Certificate of Need
Establishment CON Notification Requirements for Existing Nursing Homes
Certificate of Need (CON) applications made to the Department of Health that establish a different nursing home operator for an existing facility or establish a change of ownership interest in an existing nursing home are subject to the new Subdivision 2-b of Article 2801-a of Public Health Law. Please see the Dear Administrator and Operator letter issued March 25, 2022, which explains the requirements and can be found here: DAL NH 22-08 New Notice Requirements for Nursing Home Establishment Applications (PDF)
Licensed Home Care Services Agency Applications
The Licensed Home Care Services Agency (LHCSA) Certificate of Need (CON) application is now available. Please visit the LHCSA Home Page for more information.
New York's Certificate of Need (CON) process governs establishment, construction, renovation and major medical equipment acquisitions of health care facilities, such as hospitals, nursing homes, home care agencies, and diagnostic and treatment centers.
The objectives of the CON process are to promote delivery of high quality health care and ensure that services are aligned with community need. CON provides the Department of Health oversight in limiting investment in duplicate beds, services and medical equipment which, in turn, limits associated health care costs.
- How to Determine if CON Submission is Required
- How to submit a CON application
- Project Resources and References
- Drawing Submission Guidelines DSG-00, DSG-01, DSG-05
- Design Submission Guidelines for Life Safety Code
- Design Submission Guidelines for Outpatient Facilities
- 3.2.0 Programmatic Design Guidelines for Primary Care Facilities (PDF)
- 3.3.0 Programmatic Design Guidelines for Outpatient Diagnostic and Treatment Facilities (PDF)
- 3.4.0 Programmatic Design Guidelines for Freestanding Birth Centers (PDF)
- 3.5.0 Programmatic Design Guidelines for Freestanding Urgent Care Facilities (PDF)
- 3.6.0 Programmatic Design Guidelines for Freestanding Cancer Treatment Facilities (PDF)
- 3.7.0 Programmatic Design Guidelines for Outpatient Surgical Facilities (PDF)
- 3.9.0 Programmatic Design Guidelines for Endoscopy Facilities (PDF)
- 3.10.0 Programmatic Design Guidelines for Renal Dialysis Centers (PDF)
- 3.11.0 Programmatic Design Guidelines for Outpatient Psychiatric Centers (PDF)
- 3.12.0 Programmatic Design Guidelines for Outpatient Rehabilitation Therapy Facilities (PDF)
- 3.14.0 Programmatic Design Guidelines for Dental Facilities (PDF)
- Small Primary Care Clinic Guidelines
- Birth Center Classification Guidelines
- Construction Waiver and Equivalency
- Construction Pre-Opening Survey
- Dear Administrator Letter (DAL) Regarding Use of Batteries in Essential Electrical Systems (EES)
- Public Health and Health Planning Council
- CON Applications Distributed and Approved 1996-2010
- CON History and Historical Documents
- Questions from Nursing Homes Applying to Enhance Vent Bed Services in New York City
- State Hospital Review and Planning Council
- Public Health Council
- CON Reform
- Dear Nursing Home Operator: Reinstatement of the Certificate of Need (CON) Application Process for Adult Day Health Care (ADHC) Applications (June 25, 2010)
- History of Updates to the CON Schedules