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licensing and certification

CENTER FOR HEALTH CARE QUALITY
LICENSING & CERTIFICATION PROGRAM
HEALTH FACILITY LICENSE APPLICATION FEES

(BY FACILITY TYPE)

Effective: August 6, 2018

ā€‹

ā€‹Facility Type

ā€‹Type of Application
ā€‹CHOWCHOLā€‹CHONā€‹CHOBā€‹
ā€‹Acute Psychiatric Hospitals (APH)ā€‹Annualā€‹ā€‹Annualā€‹$25.00ā€‹Per Bed
ā€‹Adult Day Health Centers (ADHC)ā€‹ā€‹Annualā€‹No Feeā€‹No Feeā€‹N/A
ā€‹Alternative Birth Center (ABC)ā€‹ā€‹Annualā€‹No Feeā€‹No Feeā€‹N/A
ā€‹Chemical Dependency Recovery Hospital (CDRH)ā€‹ā€‹Annualā€‹No Feeā€‹No Feeā€‹Per Bed
ā€‹Chronic Dialysis Clinic (CDC)ā€‹ā€‹Annualā€‹No Feeā€‹No Feeā€‹N/A
ā€‹Congregate Living Health Facility (CLHF)ā€‹ā€‹Annualā€‹No Feeā€‹No Feeā€‹Per Bed
ā€‹Correctional Treatment Centers (CTC)ā€‹ā€‹Annualā€‹No Feeā€‹No Feeā€‹Per Bed
ā€‹General Acute Care Hospitals (GACH)ā€‹ā€‹AnnualAnnualā€‹$25.00ā€‹Per Bed
ā€‹Home Health Agencies (HHA)ā€‹ā€‹Annualā€‹$25.00$25.00ā€‹N/A
ā€‹Hospice (2 year license) (HOSPICE)ā€‹ā€‹Bi-Annualā€‹No Feeā€‹No Feeā€‹N/A
ā€‹Hospice Facility (HOFA)ā€‹ā€‹Annualā€‹No Feeā€‹No Feeā€‹Per Bed
ā€‹Intermediate Care Facilities (ICF)ā€‹ā€‹Annualā€‹Annualā€‹$25.00ā€‹Per Bed
ā€‹ICF/Developmentally Disabled (ICF/DD)ā€‹ā€‹Annualā€‹Annualā€‹No Feeā€‹Per Bed
ā€‹ICF/DD - Habilitative (ICF/DD - H)ā€‹ā€‹Annualā€‹Annualā€‹No Feeā€‹*Per Bed
ā€‹ICF/DD - Nursing (ICF/DD - N)ā€‹ā€‹Annualā€‹No Feeā€‹No Feeā€‹*Per Bed
ā€‹ICF/DD - Continuous Nursing (ICF/DD-CN)ā€‹ā€‹Annualā€‹No Feeā€‹No Feeā€‹*Per Bed
ā€‹Pediatric Day Health/Respite Care (PDHRC)ā€‹ā€‹Annualā€‹No Feeā€‹No Feeā€‹Per Bed
ā€‹Primary Care (PCC), Community (COMTYC) & Free Clinic (FREEC)ā€‹ā€‹Annualā€‹No Feeā€‹No Feeā€‹N/A
ā€‹Psychology Clinic (PSYCHC)ā€‹ā€‹Annualā€‹No Feeā€‹No Feeā€‹N/A
ā€‹Referral Agency (REFRLAG)ā€‹ā€‹Annualā€‹No Feeā€‹$25.00ā€‹N/A
ā€‹Rehabilitation Clinic (REHAB)ā€‹ā€‹Annualā€‹No Feeā€‹No Feeā€‹N/A
ā€‹Skilled Nursing Facility (SNF)ā€‹ā€‹Annualā€‹Annualā€‹$25.00ā€‹Per Bed
ā€‹Special Hospital License (SPHOSP)ā€‹ā€‹Annualā€‹No Feeā€‹No Feeā€‹Per Bed
ā€‹Surgical Clinic (SURGC)ā€‹ā€‹Annualā€‹No Feeā€‹No FeeN/A

ā€‹NOTES:

ā€‹Annualā€‹Current Fiscal Year (FY) license fee as determined by H&S Code section 1266
ā€‹CHOWā€‹Change of Ownership (charged at current FY license fee as determined by H&S Code section 1266)
ā€‹CHOLā€‹Change of Location (charged at current FY license fee as determined by H&S Code section 1266 unless the facility is an HHA which is charged $25.00 for CHOL for parent or branch office)
ā€‹CHONā€‹Change of Name (no charge if name changed in conjunction with CHOW or renewal)
ā€‹CHOBā€‹Change of Beds - Charged at current FY license fee times number of beds and pro-rated; includes per bed charge for change in bed classification
ā€‹Per Bedā€‹Each bed charged at FY annual fee rate for that bed's classification

ā€‹ ā€‹

Special Notesā€‹
ā€‹ITEMNOTESā€‹
ā€‹Hospice Providers/HHAMultiple locations need not obtain a separate license. Multiple locations may be listed on the parent agency's license and shall pay a licensing fee as prescribed by H&S Code section 1750 and 1266.ā€‹
ā€‹ADHC Initial/Provisional Licenseā€‹Expires one year from date of issue.
ā€‹HHAā€‹Stock transfers of 50% or more are charged CHOW fee
ā€‹Initial Affiliate COMTYC Licenseā€‹Expires one year from effective date (no provisional license is issued)
ā€‹*ICFDDH/N CHOB
  1. ā€‹Annual per bed fee if converting from ICF-DD/H to ICF-DD/N or ICF-DD/N to ICF-DD/H
  2. No fee for adding same type of beds

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