517.374.2703 info@rwca.com

CON Applications

1. Non-Substantive Review
These applications can be filed at any time following LOI processing and take up to 45 days to review. Projects that qualify for non- substantive review include acquisitions, lease renewals, relocations, and replacements. In addition, mobile CT and mobile PET host site initiations as well as some mobile lithotripsy host site initiations will qualify for non-substantive review.

2. Substantive Review
These applications must be filed on the first business day of any month (if filed any other day, they do not count as filed until the first day of the following month) and take up to 120 days to review. Projects that do not qualify for non-substantive review or comparative review are subject to substantive review. Typically this includes initiations of new services and expansions of existing services.

3. Comparative Review
These applications must be filed on the first business day of February, June, and October and take up to 150 days to review. Applications for beds (hospital, nursing home, and psychiatric) as well as services that are limited by the number allowed in the state or a planning area (transplantation services) are subject to comparative review.

Decision
Following the review of the application by the Department, a proposed decision is issued and shared with the applicant. If the proposed decision is an approval, the Director of the Department must either sign the proposed decision or issue a notice that the decision is being reversed within 5 days.

Typically the letter is signed as proposed and a final approval issued. If the proposed decision is a denial, the applicant has 15 days to file a request for appeal and a final decision is postponed until the appeal is heard.

The Department will accept requests for expedited review of non- substantive and substantive applications. These requests are reviewed by the Department based on a combination of their workload at the time of the request, the justification for the request and the requested decision date.

The Department can reduce the review period to as little as 30 days although 60-90 days is more common. If expedited review is granted, the applicant must pay an additional $1,000 fee.

Contact RWC Advocacy for Your Certificate of Need

Melissa D. Reitz
Principal
RWC Advocacy
ReitzM@rwca.com
517.749.9503
Twitter: #CONGoddess

Abigail L. Burnell
Government Affairs Consultant
RWC Advocacy
BurnellA@rwca.com
269.362.4324

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