Iowa Administrative Code
Agency 481 - Inspections and Appeals Department
Board of Nursing Home Administrators
Chapter 2202 - Certificate of Need Program
Rule 481-2202.14 - Application Changes After Approval

Universal Citation: IA Admin Code 481-2202.14

Current through Register Vol. 47, No. 6, September 18, 2024

(1) Once a project has been approved by the council, no changes that vary from or alter the number of approved beds, the approved services or the approved cost by an amount indicated in 2202.14(2) may be made unless requested by the applicant and approved by the council. Requests should be made in writing and filed with the department electronically.

(2) An increase in the actual cost of the project over and above that originally approved will automatically generate review by the council if the increase exceeds the originally approved amount by:

a. Fifteen percent for projects up to $999,999.99;

b. Twelve percent for projects from $1,000,000.00 to $4,999,999.99;

c. Eight percent for projects $5,000,000.00 and over.

An increase in the approved cost that falls below the above percentages will be reported to the department.

(3) Failure to notify and receive permission of the council to change the project as originally approved may result in the imposition of sanctions provided in Iowa Code section 10A.723. The council may make a recommendation to the department regarding the imposition of a sanction and the amount of the fine to be imposed.

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