Public Notice

Last revised date: July 2, 2025

Applications in Review

This section is updated bi-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
25-07	Olympia Multi-specialty Clinic Ambulatory Procedures Center, PLLC	Thurston	03/20/2025	04/09/2025	06/09/2025
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
25-20	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.

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. 

Description	Providence Health & Services and Hospice of Spokane have requested that the department reconsider its decision dated September 3, 2024, approving the application submitted by MultiCare Home Health, Hospice, & Palliative Care application proposing to establish new Medicare and Medicaid hospice services in Spokane County.
Date & Time	July 15, 2025, beginning at 2 p.m.
How to Join	Microsoft Teams meeting Join on your computer or mobile app Join via Microsoft Teams Meeting ID: 223 120 246 189 6 Passcode: bA9qF7XA Dial in by phone +1 564-999-2000,,419723095# United States, Olympia (833) 322-1218,,419723095# United States (Toll-free) Phone conference ID: 419 723 095#

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.

EER #	Provider	Facility	# of Temporary Stations Approved	Valid Through

Tip: Type "eer2" in the search bar on the CN project status webpage (linked above) to filter for all EERs.

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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)
M2023-914	Thurston, ASF CN app #22-45 Petitioner: Pain Care Physicians, LLC Intervenor: MultiCare	AAG: Bucknell Petitioner: Tom Grimm, Ryan Swanson Intervenor: Practus LLP HLJ: Blye	WAC 246-310-240(1)
M2023-1034	East King, PCI CN app #23-28 Petitioner: Swedish	AAG: Bucknell Petitioner: Steven Pentz HLJ: Herington	WAC 246-310-720(2)(b)
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.

Contact and connect

• CN program contact and mailing information
• To receive CN information, subscribe for updates at the bottom of the page.