West Virginia Code § 16-2D-12

Minimum criteria for certificate of need reviews
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(a) A certificate of need may only be issued if the proposed health service is:
(1) Found to be needed; and
(2) Consistent with the state health plan, unless there are emergency circumstances that
pose a threat to public health.
(b) The authority may not grant a certificate of need unless, after consideration of the
appropriateness of the use of existing facilities within this state providing services similar to
those being proposed, the authority makes each of the following findings in writing:
(1) That superior alternatives to the services in terms of cost, efficiency and appropriateness
do not exist within this state and the development of aalternatives is not practicable;
(2) That existing facilities providing services within this state similar to those proposed are
being used in an appropriate and efficient manner;
(3) That in the case of new construction, alternatives to new construction, such as
modernization or sharing arrangements, have been considered and have been implemented
to the maximum extent practicable; and
(4) That patients will experienece serious problems in obtaining care within this state of the
type proposed in the absence of the proposed health service.
(c) In addition to the written findings required in this section, the authority shall make a
written finding regarding the extent to which the proposed health service meets the needs of
the medically underserved population, except in the following cases:
(1) Where the proposed health service is one described in subsection (d) of this section to
elimWinate or prevent certain imminent safety hazards or to comply with certain licensure or
accreditation standards; or
(2) Where the proposed health service is a proposed capital expenditure not directly related
to the provision of health services or to beds or to major medical equipment.
(d) Notwithstanding the review criteria in subsection (b), an application for a certificate of
need shall be approved, if the authority finds that the facility or service with respect to
which such capital expenditure is proposed to be made is needed and that the obligation of
such capital expenditure is consistent with the state health plan, for a capital expenditure
which is required:
(1) To eliminate or prevent imminent safety hazards as defined by federal, state or local fire
building or life safety codes, statutes or rules.
(2) To comply with state licensure standards; or
(3) To comply with accreditation or certification standards. Compliance with which is
required to receive reimbursement under Title XVIII of the Social Security Act or payments
under the state plan for medical assistance approved under Title XIX of such act.
(e) In the case where an application is made by a health care facility to provide ventilator
services which have not previously been provided for a nursing facility bed, the authority
shall consider the application in terms of the need for the service and whether the cost
exceeds the level of current Medicaid services. A facility providing ventilator services, may
not provide a higher level of services for a nursing facility bed wuithout demonstrating that
the change in level of service by provision of the additional ventilator services will result in
no additional fiscal burden to the state. t
(f) The authority shall consider the total fiscal liability ato the state for a submitted
application.
(g) Criteria for reviews may vary according tos the purpose for which a particular review is
being conducted or the types of health services being reviewed.
(h) An application for a certificate of need may not be made subject to any criterion not
contained in this article or in the certificate of need standards.

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