Cabinet for Health and Family Services s2

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 December 18, 2014

STATE HOLIDAY CLOSINGS

State offices will be closed on Thursday, December 25th and Friday, December 26th for Christmas.

State offices will be closed on Thursday, January 1st and Friday, January 2nd for the New Year holiday.

CERTIFICATE OF NEED MODERNIZATION: CORE PRINCIPLES

On October 8, 2014, CHFS requested feedback from all interested stakeholders regarding possible strategies for and changes to the CON program that would further the implementation of specific core principles. The public comments which have been received are posted on OHP’s website: http://chfs.ky.gov/ohp/con/.

REGULATIONS

On November 13, 2014 the following amended after comments regulations were filed:

900 KAR 6:060 Timetable for submission of CON 900 KAR 6:065 CON application process

You may view the amended regulations on LRC’s website at http://www.lrc.ky.gov/kar/TITLE900.HTM

1 OHP TO DISCONTINUE MAILING NOTICES FOR FORMAL REVIEW APPLICATIONS AND NONSUB APPLICATIONS UNDER 900 KAR 6:075 PURSUANT TO KRS 216B.095(3)(f)

Effective July 1, 2014, the Office of Health Policy (OHP) will no longer mail notices to affected persons that review has begun for formal review applications or nonsubstantive applications under 900 KAR 6:075 pursuant to KRS 216B.095(3)(f). 902 KAR 6:065, the Certificate of Need application process regulation, requires the Cabinet to give public notice in the next appropriate certificate of need newsletter (available on the CON website) that the review of formal review applications and applications granted nonsubstantive review status under 900 KAR 6:075 pursuant to KRS 216B.095(3)f has begun. As a courtesy, OHP will continue to email the monthly newsletter. Please contact OHP if you wish to be added to the email listing.

OHP TO DISCONTINUE COURTESY REMINDERS TO SUBMIT PROGRESS REPORTS

Effective July 1, 2014, the Office of Health Policy will discontinue its practice of making phone calls or sending emails to CON holders as a reminder of progress report submission deadlines. A one (1) month extension letter will be mailed if a progress report is not received timely. If the CON holder misses the one-month extension deadline, the Office of Health Policy shall mail the initial notice to revoke. It is the CON holder’s responsibility to submit the outstanding report in a timely manner to avoid revocation.

NOTICE OF PUBLIC HEARINGS

There are no new public hearings scheduled

CON Public Notice 12/18/2014 CHART A Formal Review Proposals Scheduled for Decision March 18, 2015 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 March 18, 2015. 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 that they can be given comparative review. The following projects are included in this batching cycle: F – Intermediate Care Facilities for Individuals with an Intellectual Disability (ICF/ID).

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 2, 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

THERE ARE NO CERTIFICATE OF NEED PROPOSALS ON PUBLIC NOTICE THIS MONTH

3 NEWSLETTER

Chart B Certificate of Need * Letters of Intent 11/15/2014 through 12/12/2014 Name and Location Project Description Date Received GROUND AMBULANCE Arrow Med EMS Establish a Class II BLS ambulance service to serve Lee County 11/18/2014 Jackson, Breathitt County

Hershel Arrowood 68 Shacks Lane Jackson, KY 41339 (606) 693-4847 Blue Grass Chemical Agent-Destruction Pilot Plant (BGCAPP) Establish a Class IV ALS ground ambulance service to serve only the 12/04/2014 Richmond, Madison County employees of Bechtel Parsons Blue Grass utilizing one (1) vehicle

Marek Greer 830 Eastern Bypass Suite 106 Richmond, KY 40475 (859) 779-7537 HOME HEALTH AGENCY Professional Case Management of Kentucky, LLC Expand home health service limited to patients entitled to health benefits 11/26/2014 d/b/a Professional Case Management under the Energy Employees Occupational Illness Compensation Act and Paducah, McCracken County the Radiation Exposure Compensation Act to Hickman County

J. Wade Hendricks 2000 PNC Plaza Louisville, KY 40202-2828 (502) 560-4227

4 Professional Case Management of Kentucky, LLC Expand home health service limited to patients entitled to health benefits 11/26/2014 d/b/a Professional Case Management under the Energy Employees Occupational Illness Compensation Act and Paducah, McCracken County the Radiation Exposure Compensation Act to Lyon County

J. Wade Hendricks 2000 PNC Plaza Louisville, KY 40202-2828 (502) 560-4227 Professional Case Management of Kentucky, LLC Expand home health service limited to patients entitled to health benefits 11/26/2014 d/b/a Professional Case Management under the Energy Employees Occupational Illness Compensation Act and Paducah, McCracken County the Radiation Exposure Compensation Act to Trigg County

J. Wade Hendricks 2000 PNC Plaza Louisville, KY 40202-2828 (502) 560-4227 Professional Case Management of Kentucky, LLC Establish home health service limited to patients entitled to health benefits 11/26/2014 d/b/a Professional Case Management under the Energy Employees Occupational Illness Compensation Act and Paducah, McCracken County the Radiation Exposure Compensation Act in Fulton County

J. Wade Hendricks 2000 PNC Plaza Louisville, KY 40202-2828 (502) 560-4227 Professional Case Management of Kentucky, LLC Establish home health service limited to patients entitled to health benefits 11/26/2014 d/b/a Professional Case Management under the Energy Employees Occupational Illness Compensation Act and Paducah, McCracken County the Radiation Exposure Compensation Act in Crittenden County

J. Wade Hendricks 2000 PNC Plaza Louisville, KY 40202-2828 (502) 560-4227 Professional Case Management of Kentucky, LLC Establish home health service limited to patients entitled to health benefits 11/26/2014 d/b/a Professional Case Management under the Energy Employees Occupational Illness Compensation Act and Paducah, McCracken County the Radiation Exposure Compensation Act in Henderson County

5 Professional Case Management of Kentucky, LLC Establish home health service limited to patients entitled to health benefits 11/26/2014 d/b/a Professional Case Management under the Energy Employees Occupational Illness Compensation Act and Paducah, McCracken County the Radiation Exposure Compensation Act in Caldwell County

J. Wade Hendricks 2000 PNC Plaza Louisville, KY 40202-2828 (502) 560-4227 Professional Case Management of Kentucky, LLC Establish home health service limited to patients entitled to health benefits 11/26/2014 d/b/a Professional Case Management under the Energy Employees Occupational Illness Compensation Act and Paducah, McCracken County the Radiation Exposure Compensation Act in Daviess County

J. Wade Hendricks 2000 PNC Plaza Louisville, KY 40202-2828 (502) 560-4227 Professional Case Management of Kentucky, LLC Establish home health service limited to patients entitled to health benefits 11/26/2014 d/b/a Professional Case Management under the Energy Employees Occupational Illness Compensation Act and Paducah, McCracken County the Radiation Exposure Compensation Act in Boyd County

J. Wade Hendricks 2000 PNC Plaza Louisville, KY 40202-2828 (502) 560-4227 Professional Case Management of Kentucky, LLC Establish home health service limited to patients entitled to health benefits 11/26/2014 d/b/a Professional Case Management under the Energy Employees Occupational Illness Compensation Act and Paducah, McCracken County the Radiation Exposure Compensation Act in Greenup County

J. Wade Hendricks 2000 PNC Plaza Louisville, KY 40202-2828 (502) 560-4227 Professional Case Management of Kentucky, LLC Establish home health service limited to patients entitled to health benefits 11/26/2014 d/b/a Professional Case Management under the Energy Employees Occupational Illness Compensation Act and Paducah, McCracken County the Radiation Exposure Compensation Act in Carter County

6 Professional Case Management of Kentucky, LLC Establish home health service limited to patients entitled to health benefits 11/26/2014 d/b/a Professional Case Management under the Energy Employees Occupational Illness Compensation Act and Paducah, McCracken County the Radiation Exposure Compensation Act in Lewis County

J. Wade Hendricks 2000 PNC Plaza Louisville, KY 40202-2828 (502) 560-4227 Professional Case Management of Kentucky, LLC Establish home health service limited to patients entitled to health benefits 11/26/2014 d/b/a Professional Case Management under the Energy Employees Occupational Illness Compensation Act and Paducah, McCracken County the Radiation Exposure Compensation Act in Union, Webster, Hopkins, Christian, Todd, Muhlenberg and McLean counties J. Wade Hendricks 2000 PNC Plaza Louisville, KY 40202-2828 (502) 560-4227 Professional Case Management of Kentucky, LLC Establish home health service limited to patients entitled to health benefits 11/26/2014 d/b/a Professional Case Management under the Energy Employees Occupational Illness Compensation Act and Paducah, McCracken County the Radiation Exposure Compensation Act in Warren, Logan, Simpson, Allen and Edmonson counties J. Wade Hendricks 2000 PNC Plaza Louisville, KY 40202-2828 (502) 560-4227 Superior Homecare, LLC Establish a home health agency to serve Fayette County 12/02/2014 Louisville, Jefferson County

Aweys Sheikh 6408 Six Mile Lane #103 Louisville, KY 40218 (502) 767-4765 REHABILITATION AGENCY Corbin Health and Rehabilitation Outpatient Center Establish an outpatient rehabilitation agency 12/08/2014 Corbin, Knox County

Kerry Wright 263 Martin Lane Harrodsburg, KY 40330 (859) 321-8386

7 Results Physiotherapy Establish a rehabilitation agency 12/08/2014 Shelbyville, Shelby County

David Bromfield 2001 Mallory Lane, Suite 201 Franklin, TN 37067-8235 (615) 373-1350

8 NEWSLETTER

Chart C Certificate of Need * Applications Received 11/15/2014 through 12/12/2014 Name and Location Project Description Capital Cost Date Received DAY HEALTH CARE PROGRAM Horizon Adult Health Care Relocate a licensed adult day health care program from 200 $378,000.00 11/18/2014 McKee, Jackson County Water Street to 1032 McCammon Ridge Road, McKee CON #055-13-3658(4)

Melinda C. Burchett PO Box 135 Albany, KY 42602 HOME HEALTH AGENCY F.C. of Kentucky, Inc. d/b/a Intrepid USA Expand home health services to Ohio and Muhlenberg $0.00 12/02/2014 Healthcare Services counties Henderson, Henderson County CON #051-03-2171(4)

Kendra Smith 201 Klutey Park Plaza Henderson, KY 42420-5074 (214) 445-3865 LINEAR ACCELERATOR Lourdes Hospital Establish a fixed site megavoltage radiation therapy service $8,337,908.00 11/26/2014 Paducah, McCracken County CON #073-01-287(50)

Kelly Nicholls 1530 Lone Oak Road Paducah, KY 42003 (270) 444-2560

9 MAGNETIC RESONANCE IMAGING The Imaging Center Relocate a licensed specialized medical technology service $4,452,111.00 11/17/2014 Somerset, Pulaski County providing MRI services by a change of location from 27 Imaging Drive to 33 Tower Circle, Somerset CON #100-14-3463(3)

Rebecca Segal 305 Langdon Street Somerset, KY 42503

PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY Purchase Youth Village Modify CON #079-01-5311(1), approved 1/12 to establish a $660,000.00 11/18/2014 Benton, Marshall County twenty-four (24) bed Level II PRTF, by a change of location CON #079-01-5311(1) from 503 George McClain Drive to 1230 Oak Level Road, Benton, Marshall County, and a cost escalation in the amount Mark Guilfoyle of $660,000.00 207 Thomas More Parkway Crestview Hills, KY 41017 REHABILITATION AGENCY Associates in Pediatric Therapy Establish a rehabilitation agency $5,000.00 11/21/2014 Lexington, Fayette County CON #034-15-5649(1)

Angela Sageser 1900 Midland Trail Suite 1 & 2 Shelbyville, KY 40065 (502) 321-2321 Associates in Pediatric Therapy, LLC Establish a rehabilitation agency $5,000.00 11/20/2014 Erlanger, Kenton County CON #059-07-5641(1)

Angela Sageser 1900 Midland Trail Suite 1 & 2 Shelbyville, KY 40065 (502) 321-2321

10 Associates in Pediatric Therapy, LLC Establish a rehabilitation agency $5,000.00 11/20/2014 Louisville, Jefferson County CON #056-06-5642(1)

Angela Sageser 1900 Midland Trail Suite 1 & 2 Shelbyville, KY 40065 (502) 321-2321 Associates in Pediatric Therapy, LLC Establish a rehabilitation agency $5,000.00 11/20/2014 Louisville, Jefferson County CON #056-06-5643(1)

Angela Sageser 1900 Midland Trail Suite 1 & 2 Shelbyville, KY 40065 (502) 321-2321 Associates in Pediatric Therapy, LLC Establish a rehabilitation agency $5,000.00 11/20/2014 Lexington, Fayette County CON #034-15-5644

Angela Sageser 1900 Midland Trail Suite 1 & 2 Shelbyville , KY 40065 (502) 321-2321 Associates in Pediatric Therapy, LLC Establish a rehabilitation agency $5,000.00 11/20/2014 Louisville, Jefferson County CON #056-06-5639

Angela Sageser 1900 Midland Trail Suite 1 & 2 Shelbyville, KY 40065 (502) 321-2321 Kentucky Orthopedic Rehabilitation, LLC Relocate a licensed rehabilitation agency from 340 Thomas $146,762.00 12/08/2014 Crestview Hills, Kenton County More Parkway, Suite 220, to 559 Centre View Boulevard, Crestview Hills, Kenton County CON #059-07-2785(2)

Elizabeth Gelbaugh 4714 Gettysburg Road Mechanicsburg, PA 17055

11 UK Sports Rehabilitation Relocate a licensed rehabilitation agency from 601 Perimeter $1,394,787.00 11/18/2014 (formerly "UK HealthCare at Perimeter Road) Drive to 2195 Harrodsburg Road, Lexington Lexington, Fayette County CON #034-15-5188(2)

James Zembrodt 2317 Alumni Plaza, Suite 300 Lexington, KY 40517

12 CON #018-01-5316(4) Expand home health services to include Graves County $0.00 APPROVAL Home Health Plus, Inc. (11/19/2014) Murray, Calloway County

CON #019-07-5199(6) To provide supply only services (incontinent supplies) to Green, $0.00 APPROVAL Personal Touch Home Care of Kentucky, Inc. Taylor, Bath, Menifee, Montgomery, McCreary, Todd, Wayne, (11/19/2014) Columbia, Adair county Clinton, Monroe, Nelson and Cumberland Counties (emergency circumstances)

CON #034-15-5241(3) Add fourteen (14) personal care beds $862,246.00 APPROVAL The Willows at Hamburg (11/20/2014) Lexington, Fayette County CON #109-14-5582(1) Establish a twenty-four (24) bed personal care facility $1,810,000.00 APPROVAL Bluegrass Way (11/20/2014) Campbellsville, Taylor County

CON #056-06-5624(1) Establish a one hundred forty-four (144) bed personal care facility $14,295,867.00 APPROVAL Forest Hills Commons (11/20/2014) Louisville, Jefferson County

CON #011-15-5621(1) Establish a sixty-six (66) bed personal care facility $7,000,000.00 APPROVAL Morning Pointe of Danville (11/20/2014) Danville, Boyle County CON #059-07-5593(2) Modify CON #059-07-5593(1), approved 8/13/14 to establish a $5,060,000.00 APPROVAL Rosedale Green-South new nursing facility in Elsmere, Kenton County by relocating fifty- (11/20/2014) Elsmere, Kenton County four (54) nursing facility beds from Rosedale Green, 4250 Glenn Avenue, Covington, Kenton County, by the addition of twenty (20) personal care beds and through a cost escalation in the amount of $5,060,000.00 CON #073-01-3335(2) Relocate a licensed rehabilitation agency from 3100 Clay Street to $117,495.00 APPROVAL Superior Care Home, Inc. 100 Marshall Court, Paducah (11/20/2014) Paducah, McCracken County

13 CON #114-04-5620(1) Establish a eighteen (18) bed personal care facility $1,700,000.00 APPROVAL The Gardens at Massey Springs (11/20/2014) Bowling Green, Warren County

CON #056-06-5625(1) Establish a thirty-seven (37) bed personal care facility $3,186,533.00 APPROVAL The Villages at Forest Springs (11/20/2014) Louisville, Jefferson County

CON #034-15-5513(3) Add twelve (12) personal care beds $655,221.00 APPROVAL The Willows At Citation (11/20/2014) Lexington, Fayette County

CON #105-15-5583(1) Establish a twenty-four (24) bed personal care facility $1,810,000.00 APPROVAL Windsor Gardens (11/20/2014) Georgetown, Scott County

CON #000-00-5595(1) Establish a mobile health service to provide intrathecal home $0.00 APPROVAL Implanted Pump Management, LLC management in all Kentucky counties except Fayette, Laurel, Knox (11/26/2014) Wayne, New Jersey and Whitley.

CON #109-14-4041(3) Modify CON #109-14-4041(1) approved 8/06 to establish a day $0.00 APPROVAL The Ole Homeplace Adult Day Health Care health care center, and CON #109-14- 4041(2) approved 6/09 to (11/26/2014) Center - Taylor County change location from 3201 New Columbia Rd. to 111 Greenbriar Campbellsville, Taylor County Drive, by another change of location from 111 Greenbriar Drive to 59 Joe Kerr Road, Campbellsville

14 CON #034-15-5180(2) Relocate a licensed rehabilitation agency from 601 Perimeter Drive $1,394,787.00 APPROVAL UK Sports Rehabilitation (formerly "UK to 2195 Harrodsburg Road, Lexington 12/11/2014) HealthCare at Perimeter Road) Lexington, Fayette County CON #093-06-3997(1) Establish an ambulatory surgery center $500,000.00 DEFERRAL First Stop Ambulatory Surgery Center (12/08/2014) LaGrange, Oldham County

CON #037-15-5015(1) Establish an ambulatory surgery center on the hospital campus $7,747,220.00 DEFERRAL Frankfort Ambulatory Surgery Center (12/08/2014) Frankfort, Franklin County

CON #045-10-5616(1) Establish a Class I ALS/BLS ground ambulance service to serve $264,390.00 DEFERRAL Portsmouth Emergency Ambulance Service, Inc. Greenup County and a Class II BLS ground ambulance service to (10/17/2014) Southshore, Greenup County provide non-emergency transportation services in Boyd County

CON #005-04-5600(1) Establish a home health agency to serve Warren County $1,000.00 DEFERRAL Southern Home Health (10/15/2014) Bowling Green, Warren County

CON #114-04-5031(1) Establish an ambulatory surgery center $8,916,546.00 DEFERRAL Greenview Ambulatory Surgery Center (12/08/2014) Bowling Green, Warren County

CON #058-11-5188(1) Establish an ambulatory surgery center. $2,651,000.00 DEFERRAL Highlands Outpatient SurgiCenter (12/08/2014) Paintsville, Johnson County

CON #073-06-100(4) Add thirty (30) nursing facility (NF) beds. $2,582,572.00 DEFERRAL Homestead Nursing Center of New Castle, KY (12/08/2014) New Castle, Henry County

CON #034-15-5523(1) Establish a forty (40) bed chemical dependency treatment facility $1,668,945.00 DEFERRAL MBH of Lexington, LLC (12/08/2014) Lexington, Fayette County

15 CON #056-06-5099(1) Establish an ambulatory surgery center limited to pain management $230,541.00 DEFERRAL Pain Management Consultants (12/08/2014) Louisville, Jefferson County

CON #058-11-1575(6) Add ten (10) acute care beds $2,977,572.00 DEFERRAL Paul B. Hall Regional Medical Center (12/08/2014) Paintsville, Johnson County

CON #098-11-5035(1) Establish an ambulatory surgery center $6,748,179.00 DEFERRAL Pike County ARH Ambulatory Surgery Center (12/08/2014) Pikeville, Pike County

CON #057-15-5012(1) Establish a 50 bed acute care hospital to include surgical services. $25,305,074.00 DEFERRAL Saint Joseph Jessamine (12/08/2014) Nicholasville, Jessamine County

CON #057-15-4046(2) Establish an ambulatory surgery center. $8,634,890.00 DEFERRAL Saint Joseph Jessamine ASC (12/08/2014) Nicholasville, Jessamine County

CON #114-04-149(43) Establish an ambulatory surgery center $9,286,900.00 DEFERRAL The Medical Center at Bowling Green ASC (12/08/2014) Bowling Green, Warren County

CON #057-15-4031(1) Establish a fifty (50) bed acute care hospital to include surgical $32,560,360.00 DEFERRAL The Medical Center of Jessamine County services and MRI. (12/08/2014) Nicholasville, Jessamine County REVOKED CON #034-15-5261(1) Establish a limited service clinic $221,942.00 REVOKED Baptist Express Care Clinic (11/17/2014) Lexington, Fayette County CON #056-06-5262(1) Establish a limited service clinic. $221,942.00 REVOKED Baptist Express Care Clinic (11/17/2014) Louisville, Jefferson County

CON #056-06-5263(1) Establish a limited service clinic. $221,942.00 REVOKED Baptist Express Care Clinic (11/17/2014) Louisville, Jefferson County

16 CON #076-15-5265(1) Establish a limited service clinic $221,942.00 REVOKED Baptist Express Care Clinic (11/17/2014) Richmond, Madison County

CON #042-01-5253(1) Establish a limited services clinic $221,942.00 REVOKED Baptist Express Care Clinic (11/17/2014) Mayfield, Graves County CON #037-15-5255(1) Establish a limited service clinic $221,942.00 REVOKED Baptist Express Care Clinic (11/17/2014) Frankfort, Franklin County

CON #063-13-5275(1) Establish a limited service clinic $221,942.00 REVOKED Baptist Express Care Clinic (11/17/2014) London, Laurel County CON #017-02-5272(1) Establish a limited service clinic $221,942.00 REVOKED Baptist Express Care Clinic (11/17/2014) Princeton, Caldwell County

CON #106-06-5277(1) Establish a limited service clinic $221,942.00 REVOKED Baptist Express Care Clinic (11/17/2014) Shelbyville, Shelby County CON #078-05-5342(1) Establish a limited services clinic $221,942.00 REVOKED Baptist Express Care Clinic (11/17/2014) Lebanon, Marion County CON #021-07-5256(1) Establish a limited service clinic $221,942.00 REVOKED Baptist Express Clinic (11/17/2014) Carrollton, Carroll County

CON #008-07-5381(1) Establish a one hundred forty-six (146) bed personal care facility $200,000.00 VOLUNTARY Elmcroft of Florence REVOCATION (11/26/2014) Florence, Boone County CON #056-06-5460(1) Establish an eighty (80) bed personal care (PC) facility $10,745,278.00 VOLUNTARY Elmcroft of Valley Farms REVOCATION Louisville, Jefferson County (11/25/2014)

17 CHART E ADVISORY OPINION 11/15/2014 through 12/12/2014 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, 4WE, 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

AO-04-12 UK HealthCare Transplant and Specialty Care Updated Request: UK Healthcare Transplant and Specialty Clinic would Updated Decision: The expansion of services to bone Update like to include pre- and post-transplant services to potential and marrow transplant candidates would not alter the advisory confirmed candidates for bone marrow transplants opinion (AO-04-12) which stated that the facility would qualify as a special clinic

12/11/2014

AO-36-14 Integrated Medical Solutions To provide treatment to individuals suffering from acute-onset injuries. The services offered by Integrated Medical Solutions, with Medical doctors employed as independent contractors to perform the exception of therapy services, would satisfy the examinations and provide specialist consultations. Diagnostic testing definition of a special clinic for purposes of KRS will be provided. Physical therapists will provide treatment as 216B.020(1) and a CON would not be required. The independent contractors provision of therapy services would constitute the establishment of a rehabilitation agency and a CON would be required pursuant to KRS 216B.061. Any diagnostic services that have components in the State Health Plan would require CONs 11/17/2014 AO-37-14 Papa Cares Health Clinic Papa Cares, LLC was previously advised that the establishment of Papa In that these services will be provided to a niche Cares Health Clinic at the corporate headquarters of Papa John's in population i.e. the employees of Papa Care and their Louisville to provide services to employees of the company would qualify dependents, it would satisfy the definition of a special as a dispensary. Papa Cares would now like to serve dependents of clinic for purposes of KRES 216B.020(1) and a CON employees would not be required

11/17/2014

AO-38-14 University of Cincinnati Medical Center University of Cincinnati Medical Center, LLC to own and operate a new CON is not required as this satisfies the definition of a Neurology Clinic clinic to be named University of Cincinnati Medical Center Neurology Clinic special clinic for purposes of KRS 216B.020(1) to provide evaluations and treatments for a limited population of patients with known or suspected neurological diseases or disorders. The clinic will provide some injections and diagnostic procedures but no 12/11/2014 surgical or other invasive procedures

18 AO-39-14 University of Cincinnati Medical Center University of Cincinnati Medical Center, LLC to own and operate a new CON is not required as this satisfies the definition of a Internal Medicine Multi-Specialty Clinic clinic to be named University of Cincinnati Medical Center Internal Medicine special clinic for purposes of KRS 216B.020(1) Multi-Specialty Clinic to provide evaluation and management services in the internal medical subspecialties of Cardiology, Gastroenterology (digestive diseases), Endocrinology, Nephrology, Pulmonology and 12/11/2014 Rheumatology. The various physician subspecialties will provide evaluations, examinations and treatments for their respective patients, each in their dedicated specialty clinic space. The clinic will provide certain minor cardiology outpatient procedures including ECG, ECHO and stress testing but no surgical or other invasive procedures