Fee Schedules

An application for a Certificate of Need under chapter WAC 246-310-990 must include payment of a fee consisting of the following:

  • A review fee based on the facility/project type. (Effective June 15, 2012)
  • If more than one facility/project type applies to an application, the review fee for each type of facility/project must be included.
  • 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
Certificate of Need Program
PO Box 47852
Olympia, Washington 98504-7852

Department of Health
Certificate of Need Program
111 Israel Road SE 
Tumwater, Washington 98501
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

The fee for amending a pending Certificate of Need application is determined as follows:

  • If an amendment to a pending Certificate of Need application results in the addition of one or more facility/project types the review for each additional facility/project type must accompany the amendment application;
  • If an amendment to a pending Certificate of Need application results in the removal of one or more facility/project types the department shall refund to the applicant the difference between the review fee previously paid and the review fee applicable to the new facility/project type;
  • If an amendment to a pending Certificate of Need application results in any other change as identified in WAC 246-310-100, a fee of $2,060 must accompany the amendment application.

Refunds

  • If a Certificate of Need application is returned by the department under WAC 246-310-090 (2)(b) or (e), the department shall refund 75 percent of the review fees paid.
  • If an applicant submits a written request to withdraw a Certificate of Need application before the beginning of review, the department shall refund 75 percent of the review fees paid by the applicant.
  • If an applicant submits a written request to withdraw Certificate of Need application after the beginning of review, but before the beginning of the ex parte period the department shall refund 50 percent of all review fees paid.
  • If an applicant submits a written request to withdraw an application after the beginning of the ex parte period the department shall not refund any of the review fees paid.
  • Note: Review fees for exemptions and extensions are nonrefundable.

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