New Hampshire Administrative Code

(a) No licensed facility or consortium shall apply for a certificate of need for a fixed unit until:(1) It is making 1200 referrals per year to a mobile PET vendor based on the previous 12 months of operation; or (2) A report can be made to the board demonstrating projected volum…

(a) Positron emitting isotopes shall be administered by: (1) The physician named on the radioactive materials license issued by the bureau of radiological health, department of health and human services; or (2) A technologist/radiographer acting under the supervision of the physi…

(a) The patient's clinical indications for PET shall be reviewed by a board certified radiologist or nuclear medicine physician per He-Hea 2005.03(b) for: (1) Clinical scanning safety; and (2) Clinical appropriateness of requested scanning. (b) Clinical appropriateness shall be d…

(a) In addition to the criteria in RSA 151-C:7 and He-Hea 303, applicants shall meet the criteria set forth in this section. (b) Applicants shall demonstrate that their proposed project will be financially feasible. (c) Demonstration of financial feasibility shall be in the form …

(a) Applicants proposing to establish or expand fixed PET services shall demonstrate that the proposed service will maintain or improve, for the proposed service area, the: (1) Quality of care; (2) Access and availability to health care services; and (3) Cost effectiveness of hea…

Applications shall be processed in accordance with the requirements of RSA 151-C:8. Notes N.H. Admin. Code § He-Hea 2007.01 #7386, eff 12-1-00, EXPIRED: 12-1-08 New. #9432, eff 3-20-09

The board shall accept applications for a CON for fixed PET services from a consortium provided that: (a) The application is filed as one applicant for a CON; and (b) The application meets the requirements in this chapter. Notes N.H. Admin. Code § He-Hea 2007.02 #7386, eff 12-1-0…

The board shall issue a request for CON applications for new fixed PET units if a need is determined pursuant to He-Hea 2005.02. Notes N.H. Admin. Code § He-Hea 2008.01 #7386, eff 12-1-00, EXPIRED: 12-1-08 New. #9432, eff 3-20-09

Applications shall be submitted to the board within 60 days of the RFA pursuant to RSA 151-C:8, I(b). Notes N.H. Admin. Code § He-Hea 2008.02 #7386, eff 12-1-00, EXPIRED: 12-1-08 New. #9432, eff 3-20-09

(a) "Acute care hospital" means a facility licensed as a general hospital under RSA 151. (b) "Applicant" means "applicant" as defined in RSA 151-C:2, II. (c) "Board" means "board" as defined in RSA 151-C:2, IV. (d) "Board-certified" means the confirmation given by a national or r…

(a) Applicants proposing to establish, expand or renovate a freestanding LTACH, satellite LTACH or HwH shall demonstrate that the proposed facility shall maintain or improve, for the proposed service area, the: (1) Quality of care; (2) Access to and availability of health care se…

To promote the efficient use of resources, promote quality and ensure financial viability, minimum bed counts shall be as follows: (a) Minimumsize for a freestanding LTACH shall be 60 licensed beds; (b) Minimumsize for an HwH or satellite LTACH shall be 20 licensed beds; and (c) …

The number of long-term acute care beds statewide shall be .5 for each 10,000 persons. Notes N.H. Admin. Code § He-Hea 2102.02 #9110, eff 3-25-08

(a) "POP" means the current population of NH as determined by NH Office of Energy and Planning. (b) "5" means .5 beds per 10,000 population. (c) Need for long-term acute care beds shall be determined by dividing state population by 10,000, and multiplying the quotient by .5, as i…

(a) The board shall make a determination of unmet need for LTACH beds no later than 45 days from the initial effective date of this chapter, and either: (1) Two years after license and operation of any LTACH awarded a CON; or (2) Every three years thereafter on July1. (b) Unmet n…

Applicants shall ensure that no resident of the state of New Hampshire will be refused LTACH services by them on the basis of: (a) Race; (b) Color; (c) Creed; (d) Age; (e) Gender; (f) Sexual orientation; (g) Disability; or (h) Ability to pay. Notes N.H. Admin. Code § He-Hea 2102.…

LTACH services shall only be offered at a: (a) Free-standing LTACH; (b) Satellite LTACH; or (c) HwH. Notes N.H. Admin. Code § He-Hea 2102.06 #9110, eff 3-25-08

(a) Any LTACH holding a CON for long-term acute care beds in the state may transfer all or a portion of those beds to another licensed LTACH within the state provided notice is made to the board. (b) Notice of transfer shall be made jointly in writing, by the facility intending t…

Applicants for a CON shall develop treatment policies which, at minimum, address: (a) Intake screenings; (b) Admissions; (c) Transfers; (d) Patient discharges, including a plan for continuity of patient care; (e) Individual treatment plan(s) for each patient; (f) Medical records;…

(a) Applicants for a proposed LTACH shall provide a staffing plan that includes licensed professionals who provide services to the LTACH's patients as: (1) Employees; (2) Under contract; or (3) As members of the LTACH's organized medical staff. (b) The following personnel complem…

(a) Each facility shall establish and maintain a comprehensive, ongoing, facility wide quality improvement program which involves assessment of all quality improvement activities conducted in the provision of its health care programs and services at all levels which includes no l…

In addition to the criteria in RSA 151-C:7 and He-Hea 303, applicants shall meet the criteria set forth in this section: (a) Proposed LTACH services shall be financially feasible; (b) In order to assess the current and long-range financial feasibility of the proposed project, eac…

In accordance with RSA 151-C:8, I, a request for applications shall be issued if a need for additional long-term acute care beds pursuant to He-Hea 2102.04 has been delineated, subject to a minimum of 10 beds. Notes N.H. Admin. Code § He-Hea 2104.01 #9110, eff 3-25-08

Applications in response to an RFA shall be submitted within 90 days of the publication of the RFA. Notes N.H. Admin. Code § He-Hea 2104.02 #9110, eff 3-25-08

(a) The board shall issue multiple CONs to satisfy the need for which a request for applications was issued if it determines multiple applicants demonstrate that they equally satisfy and comply with the standards listed in RSA 151-C:9, II. (b) The total number of beds approved sh…

(a) "Board" means "board" as defined in RSA 151-C:2, IV. (b) "Board certified" means the confirmation given by a national or regional association to a physician as having passed special examinations for his or her medical specialty. (c) "Case" means the instance of disease or inj…

(a) Each applicant for a CON for robotic assisted surgery systems and services shall define the proposed primary and secondary service areas for the new or additional systems and services. (b) The primary service area shall include the populations from those towns identified in T…

(a) The applicant shall claim the following market share of its defined primary and secondary service areas as follows:(1) For the primary service area, its projected market share of robotic assisted surgery cases times the population of the primary service area; and (2) For the …

(a) The board shall not approve any robotic assisted surgery system services unless the applicant can demonstrate that the proposed service is likely to treat a minimum of 150 cases per system on an annual basis by the end of the third year of operation. (b) No applicant shall ap…

Additional robotic assisted surgery systems shall be subject to review if the threshold in RSA 151-C:5, II(d)(1) will be exceeded. Notes N.H. Admin. Code § He-Hea 2202.04 Derived From Volume XXXV Number 49, Filed December 10, 2015, Proposed by #10978, Effective 11/20/2015, Expire…

(a) Applicants for each new or additional robotic assisted surgery system service shall demonstrate that the proposed volume of service shall not be detrimental to the existing health care system of the state. (b) Applicants shall demonstrate that the proposed volume of services …

(a) For construction projects, applicants shall demonstrate that any anticipated proposed cost per square foot shall be comparable in cost within a 10% margin to the 2015 edition of Marshall Valuation Service, section 15. (b) Demonstration of project costs applicable to construct…

(a) Owners of robotic assisted surgery systems shall submit an annual account of volumes per machine on or before March 1 of each year. (b) The volume report shall include the following information for the previous 12 months of volume, January through December: (1) Name of hospit…

The board shall issue a request for applications (RFA) for robotic assisted surgery system services: (a) Upon adoption of this chapter; and (b) On July 1 of each year, provided that it has received a letter of intent that contains the following information:(1) Name of the request…

Applications shall be: (a) Prepared using the board's application form pursuant to He-Hea 304; and (b) Submitted to the board within 60 days of the issuance of the RFA. Notes N.H. Admin. Code § He-Hea 2204.02 Derived From Volume XXXV Number 49, Filed December 10, 2015, Proposed b…

Applications shall be processed in accordance with the requirements of RSA 151-C:8. Notes N.H. Admin. Code § He-Hea 2204.03 Derived From Volume XXXV Number 49, Filed December 10, 2015, Proposed by #10978, Effective 11/20/2015, Expires 11/20/2025.

The Board shall grant certificates of need in accordance with RSA 151-C:9, II. Notes N.H. Admin. Code § He-Hea 2205.01 Derived From Volume XXXV Number 49, Filed December 10, 2015, Proposed by #10978, Effective 11/20/2015, Expires 11/20/2025.

(a) To determine whether a project or service is subject to CON review, applicants shall complete and submit form 301A, "Not Subject to Review/Exemption Application," effective May 2014. (b) Such applications shall meet the requirements of He-Hea 206.01(a) and (e). (c) For projec…

(a) Pursuant to RSA 151-C:8, the board shall issue a request for applications if a need is indicated by any standard developed per RSA 151-C:5, II. (b) Notwithstanding He-Hea 301.02(a) above, the board shall approve an application request pursuant to RSA 151-C:4,III (a) for: (1) …

(a) Each interested person shall attend an informal, non-adjudicated, pre-application conference prior to submitting an application for a certificate of need. (b) The presiding officer or designee shall preside over the informal pre-application conference. (c) The meeting shall b…

(a) The board shall accept applications for a certificate of need if: (1) A standard of need has been developed; and (2) A request for applications has been issued or otherwise permitted by the standards in the statutes and this chapter. (b) Applicants shall complete and submit f…

(a) The board shall consider an application as filed when it is actually received by the board's staff in the office of health services planning and review, department of health and human services. (b) Upon receipt of an application, the board's staff shall docket the application…

Pursuant to RSA 91-A:5, IV, the board shall deny public access to all application materials filed until the board serves notice that review has begun according to RSA 151-C:8, VI. This shall include the entire completeness process time outlined in He-Hea 301.04(d)(2). Nothing her…

(a) When 2 or more CON applications have been received for the development of the same institutional health service, all applicants shall participate in an exchange of applications meeting. (b) Upon formal notice that formal review of CON applications has begun, board staff shall…

(a) Pursuant to RSA 151-C:8, XII, any applicant for a CON may file a request to amend its application during the 45 days after notification of formal review pursuant to He-Hea 301.04(d)(4). (b) Applicants shall file a request to amend a CON application in accordance with He-Hea 2…

Pursuant to RSA 151-C:8, III, the board shall review simultaneously all applications submitted for the development of the same institutional health services. The board shall consider the relationship of all applications filed in this manner. Notes N.H. Admin. Code § He-Hea 301.09…

(a) In accordance with the requirements of RSA 151-C:8, VIII, the board shall review all applications within 90 days. (b) The board shall extend the schedule by 30 calendar days for the following reasons:(1) A quorum of the board is lacking on the date the proceeding is scheduled…