Certificate of Need

Moratorium on Licensed Home Care Services Agency Applications

The moratorium on the processing and approval of licensure applications for licensed home care services agencies (LHCSAs) expired on March 31, 2020. The Department’s regulations related to the new LHCSA public need methodology and financial feasibility review are effective as of April 1. The two-year moratorium and the new application review standards were enacted as part of Part B of Chapter 57 of the Laws of 2018.

Given the Department’s focus on the COVID-19 pandemic, guidance and revised applications will be delayed until further notice. If you have any questions, please email 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.