Michigan Compiled Laws
368-1978-17-222 - Part 222 Certificates of Need (333.22201...333.22260)
Section 333.22227 - Health Maintenance Organization; Purposes for Which Certificate of Need Required; Capital Expenditures; Considerations and Criteria.

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

Michigan Compiled Laws

Chapter 333 - Health

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 333.22209 - Activities Requiring Certificate of Need; Exceptions; Requirements; Acquisition of Existing Health Facility; Relocation; “Sharing Agreement” Defined.

Section 333.22210 - Certificate of Need for Extended Care Services Program; Application; Criteria; Modification; Fee Prohibited; Compliance; Report; Discrimination Prohibited; Exercise of Rights; Written Acknowledgment; Forms; Additional Rights; Viol...

Section 333.22211 - Certificate of Need Commission; Creation; Appointment, Qualifications, and Terms of Members; Vacancy; Laws to Which Commission Members Subject.

Section 333.22213 - Commission; Bylaws; Removal of Member; Election of Chairperson and Vice-Chairperson; Meetings; Quorum; Final Action; Compensation and Expenses; Duties of Department; Professional Employees.

Section 333.22215 - Duties of Commission; Purpose; Public Hearing Before Final Action; Submission of Proposed Final Action to Joint Committee; Approval or Disapproval; Review Standards; Revision of Fees.

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 333.22226 - Regional Certificate of Need Review Agency; Standards; Designation of Person for Specific Review Area; Requirements; Duration and Termination of Agency; Local Certificate of Need Review Agency; Application or Other Information; Re...

Section 333.22227 - Health Maintenance Organization; Purposes for Which Certificate of Need Required; Capital Expenditures; Considerations and Criteria.

Section 333.22229 - Projects and Services Subject to Comparative Review; Exceptions; Establishment of Comparative Review or Alternative Procedure; Proposed Site for Project; Utilization and Financing of Covered Clinical Services.

Section 333.22230 - Participation in Medicaid Program as Distinct Criterion.

Section 333.22231 - Decision to Grant or Deny Application for Certificate of Need; Conditions; Single Decision for All Applications; Proposed Decision; Final Decision; Notice of Reversal; Hearing; Judicial Review; Effect of Exceeding Time Frames.

Section 333.22232 - Hearing; Written Request; Appointment and Duties of Hearing Officer; Governing Law.

Section 333.22233 - Waiver of Criteria and Procedures.

Section 333.22235 - Waiver of Law and Procedural Requirements and Criteria for Review; Affidavit; Emergency Certificate of Need.

Section 333.22237 - Data and Statistics as Condition Precedent to Issuance of Certificate of Need.

Section 333.22239 - Stipulation.

Section 333.22241 - “New Technology” Defined; New Technology Review Period; Conditions to Acquisition of New Technology Before End of Review Period; Appointment, Composition, and Purpose of Standing New Medical Technology Advisory Committee.

Section 333.22243 - Acquisition of New Technology Before Approval of Federal Food and Drug Administration; Notice; Requirements; Deactivation and Removal of New Technology From Service; Conditions to Utilizing New Technology Beyond Specified Period.

Section 333.22247 - Monitoring Compliance With Certificates of Need; Investigating Allegations of Noncompliance; Violation; Sanctions; Refund of Charges.

Section 333.22249 - Agreement Authorizing Hospital to Lease Space and Operate Beds in Another Hospital; Conditions.

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.

Section 333.22260 - Reports of Reviews; Preparation and Publication; Statements; Recommendations; Public Examination of Applications and Written Materials on File; Providing Copies.