Last revised date: February 12, 2025
- Applications in Review
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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 24-20 Virginia Mason Franciscan Health King 10/28/2024 11/15/2024 02/17/2025 25-01 and 25-02 MultiCare Yakima Memorial Surgery Center at Ridgeview and MEC Yakima Yakima 11/27/2024 12/17/2024 02/18/2025 25-04 PeaceHealth Southwest, LLC & PMB Vancouver 2, LLC Clark 12/26/2024 01/30/2025* 03/31/2025 25-06 Fresenius Kidney Care Longview Cowlitz n/a 12/16/2024 01/27/2025 25-08 Riverview Lutheran Retirement Community of Spokane Spokane 01/06/2025 01/24/2025 03/24/2025 25-09 Proliance Surgeons, Inc. dba Seattle Orthopedic Center King n/a 02/06/2025 03/13/2025 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.
Beginning of CN application review is dictated by WAC 246-310-170.
- Public Hearings Requested
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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
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This section is updated once a hearing request is granted.
Project: CN24-22 Apex Spine institute Date: February 24, 2025 Time: Beginning at 9:30 a.m. Location: This will be a virtual public hearing. Below is the conference line information:
Microsoft Teams
Join the meeting now
Meeting ID: 250 231 100 975
Passcode: AK6Xd3TCDial in by phone
+1 564-999-2000,,796022985# United States, Olympia
(833) 322-1218,,796022985# United States (Toll-free)
Find a local number
Phone conference ID: 796 022 985# -
The reconsideration process for CN applications is detailed in WAC 246-310-560.
- End Stage Renal Disease Emergency Exemption Requests (EER)
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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.
ESRD emergency exemption requests must meet the requirements outlined by:
- Current Appeals
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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: MultiCareAAG: Bucknell
Petitioner: Tom Grimm, Ryan Swanson
Intervenor: Practus LLP
HLJ: BlyeWAC 246-310-240(1)
M2023-936 and -937 PCI Revocation
CN#1407 MultiCare Auburn and VMFH St. FrancisAAG: Bucknell
Respondents: Practus LLP and Polsinelli PC
HLJ: HeringtonWAC 246-310-720(1) M2023-1034 East King, PCI
CN app #23-28
Petitioner: SwedishAAG: Bucknell
Petitioner: Steven Pentz
HLJ: HeringtonWAC 246-310-720(2)(b) M2024-836 Spokane, Hospice
CN app #24-17
Petitioner: Providence
Intervenor: MultiCareAAG: Bucknell
Petitioner: Steven Pentz
HLJ: BlyeChapter 246-310 WAC M2025-76 Pierce 1, ESRD
CN app #24-25 and 24-26
Petitioner: DaVitaAAG: Bucknell
Petitioner: Grimm
HLJ: HeringtonWAC 246-310-827 Additional Health Law Judge final decisions are available on the Adjudicative Services Unit's webpage.
Contact and connect
- CN program contact and mailing information
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