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2017 Certificate of Need Annual Health Care Facility Reports

The following health care facilities are required to complete an annual Certificate of Need Health Care Facility Report:

  • Ambulatory Surgical Centers
  • Critical Access Hospitals (CAHs) and Hospitals
  • Home Health Agencies, and
  • Long-Term Care Facilities

The Department of Public Health and Human Services has made all annual Certificate of Need health care facility reports available on-line. It is suggested that you first print the blank report and fill in the questions before completing the online version. The online reports have a new format this year. The links to the instructions and blank report form can be found below and on the first screen of the online reports. *PLEASE NOTE:  THE NEW SYSTEM WILL TIME OUT AFTER A PERIOD OF INACTIVITY AND DATA COULD BE LOST IF THIS HAPPENS.

The ability of the department to keep records on health care facilities is essential. The information collected each year is accessed by many people across the state and the nation. Data is utilized by the Certificate of Need Program to determine patient need in communities around the state. Because the information in this survey may affect the health care services in your community, it is important to be as accurate as possible. In addition, State of Montana law requires that health care facilities supply such information.

  1. Ambulatory Surgical Centers (ASC)
    Ambulatory Surgery Center Online Report and ASC instructions and Ambulatory Surgical Center Report PDF
  2. Critical Access Hospitals (CAHs) and Hospitals
    Hospital Online Report and Hospital instructions and Hospital Report PDF
  3. Home Health Agencies(HHA)
    Home Health Agency Online Report and Home Health instructions and Home Health Agency Report PDF
  4. Long-Term Care Facilities (LTC)
    Long Term Care Online Report and Long Term Care instructions and Long Term Care Report PDF

If you have any questions, please contact:

Certificate of Need Program 
P.O. Box 202953
Helena, MT  59620-2953
(406) 444-9519
(406) 444-1742 (Fax)