# Certificate of Need

*/Credentials/Certificate_of_Need*

## Credential Profile

**Issued By**: [State Health Planning Agency](/Regulators/State_Health_Planning_Agency)
**Satisfies**:
- [State Certificate of Need Statute](/Regulations/State_Certificate_of_Need_Statute)
**Qualifies For**:
- [Medical and Health Services Managers](/Occupations/Medical_and_Health_Services_Managers)
**Recognized In**:
- [United States](/Jurisdictions/United_States)

## Neighborhood

### Related (depends on)

- [Hospitals And Health Systems](/Industries/Hospitals_And_Health_Systems) — depends on · Industries
- [Hospital Systems](/Industries/Hospital_Systems) — depends on · Industries
- [Hospital Care](/Industries/Hospital_Care) — depends on · Industries
- [Healthcare and Hospitals](/Industries/Healthcare_and_Hospitals) — depends on · Industries
- [Healthcare Delivery](/Industries/Healthcare_Delivery) — depends on · Industries
- [Healthcare](/Industries/Healthcare) — depends on · Industries
- [Health Systems](/Industries/Health_Systems) — depends on · Industries
- [Health Care Facilities](/Industries/Health_Care_Facilities) — depends on · Industries
- [Elder Care Facilities](/Industries/Elder_Care_Facilities) — depends on · Industries
- [Surgery Centers](/Industries/Surgery_Centers) — depends on · Industries
- [Specialty Hospitals](/Industries/Specialty_Hospitals) — depends on · Industries
- [Skilled Nursing and Long-Term Care Facilities](/Industries/Skilled_Nursing_and_Long-Term_Care_Facilities) — depends on · Industries
- [Outpatient Care Centers](/Industries/Outpatient_Care_Centers) — depends on · Industries
- [Hospitals](/Industries/Hospitals) — depends on · Industries
- [Freestanding Ambulatory Surgical and Emergency Centers](/Industries/Freestanding_Ambulatory_Surgical_and_Emergency_Centers) — depends on · Industries
- [Kidney Dialysis Centers](/Industries/Kidney_Dialysis_Centers) — depends on · Industries
- [Diagnostic Imaging Centers](/Industries/Diagnostic_Imaging_Centers) — depends on · Industries
- [Nursing Care Facilities (Skilled Nursing Facilities)](/Industries/Nursing_Care_Facilities_(Skilled_Nursing_Facilities)) — depends on · Industries
- [General Medical and Surgical Hospitals](/Industries/General_Medical_and_Surgical_Hospitals) — depends on · Industries
- [Specialty (except Psychiatric and Substance Abuse) Hospitals](/Industries/Specialty_(except_Psychiatric_and_Substance_Abuse)_Hospitals) — depends on · Industries
- [Psychiatric and Substance Abuse Hospitals](/Industries/Psychiatric_and_Substance_Abuse_Hospitals) — depends on · Industries

### Related (builds on)

- [State Health Facility License](/Credentials/State_Health_Facility_License) — builds on · Credentials

### Satisfies

- [State Certificate of Need Statute](/Regulations/State_Certificate_of_Need_Statute) — satisfies · Regulations
- [State Certificate of Need Statutes](/Regulations/State_Certificate_of_Need_Statutes) — satisfies · Regulations

### Problems this exposes

- [CON application community-need and bed/service projection modeling against state health-plan criteria](/Problems/CON_application_community-need_and_bed%2Fservice_projection_modeling_against_state_health-plan_criteria) — exposes problem · Problems
- [service-area and capital-threshold determinations dictating whether a CON is even required](/Problems/service-area_and_capital-threshold_determinations_dictating_whether_a_CON_is_even_required) — exposes problem · Problems
- [competing-applicant comparative review and intervention/contested-case hearing exposure](/Problems/competing-applicant_comparative_review_and_intervention%2Fcontested-case_hearing_exposure) — exposes problem · Problems
- [post-approval progress and project-implementation reporting against the approved scope and budget](/Problems/post-approval_progress_and_project-implementation_reporting_against_the_approved_scope_and_budget) — exposes problem · Problems
- [opposition interventions from incumbent providers extending the approval timeline](/Problems/opposition_interventions_from_incumbent_providers_extending_the_approval_timeline) — exposes problem · Problems
- [capital-expenditure threshold triggering CON applicability for equipment or beds](/Problems/capital-expenditure_threshold_triggering_CON_applicability_for_equipment_or_beds) — exposes problem · Problems
- [competing/comparative review when multiple applicants vie for the same bed or service allotment](/Problems/competing%2Fcomparative_review_when_multiple_applicants_vie_for_the_same_bed_or_service_allotment) — exposes problem · Problems
- [demonstrating community need against the state health-planning agency's review criteria](/Problems/demonstrating_community_need_against_the_state_health-planning_agency's_review_criteria) — exposes problem · Problems
- [approval timelines of many months stall capital projects and equipment purchases](/Problems/approval_timelines_of_many_months_stall_capital_projects_and_equipment_purchases) — exposes problem · Problems
- [scope is locked to bed count or service line, so deviation re-triggers a new CON application](/Problems/scope_is_locked_to_bed_count_or_service_line,_so_deviation_re-triggers_a_new_CON_application) — exposes problem · Problems
- [CON review demands community-need and utilization projections that competitors formally oppose](/Problems/CON_review_demands_community-need_and_utilization_projections_that_competitors_formally_oppose) — exposes problem · Problems
- [CON rules and exemption thresholds differ sharply by state, complicating multi-state expansion](/Problems/CON_rules_and_exemption_thresholds_differ_sharply_by_state,_complicating_multi-state_expansion) — exposes problem · Problems
- [competing applicants in the same service area trigger contested comparative-review hearings](/Problems/competing_applicants_in_the_same_service_area_trigger_contested_comparative-review_hearings) — exposes problem · Problems
- [capital-expenditure and bed/service thresholds vary wildly by state, gating the same project differently](/Problems/capital-expenditure_and_bed%2Fservice_thresholds_vary_wildly_by_state,_gating_the_same_project_differently) — exposes problem · Problems
- [approval is conditioned on volume and service commitments policed for years after the build](/Problems/approval_is_conditioned_on_volume_and_service_commitments_policed_for_years_after_the_build) — exposes problem · Problems
- [CON application must prove community need against a state health-services plan that lags actual demand](/Problems/CON_application_must_prove_community_need_against_a_state_health-services_plan_that_lags_actual_demand) — exposes problem · Problems

### Recognized in

- [United States](/Jurisdictions/United_States) — recognized in · Jurisdictions

### Issued by

- [State Health Planning Agency](/Regulators/State_Health_Planning_Agency) — issued by · Regulators

### Qualifies for role

- [Healthcare Facility Administrator](/JobTypes/Healthcare_Facility_Administrator) — qualifies for role · JobTypes

### Qualifies for

- [Medical and Health Services Managers](/Occupations/Medical_and_Health_Services_Managers) — qualifies for · Occupations

### Attests skill

- [Operations Analysis](/Skills/Operations_Analysis) — attests skill · Skills
- [Critical Thinking](/Skills/Critical_Thinking) — attests skill · Skills

### Attests knowledge

- [Medicine and Dentistry](/Knowledge/Medicine_and_Dentistry) — attests knowledge · Knowledge
- [Economics and Accounting](/Knowledge/Economics_and_Accounting) — attests knowledge · Knowledge
- [Law and Government](/Knowledge/Law_and_Government) — attests knowledge · Knowledge