List of Limited Review CON Schedules
This application is for those projects subject to a limited review pursuant to 10 NYCRR 710.1(c)(5)-(7). The Limited Review Application consists of a cover sheet and twelve (12) schedules - though not all of the schedules will need to be completed for a given project. The responses given on the cover sheet will determine which schedules to complete.
Some computers may experience a delay as these schedules open when the link is selected by "left click". If this occurs, DOH recommends a "right click" while the cursor is on the link, of the mouse, followed by selection of the "Save Target/Link As..." option on the menu.
- LRA Instructions (DOC, 687KB)
- LRA Cover Sheet (DOC, 99KB)
- Schedule LRA 1 Project Narrative (DOC, 62KB)
- Schedule LRA 2 Total Project Cost (DOC, 102KB)
- Schedule LRA 3 Proposed Plan for Project Financing (DOC, 91KB)
- Schedule LRA 4 Outline of Architectural/Engineering Action (DOC, 85KB)
- Schedule LRA 5 Space and Construction Cost Distribution (DOC, 160KB)
- Schedule LRA 6 Format for Architect's or Engineer's Letter of Certification (DOC, 81KB)
- Schedule LRA 7 Proposed Operating Budget (DOC, 100KB)
- Schedule LRA 8 Staffing (DOC, 95KB)
- Schedule LRA 9 Interoperable Health IT Requirements (DOC, 114KB)
- Schedule LRA 10 Impact of Limited Review Application on Operating Certificate(services specific to the site) (DOC, 150KB)
- Schedule LRA 11 Part-Time Clinic (DOC, 265KB)
- Schedule LRA 12 Assurances (DOC, 68KB)
Submit one (1) original and two (2) copies of this application, along with any information and documentation required to determine the acceptability of the proposal, and a check for the applicable application fee to:
Bureau of Project ManagementDivision of Health Facility Planning
Office of Health Systems Management
New York State Department of Health
433 River Street, 6th floor
Troy, New York 12180-2299
Phone Number: 518-402-0911
Limited Review Application Fees
Limited Review Applications for more than one type of project listed shall only submit a single fee, reflecting the higher of the applicable fees:
| Type of LAR | Normal Fee | "Safety Net" Fee |
|---|---|---|
| Minor Construction | $1,000 | $500 |
| Equipment | $1,000 | $500 |
| Service Delivery | $500 | $250 |
| Non-Clinical | $500 | $250 |
| Health Information Technology | $500 | $250 |
| Cardiac Services | $500 | $250 |
| Relocation of Extension Clinic | $1,000 | $500 |
| Part-Time Clinic | $500 | $250 |


