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Certificate of need · Ohio

Ohio certificate of need

Ohio has a certificate of need program, run by Ohio Department of Health (Director of Health). It covers 2 kinds of services, listed below.

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

CON program
Yes
Services covered
2
On this page
Certificate of need

Ohio CON program

Ohio has a certificate of need program, run by Ohio Department of Health (Director of Health). It covers 2 kinds of services, listed below.

CON program
Yes
Program
Certificate of Need (long-term care)
Application fee
Nonrefundable fee set by Department of Health rule under R.C. 3702.52(F); amount not captured.
Review timeline
Reviewability rulings within 45 days (30 days if expedited). Completeness notices within 30 days of each submission; no more than two requests for more information, with a final completeness determination within 180 days of filing. Decision within 60 days after the completeness notice (45 days for expedited review), extendable once by up to 30 days (R.C. 3702.52).
Recent changes
Ohio's CON program covers only long-term care. Acquisitions of existing LTC facilities and mergers that do not change bed counts are not reviewable (R.C. 3702.511).
Statute
Ohio Rev. Code §§3702.51 to 3702.62; Ohio Adm. Code Chapter 3701-12
Scope

Services that need a certificate of need

  • long-term care facilities: licensed nursing homes and skilled nursing / long-term care beds (including county homes and hospital-registered long-term care beds)
  • new long-term care facilities, increases in bed capacity, and relocation of beds between sites
FAQ

Frequently asked questions

Does Ohio have a certificate of need law?

Ohio has a certificate of need program, run by Ohio Department of Health (Director of Health). It covers 2 kinds of services, listed below.

How long does a Ohio CON review take?

Reviewability rulings within 45 days (30 days if expedited). Completeness notices within 30 days of each submission; no more than two requests for more information, with a final completeness determination within 180 days of filing. Decision within 60 days after the completeness notice (45 days for expedited review), extendable once by up to 30 days (R.C. 3702.52).

How much is a Ohio CON application?

Nonrefundable fee set by Department of Health rule under R.C. 3702.52(F); amount not captured.