Certificate of Need Process Forms

Form Name   Updated Date
CON Fee 2015 2016 2017   09/19/2016
CON Application Instructions Word Format PDF 10/18/2016
CON Application Non-Substantive Review Form for Hospice Word Format PDF 09/25/2009
CON Application Non-Substantive Hospice Review for Additional Licensed Counties Word Format PDF 03/18/2010
CON Extension Word Format PDF 09/11/2013
SHPDA Review Informational Sheet   PDF 06/11/2014
SHPDA Review Order Form (Agency's Monthly Newsletter) Word Format PDF 09/10/2014
Equipment Replacement Form Word Format PDF 09/11/2013
Change of Ownership Form Word Format 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 List of Required Items PDF 10/26/2015
Attorney General Opinion (Hospice) 08-17-09   08/19/2009
Interested Parties Notification Subscription Form PDF 01/05/2017
Change in Designation of COntact of Record for Purposes of Mandatory Reporting PDF 09/23/2016

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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