Current through Register Vol. 24-18, September 15, 2024
(1) The department shall use the procedures
described in this section to make adjustments to planning area net estimated
bed need.
(2) For planning areas
for which a nursing home review is scheduled or is ongoing, the department
shall use the following procedures to adjust a planning area's net estimated
bed need between April tenth or the first working day thereafter and the last
working day in January of the following year.
(a) Where an increase in the bed supply of a
planning area results in a reduction in net estimated bed need, the department
shall use the following procedures:
(i) When
a reduction in net estimated bed need occurs prior to the date of beginning of
review for the applicable concurrent review cycle, the department shall:
(A) Inform, in writing, all persons from whom
the department has received an application and/or a valid letter of intent of
the reduction; and
(B) Explain the
procedures for withdrawing or amending a certificate of need
application.
(ii) When a
reduction in net estimated bed need occurs after the date of beginning of
review for the applicable concurrent review cycle, the department shall use the
need projected at the time the review began in reaching a decision on each
affected application.
(b) Where a decrease in the bed supply of a
planning area results in the increase in net estimated bed need, the department
shall:
(i) Use the following policies:
(A) If such a decrease in the bed supply
would result in a planning area being under the established ratio, the
department shall:
(I) Assign to the planning
area only enough beds for the planning area to reach the established ratio in
the projection year, but not to exceed the number of beds which closed;
and
(II) Redistribute any remaining
beds to planning areas statewide through the next scheduled recalculation of
estimated projections for all planning areas.
(B) If such decrease in the bed supply would
not make a planning area under the established ratio, the department shall
redistribute any remaining beds to planning areas statewide through the next
scheduled recalculation of baseline projections for all planning
areas.
(ii) Subject to
the provisions of (b)(i) of this subsection, use the following procedures:
(A) When an increase in net estimated bed
need can be made prior to the last day on which the department can accept
amendments to applications under review, the department shall:
(I) Notify all affected applicants in
writing; and
(II) Explain to each
affected applicant the procedures for amending a certificate of need
application.
(B) When an
increase cannot be made prior to the last day on which the department can
accept amendments to applications under review, the department shall include
the increased net estimated bed need in any subsequent decisions on each
affected application or the next applicable concurrent review cycle, whichever
occurs first.
(3) For planning areas for which a nursing
home review is not scheduled or ongoing, the department shall use the following
procedures to adjust a planning area's net estimated bed need between April
tenth or the first working day thereafter and the last working day in January
of the following year:
(a) If a decrease in
the bed supply would make a planning area under the established ratio, the
department shall:
(i) Assign to the planning
area only enough beds for the planning area to reach the established ratio in
the projection year; and
(ii)
Redistribute any remaining beds to planning areas statewide through the next
scheduled recalculation of baseline projections for all planning
areas.
(b) If such
decrease in the bed supply would not result in a planning area being under the
established ratio, the department shall redistribute any remaining beds to
planning areas statewide through the next scheduled recalculation of baseline
projections for all planning areas.
Statutory Authority: Chapter 70.38 RCW. 96-24-052, §
246-310-390, filed 11/27/96, effective 12/28/96. Statutory Authority:
RCW
43.70.040. 91-02-049 (Order 121), recodified
as § 246-310-390, filed 12/27/90, effective 1/31/91. Statutory Authority:
RCW
70.38.919. 90-12-072 (Order 063), §
248-19-811, filed 6/1/90, effective
7/1/90.
