Washington Administrative Code
2022 Archive

Chapter 246-310 WAC
Last Update: 12/2/22

CERTIFICATE OF NEED
PDF of Chapter Digest
WAC Sections
246-310-001Purpose of certificate of need program.
246-310-010Definitions.
246-310-020Applicability of chapter 246-310 WAC.
246-310-035Tertiary services identification.
246-310-040Exemptions from requirements for a certificate of need for health maintenance organizations.
246-310-041Exemption from requirements for a certificate of need for continuing care retirement communities' nursing home projects.
246-310-042Rural hospital and rural health care facility exemptions from certificate of need review.
246-310-043Exemption from requirements for a certificate of need for nursing home bed conversions to alternative use.
246-310-044Exemption from requirements for a certificate of need for nursing home bed replacements.
246-310-045Exemption from certificate of need requirements for a change in bed capacity at a residential hospice care center.
246-310-050Applicability determination.
246-310-080Letter of intent.
246-310-090Submission and withdrawal of applications.
246-310-100Amendment of certificate of need applications.
246-310-110Categories of review.
246-310-120Concurrent review process.
246-310-130Nursing home concurrent review cycles.
246-310-132Open heart surgery concurrent review cycle.
246-310-136Ethnic minority nursing home bed pool—Considerations for review of applications.
246-310-140Emergency review process.
246-310-150Expedited review process.
246-310-160Regular review process.
246-310-170Notification of beginning of review.
246-310-180Public hearings.
246-310-190Ex parte contacts.
246-310-200Bases for findings and action on applications.
246-310-210Determination of need.
246-310-220Determination of financial feasibility.
246-310-230Criteria for structure and process of care.
246-310-240Determination of cost containment.
246-310-260Kidney transplantation.
246-310-261Open heart surgery standards and need forecasting method.
246-310-263Pediatric cardiac surgery and interventional treatment center standards and need forecasting method.
246-310-270Ambulatory surgery.
246-310-290Hospice services—Standards and need forecasting method.
246-310-295Hospice care center—Standards.
246-310-360Nursing home bed need method.
246-310-370Nursing home bed need method revision.
246-310-380Nursing home bed need standards.
246-310-390Nursing home bed need adjustments.
246-310-395Nursing home bed banking for alternative use notice requirements.
246-310-396Nursing home bed banking requirements for full facility closure.
246-310-397Nursing home bed replacement notice requirements.
246-310-410Swing bed review standards.
246-310-470Review and action on health maintenance organization projects.
246-310-480Projects proposed for the correction of deficiencies.
246-310-490Written findings and actions on certificate of need applications.
246-310-500Issuance, suspension, denial, revocation, and transfer of a certificate of need.
246-310-560Provision for reconsideration decision.
246-310-570Circumstances for which an amended certificate of need is required.
246-310-580Validity and extensions.
246-310-590Monitoring of approved projects.
246-310-600Withdrawal of a certificate of need.
246-310-610Adjudicative proceeding.
246-310-700Adult elective percutaneous coronary interventions (PCI) without on-site cardiac surgery.
246-310-705PCI definitions.
246-310-710Concurrent review.
246-310-715General requirements.
246-310-720Hospital volume standards.
246-310-725Physician volume standards.
246-310-730Staffing requirements.
246-310-735Partnering agreements.
246-310-740Quality assurance.
246-310-745Need forecasting methodology.
246-310-750Tiebreaker.
246-310-755Ongoing compliance with standards.
246-310-800Kidney disease treatment centers—Definitions.
246-310-803Kidney disease treatment facilities—Data reporting requirements.
246-310-806Kidney disease treatment facilities—Concurrent review cycles.
246-310-809One-time exempt isolation station reconciliation.
246-310-812Kidney disease treatment facilities—Methodology.
246-310-815Kidney disease treatment facilities—Financial feasibility.
246-310-818Special circumstances one- or two-station expansion—Eligibility criteria and application process.
246-310-821Kidney disease treatment facilities—Standards for planning areas without an existing facility.
246-310-824Kidney disease treatment centers—Exceptions.
246-310-827Kidney disease treatment facilities—Superiority criteria.
246-310-830Kidney disease treatment facilities—Relocation of facilities.
246-310-833One-time state border kidney dialysis facility station relocation.
246-310-900Capital expenditure minimum adjustment procedures.
246-310-990Certificate of need review fees.
DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE
246-310-002Purpose of chapter 248-156 WAC. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-310-002, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 70.38.025. WSR 81-09-060 (Order 1641), § 248-156-010, filed 4/20/81.] Repealed by WSR 92-02-018 (Order 224), filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 70.38.135 and 70.38.919.
246-310-030Index and procedures for adjustment. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-310-030, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 70.38.025. WSR 81-09-060 (Order 1641), § 248-156-030, filed 4/20/81.] Repealed by WSR 92-02-018 (Order 224), filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 70.38.135 and 70.38.919.
246-310-030ATertiary services identification. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-310-030A, filed 12/27/90, effective 1/31/91. Statutory Authority: Chapter 70.38 RCW. WSR 90-21-028 (Order 082), § 248-19-235, filed 10/9/90, effective 10/9/90.] Repealed by WSR 92-02-018 (Order 224), filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 70.38.135 and 70.38.919.
246-310-060Sanctions for violations. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-310-060, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 70.38.135. WSR 81-09-012 (Order 210), § 248-19-250, filed 4/9/81, effective 5/20/81. Statutory Authority: Chapter 70.38 RCW. WSR 79-12-079 (Order 188), § 248-19-250, filed 11/30/79.] Repealed by WSR 97-20-101, filed 9/29/97, effective 10/30/97. Statutory Authority: RCW 43.70.040.
246-310-070Periodic reports on development of proposals. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-310-070, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 70.38.135. WSR 86-06-030 (Order 2344), § 248-19-260, filed 2/28/86; WSR 81-09-012 (Order 210), § 248-19-260, filed 4/9/81, effective 5/20/81. Statutory Authority: Chapter 70.38 RCW. WSR 79-12-079 (Order 188), § 248-19-260, filed 11/30/79.] Repealed by WSR 96-24-052, filed 11/27/96, effective 12/28/96. Statutory Authority: Chapter 70.38 RCW.
246-310-135Ethnic minority nursing home bed pool—Procedures. [Statutory Authority: Chapter 70.38 RCW. WSR 96-24-052, § 246-310-135, filed 11/27/96, effective 12/28/96. Statutory Authority: RCW 70.38.135 (3)(c). WSR 92-05-057 (Order 244), § 246-310-135, filed 2/14/92, effective 3/16/92.] Repealed by WSR 97-20-101, filed 9/29/97, effective 10/30/97. Statutory Authority: RCW 43.70.040.
246-310-250Open heart surgery. [Statutory Authority: RCW 70.38.135 and 70.38.919. WSR 92-02-018 (Order 224), § 246-310-250, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-310-250, filed 12/27/90, effective 1/31/91. Statutory Authority: Chapter 70.38 RCW. WSR 90-13-116 (Order 67), § 248-19-600, filed 6/21/90, effective 7/1/90.] Repealed by WSR 92-12-015 (Order 274), filed 5/26/92, effective 6/26/92. Statutory Authority: RCW 70.38.135(3).
246-310-262Nonemergent interventional cardiology standard. [Statutory Authority: Chapter 70.38 RCW. WSR 96-24-052, § 246-310-262, filed 11/27/96, effective 12/28/96. Statutory Authority: RCW 70.38.135(3). WSR 92-12-015 (Order 274), § 246-310-262, filed 5/26/92, effective 6/26/92.] Repealed by WSR 09-01-113, filed 12/19/08, effective 12/19/08. Statutory Authority: RCW 70.38.128.
246-310-280Kidney disease treatment centers—Definitions. [Statutory Authority: RCW 70.38.135. WSR 06-24-050, § 246-310-280, filed 12/1/06, effective 1/1/07. Statutory Authority: Chapter 70.38 RCW. WSR 96-24-052, § 246-310-280, filed 11/27/96, effective 12/28/96. Statutory Authority: RCW 70.38.135 (3)(c). WSR 93-13-015 (Order 367), § 246-310-280, filed 6/7/93, effective 7/8/93. Statutory Authority: RCW 70.38.135 and 70.38.919. WSR 92-02-018 (Order 224), § 246-310-280, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-310-280, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 70.38.919. WSR 90-16-058 (Order 073), § 248-19-701, filed 7/27/90, effective 8/27/90.] Repealed by WSR 17-04-062, filed 1/27/17, effective 1/1/18. Statutory Authority: RCW 70.38.135.
246-310-282Kidney disease treatment centers—Concurrent review cycle. [Statutory Authority: RCW 70.38.135. WSR 06-24-050, § 246-310-282, filed 12/1/06, effective 1/1/07.] Repealed by WSR 17-04-062, filed 1/27/17, effective 1/1/18. Statutory Authority: RCW 70.38.135.
246-310-284Kidney disease treatment centers—Methodology. [Statutory Authority: RCW 70.38.135. WSR 06-24-050, § 246-310-284, filed 12/1/06, effective 1/1/07.] Repealed by WSR 17-04-062, filed 1/27/17, effective 1/1/18. Statutory Authority: RCW 70.38.135.
246-310-286Kidney disease treatment centers—Standards for planning areas without an existing facility. [Statutory Authority: RCW 70.38.135. WSR 06-24-050, § 246-310-286, filed 12/1/06, effective 1/1/07.] Repealed by WSR 17-04-062, filed 1/27/17, effective 1/1/18. Statutory Authority: RCW 70.38.135.
246-310-287Kidney disease treatment centers—Exceptions. [Statutory Authority: RCW 70.38.135. WSR 06-24-050, § 246-310-287, filed 12/1/06, effective 1/1/07.] Repealed by WSR 17-04-062, filed 1/27/17, effective 1/1/18. Statutory Authority: RCW 70.38.135.
246-310-288Kidney disease treatment centers—Tie-breakers. [Statutory Authority: RCW 70.38.135. WSR 06-24-050, § 246-310-288, filed 12/1/06, effective 1/1/07.] Repealed by WSR 17-04-062, filed 1/27/17, effective 1/1/18. Statutory Authority: RCW 70.38.135.
246-310-289Kidney disease treatment centers—Relocation of facilities. [Statutory Authority: RCW 70.38.135. WSR 06-24-050, § 246-310-289, filed 12/1/06, effective 1/1/07.] Repealed by WSR 17-04-062, filed 1/27/17, effective 1/1/18. Statutory Authority: RCW 70.38.135.
246-310-350Nursing home and continuing care retirement community definitions. [Statutory Authority: RCW 70.38.135 and 70.38.919. WSR 92-02-018 (Order 224), § 246-310-350, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-310-350, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 70.38.919. WSR 90-12-071 (Order 062), § 248-19-800, filed 6/1/90, effective 7/1/90.] Repealed by WSR 96-24-052, filed 11/27/96, effective 12/28/96. Statutory Authority: Chapter 70.38 RCW.
246-310-400AIDS long-term care pilot facility review standards. [Statutory Authority: RCW 70.38.135 and 70.38.919. WSR 92-02-018 (Order 224), § 246-310-400, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-310-400, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 70.38.919. WSR 90-12-072 (Order 063), § 248-19-840, filed 6/1/90, effective 7/1/90.] Repealed by WSR 96-24-052, filed 11/27/96, effective 12/28/96. Statutory Authority: Chapter 70.38 RCW.
246-310-620Certificate of need program reports. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-310-620, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 70.38.135. WSR 81-09-012 (Order 210), § 248-19-490, filed 4/9/81, effective 5/20/81. Statutory Authority: Chapter 70.38 RCW. WSR 79-12-079 (Order 188), § 248-19-490, filed 11/30/79.] Repealed by WSR 98-21-084, filed 10/21/98, effective 11/21/98. Statutory Authority: Chapter 70.38 RCW.
246-310-630Public access to records. [Statutory Authority: RCW 70.38.135 and 70.38.919. WSR 92-02-018 (Order 224), § 246-310-630, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-310-630, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 70.38.135. WSR 81-09-012 (Order 210), § 248-19-500, filed 4/9/81, effective 5/20/81. Statutory Authority: Chapter 70.38 RCW. WSR 79-12-079 (Order 188), § 248-19-500, filed 11/30/79.] Repealed by WSR 97-20-101, filed 9/29/97, effective 10/30/97. Statutory Authority: RCW 43.70.040.