Certificate of Need (2)

Wiener Associates helps you navigate Michigan's Certificate of Need regulations.

Wiener Associates helps you navigate Michigan’s Certificate of Need regulations.

Michigan has one of the most stringent Certificate of Need programs in the United States.

Statutory revisions have created a more dynamic process under which standards of approval are continually modified and adapted in order to meet new needs and accommodate emerging technology.

The process has become, in a nutshell, extremely contentious and specialized.

We have unique knowledge and experience to help our clients, in this complex and
specialized framework, achieve results.


The following services requires state approval subject to Michigan’s Certificate of Need statutes and rules:

  • Air Ambulance (helicopter)
  • Bone Marrow Transplants
  • Cardiac Catheterization
  • Computed Tomography (CT) Scanners
  • Heart, Lung, Liver Transplants
  • Hospital Beds
  • Magnetic Resonance Imaging (MRI)
  • Megavoltage Radiation Therapy (MRT)
  • Neonatal Intensive Care Unit (NICU)
  • Nursing Home/Hospital Long-Term Care Unit Beds
  • Open Heart Surgery
  • Pancreas Transplantation Services
  • Positron Emission Tomography (PET) Scanners
  • Psychiatric Beds/Acute Inpatient
  • Surgical Services
  • Urinary Lithotriptors
  • Capital Expenditure Exceeding $3,160,000 for Clinical Service Areas