105 CMR 100.745
Transfer of Site or Change of Designated Location
(A) No Person shall make a transfer of Site of a Health Care Facility, DoN-required Service,
or DoN-required Equipment nor shall any Person change the designated Location of an Original
License as outlined within 105 CMR 100.730(A), unless the Person first provides written
notification to the Department, in the form and manner as required by the Commissioner, and
the Department determines whether or not the proposed transfer of Site or Change of Designated
Location will result in a Substantial Capital Expenditure or Substantial Change in Service.
(B) No Holder that has received a previously issued Notice of Determination of Need for a
project that is not yet licensed, or not yet operational if there is no requirement for a license, shall
make a transfer of Site, unless the Holder first provides written notification to the Department,
in the form and manner as required by the Commissioner, and the Department determines
whether or not the proposed transfer of Site will result in a Substantial Capital Expenditure or
Substantial Change in Service.
(C) The Department shall determine based on the information supplied within the written
notification whether the proposed transfer of Site or change of designated Location will either:
result in a Substantial Capital Expenditure or Substantial Change in Service, and
therefore will first require a Notice of Determination of Need issued pursuant to 105 CMR
100.715; or
(2) shall first require a Notice of Determination of Need issued pursuant to 105 CMR
100.730.
(D) Said notification to the Department shall include, at a minimum:
(1) A written description of the reasons for the requested transfer of Site;
(2) A written description of the current and proposed Site, including a comparison of the
area in gross square feet associated with the services at each Site, and the current and
proposed Primary Service Area;
(3) A written description of, and comparison between, the existing and proposed patient
populations served;
(4) A written description of, and comparison between, existing and proposed patient access
including, but not limited to, a the proposed transfer of Site or change in designated
Location's impact on price, total medical expenditure, provider costs, and other recognized
measures of health care spending;
(5) A detailed attestation of all anticipated expenditures to be incurred as a result of the
proposed transfer of Site;
(6) Documentation of Sufficient Interest in the proposed Site and evidence that the Site may
be used for the proposed purpose, in accordance with 105 CMR 100.705;
(7) An affidavit of truthfulness, signed under the pains and penalties of perjury by the
Applicant's chief executive officer and board chair; and
(8) Any additional information deemed necessary by the Commissioner.