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Certificate of Need


What is a Certificate of Need?

Certificate of Need (CON) is a regulatory governmental program requiring certain types of health care providers to obtain State approval prior to making substantial capital investments in new equipment or facilities, changing bed complement (in hospitals) and adding or sometimes discontinuing a health care service. The CON program is intended to guide the establishment of health facilities and services which best serve public needs, ensure that high quality health services are provided, prevent unnecessary duplication of health care facilities and services and promote cost containment.

What is a CON Determination?

Any person or entity unsure if a proposal requires CON approval, may submit a completed CON Determination Form to HSP for review. HSP will respond in writing within a week unless additional information is required to make the determination.

What is a CON Modification?

A person or entity may request a modification to a previously authorized CON, such as a change in the scope of the CON project or CON expiration date, by submitting a completed Modification Form to HSP. HSP will review the request and respond in writing.



ALL CON related material (Applications, Determinations, & Modifications) should be filed through the CON Portal.

  • The $500 CON Fee should also be filed with HSP at the time of the submission of the CON Application, using MasterCard or Visa, through the CON Portal.
  • Please review the CON Portal User Guide


To view the status of CONs submitted through the portal, please visit our new reporting site. No registration is required to view CON Status Reports



CON Related Statutes

When is a CON required? 19a-638 C.G.S.
When is a CON Determination required 19a-638(c)(1) C.G.S
What are the criteria used to review a CON application? 19a-639 C.G.S.
What is the process for a CON application? 19a-639a C.G.S.
Who is considered a Health Care Facility for CON purposes? 19a-630 C.G.S.
  C.G.S. => Connecticut General Statute


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Contact Information: Steven W Lazarus at or 860 418 7001.