What is Certificate of Need Regulation?

Certificate of Need (CON) laws are state regulatory mechanisms for establishing or expanding health care facilities and services in a given area. CON programs aim to control health care costs by restricting duplicative services and determining whether new capital expenditures meet a community need.

How do I get a certificate of need?

How to Obtain a Certificate of Need

1. Letter of Intent. The first step for an applicant is to send a letter of intent to the SHPDA.
2. Public Notice.
3. Waiting Period.
4. Pre Application Conference.
5. Application Submission.
6. Completeness Review.
7. SHPDA Staff Review.
8. Public Hearings During Review.

What is Certificate of Need Michigan?

The Michigan Department of Community Health, Certificate of Need (CON) is a state regulatory program intended to balance the cost, quality, and access of Michigan ‘s health care system.

Is South Carolina a certificate of need state?

South Carolina is among 35 states that rely on a Certificate of Need (CON) process to expand, build or add certain medical services. The state’s hospitals and health systems believe that a fair and reasonable CON program is critical to ensuring that everyone has access to care when they need it.

Why is Certificate of Need important?

Certificates of need are necessary for the construction of medical facilities in 35 states and are issued by state health care agencies: Section 1122 was enacted because many states resisted any form of regulation dealing with health facilities and services.

Do certificate of need laws still make sense in 2019?

Economic theory predicts that a CON law will restrict the supply of healthcare services, and that once repealed, patients will tend to access greater levels of care. Indeed, researchers have found that states that have removed these rules have more hospitals and more ambulatory surgery centers per capita.

What is a written certification of need?

A certificate of need (CON), in the United States, is a legal document required in many states and some federal jurisdictions before proposed acquisitions, expansions, or creations of healthcare facilities are allowed.

Is North Carolina a certificate of need state?

North Carolina is one of 35 states with a Certificate of Need (CON) program, a law requiring health providers to obtain the permission of a state board before opening, expanding, or offering a new type of service. North Carolina’s program is strictest in the Southeast and the third strictest in the country.

Why did some states eliminate the Certificate of Need Program?

The changing state of CON laws Advice from the federal government might, however, spur more states to consider reversing their own Certificate of Need regulations. Cost reduction—for both patients and providers—has always been the end goal of Certificate of Need programs.

Is Tennessee a certificate of need state?

Tennessee remains among the 36 states, along with the District of Columbia, that continue to limit entry and expansion within their respective health care markets through certificates of need. As figure 1 shows, Tennessee’s certificate-of-need program ranks seventh most restrictive in the United States.

Do Certificate of Need laws still make sense in 2019?

Is a Certificate of Need an intangible asset?

When considering the value of a CON, a valuation expert may need to consider numerous possible combinations of factors that apply to a unique set of circumstances. Possession of a CON effectively creates an economic moat, or a barrier to entry, that provides value as an intangible asset to its holder.

What can you do with a DBHD license?

DBHDS licenses services that provide treatment, training, support and habilitation to individuals who have mental illness, developmental disabilities or substance abuse disorders, to individuals receiving services under the Medicaid DD Waiver, or to individuals receiving services in residential facilities for individuals with brain injuries.

What are the regulations for DBHDS in Virginia?

DBHDS has posted the current Rules and Regulations for Licensing Providers by the Department of Behavioral Health and Developmental Services with the DOJ compliance emergency regulation language included. These regulations became effective 9/1/2018. This document can be found HERE .

How to apply for a MDHHS Certificate of need?

Contact CON Staff Contact Other Regulatory Agencies Submit an Amendment Submit a CON Application Submit an Emergency CON Application Submit a FOIA Request Submit a Letter of Intent Sign up for a training session

What does it mean to have Certificate of need?

A Certificate of Need allows health care providers to establish new facilities or services, make certain capital expenditures, or take certain other actions as specified in DC Official Code 44 – 401 et. seq. of the Health Services Planning Program Reestablishment Act of 1996, as amended, and the Certificate of Need (CON)…