12 Va. Admin. Code § 5-220-200 - One hundred ninety-day review cycle
A. The
department shall review the following groups of completed applications in
accordance with the following 190-day scheduled review cycles and the following
descriptions of projects within each group, except as provided for in
12VAC5-220-220.
| BATCH GROUP | GENERAL DESCRIPTION | REVIEW CYCLE | |
| Begins | Ends | ||
| A | General Hospitals/Obstetrical Services/Neonatal Special Care Services | Feb. 10 Aug. 10 | Aug. 18 Feb. 16 |
| B | Open Heart Surgery/Cardiac Catheterization/Ambulatory Surgery Centers/Operating Room Additions/Transplant Services | Mar. 10 Sep. 10 | Sep. 16 Mar. 19 |
| C | Psychiatric Facilities/Substance Abuse Treatment/Mental Retardation Facilities | Apr. 10 Oct. 10 | Oct. 17 Apr. 18 |
| D/F | Diagnostic Imaging Facilities/Services Selected Therapeutic Facilities/Services | May 10 Nov. 10 | Nov. 16 May 19 |
| E | Medical Rehabilitation Beds/Services | June 10 Dec. 10 | Dec. 17 Jun. 18 |
| D/F | Selected Therapeutic Facilities/Services Diagnostic Imaging Facilities/Services | July 10 Jan. 10 | Jan. 16 Jul. 18 |
| G | Nursing Home Beds at Retirement Communities/Bed Relocations/Miscellaneous Expenditures by Nursing Homes | Jan. 10 Mar. 10 May 10 July 10 Sep. 10 Nov. 10 | Jul. 18 Sep. 16 Nov. 16 Jan. 16 Mar. 19 May 19 |
Batch Group A includes:
1. The establishment of a general
hospital.
2. An increase in the
total number of general acute care beds in an existing or authorized general
hospital.
3. The relocation at the
same site of 10 general hospital beds or 10% of the general hospital beds of a
medical care facility, whichever is less, from one existing physical facility
to another in any two-year period if such relocation involves a capital
expenditure with an expenditure exceeding the threshold amount as determined
using the formula contained in subsection B of this section (see
12VAC5-220-280).
4. The introduction into an existing medical
care facility of any new neonatal special care or obstetrical services that the
facility has not provided in the previous 12 months.
5. Any capital expenditure with an
expenditure exceeding the threshold amount as determined using the formula
contained in subsection B of this section and not defined as a project category
included in Batch Groups B through G, by or in behalf of a general hospital.
Batch Group B includes:
1. The establishment of a specialized center,
clinic, or portion of a physician's office developed for the provision of
outpatient or ambulatory surgery or cardiac catheterization services.
2. An increase in the total number of
operating rooms in an existing medical care facility or establishment of
operating rooms in a new facility.
3. The introduction into an existing medical
care facility of any new cardiac catheterization, open heart surgery, or organ
or tissue transplant services that the facility has not provided in the
previous 12 months.
4. The addition
by an existing medical care facility of any medical equipment for the provision
of cardiac catheterization.
5. Any
capital expenditure with an expenditure exceeding the threshold amount as
determined using the formula contained in subsection B of this section and not
defined as a project category in Batch Group A or Batch Groups C through G, by
or in behalf of a specialized center, clinic, or portion of a physician's
office developed for the provision of outpatient or ambulatory surgery or
cardiac catheterization services.
6. Any capital expenditure with an
expenditure exceeding the threshold amount as determined using the formula
contained in subsection B of this section and not defined as a project category
in Batch Group A or Batch Groups C through G, by or in behalf of a medical care
facility, that is primarily related to the provision of surgery, cardiac
catheterization, open heart surgery, or organ or tissue transplant services.
Batch Group C includes:
1. The establishment of a mental hospital,
psychiatric hospital, intermediate care facility established primarily for the
medical, psychiatric or psychological treatment and rehabilitation of
alcoholics or drug addicts, or mental retardation facility.
2. An increase in the total number of beds in
an existing or authorized mental hospital, psychiatric hospital, intermediate
care facility established primarily for the medical, psychiatric or
psychological treatment and rehabilitation of alcoholics or drug addicts, or
mental retardation facility.
3. An
increase in the total number of mental hospital, psychiatric hospital,
substance abuse treatment and rehabilitation, or mental retardation beds in an
existing or authorized medical care facility that is not a dedicated mental
hospital, psychiatric hospital, intermediate care facility established
primarily for the medical, psychiatric or psychological treatment and
rehabilitation of alcoholics or drug addicts, or mental retardation
facility.
4. The relocation at the
same site of 10 mental hospital, psychiatric hospital, substance abuse
treatment and rehabilitation, or mental retardation beds or 10% of the mental
hospital, psychiatric hospital, substance abuse treatment and rehabilitation,
or mental retardation beds of a medical care facility, whichever is less, from
one existing physical facility to another in any two-year period if such
relocation involves a capital expenditure with an expenditure exceeding the
threshold amount as determined using the formula contained in subsection B of
this section (see
12VAC5-220-280).
5. The introduction into an existing medical
care facility of any new psychiatric or substance abuse treatment service that
the facility has not provided in the previous 12 months.
6. Any capital expenditure with an
expenditure exceeding the threshold amount as determined using the formula
contained in subsection B of this section and not defined as a project category
in Batch Groups A and B or Batch Groups D/F through G, by or in behalf of a
mental hospital, psychiatric hospital, intermediate care facility established
primarily for the medical, psychiatric or psychological treatment and
rehabilitation of alcoholics or drug addicts, or mental retardation
facilities.
7. Any capital
expenditure with an expenditure exceeding the threshold amount as determined
using the formula contained in subsection B of this section and not defined as
a project category in Batch Groups A and B or Batch Groups D/F through G, by or
in behalf of a medical care facility, which is primarily related to the
provision of mental health, psychiatric, substance abuse treatment or
rehabilitation, or mental retardation services.
Batch Group D/F includes:
1. The establishment of a specialized center,
clinic, or that portion of a physician's office developed for the provision of
computed tomographic (CT) scanning, magnetic resonance imaging (MRI), magnetic
source imaging (MSI), positron emission tomographic (PET) scanning, or nuclear
medicine imaging, except for the purpose of nuclear cardiac imaging.
2. The introduction into an existing medical
care facility of any new computed tomography (CT), magnetic resonance imaging
(MRI), magnetic source imaging (MSI), positron emission tomographic (PET)
scanning, or nuclear medicine imaging services, except for the purpose of
nuclear cardiac imaging that the facility has not provided in the previous 12
months.
3. The addition by an
existing medical care facility of any equipment for the provision of computed
tomography (CT), magnetic resonance imaging (MRI), magnetic source imaging
(MSI), positron emission tomographic (PET) scanning.
4. Any capital expenditure with an
expenditure exceeding the threshold amount as determined using the formula
contained in subsection B of this section and not defined as a project category
in Batch Groups A, B, C, E, and G, by or in behalf of a specialized center,
clinic, or that portion of a physician's office developed for the provision of
computed tomographic (CT) scanning, magnetic resonance imaging (MRI), magnetic
source imaging (MSI), positron emission tomographic (PET) scanning, or nuclear
medicine imaging, except that portion of a physician's office dedicated to
providing nuclear cardiac imaging.
5. Any capital expenditure with an
expenditure exceeding the threshold amount as determined using the formula
contained in subsection B of this section and not defined as a project category
in Batch Groups A, B, C, E, and G, by or in behalf of a medical care facility,
which is primarily related to the provision of computed tomographic (CT)
scanning, magnetic resonance imaging (MRI), magnetic source imaging (MSI),
positron emission tomographic (PET) scanning, or nuclear medicine imaging,
except for the purpose of nuclear cardiac imaging.
Batch Group E includes:
1. The establishment of a medical
rehabilitation hospital.
2. An
increase in the total number of beds in an existing or authorized medical
rehabilitation hospital.
3. An
increase in the total number of medical rehabilitation beds in an existing or
authorized medical care facility that is not a dedicated medical rehabilitation
hospital.
4. The relocation at the
same site of 10 medical rehabilitation beds or 10% of the medical
rehabilitation beds of a medical care facility, whichever is less, from one
existing physical facility to another in any two-year period, if such
relocation involves a capital expenditure with an expenditure exceeding the
threshold amount as determined using the formula contained in subsection B of
this section (see
12VAC5-220-280).
5. The introduction into an existing medical
care facility of any new medical rehabilitation service that the facility has
not provided in the previous 12 months.
6. Any capital expenditure with an
expenditure exceeding the threshold amount as determined using the formula
contained in subsection B of this section and not defined as a project category
in Batch Groups A, B, C, D/F, and G, by or in behalf of a medical
rehabilitation hospital.
7. Any
capital expenditure with an expenditure exceeding the threshold amount as
determined using the formula contained in subsection B of this section and not
defined as a project category in Batch Groups A, B, C, D/F, and G, by or in
behalf of a medical care facility, that is primarily related to the provision
of medical rehabilitation services.
Batch Group D/F includes:
1. The establishment of a specialized center,
clinic, or that portion of a physician's office developed for the provision of
gamma knife surgery, lithotripsy, or radiation therapy.
2. Introduction into an existing medical care
facility of any new gamma knife surgery, lithotripsy, or radiation therapy
services that the facility has not provided in the previous 12
months.
3. The addition by an
existing medical care facility of any medical equipment for the provision of
gamma knife surgery, lithotripsy, or radiation therapy.
4. Any capital expenditure with an
expenditure exceeding the threshold amount as determined using the formula
contained in subsection B of this section and not defined as a project in Batch
Groups A, B, C, E, and G, by or in behalf of a specialized center, clinic, or
that portion of a physician's office developed for the provision of gamma knife
surgery, lithotripsy, or radiation therapy.
5. Any capital expenditure with an
expenditure exceeding the threshold amount as determined using the formula
contained in subsection B of this section and not defined as a project in Batch
Groups A, B, C, E, and G, by or in behalf of a medical care facility, which is
primarily related to the provision of gamma knife surgery, lithotripsy, or
radiation therapy.
Batch Group G includes:
1. The establishment of a nursing home,
intermediate care facility, or extended care facility of a continuing care
retirement community by a continuing care provider registered with the State
Corporation Commission pursuant to Chapter 49 (§
38.2-4900 et seq.) of Title 38.2
of the Code of Virginia.
2. The
establishment of a nursing home, intermediate care facility, or extended care
facility that does not involve an increase in the number of nursing home
facility beds within a planning district.
3. An increase in the total number of beds in
an existing or authorized nursing home, intermediate care facility, or extended
care facility of a continuing care retirement community by a continuing care
provider registered with the State Corporation Commission pursuant to Chapter
49 (§
38.2-4900 et seq.) of Title 38.2
of the Code of Virginia.
4. An
increase in the total number of beds in an existing or authorized nursing home,
intermediate care facility, or extended care facility that does not involve an
increase in the number of nursing home facility beds within a planning
district.
5. The relocation at the
same site of 10 nursing home, intermediate care facility, or extended care
facility beds or 10% of the nursing home, intermediate care facility, or
extended care facility beds of a medical care facility, whichever is less, from
one physical facility to another in any two-year period, if such relocation
involves a capital expenditure with an expenditure exceeding the threshold
amount as determined using the formula contained in subsection B of this
section (see
12VAC5-220-280).
6. Any capital expenditure with an
expenditure exceeding the threshold amount as determined using the formula
contained in subsection B of this section and not defined as a project category
in Batch Groups A through D/F, by or in behalf of a nursing home, intermediate
care facility, or extended care facility, which does not increase the total
number of beds of the facility.
7.
Any capital expenditure with an expenditure exceeding the threshold amount as
determined using the formula contained in subsection B of this section and not
defined as a project category in Batch Groups A through D/F, by or in behalf of
a medical care facility, that is primarily related to the provision of nursing
home, intermediate care, or extended care services, and does not increase the
number of beds of the facility.
B. The capital expenditure threshold
referenced in subsection A of this section shall be adjusted annually using the
percentage increase listed in the Consumer Price Index for All Urban Consumers
(CPI-U) for the most recent year as follows:
A x (1+B)
where:
A = the capital expenditure threshold amount for the previous year
and
B = the percent increase for the expense category "Medical Care" listed in the most recent year available of the CPI-U of the U.S. Bureau of Labor Statistics.
C.
Annually, the department shall (i) publish the threshold amount in the General
Notices section of the Virginia Register of Regulations and (ii) post the
threshold amount on its website.
Notes
Statutory Authority: § 32.1-102.2 of the Code of Virginia.
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.