D.C. Municipal Regulations (Last Updated: September 13, 2017) |
Title 22. HEALTH |
SubTilte 22-B. PUBLIC HEALTH AND MEDICINE |
Chapter 22-B41. CERTIFICATE OF NEED REVIEW |
Section 22-B4100. NEW HEALTH SERVICES
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4100.1 Except for a new institutional health service offered solely for research, no person shall construct, develop, or otherwise establish a new institutional health service including a new health care facility, health care service, or home health or nursing service without first obtaining a CON. A person establishing a new institutional health service solely for research shall notify SHPDA in writing of its intent to do so and the purpose of the new institutional health service.
4100.2The following shall be institutional health services for purposes of this title:
(a)Acute medical-surgical services not otherwise specified;
(b)Cardiac catheterization services;
(c)Cardiac surgery services;
(d)Coronary care services;
(e)Computed tomography services;
(f)Neonatal intensive care services;
(g)Newborn services;
(h)Obstetric services;
(i)Pediatric services;
(j)Pediatric cardiac surgery services;
(k)Physical medicine and rehabilitation services;
(l)Psychiatric care services, short-term;
(m)Psychiatric care services, long-term;
(n)Emergency medical services;
(o)Physical therapy services;
(p)Occupational therapy services;
(q)Home health services;
(r)Hospice care;
(s)Diagnostic radiology and ultrasound services;
(t)Radiation therapy services;
(u) Burn services;
(v)Ambulatory surgery services;
(w)Primary care centers’ services;
(x)Alcoholism-chemical dependency services
(y)Acute long-term services;
(z) Skilled nursing services;
(aa) Acute dialysis services, including inpatient hemodialysis and inpatient intermittent peritoneal dialysis;
(bb)Outpatient staff-assisted in-facility chronic maintenance hemodialysis services;
(cc)Outpatient self-care in-facility chronic maintenance hemodialysis services, including training;
(dd)Outpatient self-care in-facility intermittent peritoneal dialysis services, including training;
(ee)Training for home intermittent peritoneal dialysis;
(ff)Training and follow-up services for continuous ambulatory peritoneal dialysis;
(gg)Renal dialysis services based on dialysis technologies not otherwise specified;
(hh)Renal transplantation services;
(ii) New technology as determined by SHPDA;
(jj) Transplant services; and
(kk) Open heart surgery.
4100.3The Director may periodically assess and update the list set forth in Subsection 4100.2, as warranted by changes in medical technology and practice, and may add a health service to the list when, in his or her judgment, a new medical technique is of a highly specialized nature.