Coverage, state by state

Every Certificate of Need programme we track, the format the state publishes in, and exactly how current our data is. We say plainly which states update automatically and which are still being wired up — a filing you cannot trust is worse than no filing. Green border: collector succeeded on the last daily run (checked 10/3/2026, after that day’s filings went out). Yellow: that run failed.

StateAgencyPublishes asCadenceCost on pageStatus
Alaska
AK
Alaska DOH Certificate of NeedManual pullrollingIn documents / variesLive — auto-updating
Alabama
AL
Alabama SHPDAManual pullrollingIn documents / variesLive — auto-updating
Arkansas
AR
Arkansas Health Services Permit AgencyManual pullrollingIn documents / variesLive — auto-updating
Connecticut
CT
DPH Certificate of Need (formerly OHS)HTML pagesmonthlyIn documents / variesLive — auto-updating
District of Columbia
DC
DC Health SHPDAPDF reportsannualIn documents / variesLive — auto-updating
Delaware
DE
Health Resources Board (Certificate of Public Review)PDF reportsmonthlyIn documents / variesLive — auto-updating
Florida
FL
AHCA Certificate of Need (post-2019 repeal)HTML pages4 batching cycles/yrIn documents / variesLive — auto-updating
Georgia
GA
Dept. of Community Health, Office of Health PlanningPDF reportsweeklyYesLive — auto-updating
Hawaii
HI
Hawaii SHPDAHTML pagescontinuousIn documents / variesLive — auto-updating
Iowa
IA
Iowa HHS Certificate of NeedManual pullrollingIn documents / variesLive — auto-updating
Illinois
IL
Health Facilities & Services Review BoardHTML pagesrollingYesLive — auto-updating
Kentucky
KY
CHFS OIG Division of Certificate of NeedWord documentsmonthlyIn documents / variesLive — auto-updating
Louisiana
LA
LDH Facility Need ReviewManual pullrollingIn documents / variesIn progress
Massachusetts
MA
DPH Determination of NeedPDF reportsrollingIn documents / variesLive — auto-updating
Maryland
MD
Maryland Health Care CommissionHTML pagesrollingIn documents / variesLive — auto-updating
Maine
ME
DHHS Certificate of NeedHTML pagesrollingIn documents / variesLive — auto-updating
Michigan
MI
MDHHS Certificate of NeedPDF reportsmonthlyYesLive — auto-updating
Missouri
MO
Missouri DHSS Certificate of Need ProgramManual pullrollingIn documents / variesLive — auto-updating
Mississippi
MS
MSDH Certificate of NeedPDF reportsweekly (Fridays)YesLive — auto-updating
Montana
MT
DPHHS Certificate of NeedPDF reportsmonthlyYesLive — auto-updating
North Carolina
NC
DHSR Certificate of Need SectionPDF reportsmonthlyYesLive — auto-updating
Nebraska
NE
Nebraska DHHS Certificate of NeedManual pullrollingIn documents / variesIn progress
New Jersey
NJ
DOH Certificate of Need (public notices)HTML pagessporadicIn documents / variesLive — auto-updating
Nevada
NV
Nevada Health Authority (SB 494)HTML pagessporadicYesLive — auto-updating
New York
NY
DOH NYSE-CON + PHHPCJS portalcontinuousIn documents / variesLive — auto-updating
Ohio
OH
ODH Certificate of Need (LTC beds)Manual pullrollingIn documents / variesLive — auto-updating
Oklahoma
OK
Oklahoma State Department of Health CONManual pullrollingIn documents / variesLive — auto-updating
Oregon
OR
Oregon Health Authority Certificate of NeedManual pullrollingIn documents / variesLive — auto-updating
Rhode Island
RI
Rhode Island DOH Certificate of NeedManual pullrollingIn documents / variesLive — auto-updating
South Carolina
SC
DPH Certificate of Need (post-repeal)JS portalrollingIn documents / variesLive — auto-updating
Tennessee
TN
Health Facilities CommissionHTML pagesmonthly cyclesYesLive — auto-updating
Virginia
VA
VDH Certificate of Public NeedHTML pagesbi-monthly batchesIn documents / variesLive — auto-updating
Vermont
VT
Green Mountain Care BoardHTML pagesrollingIn documents / variesLive — auto-updating
Washington
WA
DOH Certificate of NeedHTML pagesrolling (2–3 wk lag)In documents / variesLive — auto-updating
West Virginia
WV
Health Care AuthorityHTML pagesrollingYesLive — auto-updating