How to File a Certificate of Need Application

Before filing a CON application, place a notice for three (3) consecutive days in a newspaper with substantial distribution in the area of the proposed project. The final publication of the notice must be published at least 20 days — but no more than 90 days — before filing. Use this list of appropriate newspapers by town (PDF).You must also:

• Publish the notice on your website
• Request publication of the notice on at least two websites commonly visited by the public within the affected community
• Request publication of the notice on the website of the municipality or local health department
• Submit the notice to the unit

See the amount to submit with a CON application:

Estimated cost of proposal

Less than $50,000 : $1000 CON Application fee

$50,000 to less than $100,000: $2000 CON application fee

$100,000 to less than $500,000: $3000 CON application fee

$500,000 to less than $1,000,000: $4000 CON application fee

$1,000,000 to less than $5,000,000: $5000 CON application fee

$5,000,000 to less than $10,000,000: $8000 CON application fee

$10,000,000 or more: $10000 CON application fee

Additional information may be required for certain requests. Complete and submit the appropriate form below.
Submit it online

C.G.S. § 19a-638(a) supplemental forms:

1. Establish a new healthcare facility for mental health and/or substance abuse. Word  

2. Transfer ownership of a healthcare facility. Excludes transfer of ownership/sale of a hospital. Word

3. Transfer ownership of a group practice. Word

4 .Establish a freestanding emergency department. Word

5. Terminate inpatient or outpatient services offered by a hospital. Word

6. Establish an outpatient surgical facility. Word

7. Termination a surgical services by an outpatient surgical facility. Word

8. Termination of an emergency department by a short-term acute care general hospital. Word

9. Establish cardiac services. Word

10. Acquire computed tomography scanners, magnetic resonance imaging scanners, positron emission tomography scanners, or positron emission tomography-computed tomography scanners. Word

11. Acquire non-hospital-based linear accelerators Word

12. Increase licensed bed capacity of a healthcare facility. Word

13. Acquire equipment that uses technology that is new to the state. Word

14. Increase of two or more operating rooms within any three-year period by an outpatient surgical facility or short-term acute care general hospital. Word

15. Termination of inpatient or outpatient services offered by a hospital or other facility or institution operated by the state that provides services that are eligible for reimbursement under Title XVIII or XIX of the federal Social Security Act, 42 USC 301, as amended. Word

Other : Transfer ownership of a hospital or sell a hospital. Word / PDF

*This supplemental form should be included with all applications requesting authorization to establish a mental health and/or substance abuse treatment facility. To establish other healthcare facilities as defined by C.G.S. § 19a-630(11) (hospitals licensed by DPH under chapter 386v, specialty hospitals, or a central service facility) complete the Main Form only.

• Spreadsheet A is for nonprofits
• Spreadsheet B is for for-profits
• Spreadsheet C is for the sale of nonprofit hospitals

• Download the form as a Word document.
• Submit it online using the Notifications and Filings Portal (requires registration)

• Download the form as a Word document.
• Submit it online