Purpose: The facility should contact the Licensure and Certification Section within three months prior to being operational for an application packet. The information should be completed and returned to the Licensure and Certification Section. The facility must have seen patients and be in operation before an initial survey can be scheduled. The initial survey will be scheduled within three weeks of the receiving notice of the fiscal intermediary's approval. If the facility has deficiencies during the initial survey, then the effective date or participation will be the date Licensure and Certification Section receives an acceptable Plan of Correction signed by the facility. All information is forwarded to the Atlanta HCFA Regional Office (RO) for approval. The RO is responsible for assigning the provider number and notifying the Intermediary.
If the proposed CORF projects are to have medical diagnostic equipment in excess of $500,000, it may be a diagnostic center in accordance with G. S.131E-176(7a) and would have to get a certificate of need.
Contacts: For questions regarding any part of this process, please contact the appropriate sections of the N.C. Division of Health Service Regulation.
| Certificate of Need Section | (919) 855-3873 |
| Licensure; Acute and Home Care Branch | (919) 733-1610 |
Procedures:
| Step | Process followed |
|---|---|
| 1.0 | Obtain a certificate of need, if necessary: Certificate of Need Section |
| 1.1 | If proposing to develop a comprehensive outpatient rehabilitation facility, the applicant first contacts the Certificate of Need Section to obtain a determination of whether the proposal requires a certificate of need. |
| 1.2 | The Certificate of Need section makes its determination based on the proposed capital expenditure for the project. A copy of the determination is sent to the Acute and Home Care Branch. |
| 2.0 | Obtain Medicare/Medicaid certification: Acute and Home Care Branch |
| 2.1 | The applicant requests an application packet from the Branch three months prior to operation. |
| 2.2 | The applicant completes the required information and returns it to the Branch. |
| 2.3 | The Branch forwards the Medicare application to the fiscal intermediary for approval or denial. |
| 2.4 | The Branch schedules the survey within three weeks of the approval by the fiscal intermediary and after patients are being seen. |
| 2.5 | If the facility has deficiencies during the initial survey, then the effective date for participation will be the date that the Branch an acceptable plan of correction signed by the facility. |
| 2.6 | The Branch forwards all information to the Atlanta Health Care Financing Administration (HCFA) Regional Office for approval. |
| 2.7 | The Regional Office assigns the provider number and notifies the fiscal intermediary. |
This page last updated on August 3, 2007.