Public and Industry Resources

Last revised date: August 14, 2025

Public Notice

Applications in Review

This section is updated twice monthly. If you are interested in a specific project’s timeline or additional details, see the Certificate of Need (CN) Program's project status page. Projects will be removed from this list once the corresponding evaluation is released.

Application #	Facility/Agency	Planning Area	Hearing Request Due	Comment Due	Anticipated Decision
25-10	Fresenius Medical Care Holdings, Inc. dba FKC Panorama	Spokane	06/12/2025	07/02/2025	09/02/2025
25-11	Fresenius Medical Care Holdings, Inc. dba FKC Lacey	Thurston	03/31/2025	04/18/2025	06/16/2025
25-13	Odyssey HealthCare Operating B, LP	Clallam	06/11/2025	07/01/2025	08/30/2025
25-14	Shalon Hospice of Southwest Washington, LLC	Clark	06/20/2025	07/10/2025	09/08/2025
25-15	Odyssey HealthCare Operating B, LP	Pierce	05/01/2025	06/02/2025	09/15/2025
25-16	Seasons Hospice & Palliative Care	Pierce	05/01/2025	06/02/2025	09/15/2025
25-17	Legacy Care, LLC	Thurston	08/06/2025	08/26/2025	10/27/2025
25-20	Seattle Rehabilitation Hospital, LLC and Seattle Rehab Real Estate Investors, LLC	King	07/22/2025	08/11/2025	10/09/2025
25-23	MEC Spokane Valley, LLC	Spokane	07/23/2025	08/12/2025	10/10/2025
25-24	Northwest Kidney Centers dba NKC Everett	Snohomish	07/11/2025	07/28/2025	08/19/2025
25-25	Total Renal Care dba DaVita Puyallup	Pierce	07/08/2025	07/23/2025	08/14/2025

Tip: Type CN application # in the search bar on the CN project status webpage (linked above) to quickly find more information on a specific project.

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Beginning of CN application review is dictated by WAC 246-310-170.

Rules Hearings Scheduled

The Department of Health (department) is proposing amendments to rules related to the CN requirements for PCI programs listed under WAC 246-310-700 through 246-310-750. Additionally, the department is proposing to repeal WAC 246-310-710, 246-310-725, and 246-310-730 and add new section WAC 246-310-760. The purpose of the proposed rules is to update, modernize, and develop progressive enforcement tools for the adult elective PCI CN requirements.

Date	Time	Registration and Information
August 26, 2025	3 p.m.	Register in advance for this webinar: Register Here After registering, you will receive a confirmation email containing information about joining the webinar. You may also submit comments in writing to CNrulemaking@doh.wa.gov.

 

Public Hearings Requested

This section is updated as hearing requests are received. There are no public hearings currently scheduled. 

The public hearing process for certificate of need is detailed in WAC 246-310-180.

Reconsideration Hearings Granted

This section is updated as hearing requests are received. There are no reconsideration hearings currently scheduled. 

The reconsideration process for CN applications is detailed in WAC 246-310-560.

End Stage Renal Disease Emergency Exemption Requests (EER)

This section is updated bi-monthly. The EERs listed below are those currently in effect. For more information on any of the following exemptions see the CN Program's project status page.

There are currently no valid Emergency Exemption Requests.

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ESRD emergency exemption requests must meet the requirements outlined by:

• Revised Code of Washington 70.38.280 Kidney disease centers - Emergency certificate of need exemptions.
• Rulemaking in progress, see the CN Program's rule-making webpage.

Current Appeals

This section is updated bi-monthly. For more information on any of the following cases contact the department's Adjudicative Services Unit.

Case # / Call Name	General Information	Counsel and Health Law Judge (HLJ)	Primary Issue(s)
M2024-836	Spokane, Hospice CN app #24-17 Petitioner: Providence Intervenor: MultiCare	AAG: Bucknell Petitioner: Steven Pentz HLJ: Blye	Chapter 246-310 WAC

Additional Health Law Judge final decisions are available on the Adjudicative Services Unit's webpage.

Resources by Facility Type

Ambulatory Surgery Facilities

• Licensing Information
• Construction Review Services (CRS)
• Provider Credential Search

End Stage Renal Disease (ESRD) Facilities

• Kidney Centers
• Northwest Renal Network
• Dialysis Facility Compare

Home Health

• Licensing Information
• Provider Credential Search
• Home Care Association of Washington (HCAW)
• Washington State Hospice & Palliative Care Organization (WSHPCO)

Hospice Agencies

• Licensing Information
• Provider Credential Search
• Home Care Association of Washington (HCAW)
• Home Care Association of Washington (HCAW)
• Washington State Hospice & Palliative Care Organization (WSHPCO)

Hospice Care Centers

• Licensing Information
• Construction Review Services (CRS)
• Provider Credential Search
• Home Care Association of Washington (HCAW)
• Home Care Association of Washington (HCAW)
• Washington State Hospice & Palliative Care Organization (WSHPCO)

Hospitals-Acute Care

• Licensing Information
• Construction Review Services (CRS)
• Rural Health-Critical Access Hospital
• Hospital and Patient Data
• Provider Credential Search

Hospitals-Psychiatric

• Licensing Information
• Construction Review Services (CRS)
• Hospital and Patient Data
• Provider Credential Search

Nursing Homes

• Licensing Information
• Department of Social and Health Services Aging and Long-Term Support Administration
• Construction Review Services (CRS)
• Individual Provider Credential Search
• Nursing Home Lookup

Others

• Medicare.com
• Office of Financial Management Population Forecasts

Reports and Guidelines

Reports to the Legislature

• The Certificate of Need Program – 2017 (PDF)

Program communications

• Engrossed Substitute House Bill 1547 (PDF) allowing Certificate of Need exemptions for psychiatric beds. Exemption application forms are available on our Applications and Forms webpage.
• Program memo (PDF) regarding the combining of projects into a single application.
• Program memo (PDF) regarding application submission expectations.

Kidney dialysis centers

• Program memo (PDF) regarding a one-time, one-station isolation station administrative adjustment.
• To access current ESRD Superiority files contact the CN Program
• ESRD Timing and Coordination of Special Circumstances Applications and Non Special Circumstances Letters of Intent (PDF)

Ambulatory surgical facility

• Interpretation of WAC 246-310-010(5) (PDF)

Nursing homes

• Nursing Home Location Map (PDF)

State Health Plan

• State Health Plan Vol. 1 (Sunset 1989) (PDF)
• State Health Plan Vol. 2 (Sunset 1989) (PDF)

Regional perinatal-neonatal service listings

• Washington State Perinatal Level of Care Guidelines (PDF)

Contact and connect

• Visit our Contact Info & Partner Programs page for Certificate of Need Program contact and mailing information.
• To receive updates from the Certificate of Need Program, subscribe at the bottom of this page.