An Official Website of the Commonwealth of Kentucky
Form 1: Letter of Intent
Submit Letter of Intent online - Pursuant to 900 KAR 6:090, the online Letter of Intent must be submitted no later than 4:30 p.m. Eastern time on the date it is due.
Form 2A: Application for substantive review and regulatory non-substantive review excluding ambulances
Form 2B: Application for Ambulance Providers
Form 2C: Application for Change of Location, Cost Escalation or the Replacement of a Facility
Notice: 900 KAR 6:090 Section 3 has been amended to modify rules for submitting public hearing documents such as the notices of appearance and exhibit and witness lists. Each of these documents must be submitted at least five calendar days prior to any scheduled nonsubstantive review hearing date and at least seven calendar days prior to date of all other scheduled hearings.
Form 3: Notice of Appearance
Form 4: Witness List
Form 5: Exhibit List
Form 6: Cost Escalation Form
Form 7: Request for Advisory Opinion
Form 9: Notice of Intent to Acquire a Health Facility or Health Service
Form 10A: Notice of Addition of Health Service or Equipment
Form 10B: Notice of Termination or Reduction of a Health Service or Reduction of Bed Capacity
Form 11: Application for a Certificate of Compliance for a Continuing Care Retirement Community (CCRC)