Washington State Department of Health - Health Systems Quality Assurance

Application Fee Schedule

An application for a certificate of need under chapter WAC 246-310-990 must include payment of a fee consisting of the following:

Effective July 1, 2008

A review fee based on the facility/project type.
If more than one facility/project type applies to an application, the review fee for each type of facility/project must be included.

Facility/Project Type	Review Fee
Ambulatory Surgical Centers/Facilities	$17,392
Amendments to Issued Certificates of Need	$10,961
Emergency Review	$7,055
Exemption Requests (Non-Refundable Fee)
Continuing Care Retirement Communities (CCRCs)/Health Maintenance Organization (HMOs)	$7,055
Bed Banking/Conversions	$1,147
Determinations of Non-Reviewability	$1,639
Hospice Care Center	$1,476
Nursing Home Replacement/Renovation Authorizations	$1,476
Nursing Home Capital Threshold under RCW 70.38.105(4)(e) (excluding Replacement/Renovation Authorizations)	$1,476
Rural Hospital/Rural Health Care Facility	$1,476
Extensions (Non-Refundable Fee) Bed Banking Certificate of Need/Replacement-Renovation Authorization Validity Period	$656 $656
Home Health Agency	$21,001
Hospice Agency	$18,704
Hospice Care Centers	$10,961
Hospital (excluding Transitional Care Units-TCUs, Ambulatory Surgical Center/Facilities, Home Health, Hospice, and Kidney Disease Treatment Centers)	$34,457
Kidney Disease Treatment Centers	$21,331
Nursing Homes (including CCRCs and TCUs)	$39,380

Fees for Amending Pending Applications

The fee for amending a pending certificate of need application is determined as follows:

If an amendment to a pending certificate of need application results in the addition of one or more facility/project types the review for each additional facility/project type must accompany the amendment application;

If an amendment to a pending certificate of need application results in the removal of one or more facility/project types the department shall refund to the applicant the difference between the review fee previously paid and the review fee applicable to the new facility/project type;

If an amendment to a pending certificate of need application results in any other change as identified in WAC 246-310-100, a fee of $1,756 must accompany the amendment application.

Refunds

If a certificate of need application is returned by the department under WAC 246-310-090 (2)(b) or (e), the department shall refund 75% of the review fees paid.
If an applicant submits a written request to withdraw a certificate of need application before the beginning of review, the department shall refund 75% of the review fees paid by the applicant.
If an applicant submits a written request to withdraw certificate of need application after the beginning of review, but before the beginning of the ex parte period the department shall refund 50% of all review fees paid.
If an applicant submits a written request to withdraw an application after the beginning of the ex parte period the department shall not refund any of the review fees paid.

Note: Review fees for exemptions and extensions are nonrefundable