Certificate of Need Services

CSHSC assists providers in North and South Carolina in preparing certificate of need applications (“CON applications”). Please see our Client List and Recent Approvals on this website. Almost all CON applications are competitive. The table below summarizes some of the more salient points and FAQs for preparation of a CON application:

Authority	NC(1)	SC(1)
State Plan underlies service availability
Need determinations made by state for services
Need must be shown by applicant
Petitions available for need determinations
Certain cost thresholds trigger reviews
Specific filing dates for services
Applications forms and questions available
Special criteria and standards/rules apply
Special review criteria
Written support necessary
Licensed architect or engineer required
Reasonable time to prepare a competitive application
Filing fees
Copies filed with the state
Review period
Public hearings/project reviews
Expedited reviews allowed
Contested case settled - timing
Competitor(s) copies available
Competitive comments allowed
Application revisions allowed
Progress reports upon CON approval

(1) Please contact us with your questions. North Carolina updates its State Medical Facilities Plan annually and revises certain criteria by service.
South Carolina updates its State Health Plan every two years.