Certificate of Need Process Forms

Form Name   Updated Date
CON Rules and Regulations         07/16/2019
CON Fee (Thresholds) 2018 2019 2020 2021 09/24/2020
CON Application Instructions      Word PDF 10/18/2016
CON Application Non-Substantive Review Form for Hospice Word PDF 09/25/2009
CON Application Non-Substantive Hospice Review for Additional Licensed Counties Word PDF 03/18/2010
CON Extension Word PDF 09/11/2013
SHPDA Review Informational Sheet   PDF 06/11/2014
SHPDA Review Order Form (Agency's Monthly Newsletter)   PDF 06/30/2017
SHPDA Review Renewal Form (LAST NOTICE)   PDF 06/30/2017
Equipment Replacement Form Word PDF 09/11/2013
Change of Ownership Form Word PDF    Interactive PDF 10/18/2016
CON Application Advertisement Form (410-1-7-.06) PDF 06/19/2008
Forty-Fifth (45th) day of the Review Period Form (410-1-7-.13) PDF 06/19/2008
Project Modification after Issuance of CON Form (410-1-10-.03 (b)) PDF 06/19/2008
Notice of Proposed Adjustment to Alabama State Health Plan Form PDF 06/19/2008
Home Health Contiguous County Letter ACT 98-339 Sample Letter 06/19/2008
Letter of Non-Reviewability Requirements PDF 10/16/2017
Attorney General Opinion (Hospice) 08-17-09   08/19/2009
Interested Parties Notification Subscription Form PDF 03/08/2019
Change in Designation of Contact of Record for Purposes of Mandatory Reporting PDF 09/23/2016
Change in Electronic Certificate of Need Notification Appointments PDF 08/28/2020
Current CBER Population information for CON Applications   06/17/2019
Document Review & Data Request Form NEW!   07/27/2021

On May 8, 2012, Governor Bentley signed into law Act-294, which contains important amendments to Alabama's Certificate of Need Law.  Public Notice of the changes enacted by this law can be found here.

 

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