Governor Inslee’s Proclamation 20-36 has waived Washington State Certificate of Need requirements for new health care infrastructure until April 29, 2020. Dialysis facilities can without prior approval add stations where needed to help with isolation clinics, or to build out capacity at clinics that are not isolation clinics in order to move patients around to have the capacity needed at the isolation clinics. For details see https://www.governor.wa.gov/sites/default/files/proclamations/20-36%20-%20COVID-19%20-%20DOH%20Health%20Care%20Facilities-Hand%20Sanitizer%20%28tmp%29.pdf.
Washington State DOH has revised the application form that providers and potential providers must use to request a Certificate of Need to build a new or expand an existing dialysis facility in Washington State. Find a copy of the revised application at https://www.doh.wa.gov/Portals/1/Documents/2300/2019/ESRDApp2019.pdf. Letters of Intent for the 2019 “Special Circumstances, Cycle One” review of CoN applications must be filed by April 1, 2019. Call 360-236-2955 or email DOH at FSLCON@doh.wa.gov if you have questions. For more information on Washington CoN, see https://www.doh.wa.gov/LicensesPermitsandCertificates/FacilitiesNewReneworUpdate/CertificateofNeed.
Dialysis providers that wish to be considered during 2019 in Concurrent Review situations for Washington State dialysis facility applications must file specific information with the WA Department of Health Certificate of Need Program before February 15, 2019. WA DOH has already downloaded information on Home Training, Shift Beginning After 5pm, SMR, and SHR from your DFC or DFR, and TPS from your QIP PSR.* The additional information providers need to submit by February 15 includes:
- From the DFR:
- Nursing Home Patients from Table 1
- Average Number of Comorbid Conditions from Table 12
- From the Medicare Cost Report (MCR)
- Net Patient Revenues from Worksheet F-1
- Total Provider Treatments from Worksheet C
DOH encourages submission earlier than February 15 if possible. Submission after February 15 will disqualify a provider from 2019 Concurrent Review Applications.
The applicable pages from these reports, for each dialysis facility owned or operated in Washington State, and for any out-of-state facilities that may potentially be used as a comparable facility, should be emailed to firstname.lastname@example.org in PDF format. Though not required, a cover page that identifies which facilities are included is strongly recommended.
If any of the data elements above (from any of the DFR, DFC, MCR, or QIP) are unavailable for any reason, an exemption request can be submitted until February 28, 2019. Valid reasons for an exemption could include, but are not limited to, any of:
- A facility has opened too recently and data has not yet been published
- Volumes at the facility are insufficient to generate a score
- A change of ownership has taken place and valid data under your ownership and control does not yet exist
Regardless of the reason for your exemption request, it must be clear that absence of data is not a result of failure to report to CMS, and you must provide any applicable documentation.
Call DOH CoN at 360-236-2955 if you have any questions.
*PS: See our Acronyms table at https://nwrnbulletins.wordpress.com/abbreviations/ if we ever use abbreviations you don’t recognize.