N.J. Admin. Code § Tit. 8, ch. 33, app A

Current through Register Vol. 56, No. 21, November 4, 2024
Appendix A

EXHIBIT 1
Health Care Services
A.Bed-related
1.Pediatric intensive or critical care
2.Comprehensive rehabilitation
3.General long-term care
4.Specialized long-term ventilator care
5.Specialized long-term care for severe behavior management
6.Pediatric long-term care
7.Adult acute psychiatric (open and closed)
8.Adult intermediate and special psychiatric
9.Child and adolescent acute psychiatric
10.Child and adolescent intermediate psychiatric
11.Long term acute care
B.Non-bed-related
1.Home health agency
C.Special Services
1.Invasive cardiac diagnostic services
2.Invasive therapeutic cardiac services
3.Burn center, unit or program
4.Organ transplant/organ procurement
5.Perinatal services including neonatal intensive or intermediate services and maternal and child health consortia
6.Mobile intensive care or advanced life support services
7.Comprehensive personal care home
8.Assisted living residence
9.Bone marrow transplant/harvesting including stem cell
10.Trauma services
11.Specialty acute care children's hospitals
12.Central service agency
13.Community Perinatal Center-Intermediate
14.Community Perinatal Center-Intensive
15.Regional Perinatal Center
16.Assisted living program
17.Any service for which regionalization criteria or health planning regulations have been developed.

EXHIBIT 2

Examples of Major Moveable Equipment

Cardiac catheterization laboratory equipment

EXHIBIT 3
Certificate of Need Review
BED-RELATED HEALTH CARE FACILITY/SERVICES
NEW/EXPANSIONTYPE OFREVIEW
Adult family careExempt
Assisted living programExpedited
Assisted living residenceExpedited
Burn center, unit or programFull
Comprehensive personal care homeExpedited
General hospitalFull
Hospital-based subacute care unitExempt
ICU/CCU beds (adult)Exempt
Medical detoxification program (hospital based)Exempt
Medical/surgicalExempt
Long term acute careExpedited
Long-term care facility
Additions greater than 10 beds or 10 percent, whichever isExempt
less in accordance with 26:2H-7.2
General long-term careFull
Pediatric long-term careFull
Specialized long-term ventilator careFull
Specialized long-term care for behavior managementFull
Statewide restricted admissions facilityExpedited
Obstetric serviceExempt
Pediatric service (excluding intensive/critical care)Exempt
Pediatric service (intensive/critical care)Full
Psychiatric hospital
AcuteFull
Intermediate and specialFull
Rehabilitation hospital (in-patient)Full
Residential health care facilityExempt
Residential substance abuse treatment facilityExempt
Special hospitalFull
Specialty acute care children's hospitalFull
DECREASE IN BEDSExempt
REPLACEMENT OF BEDSExempt
RELOCATION OF LICENSED BEDS OR AN ENTIRE SERVICE SUBJECT TO CN REVIEW
Within the same planning region in accordance with N.J.A.C.Expedited
8:33-3.4(a)3
RELOCATION OR REPLACEMENT OF AN ENTIRE LICENSED BED RELATED FACILITY
SUBJECT TO CN REVIEW
General hospital/within or outside countyFull
All other/within same planning region in accordance withExpedited
8:33-3.5(a)4
All other/at the same site in accordance with N.J.A.C.Exempt
8:33-3.5(a)2
TERMINATION/DISCONTINUANCE OF LICENSED BEDS, SERVICES OR FACILITIES
General hospital (all beds/services)Full
General hospital (some beds/services)
No access problemsExempt
Access problemsExpedited
All other health care facilitiesExempt
NON-BED RELATED HEALTH CARE SERVICES/FACILITIES
NEW/EXPANSION
Ambulatory careExempt
Ambulatory surgery facilityExempt
Birth centerExempt
Bone marrow transplant/harvesting including stem cellFull
Cardiac diagnostic services/invasive (catheterization)
New full serviceExpedited
New or addition to low riskExpedited
Addition of catheterization equipment to full serviceExempt
Replacement of equipmentExempt
Cardiac surgical serviceFull
NewFull
Addition of operating rooms to licensed cardiac surgeryExempt
service
Cardiac transplant serviceFull
Central service agencyFull
Comprehensive outpatient rehabilitation FacilityExempt
Emergency medical service helicopterExempt
Extracorporeal shock wave lithotripter (kidney and/orExempt
biliary)
Gamma knifeExempt
Hemodialysis and peritoneal dialysisExempt
Home health agencyFull
Hyperbaric chamberExempt
Kidney transplant serviceFull
Lung transplant serviceFull
Magnetic resonance imaging/nuclear magnetic resonanceExempt
Megavoltage radiation oncology/linear acceleratorExempt
Mobile intensive care or advanced life support service (new)Full
Mobile intensive care unit (additions to vehicles or hoursExempt
of operations)
Operating roomsExempt
Organ bankFull
Organ transplantation/procurementFull
Perinatal service: Maternal and Child Health Consortia
New serviceFull
Change in membershipFull
Perinatal service: Regional Perinatal Center, CPC-Intensive
CPC-Intermediate
New service and designationFull
Change in designationFull
Increased number of intermediate or intensive bassinetsFull
Perinatal service: CPC-Basic, CPC-Birth Center DesignationExempt
Positron emission tomography scanningExempt
Satellite emergency departmentExempt
Special child health clinics providing tertiary servicesExempt
Trauma serviceFull
Any other new health/medical care technologies that theFull
Department identifies as having a Statewide or regional impact
CAPITAL IMPROVEMENTS AND RENOVATIONS TO HEALTH CAREExempt
FACILITIES
REPLACEMENT OF EXISTING NON-BED RELATED HEALTH CAREExempt
FACILITY/SERVICE
TRANSFER OF OWNERSHIP
LICENSED FACILITY
General hospitalFull
All otherExempt
UNIMPLEMENTED CERTIFICATE OF NEED
Less than 10 percent transfer of stockExpedited
Limited partnership interestsExpedited
Membership of nonprofit corporationsExpedited
Death of applicantExpedited
Change in entity without change in principalsExpedited
All other changesNot Accepted
UNIMPLEMENTED CERTIFICATE OF NEED
CHANGE IN COST in accordance with 8:33-3.9(a)Exempt
CHANGE IN FINANCINGExempt
CHANGE IN SCOPE
Increase in beds/MME/services
Not subject to CN reviewExempt
Subject to CN reviewNot Accepted
Decrease in beds/MME/servicesExempt
CHANGE OF SITE
Within same county in accordance with N.J.A.C.Exempt
8:33-3.9(b)1,3
Within same planning region in accordance with N.J.A.C.Expedited
8:33-3.9(b)2,4
EXTENSION OF TIMEExpedited
CN = Certificate of Need
CPC = Community Perinatal Center
MME = Major Moveable Equipment

N.J. Admin. Code Tit. 8, ch. 33, app A

Amended by R.2002 d.243, effective 8/5/2002.
See: 34 N.J.R. 458(a), 34 N.J.R. 2814(a).
Deleted former Exhibits 2 and 4; recodified former Exhibits 2 and 3 as Exhibits 1 and 2; added new Exhibit 3.
Amended by R.2012 d.162, effective 9/17/2012.
See: 44 N.J.R. 644(a), 44 N.J.R. 2242(a).
In Exhibit 1, deleted former paragraph C.12 and recodified paragraphs C.13 through C.18 as C.12 through C.17; and in the entry for
"Emergency medical service helicopter" in Exhibit 3, substituted "Exempt" for "Full".