Certificate of Need

Certificate of Need

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​The Kentucky Certificate of Need process prevents the proliferation of health care facilities, health services and major medical equipment that increase the cost of quality health care in the commonwealth.

Programs and Services

Health Care Data Reports and Surveys

Forms and Applications

Application Forms

Pursuant to KRS 216B.061, unless otherwise provided in this chapter, no person shall do any of the following without first obtaining a certificate of need:

(a) Establish a health facility;
(b) Obligate a capital expenditure which exceeds the capital expenditure minimum;
(c) Make a substantial change in the bed capacity of a health facility;
(d) Make a substantial change in a health service;
(e) Make a substantial change in a project;
(f) Acquire major medical equipment;
(g) Alter a geographical area or alter a specific location which has been designated on a certificate of need or license;
(h) Transfer an approved certificate of need for the establishment of a new health facility or the replacement of a licensed facility.

Form2A: Certificate of Need Application Word PDF

Formal review applications must be filed by an applicant for facilities or services with review criteria in the State Health Plan. Nonsubstantive review applications do not have review criteria in the State Health Plan.
Please note that proposals from PACE applicants seeking to provide CON services directly to their members are considered as meeting the state readiness review requirement of 900 KAR 6:075, Section 2(3)(g)1. by submitting a copy of a preliminary approval letter from KY Medicaid with their CON application.​

Form 2B: Certificate of Need Application for Ground Ambulance Services Word PDF

Ground ambulance applications must be filed by an applicant for a certificate of need for a ground ambulance service.

Form2C: Certificate of Need Application for Change of Location, Replacement, Cost Escalation, or Acquisition Word PDF

Public Hearing Documents

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.

Miscellaneous Forms

Form 6: Cost Escalation Form Word PDF

Pursuant to 900 KAR 6:095, a person shall not obligate a capital expenditure in excess of the amount authorized by an existing certificate of need or a previously approved administrative escalation unless the person has received an administrative escalation or an additional certificate of need from the cabinet.

Form 7: Request for Advisory Opinion Word PDF

KRS 216B.040(3)(e) authorizes the Cabinet to establish a mechanism for issuing advisory opinions to prospective applicants for CON on whether a certificate is required.

Form 8: Certificate of Need Six Month Progress Report Word PDF

A holder of a certificate of need shall submit progress reports on this form at six month intervals. A notice specifying the date each progress report is due shall be sent to every holder of a certificate of need whose project is not fully implemented.

Form 9: Notice of Intent to Acquire a Health Facility or Health Service Word PDF

A health facility shall submit a completed form to notify the cabinet of the acquisition of a health facility or health service at least thirty (30) days prior to the acquisition.

Form 10A: Notice of Addition or Establishment of a Health Service or Equipment Word PDF

A health facility shall submit a completed form to notify the Cabinet within 10 days of adding equipment or adding to an existing health service for which there is review criteria in the State Health Plan, but for which a certificate of need is not required.

Form 10B: Notice of Termination or Reduction of a Health Service or Reduction of Bed Capacity Word PDF

A hospital shall submit a completed form to notify the Cabinet within 10 days of relocating acute care beds or redistributed beds by licensure category.

Form10C: Notice of Relocation of Acute Care Beds or Redistribution of Beds by Licensure Category Word PDF

A health facility shall submit a completed form to notify the cabinet of the reduction or termination of a health service, or reduction of bed capacity within 30 days prior to the reduction or termination.

Form 11: Application for a Certificate of Compliance for a Continuing Care Retirement Community (CCRC) Word PDF

In order to be certified as a continuing care retirement community, a certificate of compliance shall be obtained.

​CON Newsletter

All Documents
TypeDownloadTitleModifiedModified ByPublish DateSort Order
docCertificate of Need Newsletter, March 2024Certificate of Need Newsletter, March 20243/21/2024 9:03 AMLaurie Walston3/21/2024 
docCertificate of Need Newsletter, February 2024Certificate of Need Newsletter, February 20242/15/2024 12:05 PMLaurie Walston2/15/2024 
docCertificate of Need Newsletter, January 2024Certificate of Need Newsletter, January 20241/18/2024 9:33 AMLaurie Walston1/18/2024 
docCertificate of Need Newsletter, December 2023Certificate of Need Newsletter, December 202312/20/2023 3:52 PMLaurie Walston12/21/2023 
docCertificate of Need Newsletter, November 2023Certificate of Need Newsletter, November 202311/16/2023 8:26 AMLaurie Walston11/16/2023 
docCertificate of Need Newsletter, October 2023Certificate of Need Newsletter, October 202310/18/2023 3:46 PMLaurie Walston10/19/2023 
docCertificate of Need Newsletter, September 2023Certificate of Need Newsletter, September 20239/21/2023 8:37 AMLaurie Walston9/21/2023 
docCertificate of Need Newsletter, August 2023Certificate of Need Newsletter, August 20238/17/2023 9:48 AMLaurie Walston8/17/2023 
docCertificate of Need Newsletter, July 2023Certificate of Need Newsletter, July 20237/20/2023 8:20 AMLaurie Walston7/20/2023 
docCertificate of Need Newsletter, June 2023Certificate of Need Newsletter, June 20236/14/2023 3:34 PMAndy Crumbacker6/14/2023 
docCertificate of Need Newsletter, May 2023Certificate of Need Newsletter, May 20235/18/2023 8:36 AMLaurie Walston5/18/2023 
docCertificate of Need Newsletter, April 2023Certificate of Need Newsletter, April 20234/19/2023 3:32 PMLaurie Walston4/20/2023 
docCertificate of Need Newsletter, March 2023Certificate of Need Newsletter, March 20233/15/2023 2:59 PMLaurie Walston3/16/2023 
docCertificate of Need Newsletter, February 2023Certificate of Need Newsletter, February 20232/16/2023 8:16 AMLaurie Walston2/16/2023 
docxNotice of Public HearingNotice of Public Hearing2/3/2023 2:21 PMLaurie Walston2/3/2023 
docCorrected Certificate of Need Newsletter, January 2023Corrected Certificate of Need Newsletter, January 20231/24/2023 10:47 AMJennifer Dales1/20/20231
docCertificate of Need Newsletter, January 2023Certificate of Need Newsletter, January 20231/24/2023 10:48 AMJennifer Dales1/19/2023 
docCertificate of Need Newsletter, December 2022Certificate of Need Newsletter, December 202212/15/2022 8:34 AMLaurie Walston12/15/2022 
docCertificate of Need Newsletter, November 2022Certificate of Need Newsletter, November 202211/16/2022 4:17 PMLaurie Walston11/17/2022 
docCertificate of Need Newsletter, October 2022Certificate of Need Newsletter, October 202210/19/2022 3:57 PMLaurie Walston10/20/2022 
docCertificate of Need Newsletter, September 2022Certificate of Need Newsletter, September 20229/15/2022 8:13 AMLaurie Walston9/15/2022 
docCertificate of Need, Sept 2022 corrected public noticeCertificate of Need, Sept 2022 corrected public notice9/15/2022 9:52 AMLaurie Walston9/15/2022 
docCertificate of Need Newsletter, August 2022Certificate of Need Newsletter, August 20228/17/2022 3:49 PMLaurie Walston8/18/2022 
docCertificate of Need Newsletter, July 2022Certificate of Need Newsletter, July 20227/21/2022 8:24 AMLaurie Walston7/21/2022 
docCertificate of Need Newsletter, June 2022Certificate of Need Newsletter, June 20226/16/2022 8:48 AMLaurie Walston6/16/2022 
docCertificate of Need Newsletter, June 2022 correctedCertificate of Need Newsletter, June 2022 corrected6/16/2022 9:47 AMLaurie Walston6/16/2022 
docCertificate of Need Newsletter, May 2022Certificate of Need Newsletter, May 20225/18/2022 4:10 PMLaurie Walston5/19/2022 
docCertificate of Need Newsletter, April 2022Certificate of Need Newsletter, April 20224/21/2022 10:12 AMLaurie Walston4/21/2022 
docCertificate of Need Newsletter, April 2022 revisedCertificate of Need Newsletter, April 2022 revised4/21/2022 2:23 PMLaurie Walston4/21/2022 
docCertificate of Need Newsletter, March 2022Certificate of Need Newsletter, March 20223/17/2022 9:39 AMLaurie Walston3/17/2022 
docCertificate of Need Newsletter, February 17, 2022Certificate of Need Newsletter, February 17, 20222/16/2022 4:15 PMLaurie Walston2/17/2022 
docCertificate of Need Newsletter, January 2022Certificate of Need Newsletter, January 20221/20/2022 10:48 AMLisa A Wallace1/20/2022 
docCertificate of Need Newsletter, December 2021Certificate of Need Newsletter, December 20211/20/2022 10:48 AMLisa A Wallace12/16/2021 
docCertificate of Need Newsletter, November 2021Certificate of Need Newsletter, November 20211/20/2022 10:49 AMLisa A Wallace11/18/2021 
docCertificate of Need Newsletter, November 2021Certificate of Need Newsletter, November 20211/20/2022 10:50 AMLisa A Wallace11/18/2021 
docOctober 2021 NewsletterOctober 2021 Newsletter1/20/2022 10:48 AMLisa A Wallace10/21/2021 
docCertificate of Need Newsletter, September 2021Certificate of Need Newsletter, September 20211/20/2022 10:48 AMLisa A Wallace9/16/2021 
docCertificate of Need Newsletter, August 2021Certificate of Need Newsletter, August 20211/20/2022 10:48 AMLisa A Wallace8/20/2021 
docCertificate of Need Newsletter, July 2021Certificate of Need Newsletter, July 20211/20/2022 10:49 AMLisa A Wallace7/16/2021 
docCertificate of Need Newsletter, June 2021Certificate of Need Newsletter, June 20211/20/2022 10:48 AMLisa A Wallace6/1/2021 
docCertificate of Need Newsletter, April 2021Certificate of Need Newsletter, April 20211/20/2022 10:48 AMLisa A Wallace4/16/2021 
docCertificate of Need Newsletter, March 2021Certificate of Need Newsletter, March 20211/20/2022 10:49 AMLisa A Wallace3/20/2021 
docCertificate of Need Newsletter, February 2021Certificate of Need Newsletter, February 20211/20/2022 10:48 AMLisa A Wallace2/21/2021 
docCertificate of Need Newsletter, January 2021Certificate of Need Newsletter, January 20211/20/2022 10:48 AMLisa A Wallace1/21/2021 
docCertificate of Need Newsletter, May 2021Certificate of Need Newsletter, May 20211/20/2022 10:48 AMLisa A Wallace5/21/2020 

​​Regulation Announcements

​900 KAR 5:020, 2023 Update to the State Health Plan March 2024 passed the Senate Health Services Committee on March 21, 2024.  A red-line copy can be found here​.



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