Health Care Facility Services   CON  

Essentials of the CON Process

Overview of the Maryland CON Program

COMAR 10.24.01: Certificate of Need Regulations

Determination of Coverage

Cost Increases Requiring Commission Approval (updated November 2023)

Applying for a CON

      Schedule of Certificate of Need Reviews (published in the Maryland Register 12/1/23) 

"In regards to LOI's for Comprehensive Care Services please contact Jeanne-Marie Gawel at for guidance on how to calculate the analysis of the CMS star ratings."

Applying for a Certificate of Conformance 

        Schedule for Certificate of Conformance Reviews (published in the Maryland Register  (10/6/23) 

Applying for a Certificate of Ongoing Performance  

      Schedule of Certificate of Ongoing Performance Review Cardiac Surgery (6/2/23) 

      Schedule of Certificate of Ongoing Performance Review PCI Services (10/6/23)

Application Forms 

CON Application Forms 

Status of CON Applications and Other Actions

Active CON Applications

           Changes to Approved Projects 

Emergency CONs in effect until 4/30/23 

Merger/Consolidation, Exemption and Other Requests

Recent Notice of Hospital Changes of Ownership

Completed CON Application Reviews

Recent PCI Applications

Staff Reports, Recommended Decisions, and Related Documents

Monthly CON Status Reports

Special Areas of Interest

Bed Capacity Changes Deregulated






Last Updated: 2/15/2024