Ambulatory Surgery CON application form - Revised February 2019

• pdf Version (April 2024)
• Word Version (April 2024) - Word Document
• Surgery standards guidance (March 2023)

Comprehensive Care (Nursing Home) and Extended Care Application for CON, Revised October 2019

• pdf Version (January 2024)
• Word Version (January 2024)
• Required Tables Package (Revised 5/1/17)

Home Health Application for CON - Revised February 2022

 Documentation of Applicant's Qualifications

• CON Review Stardards for Home Health Agency Services - How to Satisfy (2022)
• Qualifying Document - Maryland Home Health Agency, Hospital or Nursing Home (2022)
• Qualifying Document - Existing Medicare Certified Home Health Agency another State (2022)
• Qualifying Document - Residential Service Agency Providing Skilled Nursing Services (2022)

CON Application Forms 

• pdf version (Revised (2/10/22)
• Word Version (Revised 2/10/22)

Hospital Application for CON, revised December 2014

Please note that the application is posted in two parts, an application form and a set of required tables 

• pdf Version of application form
• Word Version of application form
• Required Tables Package (Revised 5/1/17)

Hospice Application for CON

• pdf Version (Revised 4/12/17)
• Word Version (Revised 4/12/17)

CON application form for Alcoholism and Drug Abuse Intermediate Care Facility Treatment Services

• pdf Version (8/18/22)
• Word Version (8/18/22)
• Table Package (4/25/18) 
• ICF Standards Guildance 

CON application form for projects other than hospital, comprehensive care facility, home health, ambulatory surgery, drug/alcohol and hospice

• pdf Version
• Word Version

 Application for Certificate of Conformance - Primary and Elective Percutaneous Coronary Intervention

• pdf Version (updated 10/14/15)
• Word Version (updated 10/14/15)