NC Register Volume 16 Issue 15 - Office of Administrative Hearings

(4) Need determinations for which certificate ofneed decisions have not been made, fromMFPS records.Need determinations in this report shall be an integral part of theState Medical Facilities Plan.(b) Need for new dialysis stations shall be determined asfollows:(1) County Need (using the trend line ending with12/31/01 data)(A) The average annual rate (%) ofchange in total number of dialysispatients resident in each county fromthe end of 1997 to the end of 2001 ismultiplied by the county's December31, 2001 total number of patients inthe SDR, and the product is added toeach county's most recent totalnumber of patients reported in theSDR. The sum is the county'sprojected total December 31, 2002(B)patients.The percent of each county's totalpatients who were home dialysispatients on December 31, 2001 ismultiplied by the county's projectedtotal December 31, 2002 patients, andthe product is subtracted from thecounty's projected total December 31,2002 patients. The remainder is thecounty's projected December 31,2002 in-center dialysis patients.(C) The projected number of eachcounty's December 31, 2002 in-centerpatients is divided by 3.2. Thequotient is the projection of thecounty's December 31, 2002 in-centerdialysis stations.(D)From each county's projected numberof December 31, 2002 in-centerstations is subtracted the county'snumber of stations certified forMedicare, CON-approved andawaiting certification, awaitingresolution of CON appeals, and thenumber represented by needdeterminations in previous StateMedical Facilities Plans orSemiannual Dialysis Reports forwhich CON decisions have not beenmade. The remainder is the county'sDecember 31, 2002 projected stationsurplus or deficit.(E) If a county's December 31, 2002projected station deficit is ten orgreater and the July 2002 SDR showsthat utilization of each dialysisfacility in the county is 80% orgreater, the December 31, 2002county station need determination isthe same as the December 31, 2002projected station deficit. If a county'sTEMPORARY RULES16:15 NORTH CAROLINA REGISTER February 1, 20021707December 31, 2002 projected stationdeficit is less than 10 or if theutilization of any dialysis facility inthe county is less than 80%, thecounty's December 31, 2002 stationneed determination is zero.(2) Facility NeedA dialysis facility located in a countyfor which the result of the CountyNeed methodology is zero in the July2002 SDR is determined to needadditional stations to the extent that:(A) Its utilization, reported in the July2002 SDR, is 3.2 patients per stationor greater;(B) Such need, calculated as follows, isreported in an application for acertificate of need:(i) The facility's number of incenterdialysis patientsreported in the January 2002SDR (SDR 1) is subtractedfrom the number of in-centerdialysis patients reported inthe July 2002 SDR (SDR 2 ).The difference is multipliedby 2 to project the net incenterchange for one year.Divide the projected net incenterchange for the year bythe number of in-centerpatients from SDR1 todetermine the projectedannual growth rate.(ii) The quotient from Subpart(b)(2)(B)(i) of this Rule isdivided by 12.(iii) The quotient from Subpart(b)(2)(B)(ii) of this Rule ismultiplied by 12 (thenumber of months fromDecember 31, 2001 untilDecember 31, 2002) for the(iv)July 2002 SDR.The product from Subpart(b)(2)(B)(iii) of this Rule ismultiplied by the number ofthe facility's in-centerpatients reported in the July2002 SDR and that productis added to such reportednumber of in-center patients.(v) The sum from Subpart(b)(2)(B)(iv) of this Rule isdivided by 3.2, and from thequotient is subtracted thefacility's current number ofcertified stations as recordedin the July 2002 SDR andthe number of pending newstations for which a