Current through Register Vol. XLI, No. 50, December 13, 2024
Section 65-32-4 - Certificate of Need Application4.1. An application for a certificate of need shall be on forms approved by the Authority. The forms may be located on the Authority's website, www.hca.wv.gov. The applicant shall submit the original and one paper copy to the Authority. The applicant may also submit the application electronically. The application shall have a verification signed by the chief executive officer and the person or persons who prepared the application. Any application received after 4:30 p.m., Eastern Standard Time, on a business day or on a weekend or holiday shall be deemed received on the next business day.4.2. The application shall, at a minimum, include the following: 4.2.a. The identification of the applicant;4.2.b. A copy of the governing body's approval of the proposal and also a written authorization empowering specified individuals to sign the application and to act on its behalf. One authorization is sufficient for multiple applications provided the individual empowered to sign the application and to act on the applicant's behalf has not changed. This must be clearly stated in the written authorization and a copy provided in each application;4.2.c. A description of the project;4.2.d. A timetable for implementation of the project, including the projected date for incurring the obligation for any capital expenditure;4.2.e. A documented analysis of the need of the population to be served by the project, including the medically underserved, and the extent to which the proposed service will be accessible to the population;4.2.f. Policies for patient admission and provision of fully or partially uncompensated care;4.2.g. A documented analysis of alternatives considered by the applicant;4.2.h. A documented analysis of the proposal's relationship to the existing health care system, including providers of direct, ancillary, and support services and health professional training programs in the area in which services are to be provided, and, when applicable, the extent to which the proposal will meet the needs of those training programs;4.2.i. A documented analysis of the proposal's relationship to the state health plan;4.2.j. An analysis of the relationship of the proposal to the most recent statements of deficiencies and plans of corrections from surveys conducted by accreditation organizations and other federal, state and local inspection agencies, as well as copies of those survey reports or portions of the reports as may be required by the Authority;4.2.k. Documentation of the availability of resources, including health care providers, management personnel and funds for capital and operating needs;4.2.l. A preliminary financial feasibility study which includes an analysis of historical and projected utilization, charges, sources of revenue, statements of revenues and expenses, a statement of changes in fund balance, a statement of cash flows, balance sheets, and a statement of the specific assumptions upon which the feasibility study was based; and.4.2.m. If applicable, a documented analysis of the needs and circumstances of research projects.