By Ginger - Site Admin on Wednesday, July 25, 2018 9:36 AM
On July 13, the Cabinet for Health and Family Services (CHFS) filed changes to the State Health Plan – the guiding methodology for formal review under the Certificate of Need (CON) program. These changes were filed in two regulations – ordinary and emergency. The E-reg deletes the Post Acute Transitional Care pilot project (passage of SB 123) and an Ordinary Regulation combines required changes from the passage of HB 444 as well as other recommendations received during the pre-comment period. (Click the bill numbers above for full text of the regulations.) KHA's summary of the changes identifies if these were KHA-supported or...
By Ginger - Site Admin on Tuesday, November 21, 2017 10:20 AM
The Office of Health Policy (OHP) has updated the State Health Plan to include a Pilot program to allow for the establishment of short- term transitional care beds. The Pilot limits approval of a total of four programs - two urban-based applicants and two rural-based applicants. The service would be licensed as a nursing facility bed and is open to any type of applicant. The new service could be created within an existing health facility, like a hospital, or it could be a free-standing facility.

ACTION NEEDED on TRANSITIONAL CARE BED SERVICE

The changes to the State Health Plan could go into effect as soon as December 15, which means applicants interested in applying for the pilot program would be required to meet the December 27 application filing deadline. It is anticipated the application process will include a competitive hearing process and there will be multiple applicants. KHA urges members interested in the service to review the criteria and begin drafting...
By Ginger - Site Admin on 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.

First, the 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....
By Ginger - Site Admin on Tuesday, November 10, 2015 9:08 AM
KHA is pleased to share that the problematic proposed Certificate of Need (CON) Formal Review regulation, 900 KAR 6:070, has been withdrawn! Thank you to all hospital leaders that responded to the Action Alert last week and made calls to your legislators! You were very effective.

The proposed regulation would have weakened Kentucky’s CON process substantially. In summary, the proposed changes would have defied statutory law requiring the State Health Plan criteria and population/geographic need to be considered as separate criteria in an application. Under the proposed regulation, if an applicant had met the State Health Plan Criteria (even under an exception to need criteria) they would have been consistent with overall need. This change would have shifted the burden of proving need from the applicant to disproving need by a challenger.

The formal review regulation will revert back to the language in place prior to the proposal, which KHA supports.

If you have any questions, please...
By Ginger - Site Admin on Tuesday, June 30, 2015 8:08 AM
On May 15, the Cabinet for Health and Family Services (CHFS) published proposed changes to the State Health Plan (SHP) – the state Certificate of Need (CON) criteria regulation. The Cabinet proposes to make significant changes to the technical notes section, remove several services from formal review including MRA, adult day, chemical dependency beds, ambulance services and outpatient Health Centers. Additionally, the Cabinet makes changes to the ambulatory surgery center (ASC) criteria, home health, inpatient physical rehabilitation and megavolt radiation therapy allowing for exceptions to the need criteria for hospitals and other providers. KHA is particularly concerned about proposed changes to ASC criteria which would include exceptions to population need-based methodology. For details, view this brief summary of the proposed changes.

The KHA CON Committee, chaired...
By Ginger - Site Admin on Tuesday, May 19, 2015 7:09 AM
On May 14, the Cabinet for Health and Family Services (CHFS) released proposed changes to the State Health Plan (SHP). There are significant and comprehensive changes included and many of them are of concern to Kentucky hospitals. Of particular concern are changes to the Ambulatory Surgery Center (ASC) criteria.

Please review KHA's high-level summary of the changes, and the red-lined version of the SHP for information on the proposed changes.

KHA will be analyzing the proposal in much more detail and looks forward to hearing comments from members.

If you wish to share comments, please contact Elizabeth Cobb at KHA (502-426-6220 or 800-945-4542 or via email at ecobb@kyha.com) before the June 10 Certificate of Need Committee meeting.

...
By Ginger - Site Admin on Monday, June 16, 2014 7:48 AM
A work group of the KHA Certificate of Need (CON) Committee has been meeting to review State Health Plan Criteria for home health services. The KHA CON Committee met June 10 and reviewed the recommendations of the work group. The CON Committee, based on the research regarding historical utilization of home health services, anticipated future need and new models of health care payment and delivery, have recommended two changes for consideration by the Office of Health Policy if they believe the criteria should be changed to meet anticipated need.

The recommendations include allowing hospitals to establish home health services if they do not already have services. The second recommendation would be to allow for growth of existing agencies that exceed national quality standards.

A copy of the comments, which summarize the findings of the CON Committee and the recommendations based on these findings, is available at http://www.new-kyha.com/Portals/5/NewsDocs/KHACommentsHomeHealth061114.pdf....
By Ginger - Site Admin on Friday, January 31, 2014 10:45 AM
In the fall of 2013, the Cabinet for Health and Family Services (CHFS) requested comments on the State Health Plan criteria and, more specifically, for recommendations on how the State Health Plan should be updated to meet the changing health care needs as a result of implementation of the Affordable Care Act (ACA). The KHA Certificate of Need (CON) Committee, under the direction of Committee Chair Vicki Darnell, thoroughly reviewed the Plan from October through December. The CON Committee, after thoughtful discussion on each component of the Plan as well as consultation with workgroups on specific areas of the plan, finalized recommendations. The Committee recommended that acute care services would not increase in need drastically and therefore would not require any change to the criteria. The Committee did recommend that criteria be added to the plan to address approval of Alternative Birth Centers. The Committee also noted growing challenges with access to care for subsets of the long-term care community...
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