Cabinet for Health and Family Services s3

CABINET FOR HEALTH AND FAMILY SERVICES OFFICE OF HEALTH POLICY

Steven L. Beshear 275 East Main Street, 4W-E Audrey Tayse Haynes Frankfort, Kentucky 40621 Governor Telephone: (502) 564-9592 Secretary FAX: (502) 564-0302 www.chfs.ky.gov/ohp/con Emily Whelan Parento Executive Director

CERTIFICATE OF NEED NEWSLETTER January 16, 2014

STATE CLOSING State offices will be closed on Monday, January 20, 2014, in observance of the birthday of Dr. Martin Luther King, Jr.

STAPLING DOCUMENTS Please do not staple progress reports or certificate of need applications. Paper clips and binder clips are acceptable. Thank you for your cooperation.

REGULATIONS The Office of Health Policy has filed an amendment to the following administrative regulation: 900 KAR 7:030 & E Data reporting by health care providers.

A link to the regulation and the data reporting manuals incorporated by reference can be obtained at www.chfs.ky.gov/ohp/con.

A public hearing on this administrative regulation shall, if requested, be held on February 21, 2014, at 9:00 a.m. in Auditorium A, Health Services Building, First Floor, 275 East Main Street, Frankfort, Kentucky 40621. Individuals interested in attending this hearing shall notify this agency in writing by February 14, 2014, five (5) workdays prior to the hearing, of their intent to attend. If no notification of intent to attend the hearing is received by that date, the hearing may be cancelled. The hearing is open to the public. Any person who attends will be given an opportunity to comment on the proposed administrative regulation. A transcript of the public hearing will not be made unless a written request for a transcript is made. If you do not wish to attend the public hearing, you may submit written comments on the proposed administrative regulation. You may submit written comments regarding this proposed administrative

1 regulation until February 28, 2014. Send written notification of intent to attend the public hearing or written comments on the proposed administrative regulation to Tricia Orme, Office of Legal Services, 275 East Main Street 5 W-B, Frankfort, KY 40601, Phone: 502-564-7905, Fax: 502-564-7573.

KENTUCKY HEALTH CARE FACILITY CAPACITY STUDY BY DELOITTE In 2013, the Cabinet for Health and Family Services commissioned Deloitte to conduct a health care facility capacity study. The objective of the study was to test whether existing healthcare facility supply could sustain the increased demand created as a result of anticipated changes in demographics and the individual coverage mandate and expansion of the Medicaid program which may result in a majority of the Commonwealth’s 640,000 uninsured individuals obtaining health coverage starting in 2014. The study is posted on the website of the Kentucky Health Benefit Exchange.

NOTICE OF PUBLIC HEARINGS There are no new public hearings scheduled

CON Public Notice 1/16/2014 CHART A Formal Review Proposals Scheduled for Decision April 16, 2014 As of this date the Certificate of Need proposals listed below are officially scheduled for review. A decision granting or denying a certificate of need will be made by April 16, 2014. Applications proposing the same or similar types of services, equipment, or facilities affecting the same health service area are batched in the review cycle so they can be given comparative review. The following projects are included in this batching cycle: A - Organ Transplantation, Magnetic Resonance Imaging, Positron Emission Tomography Equipment, Megavoltage Radiation Equipment, Cardiac Catheterization, Open heart Surgery, and New Technological Developments.

Any affected persons including parties who have submitted a letter of intent for an application which would provide similar types of services, facilities, or equipment affecting the same health service area, who desire a public hearing on a proposal must submit requests in writing to Certificate of Need Office, 275 East

Main Street, 4WE, Frankfort, Kentucky 40621. All requests must be received within 10 days of this notice, or by January 31, 2014. Affected persons will be notified of all scheduled hearings by mail except that the public and third party payors will be notified through public information channels. Number Name Location Project Description Project Cost Megavoltage CON #096-06-5075(1) IASIS Radiation Center of Oldham County Crestwood, Oldham County Establish a fixed site megavoltage radiation $3,005,580.00 therapy service. CON #081-08-5554(1) Meadowview Radiation Oncology Service Maysville, Mason County Establish a freestanding megavoltage $1,200,000.00 radiation therapy program CON #007-13-205(14) Middlesboro ARH Hospital Middlesboro, Bell County Establish a fixed site megavoltage radiation $6,501,153.00 therapy program with a linear accelerator CON #118-13-215(28) Baptist Health Corbin Corbin, Whitley County Establish a hospital based megavoltage $5,928,461.00 radiation therapy service CON #118-13-5142(1) Southeastern Kentucky Radiation Corbin, Whitley County Establish a fixed site megavoltage radiation $1,708,387.19 Oncology Center therapy service CON #063-13-5167(1) Saint Joseph London Radiation Therapy London, Laurel County Establish a fixed site megavoltage radiation $5,528,000.00 Service therapy service CON #063-13-5196(1) Commonwealth Cancer Center London, Laurel County Establish a fixed site megavoltage radiation $3,013,088.00 therapy service CON #063-13-5443(1) Saint Joseph Radiation Oncology London, Laurel County Establish a fixed site megavoltage radiation $5,528,000.00 therapy service

3 Magnetic Resonance Imaging (MRI) CON #079-01-5553(1) Marshall County MRI, LLC Benton, Marshall County Establish a fixed-site MRI service on the $2,022,300.00 campus of Marshall County Hospital CON #010-10-5024(2) KDMC Mobile Imaging Services Ashland, Boyd County Expand mobile MRI service to include KDMC $10,000.00 Family Care Center in Flatwoods, Greenup County CON #097-12-5441(1) Kentucky Mountain Radiology, LLC Hazard, Perry County Establish a fixed site MRI service $2,000,000.00

Positron Emission Tomography (PET) CON #047-05-5551(1) Hardin Memorial Hospital PET/CT Service Elizabethtown, Hardin County Establish a specialized medical technology $2,697,681.00 service to provide PET/CT by discontinuing PET/CT at Hardin Memorial Hospital’s main campus CON #034-15-5552(1) New Lexington Clinic, PSC Lexington, Fayette County Establish a fixed-site positron emission $2,930,000.00 tomography (PET) service

Psychiatric Residential Treatment Facility (PRTF) CON #056-06-5392(1) Home of the Innocents PRTF – A Louisville, Jefferson County Establish a nine (9) bed Level I Psychiatric $36,062.00 Residential Treatment Facility for females ages thirteen (13) to seventeen (17)

4 NEWSLETTER

Chart B Certificate of Need * Letters of Intent 12/14/2013 through 1/10/2014 Name and Location Project Description Date Received DAY HEALTH CARE PROGRAM Lisa’s Adult Day Establish an adult day health care program 01/08/2014 Kings Mountain, Casey County

Lisa Gadberry 2431 N. Ky. 501 Kings Mountain, KY 40442 (859) 516-2072 GROUND AMBULANCE Elite Ambulance Service Establish a Class I ground ambulance service to serve Boone, Kenton, 12/30/2013 Owensville, Boone County Campbell, Gallatin, Grant, Pendleton and Bracken counties

Jeremy Woodward 308 W Main Street Owensville, OH 45160 (513) 735-1192 First Care Establish a Class I ALS/BLS ambulance service to serve Boone, Kenton, 12/26/2013 Cincinnati, Ohio Campbell, Pendleton, Grant, Gallatin, Carroll and Owen counties

Mark Leach 400 West Market Street, Ste 1800 Louisville, KY 40206 (502) 681-0583

5 Heart EMS Inc. Establish a Class VI ground ambulance service to serve Lewis County 12/16/2013 South Shore, Greenup

Joshua Blevins 81 Seventh Street South Shore , KY 41175 (606) 887-0119 Patient Transport Services, Inc. Establish a Class I (ALS/BLS) ground ambulance service to serve Kenton, 12/30/2013 Covington, Kenton County Boone and Campbell Counties

Dennis Bottonari 1700 Edison Drive Milford, OH 45150 (513) 576-0262 Patient Transport Services, Inc. Establish a Class I (ALS/BLS) ground ambulance service to serve Boone, 12/30/2013 Covington, Kenton County Kenton, Campbell, Gallatin, Grant, Pendleton, Carroll and Owen counties

Dennis Bottonari 1700 Edison Drive Milford, OH 45150 (513) 576-0262 HOME HEALTH AGENCY Personal Touch Home Care of Kentucky To provide supply only services (incontinent supplies) to Green, Taylor, 01/08/2014 Columbia, Adair County Bath, Menifee, Montgomery, McCreary, Todd, Wayne, Clinton, Monroe, Nelson and Cumberland Counties (emergency circumstances) Terry Carpenter 20 North Grand Ave Fort Thomas, KY 41075-1719 (859) 441-0200 HOSPITAL ACUTE CARE University of Kentucky Hospital Relocate up to 35 acute care beds from UK HealthCare Good Samaritan to 12/23/2013 Lexington, Fayette County University of Kentucky Hospital

Jim Zembrodt 2317 Alumni Park Plaza Suite 300 Lexington, KY 40517 (859) 257-1504

6 LIMITED SERVICES CLINIC All About You Urgent Clinic Establish a limited services clinic 01/08/2014 Bowling Green, Warren County

Stephanie Christian 2508 Scottsville Rd Suite 104 Bowling Green, KY 42104-4400 (270) 746-6330 All About You Urgent Clinic Establish a limited services clinic 01/08/2014 Bowling Green, Warren County

Stephanie Christian 2508 Scottsville Rd Suite 104 Bowling Green, KY 42104-4400 (270) 746-6330 MOBILE HEALTH SERVICE Implanted Pump Management Establish a mobile health service to provide intrathecal home management 01/02/2014 Wayne, New Jersey in all Kentucky counties

Melissa Hess, RN 1401 Valley Road Wayne, NJ 07470 (201) 475-9635 PERSONAL CARE FACILITY Serenity Personal Care Home Establish a six (6) bed personal care facility 12/26/2013 Louisville, Jefferson County

Elaine Ellington 3111 Binnacle Place Louisville, KY 40220 (502) 718-1373 Windsor Garden Senior Living Add twenty (20) personal care beds 01/06/2014 Georgetown, Scott County

Ken Holland 1016 Prestwick Lane Gallatin, TN 37066 (615) 576-3299

7 PRIVATE DUTY NURSING Maxim Healthcare Services Expand private duty nursing services to a pediatric patient in Hart 12/31/2013 Louisville, Jefferson County County (emergency circumstances)

Matthew Wilkinson 9420 Bunsen Parkway Louisville, KY 40220 (502) 426-4454 REHABILITATION AGENCY A Step Ahead Pediatric Therapy Establish a rehabilitation agency 12/18/2013 Crestview Hills, Kenton County

Daniel Cross 2865 Chancellor #105 Independence, KY 41017 (859) 426-5666 Diversicare of Seneca Place Establish an outpatient rehabilitation agency 12/30/2013 Louisville, Jefferson County

Terri Anderson 3526 Dutchman's Lane Louisville,, KY 40205 (502) 452-6331 Ephraim McDowell Rehabilitation Services at McDowell Place Establish a rehabilitation agency 12/26/2013 Danville, Boyle County

Ron Barbato 217 South Third Street Danville, KY 40422 (859) 239-1515 Kentucky Hand - Georgetown Hand Therapy Center Establish a rehabilitation agency 12/30/2013 Georgetown, Scott County

Scott Cielewich 8205 Presidents Drive, 2nd Floor Hummelstown, PA 17036 (717) 220-2100

8 Precision Physical Therapy, LLC Establish a rehabilitation agency 12/19/2013 Louisville, Jefferson County

Mary Kamber 4020 Taylorsville Road Louisville, KY 40220 (502) 479-2552 Results Physiotherapy Establish a rehabilitation agency 12/26/2013 Shepherdsville, Bullitt County

David Bromfield 2001 Mallory Lane Suite 201 Franklin, TN 37067-8235 (615) 373-1350 St. Elizabeth Healthcare Establish a rehabilitation agency 12/20/2013 Edgewood, Kenton County

Rosanne Nields 1 Medical Village Drive Edgewood, KY 41017 (859) 301-6328 St. Elizabeth Physical Therapy - Hebron Establish a rehabilitation agency 12/20/2013 Hebron, Boone County

Rosanne Nields 1 Medical Village Drive Edgewood, KY 41017 (859) 301-6328 St. Elizabeth Physical Therapy - Walton Establish a rehabilitation agency 12/20/2013 Walton, Boone County

Rosanne Nields 1 Medical Village Drive Edgewood, KY 41017 (859) 301-6328 St. Elizabeth Physical Therapy/Sportsmedicine - Wilder Establish a rehabilitation agency 12/20/2013 Wilder, Campbell County

Rosanne Nields 1 Medical Village Drive Edgewood, KY 41017 (859) 301-6328

9 St. Elizabeth Sports Medicine - Edgewood Establish a rehabilitation agency 12/20/2013 Edgewood, Kenton County

Rosanne Nields 1 Medical Village Drive Edgewood, KY 41017 (859) 301-6328 St. Elizabeth Sports Medicine - Florence Establish a rehabilitation agency 12/20/2013 Florence, Boone County

Rosanne Nields 1 Medical Village Drive Edgewood, KY 41017 (859) 301-6328

10 NEWSLETTER

Chart C Certificate of Need * Applications Received 12/14/2013 through 1/10/2014 Name and Location Project Description Capital Cost Date Received HOME HEALTH AGENCY Amedisys Home Health Expand home health service to include Wayne County $30,000.00 01/02/2014 Albany, Clinton County CON #100-14-1872(57)

Elizabeth White 5959 S. Sherwood Forest Blvd Baton Rouge, LA 70816 (225) 299-3775 Baptist Health Home Care Louisville Expand home health service to include Calloway County $6,000.00 12/30/2013 Louisville, Jefferson County CON #056-06-1632(44)

Tim Marcum 2701 Eastpoint Parkway Louisville, KY 40223 (502) 897-8383 Baptist Health Home Care Louisville Expand home health service to include Hardin County $67,100.00 12/30/2013 Louisville, Jefferson County CON #056-06-1632(45)

Tim Marcum 2701 Eastpoint Parkway Louisville, KY 40223 (502) 897-8383

11 Baptist Health Home Care Madisonville Expand home health service to include Daviess, $0.00 12/30/2013 Madisonville, Hopkins County Henderson, and Ohio counties CON #054-02-5556(1)

Tim Marcum 2701 Eastpoint Parkway Louisville, KY 40223 (502) 897-8383 Community Alternatives Homecare, Inc., dba To establish a home health agency to provide services to $0.00 01/02/2014 ResCare HomeCare individuals in Fayette County Lexington, Fayette County CON #034-15-5558(1)

Chris Boyd 10140 Linn Station Road Louisville, KY 40223 (502) 423-4336 Home Care Health Services, Inc. Provide Model Waiver II ventilator services to a patient in in $0.00 01/02/2014 Pikeville, Pike County Greenup County (Emergency Circumstances) CON #098-11-5533(2)

Sharon Branham 1414 South Mayo Trail Pikeville, KY 41501 (606) 432-2111 Home Health Plus, Inc. Expand home health services to include Graves County $0.00 12/30/2013 Murray, Calloway County CON #018-01-5316(4)

Dinah Burton, RN, MSN 230 Lexington Green Circle, Suite 605 Lexington, KY 40503 (859) 219-3939 Professional Case Management Expand existing home health agency to serve Calloway County $0.00 12/27/2013 Paducah, McCracken County limited to patients entitled to health benefits under the Energy Employees Occupational Illness Compensation Act and the CON #073-01-5115(7) Radiation Exposure Compensation Act J. Wade Hendricks 2000 PNC Plaza Louisville, KY 40202 (502) 560-4227

12 Walgreens Infusion Services Establish home health services limited to home infusion $102,000.00 01/02/2014 Louisville, Jefferson County therapy services in Greenup and Boyd counties CON #056-06-3999(4)

Leigh Underhill, RN, CRNI 11403 Bluegrass Parkway, Suite 400 Louisville, KY 40299 (502) 266-0123

13 HOSPICE Baptist Health Hospice Expand hospice service to include Caldwell and Crittenden $0.00 12/30/2013 Madisonville, Hopkins County counties CON #054-02-5557(1)

Tim Marcum 2701 Eastpoint Parkway Louisville, KY 40223 (502) 897-8383 Baptist Health Hospice Expand hospice service to include Christian County $0.00 12/30/2013 Madisonville, Hopkins County CON #054-02-5557(2)

Tim Marcum 2701 Eastpoint Parkway Louisville, KY 40223 (502) 897-8383 PERSONAL CARE FACILITY Rose Anna Hughes Home Modify CON #056-06-1983(2), approved 11/12 to add twenty- $160,300.00 12/17/2013 Louisville, Jefferson County nine (29) personal care beds to existing facility, through a cost escalation in the amount of $160,300.00 CON #056-06-1983(3)

Craig Jennings 2116 Buechel Bank Road Louisville, KY 40218 (502) 493-2271 REHABILITATION AGENCY Clark Regional Immediate Care Center Rehabilitation Relocate a licensed rehabilitation agency from 1934 Bypass $350,000.00 12/19/2013 Winchester, Clark County Road to 225 Hospital Drive, Winchester CON #025-15-3445(2)

Amber Goodpastor 225 Hospital Drive Winchester, KY 40391

14 Community Living in Kentucky, LLC Establish an outpatient rehabilitation agency $209,180.00 12/18/2013 Bowling Green, Warren County CON #114-04-5555(1)

Mary Kennedy 996 Wilkinson Trace Suite B-3 Bowling Green, KY 42103 (270) 843-5300

15 CON #090-05-3807(4) Relocate a licensed adult day health care facility from 1013 Granite $509,575.60 APPROVAL Active Day of Bardstown Drive to 1297 Springfield Road, Bardstown (12/19/2013) Bardstown, Nelson County CON #051-03-5547(1) Establish an ambulatory care center $961,643.00 APPROVAL Deaconess Urgent Care (12/26/2013) Henderson, Henderson County

CON #000-00-5538(1) Establish private duty nursing services for pediatric patients and $0.00 APPROVAL Maxim Healthcare Services, Inc. Model Waiver II patients in Christian County (12/18/2013) Clarksville, Indiana

CON #114-04-5549(1) Establish a limited services clinic $403,310.00 APPROVAL OHP Walk-In Clinics (12/26/2013) Bowling Green, Warren County

CON #114-04-5550(1) Establish a limited services clinic $172,345.00 APPROVAL OHP Walk-In Clinics (12/26/2013) Bowling Green, Warren County

16 CON #056-06-5501(2) Modify CON #056-06-5501(1), approved 4/13 to establish a $559,825.00 APPROVAL Results Physiotherapy rehabilitation agency, by a change of location from 265 North (01/06/2014) Louisville, Jefferson County Hubbards Lane to 7943 Bardstown Road, Louisville

CON #056-06-1983(3) Modify CON #056-06-1983(2), approved 11/12 to add twenty-nine $160,300.00 APPROVAL Rose Anna Hughes Home (29) personal care beds to existing facility, through a cost escalation (01/06/2014) Louisville, Jefferson County in the amount of $160,300.00

CON #057-15-5548(1) Establish a limited services clinic $217,150.00 APPROVAL The Little Clinic (12/26/2013) Nicholasville, Jessamine County DISAPPROVALS CON #069-15-5534(1) Establish a Class I ground ambulance service to serve a portion of $0.00 DISAPPROVAL McKinney Area Rescue Squad Inc. Western Lincoln County (12/18/2013) McKinney, Lincoln County

CON #119-12-5506(1) Establish a Class II BLS ground ambulance service to provide $0.00 DISAPPROVAL Wolfe County Ambulance Service non-emergency transportation to serve Wolfe County (12/18/2013) Campton, Wolfe County DEFERRAL CON #093-06-3997(1) Establish an ambulatory surgery center $500,000.00 DEFERRAL First Stop Ambulatory Surgery Center (12/26/2013) LaGrange, Oldham County

EMERGENCY CIRCUMSTANCES Maxim Healthcare Services, Inc. Notification of emergency circumstances: Private duty nursing 01/07/2014 License #720206 Model II Waiver services for sixteen (16) month old male patient in Hart County

Personal Touch Home Care of KY, Inc. Notification of emergency circumstances: home health agency 01/07/2014 License #150125 (incontinent supplies only) in Bath, Clinton, Cumberland, Green, Menifee, Montgomery, McCreary, Monroe, Nelson, Taylor, Todd and Wayne counties

17 CHART E ADVISORY OPINION 12/14/2013 through 1/10/2014 Any affected persons who desire a public hearing on an advisory opinion must submit requests in writing to the Office of Health Policy, 275 East Main Street, Frankfort, Kentucky, 40621, within thirty (30) days of the date of this notice. Affected persons will be notified of all scheduled hearings by mail or through public information channels.

Tracking # Facility/Service Proposal Summary Decision and Date

There are no advisory opinions