Missouri certificate of need

Missouri has a certificate of need program, run by Missouri Health Facilities Review Committee, staffed by the Certificate of Need Program in the Missouri Department of Health and Senior Services. It covers 3 kinds of services, listed below.

CON program

Yes

Program

Certificate of Need

Agency

Missouri Health Facilities Review Committee, staffed by the Certificate of Need Program in the Missouri Department of Health and Senior Services

Application fee

Greater of $1,000 or 0.1% of total project cost; filing starts when both application and fee are received (RSMo 197.315.10).

Review timeline

Committee notifies the applicant within 15 days whether the application is complete, holds a public hearing if an affected person asks within 30 days of the review notice, and issues its decision within 100 days of filing; it may extend by up to 30 days (RSMo 197.330).

Recent changes

State-operated facilities are deemed to hold a CON without a fee, except as specified for state-operated hospitals (RSMo 197.315.16).

Statute

RSMo §§197.300–197.367

• beds in long-term care facilities licensed under RSMo chapter 198 and hospital long-term care beds (expenditure minimum $600,000 capital / $400,000 major medical equipment)
• long-term care hospitals (no expenditure minimum)
• other health care facilities, new institutional health services and beds, including hospitals ($1,000,000 capital / $1,000,000 major medical equipment)