017 | May 1, 2017 |
Hospice Home Care Office Need Determination
| County | HSA | Hospice Home Care Office Need Determination | Certificate of Need Application Due Date | Certificate of Need Beginning Review Date |
| Cumberland | V | 1 | June 15, 2017 | July 1, 2017 |
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 | 9 | April 17, 2017 | May 1, 2017 |
Dialysis Station Need Determination
| County | HSA | End Stage RenalDialysis Station Need Determination* | Certificate of Need Application Due Date | Certificate of Need Beginning Review Date |
| Graham | I | Minimum 5 stations; Maximum as projected in the January 2017 SDR | March 15, 2017 | April 1, 2017 |
| *In response to a petition filed by the Graham County Commissioners, the SHCC identified a need for a new dialysis facility in Graham County with at least 5 stations and a maximum projected as needed for Graham County in the Semiannual Dialysis Report available prior to the certificate of need application due date. The Certificate of Need shall impose a condition requiring the approved applicant to document that it has applied for Medicare certification no later than three (3) years from the effective date on the certificate of need. Graham County will remain in the Cherokee-Graham-Clay service area. | ||||
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 |
| Alliance Behavioral Healthcare: Cumberland, Durham, Johnston, Wake | IV, V | 36 | May 15, 2017 | June 1, 2017 |
| Eastpointe: Bladen, Columbus, Duplin, Edgecombe, Greene, Lenoir, Nash, Robeson, Sampson, Scotland, Wayne, Wilson | V, VI | 36 | August 15, 2017 | September 1, 2017 |
| Partners Behavioral Health Management: Burke, Catawba, Cleveland, Gaston, Iredell, Lincoln, Surry, Yadkin | I, II, III | 1 | March 15, 2017 | April 1, 2017 |
| Sandhills Center: Anson, Guilford, Harnett, Hoke,Lee, Montgomery, Moore, Randolph, Richmond | II, IV, V | 18 | July 17, 2017 | August 1, 2017 |
| 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 | 15 | August 15, 2017 | September 1, 2017 |
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 | 25 | May 15, 2017 | June 1, 2017 |
| Sandhills Center: Anson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, Richmond | II, IV, V | 15 | July 17, 2017 | August 1, 2017 |
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 |
| Central Region | II, III, IV, V | 17 | March 15, 2017 | April 1, 2017 |
| Note: Initial need determinations are residential, unless reallocated at which time the need would be either for residential or inpatient treatment beds. | ||||