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Certificate of need · Montana

Montana certificate of need

Montana has a certificate of need program, run by Montana Department of Public Health and Human Services. It covers 3 kinds of services, listed below.

Verified Oct 6, 2026Sources: official state and federal agencies

CON program
Yes
Services covered
3
On this page
Certificate of need

Montana CON program

Montana has a certificate of need program, run by Montana Department of Public Health and Human Services. It covers 3 kinds of services, listed below.

CON program
Yes
Program
Certificate of Need (long-term care)
Application fee
At least 0.3% of the projected capital expenditure, minimum $500; no fee for a letter of intent (MCA 50-5-310).
Recent changes
MCA 50-5-301 was amended in 2021 (Ch. 339 and Ch. 477, Laws of 2021). In its current form, CON applies only to long-term care facilities (skilled nursing, intermediate nursing and intermediate developmental disability care) and to hospital long-term care use; other facility types no longer need a CON. Residential care facilities are excluded.
Statute
MCA Title 50, chapter 5, part 3 (§§50-5-301 to 50-5-310)
Scope

Services that need a certificate of need

  • long-term care facilities (skilled nursing, intermediate nursing and intermediate developmental disability care to 2+ individuals): new or replacement facilities, bed increases or relocations above 10 beds / 10%, acquisitions of 50%+ ownership
  • new long-term care health services adding $150,000+ in annual operating and amortization expense
  • hospital use of more than five beds for nursing-level care and hospital long-term care services
FAQ

Frequently asked questions

Does Montana have a certificate of need law?

Montana has a certificate of need program, run by Montana Department of Public Health and Human Services. It covers 3 kinds of services, listed below.

How much is a Montana CON application?

At least 0.3% of the projected capital expenditure, minimum $500; no fee for a letter of intent (MCA 50-5-310).