HCA Announces another Grant Recipient under the Early Adopter Grant Program for Health Information Exchange CERTIFICATE OF NEED

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1 Earl Ray Tomblin Governor Jim Pitrolo, Chairman of the West Virginia Health Care Authority ("Authority"), announces the following Certificate of Need and Rate Review activities for the week ending March 22, HCA Announces another Grant Recipient under the Early Adopter Grant Program for Health Information Exchange The WV Health Care Authority (HCA) in collaboration with the WV Health Information Network (WVHIN) is pleased to announce Grafton City Hospital has been awarded a grant under the Early Adopter Grant Program for Health Information Exchange. There are four (4) additional hospitals who have accepted grant awards under this program, including Herbert J Thomas Memorial Hospital Association, Monongalia General Hospital, Preston Memorial Hospital, and St. Mary s Medical Center. The grants will assist hospitals in achieving full connectivity with the WVHIN s Health Information Exchange by the end of June this year. The WV Health Care Authority (HCA) in collaboration with the WV Health Information Network (WVHIN) is pleased to announce a grant program for early adopters of the WV Health Information Exchange (HIE). Financial assistance is available to hospitals located in WV to achieve connectivity with the WVHIN s full service HIE. The HIE enables providers to James L. Pitrolo, Jr., Chairman Sonia D. Chambers, Board Member Marilyn G. White, Board Member electronically share and query available patient health information within the network. For additional information and application, please visit the HCA website at under Grant Program for HIE. CERTIFICATE OF NEED The Certificate of Need process is a regulatory mechanism aimed at controlling the purchase of high cost medical equipment and the development of new health care facilities and services. The purpose of the law is to see that health services are adequately distributed around the state without unnecessary duplication of services or excessive costs to patients. AMENDED LETTER OF INTENT RECEIVED Medical Center, Ronceverte, Greenbrier County, CON File # P, for the development of two ambulatory health care facilities. The applicant has changed from Ronceverte Physician Group, LLC to Greenbrier Valley Medical Center and there will be only one ambulatory care facility developed in Monroe County. The capital expenditure was $360,000 and is now $180,000.

2 LETTERS OF INTENT FOR EXEMPTION RECEIVED FOR HOSPITAL AMBULATORY HEALTH CARE FACILITY CON File # X, for the development office is located at 100 Taylor Lane, Ronceverte, Greenbrier County. The office will be staffed by one (1) physician whose primary specialty is neurology. project is $15,000. CON File # X, for the development through the employment of physicians with offices in Greenbrier County. The offices are located at Rt. 2, Box 169 C, E and F, Lewisburg, Greenbrier County. These are three separate offices in a single building. The offices will be staffed by four (4) physicians whose primary specialties are Cardiology, Physiatry, Colorectal Surgery, and Neurosurgery. project is $85,070. CON File # X, for the development office is located at Rt. 2, Box 169 H, Lewisburg, Greenbrier County. The office will be staffed by one (1) physician whose primary specialty is hematology/oncology. project is $5,000. CON File # X, for the development office is located at HC 70 Box 16 Route 92, White Sulphur Springs, Greenbrier County. The office will be staffed by one (1) family practice physician. project is $25,000. Any affected person may oppose any of the proposals listed above by submitting a letter stating the reason for opposition within thirty (30) days of the first date of publication of the public notice to: Marianne Kapinos, General Counsel, West Virginia Health Care Authority, Certificate of Need Program, 100 Dee Drive, Charleston, West Virginia The last date upon which an affected party may file a letter of opposition to any of the proposals listed above is April 29, EXPEDITED APPLICATION RECEIVED March 22, 2013 United Hospital Center, Bridgeport, Harrison County, CON File # P, for the development of an ambulatory care facility through the acquisition of laboratory services currently operated by a physician practice in Harrison County; capital expenditure: $50,000. PROJECTS DETERMINED NOT REVIEWABLE March 22, 2013 Board of Child Care, Martinsburg, Berkeley County, CON File # X, for the addition of one eight (8) bed Level II group home to be located in Region III for male and female adolescents with co-

3 existing disorders who have been removed from their families and placed in the State's custody; no capital expenditure. March 22, 2013 HealthSouth Western Hills Regional Rehabilitation Hospital, Parkersburg, Wood County, CON File # X, for the transfer of all ten (10) licensed rehabilitation beds on the license for the Camden Clark Medical Center Memorial Campus (CCMC) satellite facility of Western Hills to the license for the main Western Hills campus in Parkersburg, Wood County. Western Hills will close all rehabilitation services at its satellite campus at CCMC; no capital expenditure. March 22, 2013 Seneca Health Services, Inc., Summersville, Nicholas County, CON File # X, for the development of a twelve (12) person residential unit to be located in Greenbrier County; capital expenditure: $1,500,000. PROJECTS EXEMPT FROM REVIEW March 22, 2013 Roane General Hospital, Spencer, Roane County, CON File # X, for the development of a hospital based ambulatory health care facility in Roane County through the establishment of a Rural Health Clinic at its existing School Based Clinic located at 94 School Drive, Walton; no capital expenditure. CERTIFICATE OF NEED APPROVALS ISSUED March 20, 2013 Children s Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania, CON File # P, for the establishment of an outreach location in Wheeling, Ohio County, on the campus of Wheeling Hospital, known as Children s Specialty Care Center-Wheeling, to fulfill an unmet need for expert pediatric subspecialty care in the Wheeling community; no capital expenditure. March 20, 2013 Kanawha Hospice Care, Inc., Charleston, Kanawha County, CON File # Y, for the development of an eight (8) bed licensed inpatient hospice facility in Greenbrier County. The facility will be constructed on land KHC currently owns at the site of its Greenbrier County office; capital expenditure: $2,700,000. EXTENSION GRANTED March 22, 2013 Marden Rehabilitation Associates of Portage County, Inc. d/b/a Marden Rehabilitation Associates of West Virginia, Marietta, Ohio, CON File # P, for the development of an outpatient rehabilitation center in McDowell County; capital expenditure: $75,000. Extension granted through September 30, DECISION ON SUBSTANTIAL CHANGE ISSUED March 25, 2013 Charleston Area Medical Center, Charleston, Kanawha County, CON File # H, for the construction of a building on the Memorial Hospital campus to house the David Lee Cancer Center. The capital expenditure increased from the approved amount of $36,600,000 to a total of $48,129,081, an increase of $11,529,081. It is ORDERED that the changes proposed by CAMC regarding an increase in the approved capital expenditure in excess of the allowed 20% does constitute a substantial change to the project. It is further ORDERED that the increase in the capital expenditure shall not be subject to further review. LETTER OF INTENT EXPIRED W.Va. (C.S.R ) states, in part, that letters of intent are effective for one year from the date of their filing. The following represents a letter of intent that has expired:

4 March 21, 2013 Gentle Dialysis Center LLC, Bridgeport, Harrison County, CON File # R, for the development of ten (10) in-center hemodialysis stations; capital expenditure: $100,000. Further information may be obtained on any of the above-referenced projects by contacting Timothy E. Adkins, Director, Certificate of Need Division. RATE REVIEW INFLATION FACTORS USED IN EVALUATING RATE INCREASE APPLICATIONS Global Insight s Market Basket Inflation Factor The inflation factor below is to be used in rate applications for the hospitals with fiscal years ending 06/30/2014. The preliminary inflation factor is from Table 6.1CY of the Global Insight s DRI/WEFA Health Care Cost Review, Fourth Quarter 2012 edition. Preliminary June % Issued: APPLICATIONS RECEIVED N/A Received: N/A DISCOUNT CONTRACTS ABEYANCE PLANS YEAR END Under Review: Camden-Clark Medical Center Issued: Ohio Valley Medical Center - Issued on March 22, Bluefield Regional Medical Center Issued on March 26, Further information may be obtained by contacting Barbara Skeen, Director of Financial Analysis. CALENDAR ADMINISTRATIVE HEARINGS SCHEDULED (Prehearing) 1:30 p.m. Monday, May 20, 2013 Bluefield Hospital Co. (CON File # H) (Hearing) 9:00 a.m. Tuesday, May 28, 2013 Bluefield Hospital Co. (CON File # H) The following hearings will be held in the Authority s Large Conference Room 100 Dee Drive, Charleston, WV THE FOLLOWING FACILITIES ARE DELINQUENT IN FILING APPLICABLE FINANCIAL DISCLOSURE REQUIREMENTS AS OF March 22, Questions concerning financial disclosure should be directed to Renae Whitlock. Questions concerning uniform billing data submissions should be directed to Amy Wenmoth. Phone (304) or toll free (888) Amedisys WV Beckley FY 2011 Amedisys WV Parkersburg FY 2009, 2011 Autism Services Center FY 2009, 2010,2011 Barbour County Good Samaritan Centers FY 2011 Beckley ARH Home Health FY2008 Berkeley Springs Rehab and Nursing FY 2009, 2010 Betsy Broh House, Inc. FY 2009, 2010, 2011 Bishop J. Hodges CCC FY 2012 BMA FY 2011 Board of Child Care FY 2012 Boone Memorial Home Care, LLC FY 2011 Boone Memorial Hospital FY 2012

5 Braley & Thompson FY 2008, 2010, 2011 Braxton County School Health Services FY 2012 Brier, The FY2007,2008,2009,2011 CAMC Teays Valley FY 2011 Cabell Huntington Hospital FY 2012 Cabin Creek Health Center FY 2012 Care Partners, Inc. FY 2011 Clay-Battelle Health Services Assoc. FY 2012 Community Care of WV FY 2012 Community Health Foundation of Man, Inc. FY 2010, 2011 Community Health Systems, Inc. FY 2011, 2012 Cornerstone Hospital of Huntington FY 2009, 2010, 2011 Crittenton Services FY 2012 Daily Companions FY 2011 Developmental Center & Workshop FY 2008, 2009, 2010, 2011 Doddridge County Home Health FY 2012 Eldercare Health & Rehab FY 2011 Elkins Family Counseling Center FY 2008, 2009, 2010 Elkins Mountain School FY 2012 Family Reservation Services of WV FY 2011 FMRS FY 2012 Fresenius FY 2009, 2010, 2011 Global Access, LLC FY 2009, 2010, 2011 Golden Girl FY 2009, 2010 Grafton City Hospital FY 2012 Grafton Taylor Health FY 2012 Grant Memorial Hospital FY 2012 Greater Boone Dialysis, LLC FY 2011 Greater Charleston Dialysis FY 2011 Green Acres Regional Center FY 2007, 2008 Greenbrier Academy for Girls FY 2011 Greenbrier Clinic, Inc. FY 2011 Hampshire County Special Services Center FY 2012 Harrison County Sheltered Workshop, Inc. FY 2011 Healthways, Inc. FY 2012 Heartland FY 2011 Heritage, Inc. FY 2010 Highland Health Center FY 2012 Highland Hospital FY 2012 Holbrook Nursing Home FY 2010,2011 Home Base FY 2008, 2009, 2010, 2011 Horizons Center for Independent Living FY 2008, 2009, 2010, 2011 Hospice Care Corporation, Inc. FY 2010, 2011 Huntington Internal Medicine Group FY 2009, 2010, 2011 Huntington Rehab Hospital FY 2011 Jackson County Development Center FY 2012 Jackson General FY 2012 Life Line Screening FY 2010, 2011 Maples Nursing Home FY 2009, 2010, 2011 Mildred Mitchell-Bateman Hospital FY 2010, 2011 Mingo Wayne Home Health FY 2009, 2011 Monongalia County Health Dept. FY 2012 Montgomery General Hospital FY 2009, 2010, 2011 Mountaineer Community Health Center FY 2012 Mountaineer Home Health, LLC FY 2011 Mountainview Regional Rehab Hospital FY 2011 Nellas Inc. FY 2011 Nellas Nursing Home, Inc. FY 2011 New Martinsville Health Care Center FY 2009, 2010, 2011 New River Ranch FY 2009 Northern Greenbrier Health Clinic FY 2012 Northwood Health Systems FY 2012 Nursing Care Home Health FY 2009, 2010, 2011 Ohio Valley Home Health Services, Inc. FY 2008, 2009, 2010, 2011 PCH Home Health FY 2011 Pendleton Manor, Inc. FY 2010 Pleasant Valley Dialysis, LLC FY 2009, 2010,2011 Pleasant Valley Hospital FY 2012 Pleasant Valley Nursing & Rehab FY 2011 Pocahontas Memorial Hospital FY 2012 Potomac Center FY 2011 Potomac Highlands FY 2012 Potomac Valley Hospital FY 2011 Preferred Home Health FY 2011 Prestera Center for Mental Health FY 2012 Preston Taylor Community Health Centers FY 2012 Princeton Health Care Center FY 2012 Process Strategies FY 2012 Professional Sleep Diagnostics FY 2012 Reynolds Memorial Hospital FY 2012 Ritchie County Primary Care Association FY 2012 River Park Hospital FY 2009, 2010,2011 Roane General Hospital FY 2012 Roane Home Care, LLC FY 2011 Russell Nesbitt Services FY 2010 St. Mary s Medical Center FY 2012 Select Specialty Hospital FY 2010, 2011 Sharpe Hospital FY 2012 Shenandoah Valley Medical Systems, Inc. FY 2012 S.O.M.E. (Exodus House & Maya Angelou) FY 2009 Solutions Positive Behavior Strategies FY 2011 Southern Hills Regional Rehab Hospital FY 2011 Stepping Stones FY 2010 Stepping Stones Cottages, LLC FY 2011 Stonewall Jackson Memorial Hospital FY 2012 Summers County ARH FY 2011 Tender Loving Care Home Care & Hospice FY 2011 Tender Loving Care Home Health FY 2011 Thomas Memorial Hospital FY 2012 Total Home Health Care FY 2012 Trinity Home Health FY 2008, 2009, 2010, 2011 Valley Alliance Treatment Services FY 2010 Valley Health Systems, Inc. FY 2012 VOCA Corporation of West Virginia, Inc. FY 2009, 2011 Wayne County Home Health Care Agency FY 2012 Wayne Nursing & Rehab Center FY 2011 Weirton Medical Center FY 2012 Welch Community Hospital FY 2012 Western Hills Regional Rehab Hospital FY 2011 Western Maryland Health System FY 2012 Wetzel County Home Care, LLC FY 2011 Wheeling Dialysis Center FY 2012 Wheeling Hospital FY 2012 Women s Health Center of WV FY 2012

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