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Certificate of need · Rhode Island

Rhode Island certificate of need

Rhode Island has a certificate of need program, run by Rhode Island Department of Health (state agency), with review by the Health Services Council. It covers 11 kinds of services, listed below.

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

CON program
Yes
Services covered
11
On this page
Certificate of need

Rhode Island CON program

Rhode Island has a certificate of need program, run by Rhode Island Department of Health (state agency), with review by the Health Services Council. It covers 11 kinds of services, listed below.

CON program
Yes
Program
Certificate of Need (Determination of Need for New Healthcare Equipment and New Institutional Health Services)
Review timeline
Letter of intent at least 45 days before applying. Reviews run at least twice a year, and no more than 120 days may pass between notice to affected persons and the final decision; if the agency misses this, the applicant may petition Providence County Superior Court (R.I. Gen. Laws §23-15-6).
Recent changes
Nursing facility bed reclassifications and small annual bed increases (the greater of 10 beds or 10%, with capital cost up to $2,000,000) may be exempted by rule.
Statute
R.I. Gen. Laws chapter 23-15 (§§23-15-1 to 23-15-11)
Scope

Services that need a certificate of need

  • hospitals
  • nursing facilities
  • home nursing-care providers
  • home-care providers
  • hospice providers and inpatient hospice facilities
  • inpatient rehabilitation centers including drug/alcohol treatment
  • freestanding emergency-care facilities
  • multi-practice ambulatory surgery centers (single-practice physician/podiatry ASCs exempt unless set up by a medical practice group)
  • capital expenditures above $5,250,000 (CPI-adjusted from 2012)
  • new services adding $1,500,000+ (CPI-adjusted) in operating expense
  • tertiary/specialty services listed in regulation (up to 12 categories)
FAQ

Frequently asked questions

Does Rhode Island have a certificate of need law?

Rhode Island has a certificate of need program, run by Rhode Island Department of Health (state agency), with review by the Health Services Council. It covers 11 kinds of services, listed below.

How long does a Rhode Island CON review take?

Letter of intent at least 45 days before applying. Reviews run at least twice a year, and no more than 120 days may pass between notice to affected persons and the final decision; if the agency misses this, the applicant may petition Providence County Superior Court (R.I. Gen. Laws §23-15-6).