How Missouri CON certificate-of-need projects end

Computed from records as of the last successful check, 2026-11-07 22:27 UTC. Part of How reviews go; the method is below. Other programs: Oregon · California OHCA · Massachusetts · Washington CON · Iowa · Illinois · Florida · California AG nonprofit health facilities · North Carolina · Hawaii · Missouri · Georgia · South Carolina · Virginia · Kentucky · Delaware · New Mexico · District of Columbia · Washington AG material change notices.

Missouri · Certificate of Need

MO Missouri Department of Health and Senior Services · 159 proceedings

Outcomes in the agency's words

Agency wording	Status	Proceedings	Share
Approved 127	APPROVED	127	(80%)
Not Applicable 16	NOT_APPLICABLE	16	(10%)
LOI Active 16	OPEN	16	(10%)

Each count opens the filtered list. Where two wordings map to one status, both are shown with their own counts.

Calendar days between the two agency dates, including any time spent on requests for information; DocketTrail does not apply the agency's own clock rules.

Request received to the decision

From the agency-dated Application or request received to the earliest agency-dated Approved, Approved with conditions, Partially approved, Denied, Exempt, Withdrawn, Application returned or Decision issued line on or after it.

No proceeding carries both dates yet.

Left out: no Application or request received on record (159).

Beginning of review to the decision, where a review began

Over projects with an agency-dated Beginning of Review: from it to the earliest agency-dated Approved, Approved with conditions, Partially approved, Denied, Exempt, Withdrawn, Application returned or Decision issued line on or after it.

No proceeding carries both dates yet.

Method

Computed from records as of the last successful check, 2026-11-07 22:27 UTC. The figures change with each daily check as the agencies update their pages.

A duration counts a proceeding only when both of its dates are the agency's own: dates of kind PUBLISHED or FROM_FILING (the agency posted the event as having happened, or the date comes from the parties' filing). A date DocketTrail detected (DETECTED, the day a check first saw a change) is not an agency date and never counts. A date the agency printed for the future (PRINTED_BY_AGENCY) is not something that happened and never counts. An undated decision is left out and counted as such.
The clock starts on the earliest qualifying event and stops on the earliest qualifying event on or after it; a decision dated before its notice is left out. Calendar days between the two agency dates, including any time spent on requests for information; DocketTrail does not apply the agency's own clock rules.
Median and percentiles are by linear interpolation between the closest ranks (R type 7, Excel PERCENTILE.INC). Where n is under 5, the cases are listed instead; nothing is estimated or imputed.
Outcomes are the agency's own words, printed beside the status DocketTrail maps them to. A wording the mapping does not know stays UNMAPPED; a blank cell is blank. Nothing is read into a wording: a "No" is not an approval.
Shares are out of every proceeding the program lists, open ones included.
Missouri, request received to the decision: From the agency-dated Application or request received to the earliest agency-dated Approved, Approved with conditions, Partially approved, Denied, Exempt, Withdrawn, Application returned or Decision issued line on or after it.
Missouri, beginning of review to the decision, where a review began: Over projects with an agency-dated Beginning of Review: from it to the earliest agency-dated Approved, Approved with conditions, Partially approved, Denied, Exempt, Withdrawn, Application returned or Decision issued line on or after it.

Not legal advice. These are counts of what the agencies published; what a review will do in any one case is not predicted here.