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Application and Filing Fee Submission Process due to the pandemic
HSDA Rulemaking (Updated)

Criteria for Review


The health care needed in the area to be served may be evaluated upon the following factors:

  • The relationship of the proposal to any existing applicable plans (e.g. the State Health Plan);
  • The population served by the proposal;
  • The existing or certified services or institutions in the area;
  • The reasonableness of the service area;
  • The special needs of the service area population, including the accessibility to the consumers, particularly women, racial and ethnic minorities and low-income groups;
  • Comparison of utilization/occupancy trends and services offered by other area providers; and
  • The extent to which Medicare, Medicaid (TennCare), and medically indigent patients will be served by the project.


Economic Feasibility

The probability that the proposal can be economically accomplished and maintained may be evaluated upon the following factors:

  • Whether adequate funds are available to the applicant to complete the project;
  • The reasonableness of the proposed project costs;
  • Anticipated revenue from the proposed project and the impact on existing patient charges;
  • Participation in state/federal revenue programs;
  • Alternatives considered; and
  • The availability of less costly or more effective alternative methods of providing the benefits intended by the proposal.

Provide Health Care that meets appropriate Quality Standards

Emergency Rules were approved on February 22, 2017, list coming soon.


Contribution to the Orderly Development

The contribution which the proposed project will make to the orderly development of an adequate and effective health care system may be evaluated upon the following factors:

  • The relationship of the proposal to the existing health care system (for example: transfer agreements, contractual agreements for health services, affiliation of the project with health professional schools);
  • The positive or negative effects attributed to duplication or competition;
  • The availability and accessibility of human resources required by the proposal, including consumers and related providers; and
  • The quality of the proposed project in relation to applicable governmental or professional standards.