1. Before applying for a certificate of need, the sponsor of a proposed new institutional health service or changed institutional health service shall submit to the department a letter of intentto offer or develop aservicerequiring a certificate of need. The letter shall be submitted as soon as possible afterinitiation of the applicant’s planning process, and in any case not less than thirty days before applying for a certificate of need and before substantial expenditures to offer or develop the service are made. The letter shall include a brief description of the proposed new or changed service, its location, and its estimated cost. 2. Upon request of the sponsor of the proposed new or changed service, the department shall make a preliminary review of the letter for the purpose of informing the sponsor of the projectof any factors which may appear likelyto result indenial of acertificate of need, based on the criteria for evaluation of applications in section 135.63. A comment by the department under this section shall not constitute a final decision. C2024, §10A.715 C2026, §135.64 Subsection2amended
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