Sec. 22227.
(1) A health maintenance organization is required to obtain a certificate of need only for 1 or more of the following purposes:
(a) The acquisition of, purchase of, new construction of, modernization of, replacement of, or addition to a hospital or other health facility providing inpatient services, if a covered capital expenditure is required.
(b) The initiation, replacement, or expansion of a covered clinical service.
(2) A covered capital expenditure proposed to be undertaken by a health maintenance organization that is not intended principally to serve the needs of the enrollees of the health maintenance organization, as determined by the department, is subject to this part.
(3) In making determinations and conducting reviews for certificates of need for health maintenance organizations, the department shall consider the special needs and circumstances of health maintenance organizations, and shall apply all of the following criteria:
(a) The availability of the proposed service from a provider of health care other than the health maintenance organization on a long-term basis, at reasonable terms, and in a cost-effective manner consistent with the health maintenance organization's basic method of operation.
(b) The long-term needs of the health maintenance organization, and its current and expected future membership.
(c) The long-term impact of the proposed service on health care costs in the health maintenance organization's service area.
History: Add. 1988, Act 332, Eff. Oct. 1, 1988 ;-- Am. 1993, Act 88, Imd. Eff. July 9, 1993 Popular Name: Act 368
Structure Michigan Compiled Laws
Act 368 of 1978 - Public Health Code (333.1101 - 333.25211)
Article 17 - Facilities and Agencies (333.20101...333.22260)
368-1978-17-222 - Part 222 Certificates of Need (333.22201...333.22260)
Section 333.22201 - Meanings of Words and Phrases; Principles of Construction.
Section 333.22203 - Definitions; a to F.
Section 333.22205 - Definitions; H to M.
Section 333.22207 - Definitions; M to S.
Section 333.22208 - Definitions; T.
Section 333.22217 - Repealed. 2002, Act 619, Eff. Mar. 31, 2003.
Section 333.22219 - Joint Legislative Committee.
Section 333.22221 - Duties of Department Generally.
Section 333.22223 - Application for Certificate of Need; Statement Addressing Review Criteria.
Section 333.22224 - Certificate of Need Not Required.
Section 333.22224a - Magnetic Resonance Image Units.
Section 333.22224b - Positron Emission Tomography Scanner Services Pilot Project.
Section 333.22225 - Demonstration of Need for Proposed Project; Additional Requirements.
Section 333.22230 - Participation in Medicaid Program as Distinct Criterion.
Section 333.22233 - Waiver of Criteria and Procedures.
Section 333.22237 - Data and Statistics as Condition Precedent to Issuance of Certificate of Need.
Section 333.22239 - Stipulation.
Section 333.22251 - Repealed. 1993, Act 88, Imd. Eff. July 9, 1993.
Section 333.22253 - Injunction or Other Process to Restrain or Prevent Violation.
Section 333.22255 - Procedural Rules.
Section 333.22257 - Certificate of Need Issued Under Former Part 221.