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Thus, decisions to approve or deny requests from hospitals that appear similar with respect to overall capacity to serve Medicaid and other underserved populations could differ based on factors such as planned expansion of needed psychiatric services instead of general acute care services or whether the requesting hospital seeks an expansion exception to replace operating rooms, procedure rooms, or beds that it has relocated (or intends to relocate) from its main campus to other areas in need of services

PMID: 23830297 pubmed.ncbi.nlm.nih.gov/23830297/

& De Sanctis, V

Aidoud A, Ammouche A, Garrido M, Rodriguez AB