Certificate of Need

Licensed Home Care Services Agency Applications Go Electronic!

Effective May 21, 2015 Licensed Home Care Services Agency (LHCSA) applications for New Agencies and Change in Ownership/Controlling Persons will be submitted electronically via the New York State Electronic Certificate of Need (NYSE-CON) system. Therefore, effective May 21, 2015, the Department will no longer accept paper applications for new LHCSAs or for changes in ownership and/or controlling persons of LHCSAs.

In order to submit applications via NYSE-CON, applicants need a NYSDOH Health Commerce System (HCS) account. Please follow this link to learn how to obtain an HCS account, if necessary:

LHCSA application submissions will be similar to Certificate of Need application submissions. Please follow these links to find information about the NYSE-CON system, Forms and Schedules for the LHCSA application and Training documents:

For technical questions related to submission of applications via NYSE-CON please contact nysecon@health.ny.gov.

For questions concerning the application content please contact homecareliccert@health.ny.gov.

New York's Certificate of Need (CON) process governs establishment, construction, renovation and major medical equipment acquisitions of health care facilities, such as hospitals, nursing homes, home care agencies, and diagnostic and treatment centers.

The objectives of the CON process are to promote delivery of high quality health care and ensure that services are aligned with community need. CON provides the Department of Health oversight in limiting investment in duplicate beds, services and medical equipment which, in turn, limits associated health care costs.