Maryland Certificate of Need dockets by service and county
160+ Maryland dockets in the file since 2016, grouped by what was requested and where. Counts are taken from the file dated October 29, 2026. 98% of decided dockets were approved. The median docket took about eight months from filing to decision.
By service or type
The fifteen largest groups, using Maryland's own categories where the state prints them.
| Service or type | Rows | Approved | Denied | Pending | Approval rate | Median days to decision |
|---|---|---|---|---|---|---|
| Hospital | 49 | 34 | 2 | 1 | 94% | 377 |
| Home Health | 33 | 25 | 0 | 1 | 100% | 251 |
| Ambulatory Surgery | 24 | 19 | 0 | 0 | 100% | 160 |
| Intermediate Care Facility Treatment Services | 21 | 16 | 0 | 2 | 100% | 272 |
| Nursing Home | 18 | 12 | 1 | 1 | 92% | 192 |
| Hospice | 11 | 10 | 0 | 0 | 100% | 895 |
| Residential Treatment Center | 6 | 2 | 0 | 1 |
By county
The fifteen counties with the most dockets.
| County | Rows | Approved | Denied | Pending | Approval rate | Median days to decision |
|---|---|---|---|---|---|---|
| Prince George's | 28 | 23 | 0 | 1 | 100% | 250 |
| Baltimore County | 21 | 16 | 1 | 0 | 94% | 264 |
| Baltimore City | 20 | 14 | 0 | 1 | 100% | 265 |
| Montgomery | 14 | 12 | 0 | 0 | 100% | 175 |
| Anne Arundel | 14 | 12 | 1 | 0 | 92% | 260 |
| Carroll | 7 | 3 | 0 | 3 | ||
| Howard | 7 | 6 | 0 | 0 | 100% | 209 |
| Frederick | 5 | 4 | 0 | 0 | ||
| Harford | 5 | 4 | 0 | 0 | ||
| Talbot | 4 | 2 | 0 | 0 | ||
| Dorchester | 4 | 3 | 0 | 0 | ||
| Calvert, Charles, St. Mary's | 2 | 2 | 0 | 0 | ||
| Charles | 2 | 2 | 0 | 0 | ||
| Calvert | 2 | 2 | 0 | 0 | ||
| Wicomico | 2 | 2 | 0 | 0 |
The most recent decisions
| Number | Applicant | Service or type | County | Decided | Outcome |
|---|---|---|---|---|---|
| 26-R7-2494 | First Healthcare Consultants LTD d/b/a Abidaref Regal Healthcare Solutions | Home Health | Howard | Oct 15, 2026 | Approved |
| 26-R7-2493 | First Healthcare Consultants LTD d/b/a Abidaref Regal Healthcare Solutions | Home Health | Baltimore County | Oct 15, 2026 | Approved |
| 26-R7-2492 | First Healthcare Consultants LTD d/b/a Abidaref Regal Healthcare Solutions | Home Health | Baltimore City | Oct 15, 2026 | Approved |
| 26-R4-2482 | Quality One Care Home Health, Inc. | Home Health | Calvert, Charles, St. Mary's | Sep 17, 2026 | Approved |
| 26-R4-2481 | Quality One Care Home Health, Inc. | Home Health | Prince George's | Sep 17, 2026 | Approved |
| 26-R4-2480 | Quality One Care Home Health, Inc. | Home Health | Montgomery | Sep 17, 2026 | Approved |
| 26-R4-2479 | Quality One Care Home Health, Inc. | Home Health | Anne Arundel | Sep 17, 2026 | Approved |
| 25-R2-2478 | Quality One Care Home Health, Inc. | Home Health | Howard | Sep 17, 2026 | Approved |
| 25-R2-2477 | Quality One Care Home Health, Inc. | Home Health | Baltimore County | Sep 17, 2026 | Approved |
| 25-R2-2476 | Quality One Care Home Health, Inc. | Home Health | Baltimore City | Sep 17, 2026 | Approved |
| 26-30-2495 | Choices Integrated Healthcare Solutions, LLC | Intermediate Care Facility Treatment Services | Baltimore City | Aug 17, 2026 | Not reviewed or other |
| 26-R4-2490 | First Healthcare Consultants LTD d/b/a Abidaref Regal Healthcare Solutions | Home Health | Calvert, Charles, St. Mary's | Jun 18, 2026 | Approved |
Numbers link to the state document for that decision where one is posted. Approval rate counts approvals and denials only and is shown where a group has at least five decided dockets.
See ten real rows
One subscription covers every state in the file. Nothing is due until the first file arrives in January 2027, and you can cancel before then at no cost.