Planning, Development, Quality (Formerly CON)

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Certificate of Need (CON) Continuing Care Retirement Communities (CCRC)

Hospital Cooperation Act (HCA) Free Hospital Care Guidelines (FHCG)

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Certificate of Need

The Certificate of Need reviews and recommends either approval or denial of projects undertaken by health care facilities or other covered providers. In Maine, CON review is required for the expansion or development of health care services or facilities that either cost more than a threshold amount, indexed each year for inflation, or proposes a substantial reduction in capacity for certain types of providers.

Continuing Care Retirement Communities (CCR)

To operate a Continuing Care Retirement Community in Maine, a person must submit an application to the Bureau of Insurance (BOI) for a preliminary Certificate of Authority to operate a CCRC. If approved, Certificate of Need Unit (CONU) provides certain assurances to the BOI in order for a certificate to be granted. See 24-A MRSA chapter 73 and 10-149 CMR Chapter 5, Section 72.

• 10-149 Chapter 5, Section 72   (Microsoft Word*)Continuing Care Retirement Communities
• 24-A MRSA Chapter 73 (Microsoft Word*)Continuing Care Retirement Communities
  

Hospital Cooperation Act (HCA)

Pursuant to the Hospital Cooperation Act of 1992, a hospital may apply to the Certificate of Need Unit [CONU] for a Certificate of Public Advantage which will authorize the hospital to enter into a cooperative agreement with another hospital in the state if the likely benefits resulting from the agreement outweigh any disadvantages attributable to a reduction in competition that might result from the agreement. See 22 MRSA chapter 405-A and 10-144 CMR Ch 500 for the application, public hearing and decision process.

• 10-144 CMR Ch 500 (Microsoft Word*)Hospital Cooperation Act Program Manual
• 22 MRSA Chapter 405-A (Microsoft Word*)Hospital and Health Care Provider Cooperation Act
• Southern Maine Medical Center and MaineHealth
  • Letter of Intent (Received May 21, 2008)  To request a hard copy e-mail: DLRS.con@maine.gov
  • Procedural Order (dated September 9, 2008) (Adobe PDF*)
  • Procedural Order (dated November 3, 2008 ) (Adobe PDF*)

Free Hospital Care Guidelines (FHCG)

This rule establishes guidelines for the free care policies of hospitals for services including minimum income guidelines to be used in determining whether individuals are unable to pay for hospital services. It sets forth procedures for notifying patients of the availability of free care, determining who is qualified for such care, and annually reporting the quantity of free care provided.

• 10-144 CMR Ch 150 (Microsoft Word*) Free Care Guidelines
• 22 MRSA § 1716 Charity Care Guidelines