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Certificate of need · West Virginia

West Virginia certificate of need

West Virginia has a certificate of need program, run by West Virginia Health Care Authority. It covers 8 kinds of services, listed below.

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

CON program
Yes
Services covered
8
On this page
Certificate of need

West Virginia CON program

West Virginia has a certificate of need program, run by West Virginia Health Care Authority. It covers 8 kinds of services, listed below.

CON program
Yes
Program
Certificate of Need
Moratoria
The Authority may not issue CONs for: adding intermediate care or skilled nursing beds (except under §16-2D-11 exemptions); building or replacing skilled nursing facilities (except to replace unsafe facilities or reuse existing licensed beds); adding ICF/IID beds (apart from court-ordered beds); opioid treatment programs (one narrow clinical-trial exception); or adding substance abuse treatment beds in counties that already have more than 250 (W. Va. Code §16-2D-9).
Recent changes
Article 16-2D was amended repeatedly, including 2023 SB 613 (which amended the definitions, the list of services requiring CON and the exemptions) and 2024 HB 4274 (definitions and exemptions).
Statute
W. Va. Code §16-2D-1 et seq.
Scope

Services that need a certificate of need

  • establishment or acquisition of any health care facility (broadly defined)
  • capital expenditures above the expenditure minimum, and capital expenditures to acquire a facility
  • substantial changes in bed capacity or health services
  • addition of ventilator services by a hospital
  • major medical equipment
  • new health services not offered on a regular basis
  • expansion of hospice or home health agency service areas
  • closures or eliminated services tied to capital expenditures
FAQ

Frequently asked questions

Does West Virginia have a certificate of need law?

West Virginia has a certificate of need program, run by West Virginia Health Care Authority. It covers 8 kinds of services, listed below.