MCA (sets out everything that needs CON approval) §41-7-191 - Requires CON approval for any of the following 10 types of activity: 1. Any expenditure that exceeds the “capital expenditure threshold,” as defined by MDOH $1.5M for major medical equipment $2M for anything else 2. Construction, development, establishment of a new health care facility “Health Care Facility” = hospitals, nursing homes, comprehensive medical rehab facilities, ambulatory service centers, home health agencies NOT doctors’ offices, dentists’ offices, diagnostic testing facilities 3. Relocation of a health care facility or portion thereof, or major medical equipment Unless within a mile; AND Costs less than capital expenditure threshold What is a “portion” of a health care facility/service? CON Manual says wing, unit, service, or beds = parts of a facility 4. These always require CON: Open heart surgery, cardiac catheterization, skilled nursing beds, home health services, MRI/PET scanners* (exam Q), radiation therapy, ASC (if single specialty), LTAC service, invasive diagnostics, swing beds, etc. 8. Relocation of one or more health services (within mile, under cap, etc.) 6. Acquisition or control of “major medical equipment” (if your replacing a new one since old one worn out, then you don’t need CON if bought at FMV) 7. Change in ownership 10. Any capital expenditure b or on behalf of a health care facility not covered in 1-10 above Can’t have someone else build for you, and then you buy from them trying to avoid CON laws
MCA §41-7-191 (sets out everything that needs CON approval) - Requires CON approval for any of the following 10 types of activity: 1. Any expenditure that exceeds the “capital expenditure threshold,” as defined by MDOH $1.5M for major medical equipment $2M for anything else 2. Construction, development, establishment of a new health care facility “Health Care Facility” = hospitals, nursing homes, comprehensive medical rehab facilities, ambulatory service centers, home health agencies NOT doctors’ offices, dentists’ offices, diagnostic testing facilities 3. Relocation of a health care facility or portion thereof, or major medical equipment Unless within a mile; AND Costs less than capital expenditure threshold What is a “portion” of a health care facility/service? CON Manual says wing, unit, service, or beds = parts of a facility 4. These always require CON: Open heart surgery, cardiac catheterization, skilled nursing beds, home health services, MRI/PET scanners* (exam Q), radiation therapy, ASC (if single specialty), LTAC service, invasive diagnostics, swing beds, etc. 8. Relocation of one or more health services (within mile, under cap, etc.) 6. Acquisition or control of “major medical equipment” (if your replacing a new one since old one worn out, then you don’t need CON if bought at FMV) 7. Change in ownership 10. Any capital expenditure b or on behalf of a health care facility not covered in 1-10 above Can’t have someone else build for you, and then you buy from them trying to avoid CON laws
Healthcare-I-LC.docx