An application for a Certificate of Need must include payment of a fee as outlined under WAC 246-310-990. Fee payments must include the following:
- A review fee based on the facility/project type.
- A fee for each facility of project type, if multiple types apply.
- When mailing a fee, email the tracking number to CN@doh.wa.gov.
Mail or deliver the application and review fee to:
| Mailing Address: | Other Than By Mail: |
|
Department of Health |
Department of Health |
| Facility Type | Review Fee |
|---|---|
| Ambulatory surgical centers/facilities | $20,427 |
| Amendments to issued Certificates of Need | $12,874 |
| Emergency review | $8,286 |
| Home health agency | $24,666 |
| Hospice agency | $21,968 |
| Hospice care center | $12,874 |
| Hospital (excluding transitional care units (TCUs), ambulatory surgical centers/facilities, home health, hospice and kidney disease treatment centers) | $40,470 |
| Kidney disease treatment centers | $25,054 |
| Nursing homes (including continuing care retirement communities (CCRCs) and TCUs)) | $46,253 |
Exemption Requests (nonrefundable fee)
| Facility Type | Review Fee |
|---|---|
| Continuing care retirement communities (CCRCs)/health maintenance organizations (HMOs) | $8,286 |
| Bed banking/conversions | $1,347 |
| Determinations of reviewability | $1,925 |
| Hospice care center | $1,733 |
| Nursing home replacement/renovation authorizations | $1,733 |
| Nursing home capital threshold under RCW 70.38.105(4)(e) (excluding replacement/renovation authorizations) | $1,733 |
| Rural hospital/rural healthcare facility | $1,733 |
Extensions Requests (nonrefundable fee)
| Facility Type | Review Fee |
|---|---|
| Bed banking | $770 |
| Certificate of Need/replacement/renovation authorization validity period | $770 |
Fees for Amending Pending Applications
Amendment fees for pending Certificate of Need applications are as follows:
Adding facility/project types: The review fee for each additional type must be included with the amendment.
- Adding facility/project types: The review fee for each additional type must be included with the amendment.
- Removing facility/project types: The department will refund the difference between the original review fee and the new applicable fee.
- Any other change as identified in WAC 246-310-100: a fee of $2,060 must accompany the amendment application.
Refunds
- Returned by the department: If an application is returned under WAC 246-310-090 (2)(b) or (e), 75% of review fees will be refunded.
- Withdrawn before Beginning of Review: If an applicant submits a written request to withdraw an application before the beginning of review process starts, 75% of the review fees will be refunded.
- Withdrawn after Beginning of Review begins but before the ex parte period: If an applicant withdraws the application during this phase, 50% of the review fees will be refunded.
- Withdrawn during the ex parte period: If an applicant withdraws the application after the ex parte period starts, no refunds will be issued.
Note: Review fees for exemptions and extensions are nonrefundable.
Contact and connect
- CN program contact and mailing information
- To receive Certificate of Need information, please select the "Subscribe" button at the bottom of the page.