Certificate of Need Update
Wednesday, March 01, 2017 10:35 AM
The KHA Certificate of Need (CON) Committee is in the process of reviewing
the State Health Plan and CON regulations, and discussing the need to update
and improve portions of the program in order to streamline and modernize
CON in Kentucky. Two events have prompted this thorough review.
Bevin administration and the Office of Health Policy are focusing on
reducing red tape which impedes appropriate growth and business activities.
KHA member hospitals would like to be proactive partners in this effort.
Secondly, the Office of Health Policy announced in the February CON
Newsletter that comments on the 2017 State Health Plan will be accepted
between March 1 and March 31. KHA is working towards this deadline in
getting final recommendations from the CON Committee and reviewed for
approval by the KHA Board of trustees. The KHA Board did approve some CON
Committee recommendations during the February 23 Board meeting, but there
are other areas of the plan that are being reviewed and discussed.
Additionally, the Cabinet has made a number of other notable changes to the
CON program. The Cabinet has restored the need criteria within the State
Health Plan for Ambulatory Surgery Centers (ASCs). The Cabinet did, however,
support maintaining an exemption for ASCs providing ophthalmological
Additionally, the Cabinet has filed another three regulation
changes pertaining to:
- 900 KAR 6:060 Timetable for submission of CON applications
the batching cycle for formal review CON applications allowing applications
to be batched quarterly instead of semi-annually.
900 KAR 6:065 Certificate of need process
The amendment streamlines the CON process by deleting the requirement
for a letter of intent to be on file one month before a formal CON
application can be filed.
900 KAR 6:095 Certificate of need administrative escalations
The amendment simplifies the requirements necessary for an
administrative escalation. An escalation of $100,000 will continue to
be allowed if the capital expenditure authorized by the certificate of
need or a previously approved administrative escalation is less than
$500,000; and a twenty-five (25) percent escalation is proposed if the
capital expenditure authorized by the certificate of need or a
previously approved administrative escalation is $500,000 or more. The
proposed administrative regulation revision will allow projects with
higher escalations to now qualify for administrative escalations
instead of having to submit a CON application for the escalation.
If you have any questions, please contact Elizabeth Cobb at KHA (firstname.lastname@example.org).