The following healthcare services, facilities and diagnostic and therapeutic equipment items require review by the HSPR Board and completion and submission of a Certificate of Need (CON) application Form 304:

 

• Acute Care (General) Hospitals         
• Ambulatory Surgery Centers
• Cardiac Catheterization and Cardiac Surgery
• Extra corporeal Shock Wave Lithotripsy (ESWL)
• Inpatient Physical Rehabilitation
• Inpatient Adult Psychiatric Services
• Inpatient Substance Abuse  
• Long Term Care
• Megavoltage Radiation Therapy
• Magnetic Resonance Imaging (MRI)
• Positron Emission Tomography (PET)   
• Transfer of Ownership of Non-Medicare/Medicaid Certified Facilities         

 

CON eligibility for the services/facilities listed above is subject to the following thresholds:

 

• Construction/renovation of an acute care facility with a capital cost in excess of $1.5 million (annually adjusted for inflation)
• Construction/renovation of any nursing home, specialty hospital or ambulatory surgery facility with a capital cost in excess of $1.0 million (annually adjusted for inflation)
• Any single piece of diagnostic/therapeutic equipment in excess of $400,000 via purchase, lease, donation or transfer

 

In addition, a CON is required for any healthcare facility seeking to provide a new service that is regulated by the CON program.

                                                                                                                                   

 

CON is not required for*:

 

• Assisted Living
• Home Health
• Hospice
• Kidney Dialysis
• Medical Office Buildings                     
• Outpatient Services                     
• Parking Garages
• Residential Care
• Residential Treatment and Rehabilitation
• Sheltered Care
• Supportive Residential Care

 

*However, in accordance with NH Statutes, should a healthcare facility required to obtain a CON undertake the financial risk for any of these projects and exceed a statutory threshold, the project would become subject to CON review.