What is a Certificate of Need?
The Certificate of Need program requires certain types of healthcare providers to get state approval before making major changes in the healthcare landscape. These changes include, but are not limited to:
- Establishing certain new healthcare facilities
- Certain ownership transfers
- Significant investments in certain new equipment or facilities
- Certain other changes affecting access to services
- Terminations of services
Open Certificate of Need applications
View the status of open Certificate of Need applications, upcoming deadlines, and relevant information for proposals.
Program resources
Learn all about the Certificate of Need program, including public meetings. Agendas are posted at least 24 hours prior to each hearing. Transcripts and recordings are posted within seven days of the hearing.
CON guidebook
Read program details, including when to submit forms and which ones to use.
CON forms
Download the application, determination, or modification forms you need.
CON Portal
View past and pending applications or upload CON forms and documents to OHS.
How to use the portal (DOC)
Download these tips to register, submit a CON application, upload related materials, and monitor a docket.
Statewide healthcare facilities and services plan
The plan is an advisory document for healthcare delivery in CT that informs policymakers and the OHS CON Guidebook.
Public hearings
Attend these meetings to learn about projects and civil penalty proceedings, and to share your views as permitted.
Submit comments
Email us your thoughts about any scheduled or recent hearing topic. They can become part of the hearing record.
Quick links
Legislation
OHS’ Health Systems Planning unit administers the CON program per Connecticut General Statute (C.G.S.)§19a-612d. This is a regulatory process for certain projects described in C.G.S. § 19a-638 that affect the healthcare market. C.G.S. § 19a-639 guides OHS’ analysis of proposed healthcare projects and their impact on the community. C.G.S. Chapter 368z contains a number of other statutes relevant to the CON process.
Annual CON application summary reports
Workgroup
Physician Practice Workgroup
Historical resources
Archives, reports, and guidance
- 2017 Certificate of need task force report (PDF)
- CON records from 2017 and earlier
- Imaging workgroup final report (PDF)
- OHS HSP 20-001: COVID-19 CON guidance 1 (PDF)
- OHS HSP 20-002: COVID-19 CON guidance 2 (PDF)
- OHS HSP 20-003: COVID-19 CON guidance 3 (PDF)
- OHS HSP 20-003b: COVID-19 CON guidance 3b (PDF)
- Rescission of OHS imaging equipment guidance 19-001 (PDF)