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Below you may find information on projects reviewed in 2019-present, including letters of intent, exemption requests and certificate of need applications.
Looking for decisions on projects between 2010 and 2018? See our archive section.
Please note that there may be a delay of up to 2-3 weeks before application status updates are reflected on the webpage.
Use the below tabs, search bar, and dropdowns to help filter the projects.
Establish a home health care agency in King County.
4.14.2023 Letter of Intent (LOI) was submitted by AccentCare to establish a home health services agency in Pierce County.
Due to the size of the application file, exhibits are not included here. If you would like access to the whole initial application send a request to FSLCON@doh.wa.gov.
Proposes to establish a Medicare and Medicaid-certified hospice agency in Pierce County.
4.14.2023 Letter of Intent (LOI) was submitted by AccentCare to establish a home health services agency in Snohomish County.
Due to the size of the application file, exhibits are not included here. If you would like access to the whole initial application send a request to FSLCON@doh.wa.gov.
Proposing to provide Medicare and Medicaid certified hospice services to the residents of Spokane County.
9.7.2022 Application to establish a Medicare Medicaid-certified Hospice in Spokane County is approved.
Proposes to relocate an existing, two operating-room ambulatory surgical facility in Bellevue, to a new site also in Bellevue within King.
Requesting exemption for an ambulatory surgery facility in Bellevue, within King County.
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
Proposing to provide Medicare and Medicaid certified hospice services to the residents of Chelan County.
Requesting an exemption from CN review to establish a new ambulatory surgical facility in Burien, within King County.
Request for exemption to establish an ambulatory surgery facility in Seattle, within King County.
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
6.29.2022 Allen Gabriel MD, PLLC, requested an exemption from the Certificate of Need for their ambulatory surgery facility.
5.8.23- Exemption request submitted to establish a new ambulatory surgery center in King County.
Proposing to establish a Medicare and Medicaid certified home health agency in King.
Requesting an exemption from CN review to relocate an ambulatory surgical facility in Bellevue, within King County.
Proposing to establish a Medicare and Medicaid-certified home health agency to serve the residents of King County.
Requesting an exemption from CN review to establish a new ambulatory surgical facility in Richland, within Benton County.
3.4.22 Approved Requesting an exemption from CN review to establish a new ambulatory surgical facility in Richland, within Benton County. Determined does not require a Certificate of Need at this time.
Proposing to establish a CN-approved three room surgical facility in Richland, within Benton County.
12/19/2024 - project denied
01/30/2025 - reconsideration granted
02/24/2025 - reconsideration hearing scheduled
Requesting an exemption from certificate of need for a new ambulatory surgical facility, in Bellevue, within King.
Proposing alternate use bed banking for a nursing home in Union Gap, within Yakima County.
Request to exempt bed unbanking from certificate of need review.
(09/22/2023) Decision letter: Department determined that the request to unbank 24 beds at
Arcadia Healthcare Parkside meets the eligibility requirements.
To establish a 15-bed pediatric skilled nursing facility in King county.
Converted to regular review
Proposing to amend its certificate of need #1818 issued October 15, 2019.
Proposing to establish and operate a Home Health agency in King County.
2021 Cycle 1-Nonspecial Circumstances - Proposing to establish a new 11-station dialysis facility within the Yakima County Dialysis Planning Area, with an estimated capital expenditure of $1,500,000.
2020 concurrent review, cycle one, nonspecial circumstances, proposing to establish a new 27-station dialysis facility, within Yakima County.
Concurrent review with:
- CN21-03 Fresenius
- CN21-07 Northwest Kidney Centers
08/27/2020 - reassigned from Peter Agabi to Randy Huyck
Requesting exemption for an ambulatory surgery facility in Bellevue, within King County.
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
Proposes to relocate an existing, two operating-room ambulatory surgical facility in Bellevue, to a new site also in Bellevue within King.
Requesting an exemption from CN review to establish a new ambulatory surgical facility in Burien, within King County.
Request for exemption to establish an ambulatory surgery facility in Seattle, within King County.
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
6.29.2022 Allen Gabriel MD, PLLC, requested an exemption from the Certificate of Need for their ambulatory surgery facility.
5.8.23- Exemption request submitted to establish a new ambulatory surgery center in King County.
Requesting an exemption from CN review to relocate an ambulatory surgical facility in Bellevue, within King County.
Requesting an exemption from CN review to establish a new ambulatory surgical facility in Richland, within Benton County.
3.4.22 Approved Requesting an exemption from CN review to establish a new ambulatory surgical facility in Richland, within Benton County. Determined does not require a Certificate of Need at this time.
Proposing to establish a CN-approved three room surgical facility in Richland, within Benton County.
12/19/2024 - project denied
01/30/2025 - reconsideration granted
02/24/2025 - reconsideration hearing scheduled
Requesting an exemption from certificate of need for a new ambulatory surgical facility, in Bellevue, within King.
Proposing an expansion of services to currently an approved ambulatory surgical facility, located in East King.
Proposing exemption from Certificate of Need review for the establishment of a new ASC in Bellingham, within Whatcom County.
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
Exemption request for an ambulatory surgical facility in Bellingham.
Requesting exemption from certificate of need review to establish a new ASC in Chelan County.
To align with DOH's fiscal year, this project was renamed from DOR25-14 to DOR26-01.
Request to reconsider an exemption request to establish an ambulatory surgery facility in Gig Harbor, within Pierce County.
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
Requesting an exemption from Certificate of Need for the establishment of an ambulatory surgery center (ASC) related to solo practice. Solo practice Central Spine and Pain LLC is located in Spokane, WA. and the new ASC would serve as a private clinic for Central Spine and Pain with an attached ASC at 2107 Cooks Hill Road in Centralia, WA in Lewis County.
Requesting exemption from Certificate of Need review for a change in ownership of an existing ambulatory surgical facility in Yakima, within Yakima County.
Requesting exemption from Certificate of Need review for a change in location of an existing ambulatory surgery center in Olympia, within Thurston County.
Requesting certificate of need approval to establish a two operating-room ambulatory surgical facility, located within King.
Proposing to establish an ambulatory surgical facility currently operating under a certificate of need exemption. The surgery center is located in Spokane, within Spokane County.
06/02/2022 - project approved of a new surgery center in Spokane County
Concurrent review with:
CN21-59 Empire Eye Physicians, PS.
CN22-06 Iron Bridge Surgery Center, LLC
Requesting an exemption from CN review to establish a new ambulatory surgical facility in Yakima, within Yakima County.
Requesting an exemption from CN review to establish a new ambulatory surgical facility in Yakima, within Yakima County.
Requesting an exemption from CN review to establish a new ambulatory surgical facility in Olympia, within Thurston County.
09/24/2020 - Applicant requested and was granted a 30-day extension to screening.
Requesting to establish an exempt timeshare surgery center in Enumclaw, King County.
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
Determine if services/ facility is Certificate of Need reviewable.
6.29.2022 Allen Gabriel MD, PLLC, requested an exemption from the Certificate of Need for their ambulatory surgery facility.
Proposing to bank 31 skilled nursing beds in Everett, within Snohomish County.
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
Proposing to expand the specialties of a CN-approved ASF in Yakima.
Concurrent review with CN25-01.
CN2022 issued 03/12/2025
Requesting exemption from certificate of need review for the establishment of an ambulatory surgical center (ASC) in Poulsbo in Kitsap County.
Replacement of the current hospital.
Proposing to bank 22 transitional care unit beds in Wenatchee, within Chelan County.
Requesting to establish an exempt timeshare surgery center in Enumclaw, King County.
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
2019 concurrent review, cycle two, nonspecial circumstances, proposing to expand an existing dialysis center by two stations, within Adams.
Regular review
2018-Cycle 2-Special Circumstances, proposing to add one dialysis station to their existing facility FMC Leah Layne, located in and serving Adams County's ESRD planning area.
one-station administrative adjustment to station counts for a dedicated isolation station per WAC 246-310-809.
Total of forty-two (42) CNs were issued for this one-time station count adjustment:
CN1632, CN1633, CN1634, CN1635, CN1636, CN1637, CN1638, CN1639, CN1640, CN1641, CN1642, CN1643, CN1644, CN1645, CN1646, CN1647, CN1648, CN1649, CN1650, CN1651, CN1652, CN1653, CN1654, CN1655, CN1656, CN1657, CN1658, CN1659, CN1660, CN1661, CN1662, CN1663, CN1664, CN1665, CN1666, CN1667, CN1668, CN1669, CN1670, CN1671, CN1672, CN1673
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
one-station administrative adjustment to station counts for a dedicated isolation station per WAC 246-310-809.
Total of twenty-three (23) CNs were issued for this one-time station count adjustment:
CN1674, CN1675, CN1676, CN1677, CN1678, CN1679, CN1680, CN1681, CN1682, CN1683, CN1684, CN1685, CN1686, CN1687, CN1688, CN1689, CN1690, CN1691, CN1692, CN1728, CN1729, CN1730, CN1731
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
Request regarding Kindred's upcoming reorganization which will impact various facilities throughout the state.
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
one-time, one-station administrative adjustment to station counts for a dedicated isolation station per WAC 246-310-809.
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
Exemption request to relocate its kidney dialysis center to a new building on the same campus in Asotin.
Requesting an exemption from CN review to establish a new ambulatory surgical facility in Richland, within Benton County.
3.4.22 Approved Requesting an exemption from CN review to establish a new ambulatory surgical facility in Richland, within Benton County. Determined does not require a Certificate of Need at this time.
Proposing to establish a CN-approved three room surgical facility in Richland, within Benton County.
12/19/2024 - project denied
01/30/2025 - reconsideration granted
02/24/2025 - reconsideration hearing scheduled
Proposing to replace the existing 10-bed hospice care center at a new location in Richland, also within Benton.
11/26/2019 - exemption request denied
11/26/2019 - regular review application submitted
Request for exemption for replacement of an existing hospice care center in Kennewick.
Asking for exemption for DaVita Kennewick Home Hemodialysis (HHD) training program.
2021 Cycle 2-Nonspecial Circumstances - Proposing to expand by one station, an existing dialysis facility within the Benton County ESRD Dialysis Planning Area, with an estimated capital expenditure of $27,248.
6.21.2022 Approved the addition of one dialysis station to DaVita's 20-station Chinook Kidney Center.
2021 Cycle 2-Nonspecial Circumstances - Proposing to expand by two stations, an existing dialysis facility within the Benton County ESRD Dialysis Planning Area, with an estimated capital expenditure of $448,428.
6.21.2022 Approved the addition of three dialysis stations to DaVita's 20-station Kennewick Dialysis Center.
Requesting exemption from Certificate of Need review for a peritoneal dialysis training program in Kennewick, within Benton County.
Proposing to expand the service area of an existing home health agency to also serve Benton County.
2019 Cycle 1-Non-Special Circumstances - Proposing to add four stations to FKC Columbia Basin, within Benton.
Requesting exemption from certificate of need review to establish a new ASC in Chelan County.
To align with DOH's fiscal year, this project was renamed from DOR25-14 to DOR26-01.
2020 Cycle 2-Non-Special Circumstances - Proposing to establish a 16-station dialysis facility, within the Cowlitz County ESRD Dialysis Planning Area, with an estimated capital expenditure of $2,635,043.
2020 concurrent review, cycle one, nonspecial circumstances, proposing to establish a new 12-station, plus one CN-exempt isolation station dialysis facility, within the King Ten ESRD Planning Area.
Converted to regular review
2019 concurrent review, cycle two, nonspecial circumstances, proposing to establish a 26-station (plus one exempt isolation station) dialysis center, within Clark.
Concurrent review with Fresenius
2021 Cycle 2-Nonspecial Circumstances - Proposing to establish a new facility that includes relocating stations and adding eleven stations, within the Cowlitz County ESRD Dialysis Planning Area, with an estimated capital expenditure of $2,206,714; $2,746,949; $3,434,520; $4,309,612; $5,423,365; or $6,840,868.
2021 Cycle 1-Nonspecial Circumstances - Proposing to establish a new 11-station dialysis facility within the Yakima County Dialysis Planning Area, with an estimated capital expenditure of either $2,587,676 or $2,815,106.
Proposing to convert 50 assisted living facility beds to skilled nursing beds at an existing facility in Yakima County.
Requesting exemption from CN review for the establishment of a new ambulatory surgical facility in Spokane County.
Requesting exemption from CN review for the establishment of a new ASC in Thurston County.
Add 2 operating rooms to the ambulatory surgical facility, The Surgery Center at Rainier and expand services.
Concurrent review with:
- CN19-16 Meridian Surgery Center
Proposing to establish an independent adult elective percutaneous coronary intervention program at its hospital in Federal Way.
Proposing to establish a Medicare and Medicaid-certified home health agency to serve the residents of King County.
Proposing to establish and operate a Home Health agency in King County.
Proposing to establish a hospice agency to serve King County.
Concurrent review with CN26-18 and CN26-20
Proposing to establish a hospice agency to serve Kitsap County.
Concurrent review with CN26-21 & CN26-23
Proposing to establish a hospice agency to serve Clark County.
Proposing to expand DaVita Cascade by two dialysis stations
Proposing to expand an existing hospice agency to serve Snohomish County.
Proposing to expand FKC Walla Walla by three dialysis stations.
Proposing to establish a hospice agency to serve Pierce County.
Concurrent review with CN256-25, CN26-28, CN26-29, and CN26-30.
Proposing to establish a hospice agency to serve Kitsap County.
Concurrent review with CN26-21 & CN26-22
Proposing to establish a hospice agency to serve Yakima County.
Concurrent review with CN26-19
Proposing to establish a new multispecialty outpatient surgery department in the East King Secondary Health Services Planning Area.
Because no LOI was received prior to the application being submitted, this application was held for the LOI period before being reviewed.
Proposing to establish a hospice agency to serve King County.
Concurrent review with CN26-15 and CN26-20
Proposing to relocate the existing, CN-approved 6-bed Level II Intermediate Care Nursery from MultiCare Auburn Medical Center to MultiCare Covington Medical Center.
Proposing to establish a Medicare-certified, Medicaid-eligible home health agency to serve King County.
Proposing to establish a Medicare-certified, Medicaid-eligible home health agency to serve Snohomish County.
Proposing to establish an elective PCI program in PCI Planning Area #2.
Proposing CN-approval for an existing, CN-exempt ASC within King County.
Proposing to convert an existing CN-exempt ASC to a CN-approved ASC within King County.
Proposing to convert a CN-exempt ambulatory surgery center to CN-approved status in the Spokane County secondary health services planning area.
Proposing to establish an elective PCI program in the East King PCI Planning Area.
Proposing to establish an elective PCI program in PCI Planning Area #2.
Proposing to bank 21 beds under alternate use in Cowlitz County.
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
Proposing to bank two beds under alternate use provisions of RCE 70.38.111(9) in Cowlitz County.
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
Proposing to bank 49 beds under alternate use provisions of RCW 70.38.111(9) in Spokane County.
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
Proposing to bank 20 nursing home beds under full facility closure provisions of RCW 70.38.115(13)(b) in King County.
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
Proposing to bank 119 beds under full facility closure provisions of RCW 70.38.115(13)(b) in King County.
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
Proposing to bank 63 nursing home beds under full facility closure provisions of RCW 70.38.115(13)(b) in Pierce County.
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
Proposing to bank 96 nursing home beds under full facility closure provisions of RCW 70.38.115(13)(b) in Kitsap County.
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
Proposing to bank 32 nursing home beds in Tekoa, within Whitman County.
Proposing to bank 22 transitional care unit beds in Wenatchee, within Chelan County.
Proposing to bank 31 skilled nursing beds in Everett, within Snohomish County.
This project predates the Project Status page, and not all materials are available electronically. To request items not listed here, please submit a Public Records Request.
Request for full facility closure bed banking for 30 nursing home beds at Vashon Community Care Center in Vashon.
Nursing home full-facility closure bed-banking. Partial information redacted by DOH due to personal information.
Bank 39 beds under full facility closure at Selah Care and Rehabilitation in Selah.
Requesting full facility closure bed-banking for 40 beds at Providence St. Joseph Hospital in Chewelah.
Request to bank 150 nursing home beds in Seattle, within King.
Nursing home full-facility closure bed-banking.
Proposing alternate use bed banking for a nursing home in Shoreline, within King.
Proposing to establish a Medicare-certified, Medicaid-eligible home health agency to serve King County.
Proposing to establish a Medicare-certified, Medicaid-eligible home health agency to serve Snohomish County.
Proposing to establish an elective PCI program in PCI Planning Area #2.
Proposing CN-approval for an existing, CN-exempt ASC within King County.
Proposing to convert an existing CN-exempt ASC to a CN-approved ASC within King County.
Proposing to convert a CN-exempt ambulatory surgery center to CN-approved status in the Spokane County secondary health services planning area.
Proposing to establish an elective PCI program in the East King PCI Planning Area.
Proposing to establish an elective PCI program in PCI Planning Area #2.
Proposing to establish an ambulatory surgery center in Federal Way, within King County.
Proposing to expand FKC Walla Walla by three dialysis stations.
Proposing the addition of 10 swing beds to PHUGMC in Skagit County, to also serve Whatcom County.
Proposing to add 36 acute care beds to MultiCare Tacoma General in Pierce County.
To align with DOH's fiscal year, this project was renamed from CN25-29 to CN26-02.
Proposing CN-approval for an existing, CN-exempt ASC within Snohomish County.
To align with DOH's fiscal year, this project was renamed from CN25-30 to CN26-03.
Proposing to relocate the existing, CN-approved 6-bed Level II Intermediate Care Nursery from MultiCare Auburn Medical Center to MultiCare Covington Medical Center.
Proposing to establish a Medicare and Medicaid-certified home health agency to serve the residents of King County.
Proposing to establish and operate a Home Health agency in King County.
Proposing an amendment to CN#1943
Proposing to expand DaVita East Wenatchee by two dialysis stations.
Proposing to establish a new multispecialty outpatient surgery department in the East King Secondary Health Services Planning Area.
Because no LOI was received prior to the application being submitted, this application was held for the LOI period before being reviewed.
Proposing to expand DaVita Cascade by two dialysis stations
Proposing to establish an ambulatory surgical center in Spokane County.
Proposing to establish and operate an existing CN-exempt surgical center as a free-standing, CN-approved ASC.
Proposing to establish a hospice agency to serve King County.
Concurrent review with CN26-18 and CN26-20
Proposing to establish a hospice agency to serve Clark County.
Proposing to establish a hospice agency to serve Yakima County.
Concurrent review with CN26-19
