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Details for Service Certificate of Need
Service Name Certificate of Need Program Name Capacity Building
Goal Manage resources to provide effective and efficient delivery of services to North Carolinians.
Objective Assure the capacity to deliver health and safety services to children and/or adults through collaboration, networks, partnerships and workforce development.
Division Division of Health Service Regulation
Service Description


The North Carolina Certificate of Need (CON) Law requires health care providers to obtain a CON from the Department of Health and Human Services (Department) before developing or offering a “new institutional health service.” The purpose of the CON program is to enhance access to health care and reduce healthcare costs by restricting unnecessary duplication of healthcare facilities and services within the state. Staff activities include:

  • Responding to requests for exemption and no review.  
  • Conducting pre-application meetings with potential applicants.  
  • Evaluating applications for compliance with policies and need determinations in the SMFP and other criteria and approving or denying the proposal within 150 days.
  • In competitive reviews, comparing proposals to each other to determine which is the most effective alternative.  
  • Defending decisions in administrative hearings if they are appealed.  Monitoring projects for compliance.  
This service benefits all North Carolinians.


Web Site http://ncdhhs.gov/dhsr/ Year First Initiated 1974
Available State Wide Yes Geographic Area Served
Grants Provided No Competitive Bidding No
Competitive Bidding Details
Waiting List No Waiting List Start Date
Number Waiting
Waiting List Details

Income Eligibility
Income Eligibility No
Income Eligibility Method
Income Eligibility Type
Whose Income Eligibility
Income Disregard No
Income Disregard Desc
Income Verified No
Income Verified Method
Income Criteria
Income Eligibility Change
Income Eligibility Method Prior To Change
Income Eligibility Other

Target Population
Age Range Start Age Range End
1 100+

Legal Authority
Authorization Level Authorization Type Citation
State Statute GS 131E-175

Budget Information
State Fiscal Year (SFY)
As of the month of
Authorized Budget Fiscal Year 2024 SFY 2023-2024 Year To Date Expenditures Balance
Salary and Fringes (1X) 0 0 0
Salary Other (1X) 0 0 0
Operating (2X-5X) 0 0 0
Contracts/Allocations (6X) 0 0 0
Reserves (7X) 0 0 0
Transfers (8X) 0 0 0
Total Requirements 0 0 0
Receipts-Federal 0 0 0
Receipts- Local receipts 0 0 0
Receipts- Other receipts 0 0 0
Total Receipts 0 0 0
General Fund Appropriations 0 0 0
State Local Other
0 0 0
State Local
0 0