Figure 2 Certificate of Public Need Process - 70 Days Letter of Intent 30 day s before application, 70 day s before cy cle start Valid for 1 y ear Application Package to Applicant 7 Day s Files Application No Day 0 Continue Completeness Review 10 days from reciept Complete 40 day s before cy cle star t Yes Accepts Application Cycle start Yes Public Hearing HSA Board hears applicant No Next cycle or Withdraw +70 Days HSA Recomendation Denial/Approval Staff Recommendation Denial/Approval cy cle start plus 60 day s 5 day "Good Cause" Period IFFC Required Applicant + 80 to + 90 Days Regional Health Planning Agency Yes IFFC No (as needed) Cy cle start plus 80 to 90 day s Adjuducating Officer Recommendation Denial/Approval IFFC plus 30 day Close Record Commissioner's Determination Record Close 120 day s + 190 Commissioner's Determination Record Close plus 45 day s Department of Health Source: Virginia Department of Health