Medicaid Participation

Medicaid Participation. The Department shall consider the Applicant’s participation in the Medicaid program and the anticipated impact of the project on Medicaid beneficiaries, including existing Medicaid participation, projected Medicaid utilization, accessibility to Medicaid beneficiaries, historical participation, and commitments regarding future participation. The Department shall disapprove a Certificate of Need application if the Applicant fails to provide or confirm that the Applicant shall provide a reasonable amount of indigent care, or if the Applicant’s admission policies deny access to care by indigent patients. The Department shall also disapprove an application if approval would have a significant adverse effect on the ability of an existing facility or service to provide Medicaid or indigent care. The State Health Officer shall determine whether the amount of indigent care provided or proposed is reasonable. A reasonable amount of indigent care is an amount comparable to that offered by other providers of the requested service within the same or proximate geographic area.