Certificate of Need Public and Industry Resources

Last revised date: September 16, 2026

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
26-03	Optum Care Washington, PLLC	Snohomish	02/17/2026	03/06/2026	05/04/2026*
26-11	DaVita Cascade	Skagit	05/22/2026	06/26/2026	08/10/2026
26-13	Shriners Children's Spokane	Spokane	05/11/2026	05/29/2026	07/27/2026
26-14	Washington Vital Vision	King	07/24/2026	08/14/2026	10/12/2026
26-16	Comfort Hospice Care, LLC	Clark	08/05/2026	08/25/2026	10/23/2026
26-25, -26, -28, -29, -30	Cycle 2 Pierce County Hospice	Pierce	05/01/2026	06/01/2026	09/14/2026
26-15, -18, -20	Cycle 2 King County Hospice	King	05/01/2026	06/01/2026	09/14/2026
26-21, -22, -23	Cycle 2 Kitsap County Hospice	Kitsap	05/01/2026	06/01/2026	09/14/2026
26-27	Franciscan Health System	Snohomish	09/23/2026	10/09/2026	12/07/2026
26-31	Olympia Multi-specialty Clinic Ambulatory Procedures Center	Thurston	07/14/2026	08/03/2026	10/01/2026
26-32	Swedish Health Services	King	09/25/2026	10/15/2023	12/14/2026
26-35	Spokane Urology	Spokane	09/11/2026	10/01/2026	11/30/2026
26-38	DaVita Mason County	Mason	08/13/2026	09/02/2026	11/02/2026
26-39	DaVita Lacey	Thurston	09/11/2026	10/01/2026	11/30/2026
26-40	DaVita Lynnwood	Snohomish	09/11/2026	10/01/2026	11/30/2026

*Decision timeline revised due to program capacity.
Tip: Type the CN application # in the search bar on the CN project status webpage (linked above) to quickly find more information on a specific project.

---

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

Rules Hearings Scheduled

This section is updated as hearing requests are received. 

Date	Time	Location	Comment
October 27, 2026	11:00 a.m.	Register in advance for this webinar. After registering, you will receive a confirmation email containing information about joining the webinar.	Submit written comments to:  Address: PO Box 47852, Olympia, WA 98504-7852 Email: CNRulemaking@doh.wa.gov Other: https://fortress.wa.gov/doh/policyreview/

More information about CN rules in progress can be found on our Rulemaking, Rules, and Statutes page.

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. For more information on any of the following exemptions see the CN Program's project status page.

EER #	Facility	# Stations	Valid Through
26-07	DaVita Mason County	2	April 30, 2027

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
M2026-269	Kitsap, Hospice CN app #26-17 Petitioner: Tri-Cities Chaplaincy	AAG: Bucknell Petitioner: Madeleine C. Haller	Chapter 246-310 WAC
M2026-10446	Pierce, Nursing Home & ESRD DOR #26-07 Petitioner: Pacific Medical Specialty Group, LLC	AAG: Bucknell Petitioner: John Cummings	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)
• 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 Applying for a Certificate of Need 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 and 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.