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Certificate of need · Michigan

Michigan certificate of need

Michigan has a certificate of need program, run by Michigan Department of Health and Human Services, Certificate of Need Program; review standards set by the CON Commission. It covers 14 kinds of services, listed below.

Verified Oct 6, 2026Sources: official state and federal agencies

CON program
Yes
Services covered
14
On this page
Certificate of need

Michigan CON program

Michigan has a certificate of need program, run by Michigan Department of Health and Human Services, Certificate of Need Program; review standards set by the CON Commission. It covers 14 kinds of services, listed below.

CON program
Yes
Program
Certificate of Need
Application fee
Base fee $3,000 per application, plus $5,000 for projects over $500,000 and under $4,000,000; plus $8,000 for $4,000,000 to under $10,000,000; plus $12,000 for $10,000,000 or more. $1,000 for applicant-requested expedited processing; $500 for waiver letters of intent and amendments; $100 per approved covered clinical service on the annual survey (MCL 333.20161).
Recent changes
The CON Commission may add, revise or delete covered clinical services and review standards after public hearing; the governor or Legislature may disapprove proposed final action within 45 days (MCL 333.22215).
Statute
MCL 333.22201–333.22260 (Public Health Code Part 222); fees MCL 333.20161
Scope

Services that need a certificate of need

  • new health facilities and changes in bed capacity
  • covered capital expenditures of $2,500,000+ (indexed annually)
  • neonatal intensive care / special newborn nursing
  • open heart surgery
  • extrarenal organ transplantation
  • lithotripsy
  • megavoltage radiation therapy
  • PET
  • surgical services (freestanding outpatient surgery, ASCs, hospital surgical departments)
  • cardiac catheterization
  • fixed and mobile MRI
  • fixed and mobile CT
  • air ambulance
  • child/adolescent specialized psychiatric programs
FAQ

Frequently asked questions

Does Michigan have a certificate of need law?

Michigan has a certificate of need program, run by Michigan Department of Health and Human Services, Certificate of Need Program; review standards set by the CON Commission. It covers 14 kinds of services, listed below.

How much is a Michigan CON application?

Base fee $3,000 per application, plus $5,000 for projects over $500,000 and under $4,000,000; plus $8,000 for $4,000,000 to under $10,000,000; plus $12,000 for $10,000,000 or more. $1,000 for applicant-requested expedited processing; $500 for waiver letters of intent and amendments; $100 per approved covered clinical service on the annual survey (MCL 333.20161).