{"id":9124,"date":"2020-02-06T21:26:11","date_gmt":"2020-02-06T21:26:11","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/licensure-and-certification\/?page_id=9124"},"modified":"2020-05-21T16:11:08","modified_gmt":"2020-05-21T16:11:08","slug":"application-review-process","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/licensure-and-certification\/cooperative-agreement\/application-review-process\/","title":{"rendered":"Application Review Process"},"content":{"rendered":"<div id=\"pl-9124\"  class=\"panel-layout\" ><div id=\"pg-9124-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-9124-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-9124-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<\/div>\n<\/div><\/div><div id=\"panel-9124-0-0-1\" class=\"so-panel widget widget_sow-accordion panel-last-child\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-accordion so-widget-sow-accordion-default-99be652ed941-9124\"\n\t\t\t\n\t\t><div>\n\t<div class=\"sow-accordion\">\n\t\t\t<div class=\"sow-accordion-panel\n\t\t sow-accordion-panel-open\t\t\t\"\n\t\t\t\tdata-anchor-id=\"background\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-background\" aria-controls=\"accordion-content-background\" aria-expanded=\"true\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tBackground\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-background\"\n\t\t\t\tid=\"accordion-content-background\"\n\t\t\t\t\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<p><a href=\"https:\/\/lis.virginia.gov\/cgi-bin\/legp604.exe?151+ful+CHAP0741\">Chapter 741 (2015 Acts of Assembly)<\/a> amended the Code of Virginia in order to address southwest Virginia's unique health care challenges. <a href=\"https:\/\/law.lis.virginia.gov\/vacode\/15.2-5384.1\/\">Code of Virginia \u00a7 15.2-5384.1<\/a> authorizes the State Health Commissioner (Commissioner) to approve or deny an application for a cooperative agreement following receipt of a recommendation of approval from the Southwest Virginia Health Authority (Authority).\u00a0 If approved, the cooperative agreement would authorize two or more hospitals from southwest Virginia to merge in order to:<\/p>\n<ul>\n<li>Improve quality of health care;<\/li>\n<li>Expand access to health care in rural areas of the Commonwealth; and<\/li>\n<li>Preserve smaller hospitals.<\/li>\n<\/ul>\n<p>The approved cooperative agreement would immunize the merged entities from challenge or scrutiny under state and federal anti-trust laws. This page outlines the process utilized in the review and approval of the Ballad Health Cooperative Agreement.<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"southwest-virginia-health-authority-review-and-recommendation\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-southwest-virginia-health-authority-review-and-recommendation\" aria-controls=\"accordion-content-southwest-virginia-health-authority-review-and-recommendation\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tSouthwest Virginia Health Authority Review and Recommendation\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-southwest-virginia-health-authority-review-and-recommendation\"\n\t\t\t\tid=\"accordion-content-southwest-virginia-health-authority-review-and-recommendation\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<p>In January 2016, the Authority issued the <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2017\/10\/Blueprint-for-Health-Improvement-Health-Enabled-Prosperity.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Blueprint for Health Improvement &amp; Health-Enabled Prosperity<\/a>, which outlined revised health goals for southwest Virginia.<\/p>\n<p>In February 2016, Mountain States Health Alliance and Wellmont Health System (collectively, the Applicants) submitted an <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2020\/05\/Replacement-with-Exh-8.2-Application-for-a-Letter-Authorizing-Cooperative-Agreement-Application-1.pdf\">Application for a Letter Authorizing Cooperative Agreement<\/a>\u00a0and <a href=\"https:\/\/www.vdh.virginia.gov\/licensure-and-certification\/application-exhibits\/\" target=\"_blank\" rel=\"noopener noreferrer\">Exhibits<\/a> to the Authority. The Applicants also submitted an application for a <a href=\"https:\/\/www.tn.gov\/health\/health-program-areas\/health-planning\/certificate-of-public-advantage\/redir-copa\/granting-the-copa\/archived-pages.html\" target=\"_blank\" rel=\"noopener noreferrer\">Certificate of Public Advantage (COPA)<\/a> to the Tennessee Department of Health (TDH).<\/p>\n<p>On December 22, 2016, the Authority submitted <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2016\/11\/SWHA-Cooperative-Agreement-Report-December-22-2016.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">a review<\/a> and <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2016\/11\/SWHA-Recommendation-Transmittal-Letter.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">a letter of recommendation<\/a> to the Commissioner documenting the results of its review of the application and recommending approval of the application.<\/p>\n<p>On September 22, 2017, the Applicants submitted <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2017\/09\/Revised-New-Health-System-Virginia-Commitments-September-2017.pdf\">revised commitments<\/a> to the Virginia Department of Health (VDH).\u00a0 On October 9, 2017, the applicants submitted <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2017\/10\/VDH-cooperative-agreement-revised-commitments-10-9-17.pdf\">further revised commitments<\/a> to VDH.<\/p>\n<p>On October 16, 2017, the Authority submitted <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2017\/10\/Southwest-Virginia-Health-Authority-10-16-17.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">a review<\/a> of the impact of TDH's approval of the Applicants' COPA application on the Authority\u2019s earlier recommendations and proposed commitments.<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"request-by-the-virginia-department-of-health-for-additional-information\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-request-by-the-virginia-department-of-health-for-additional-information\" aria-controls=\"accordion-content-request-by-the-virginia-department-of-health-for-additional-information\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tRequest by the Virginia Department of Health for Additional Information\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-request-by-the-virginia-department-of-health-for-additional-information\"\n\t\t\t\tid=\"accordion-content-request-by-the-virginia-department-of-health-for-additional-information\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<p>VDH made four requests for additional\/supplemental information from the Applicants.\u00a0 Those requests, and the Applicants' non-proprietary responses, can be viewed <a href=\"https:\/\/www.vdh.virginia.gov\/licensure-and-certification\/cooperative-agreement\/application-review-process\/supplemental-info-data-requests\/\">here<\/a>.<\/p>\n<p>&nbsp;<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"extension-of-application-review-period\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-extension%c2%a0of-application-review-period\" aria-controls=\"accordion-content-extension%c2%a0of-application-review-period\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tExtension\u00a0of Application Review Period\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-extension%c2%a0of-application-review-period\"\n\t\t\t\tid=\"accordion-content-extension%c2%a0of-application-review-period\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<p>On February 3, 2017, the Commissioner received <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2016\/11\/Letter-to-Commissioner-Levine-2-3-17-Requesting-an-Extension-of-the-Review.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">a request to delay a decision on their application for a cooperative agreement<\/a> from the Applicants.\u00a0 In accordance with <a href=\"https:\/\/law.lis.virginia.gov\/admincode\/title12\/agency5\/chapter221\/section90\/\">12VAC5-221-90(B)<\/a>, the Commissioner <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2016\/11\/Response-to-Mountain-States-and-Wellmont-Review-Extension-Request.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">approved the request<\/a>, extending the deadline to render a decision on the application to no later than June 15, 2017, provided that:<\/p>\n<ul>\n<li>TDH deemed the COPA application complete by March 1, 2017; and<\/li>\n<li>The Commissioner received all information deemed necessary to make a decision.<\/li>\n<\/ul>\n<p>TDH did not deem the application for a COPA to be complete by March 1, 2017. As a result, the Applicants submitted an <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2016\/11\/4840-3573-6901-v.1-March_2017_Ltr_to_Commissioner_Levine_-_Further_Extension.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">additional extension request<\/a> to the Commissioner on March 10, 2017.\u00a0 The Commissioner <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2016\/11\/COPA-MSHA-WHS-3-14-17.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">granted the additional extension request<\/a>, extending the deadline to render a decision on the application to no later than August 15, 2017, provided that:<\/p>\n<ul>\n<li>TDH deemed the COPA application complete by May 1, 2017; and<\/li>\n<li>The Commissioner received all information deemed necessary to make a decision.<\/li>\n<\/ul>\n<p>TDH did not deem the application to be complete by May 1, 2017. As a result, the Applicants submitted an <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2016\/11\/Letter-to-VA-Commissioner-Levine-re-Timing-Extension-Executed-4.28.17-4815-8445-8823-v.1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">additional extension request<\/a> to the Commissioner on April 28, 2017.\u00a0 The Commissioner <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2016\/11\/COPA-MSHA-WHS-5-1-17.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">granted the additional extension request<\/a>, extending the deadline to render a decision on the application to no later than September 15, 2017, provided that:<\/p>\n<ul>\n<li>TDH deemed the COPA application complete by June 1, 2017; and<\/li>\n<li>The Commissioner received all information deemed necessary to make a decision.<\/li>\n<\/ul>\n<p>TDH deemed the application for a COPA complete on May 22, 2017.<\/p>\n<p>On September 1, 2017, the Applicants <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2017\/09\/Letter_to_Commissioner_Levine_-_Extension-9-1-2017.pdf\">requested an extension<\/a> \u00a0of the Commissioner's review period until September 30, 2017. The Commissioner <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2017\/09\/MSHA-WHS-Extension-9-5-17.pdf\">granted the request<\/a> on September 5, 2017, extending the deadline to render a decision on the application to no later than September 30, 2017.<\/p>\n<p>TDH approved the application for a COPA on September 19, 2017.<\/p>\n<p>The Applicants submitted an <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2017\/09\/Applicants-Letter_to_Commissioner_Levine_-_Extension-Sept-28-2017.pdf\">additional extension request<\/a> to the Commissioner on September 28, 2017.\u00a0 The Commissioner <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2017\/09\/COPA-MSHA-WHS-Extension-9-28-17.pdf\">granted the request<\/a>, extending the deadline to render a decision on the application to no later than October 30, 2017, provided that all information deemed necessary to make a decision had been received by that date.<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"meetings-with-the-applicants\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-meetings-with-the-applicants\" aria-controls=\"accordion-content-meetings-with-the-applicants\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tMeetings with the Applicants\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-meetings-with-the-applicants\"\n\t\t\t\tid=\"accordion-content-meetings-with-the-applicants\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<p>The Applicants met with the Commissioner, staff from VDH, staff from the Virginia Department of Medical Assistance Services, and staff from the Office of the Attorney General of Virginia on May 17, 2017, August 8, 2017, and October 4, 2017.<\/p>\n<p>Summaries of these meetings and the Applicants' comments on these summaries are available here:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2017\/08\/May-17-meeting-summary-final.pdf\">Summary of the May 17, 2017 Meeting<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2017\/08\/Applicants-comments-May_17_Meeting_Summary.pdf\">Applicants' Comments on the Summary of the May 17, 2017 Meeting<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2017\/08\/August-8-summary-final.pdf\">Summary of the August 8, 2017 Meeting<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2017\/08\/MSHA-WHS-Comments-to-VDH-Summary-of-8-8-17-Meeting.pdf\">Applicants' Comments on the Summary of the August 8, 2017 Meeting<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2017\/10\/October-4-Summary-Final.pdf\">Summary of the October 4, 2017 Meeting<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2017\/10\/Summary-of-10-4-17-Mtg-with-Commissioner-and-Applicants.pdf\">Applicants' Comments on the Summary of the October 4, 2017 Meeting<\/a><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"consultation-from-the-office-of-the-attorney-general\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-consultation-from-the-office-of-the-attorney-general\" aria-controls=\"accordion-content-consultation-from-the-office-of-the-attorney-general\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tConsultation from the Office of the Attorney General\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-consultation-from-the-office-of-the-attorney-general\"\n\t\t\t\tid=\"accordion-content-consultation-from-the-office-of-the-attorney-general\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<p>On October 23, 2017, the Office of the Attorney General of Virginia provided the Commissioner with a <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2017\/10\/OAGVDHProposedAgreement.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">consultation letter<\/a> and a copy of an <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2017\/10\/Expert-Report-of-Robert-Town.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">economic impact report prepared by Dr. Robert Town and Cornerstone Research<\/a>.<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"public-comments\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-public-comments\" aria-controls=\"accordion-content-public-comments\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tPublic Comments \t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-public-comments\"\n\t\t\t\tid=\"accordion-content-public-comments\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<p>Public comments submitted to VDH during the application review process can be viewed <a href=\"https:\/\/www.vdh.virginia.gov\/licensure-and-certification\/cooperative-agreement\/public-comment\/\">here<\/a>.<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"staff-recommendation-and-the-commissioners-decision\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-staff-recommendation-and-the-commissioners-decision\" aria-controls=\"accordion-content-staff-recommendation-and-the-commissioners-decision\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tStaff Recommendation and the Commissioner's Decision\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-staff-recommendation-and-the-commissioners-decision\"\n\t\t\t\tid=\"accordion-content-staff-recommendation-and-the-commissioners-decision\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<p>On October 27, 2017, VDH staff recommended to the Commissioner that the application for cooperative agreement be <strong>approved with conditions<\/strong>. On October 30, 2017, the Commissioner issued an <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/96\/2017\/10\/Order-and-letter-authorizing-a-cooperative-agreement.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Order and Letter Authorizing a Cooperative Agreement with Conditions<\/a>.<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Background Chapter 741 (2015 Acts of Assembly) amended the Code of Virginia in order to address southwest Virginia&#8217;s unique health care challenges. Code of Virginia \u00a7 15.2-5384.1 authorizes the State Health Commissioner (Commissioner) to approve or deny an application for a cooperative agreement following receipt of a recommendation of approval from the Southwest Virginia Health [&hellip;]<\/p>\n","protected":false},"author":273,"featured_media":0,"parent":408,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-9124","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Application Review Process - Licensure And Certification<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/licensure-and-certification\/cooperative-agreement\/application-review-process\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Application Review Process - Licensure And Certification\" \/>\n<meta property=\"og:description\" content=\"Background Chapter 741 (2015 Acts of Assembly) amended the Code of Virginia in order to address southwest Virginia&#039;s unique health care challenges. 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