Schedules Required for each Type of Application

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Facility type: Type of Application Application Schedules Required
Adult Care Facilities under Article 7 of the Social Services Law Please refer to the Adult Care Facility and Assisted Living Common Application. Please refer to the Adult Care Facility and Assisted Living Common Application.
Hospital under Article 28 of the Public Health Law (PHL) Establishment 1, 2, 3, 5, 9, 13, 14, 16
Transfer ownership 1, 2, 3, 4, 5, 9, 13, 14, 15, 16
Construction - full review 1, 5, 6, 7, 8, 9, 10, 11, 13, 16A-E
Construction Administrative Review 1, 5, 6, 7, 8, 9, 10, 11,13, 16A-E
Limited Review Consolidated Limited Review Application
Article 28 (PHL) Diagnostic and Treatment Center (D&TC) Establishment 1, 2, 3, 5, 9, 13, 14, 17
Transfer ownership 1, 2, 3, 4, 5, 9, 13, 14, 15, 17
Construction - full review 1, 5, 6, 7, 8, 9, 10, 11, 13, 17
Construction Administrative Review 1, 5, 6, 7, 8, 9, 10, 11, 13, 17
Limited Review Consolidated Limited Review Application
Article 28 (PHL) Midwifery Birth Center (MBC) Establishment 1, 2, 3, 5, 9, 13, 14, 24
Transfer ownership 1, 2, 3, 4, 5, 9, 13, 14, 15, 24
Construction - Full review 1, 5, 6, 7, 8, 9, 10, 11, 13, 24
Construction Administrative Review 1, 5, 6, 7, 8, 9, 10, 11, 13, 24
Limited Review Consolidated Limited Review Application
Article 28 (PHL) Residential Health Care Facilities Establishment 1, 2, 3, 5, 9, 13, 14, 18B, 18D, 18E
Transfer ownership 1, 2, 3, 4, 5, 9, 13, 14, 15, 18B, 18D, 18E
Construction - full review 1, 5, 6, 7, 8, 9, 10, 11, 13, 18
Construction Administrative Review 1, 5, 6, 7, 8, 9, 10, 11, 13, 18B-E
Limited Review Consolidated Limited Review Application
Article 36 (PHL) Certified Home Health Agencies (CHHAs) New Agency 1, 2, 3, 5, 21A, 21B, 21C, 21D, 21E, 21F
Change in Ownership 1, 2, 3, 4, 5, 21A, 21B, 21C, 21D, 21E, 21F, 21G
Add Services 1, 21A, 21B, 21D, 21E, 21F
Expand Service Area 1, 21A, 21B, 21D, 21E, 21F
Construction or Equipment 1, 5, 6, 7, 8, 9, 10, 11
Article 36 (PHL) Long Term Home Health Care Programs (LTHHCP) New Program 1, 5, 21A, 21B, 21D, 21E, 21F
Change of Ownership 1, 5, 21A, 21B, 21D, 21E, 21F
Increase Capacity 1, 21A, 21B, 21D, 21E, 21F
Expand Service Area 1, 21A, 21B, 21D, 21E, 21F
Construction or Equipment 1, 5, 6, 7, 8, 9, 10, 11
Article 40 (PHL) Hospices New Agency 1, 2, 3, 5, 22A, 22B, 22C, 22D, 22E
Change in Ownership 1, 2, 3, 4, 5, 22A, 22B, 22C, 22D, 22F
Expand Service Area 1, 22A, 22B, 22D, 22E
Add Inpatient, Residence or Dually Certified Beds 1, 22A, 22B, 22D, 22E (plus 5, 6, 7, 8, 9,10,11 if construction is involved)
Construction or Equipment 1, 5, 6, 7, 8, 9,10,11
Adult Day Care Health Program Any facility proposing to start or expand an Adult Day Care Health Program or add or change the physical location where the service will be offered must complete Schedule 19 in addition to the other schedules required for their CON.
Article 28 applicants with OMH services An additional Schedule 20A must be completed by applicants whose proposal includes OMH services.
Article 28 applicants with OASAS services Additional information may be required from applicants whose proposal includes OASAS services
Article 28 applicants with OMRDD services Additional information may be required from applicants whose proposal includes OMRDD services.

Note: When a CON involves both construction and establishment, the applicant must complete the schedules required for both categories.