California Department of Public Health
Center for Health Care Quality
Fiscal Year 2025-2026 Report of Change Fee Schedule
(by Facility Type)
Effective: July 1, 2025
Report of Change Fees Table (1 of 4)
| Facility Type | Initial /
Renewal * | Change of Ownership
(CHOW) | Change of
Location
(CHOL) | Change of
Name
(CHON) | Change of Beds
or Capacity (CHOB) Initial Flat Fee to Increase Capacity or Reinstate from Suspension up to 5 Beds/Person(s) | Change of Beds
or Capacity (CHOB) Additional Fee to Increase Capacity or Reinstate from Suspension for Beds/Person(s) over the Initial 5 beds |
| Acute Psychiatric Hospital (APH) | $796 per bed | $10,000 + $300 per bed | $10,000 + $300 per bed | $150 | $3,000 | $500 per bed |
| Adult Day Health Center (ADHC) | $8,830 | $5,000 | $4,000 | $150 | $2,000 | $400 per person |
| Alternate Birthing Center (ABC) | $3,330 | Initial / Renewal | Initial / Renewal | $150 | $0 | $0 |
| Chemical Dependency Recovery Hospital (CDRH) | $313 per bed | $10,000 + $200 per bed | $10,000 + $200 per bed | $150 | $2,000 | $400 per bed |
| Chronic Dialysis Clinic (CDC) | $2,509 | Initial / Renewal | Initial / Renewal | $150 | $0 | $0 |
| Community Clinic (COMTYC) | $1,646 | Initial / Renewal | Initial / Renewal | $150 | $0 | $0 |
| Congregate Living Health Facility (CLHF) | $1,056 per bed | $7,000 + $200 per bed | $7,000 + $200 per bed | $150 | $2,000 | $400 per bed |
| Correctional Treatment Center (CTC) | $2,050 per bed | $0 | $0 | $150 | $0 | $0 |
| General Acute Care Hospital (GACH) | $796 per bed | $10,000 + $300 per bed | $10,000 + $300 per bed | $150 | $3,000 | $500 per bed |
| Home Health Agency (HHA) | $2,946 | Initial / Renewal | Initial / Renewal | $150 | $0 | $0 |
| Hospice ** | $2,780 | Initial / Renewal | Initial / Renewal | $150 | $0 | $0 |
| Hospice Facility (HOFA) | $573 per bed | $7,000 + $200 per bed | $7,000 + $200 per bed | $150 | $2,000 | $400 per bed |
| Intermediate Care Facility (ICF) | $1,056 per bed | $7,000 + $200 per bed | $7,000 + $200 per bed | $150 | $2,000 | $400 per bed |
| ICF / Developmentally Disabled (ICF/DD) | $2,066 per bed | $7,000 + $200 per bed | $7,000 + $200 per bed | $150 | $2,000 | $400 per bed |
| ICF/DD-Habilitative (ICF/DD-H) | $2,066 per bed | $7,000 + $200 per bed | $7,000 + $200 per bed | $150 | $2,000 | $400 per bed |
| ICF/DD-Nursing (ICF/DD-N) | $2,066 per bed | $7,000 + $200 per bed | $7,000 + $200 per bed | $150 | $2,000 | $400 per bed |
| ICF/DD-Continuous Nursing (ICF/DD-CN) | $2,066 per bed | $7,000 + $200 per bed | $7,000 + $200 per bed | $150 | $2,000 | $400 per bed |
| Pediatric Day Health and Respite Care (PDHRC) | $298 per bed | $7,000 + $200 per bed | $7,000 + $200 per bed | $150 | $2,000 | $400 per bed |
| Free Clinic (FREEC) | $1,646 | Initial / Renewal | Initial / Renewal | $150 | $0 | $0 |
| Psychology Clinic (PSYCHC) | $1,878 | Initial / Renewal | Initial / Renewal | $150 | $0 | $0 |
| Referral Agency (REFRLAG) | $1,678 | Initial / Renewal | Initial / Renewal | $150 | $0 | $0 |
| Rehabilitation Clinic (REHAB) | $927 | Initial / Renewal | Initial / Renewal | $150 | $0 | $0 |
| Skilled Nursing Facility (SNF) | $1,061 per bed | $10,000 + 300 per bed | $10,000 + $300 per bed | $150 | $3,000 | $500 per bed |
| Surgical Clinic (SURGC) | $8,885 | $5,000 | $4,000 | $150 | $0 | $0
|
Report of Change Fees Table (2 of 4)
| Facility Type | Change of Beds
or Capacity (CHOB) Remove Beds or Place in Suspension | License Consolidation
Request Add Beds | Change of
Services
(CHOS) | License Suspension Reinstatement
(LSR) | License
Suspension | Stock
Transfer | Change of
Indirect Ownership | Change of Management Company |
| Acute Psychiatric Hospital (APH) | $400 | $500 per bed | $4,000 | Initial / Renewal | $150 | $250 | $250 | $250 |
| Adult Day Health Center (ADHC) | $250 | Not Applicable | $3,000 | Initial / Renewal | $150 | $250 | $250 | $0 |
| Alternate Birthing Center (ABC) | $0 | Not Applicable | $3,000 | Initial / Renewal | $150 | $250 | $250 | $0 |
| Chemical Dependency Recovery Hospital (CDRH) | $250 | Not Applicable | $3,000 | Initial / Renewal | $150 | $250 | $250 | $0 |
| Chronic Dialysis Clinic (CDC) | $0 | Not Applicable | $3,000 | Initial / Renewal | $150 | $250 | $250 | $0 |
| Community Clinic (COMTYC) | $0 | Not Applicable | Initial / Renewal | Initial / Renewal | $150 | $0 | $250 | $0 |
| Congregate Living Health Facility (CLHF) | $250 | Not Applicable | $3,000 | Initial / Renewal | $150 | $250 | $250 | $0 |
| Correctional Treatment Center (CTC) | $0 | Not Applicable | $0 | Initial / Renewal | $150 | $0 | $0 | $0 |
| General Acute Care Hospital (GACH) | $400 | $500 per bed | $4,000 | Initial / Renewal | $150 | $250 | $250 | $250 |
| Home Health Agency (HHA) | $0 | Not Applicable | Initial / Renewal | Initial / Renewal | $150 | $500 | $500 | $0 |
| Hospice | $0 | Not Applicable | Initial / Renewal | Initial / Renewal | $150 | $250 | $250 | $0 |
| Hospice Facility (HOFA) | $250 | Not Applicable | $3,000 | Initial / Renewal | $150 | $250 | $250 | $0 |
| Intermediate Care Facility (ICF) | $250 | Not Applicable | $3,000 | Initial / Renewal | $150 | $250 | $250 | $250 |
| ICF / Developmentally Disabled (ICF/DD) | $250 | Not Applicable | $3,000 | Initial / Renewal | $150 | $250 | $250 | $250 |
| ICF/DD-Habilitative (ICF/DD-H) | $250 | Not Applicable | $3,000 | Initial / Renewal | $150 | $250 | $250 | $250 |
| ICF/DD-Nursing (ICF/DD-N) | $250 | Not Applicable | $3,000 | Initial / Renewal | $150 | $250 | $250 | $250 |
| ICF/DD-Continuous Nursing (ICF/DD-CN) | $250 | Not Applicable | $3,000 | Initial / Renewal | $150 | $250 | $250 | $250 |
| Pediatric Day Health and Respite Care (PDHRC) | $250 | Not Applicable | $3,000 | Initial / Renewal | $150 | $250 | $250 | $0 |
| Free Clinic (FREEC) | $0 | Not Applicable | Initial / Renewal | Initial / Renewal | $150 | $0 | $250 | $0 |
| Psychology Clinic (PSYCHC) | $0 | Not Applicable | $3,000 | Initial / Renewal | $150 | Not Applicable | $250 | $0 |
| Referral Agency (REFRLAG) | $0 | Not Applicable | $0 | Initial / Renewal | $150 | $250 | $250 | $0 |
| Rehabilitation Clinic (REHAB) | $0 | Not Applicable | Initial / Renewal | Initial / Renewal | $150 | $250 | $250 | $0 |
| Skilled Nursing Facility (SNF) | $400 | Not Applicable | $4,000 | Initial / Renewal | $150 | $400 | $400 | $400 |
| Surgical Clinic (SURGC) | $0 | Not Applicable | $3,000 | Initial / Renewal | $150 | $250 | $250 | $0
|
Report of Change Fees Table (3 of 4)
| Facility Type | Change of
Governing
Board | Change of Geographical Service Area | Change of Administrator | Change of Agency Manager | Change of Director of Patient Care Services | Change of Program Director | Change of Medical
Director | Change of Director of Nursing |
| Acute Psychiatric Hospital (APH) | $150 | $0 | $150 | Not Applicable | $0 | $0 | $150 | $150 |
| Adult Day Health Center (ADHC) | $500 | $0 | $500 | Not Applicable | $0 | $500 | $0 | $0 |
| Alternate Birthing Center (ABC) | $150 | $0 | $150 | Not Applicable | $0 | $0 | $0 | $0 |
| Chemical Dependency Recovery Hospital (CDRH) | $150 | $0 | $150 | Not Applicable | $0 | $0 | $150 | $150 |
| Chronic Dialysis Clinic (CDC) | $150 | $0 | $150 | Not Applicable | $0 | $0 | $150 | $150 |
| Community Clinic (COMTYC) | $150 | $0 | $150 | Not Applicable | $0 | $0 | $150 | $0 |
| Congregate Living Health Facility (CLHF) | $150 | $0 | $150 | Not Applicable | $0 | $0 | $0 | $150 |
| Correctional Treatment Center (CTC) | $0 | $0 | $0 | Not Applicable | $0 | $0 | $0 | $0 |
| General Acute Care Hospital (GACH) | $150 | $0 | $150 | Not Applicable | $0 | $0 | $150 | $150 |
| Home Health Agency (HHA) | $150 | $150 | $500 | Not Applicable | $150 | $0 | $0 | $0 |
| Hospice | $150 | $150 | $150 | Not Applicable | $150 | $0 | $150 | $0 |
| Hospice Facility (HOFA) | $150 | $0 | $150 | Not Applicable | $150 | $0 | $150 | $0 |
| Intermediate Care Facility (ICF) | $150 | $0 | $500 | Not Applicable | $0 | $0 | $0 | $150 |
| ICF / Developmentally Disabled (ICF/DD) | $150 | $0 | $500 | Not Applicable | $0 | $0 | $0 | $150 |
| ICF/DD-Habilitative (ICF/DD-H) | $150 | $0 | $500 | Not Applicable | $0 | $0 | $0 | $150 |
| ICF/DD-Nursing (ICF/DD-N) | $150 | $0 | $500 | Not Applicable | $0 | $0 | $0 | $150 |
| ICF/DD-Continuous Nursing (ICF/DD-CN) | $150 | $0 | $500 | Not Applicable | $0 | $0 | $0 | $150 |
| Pediatric Day Health and Respite Care (PDHRC) | $150 | $0 | $150 | Not Applicable | $0 | $0 | $0 | $150 |
| Free Clinic (FREEC) | $150 | $0 | $150 | Not Applicable | $0 | $0 | $150 | $0 |
| Psychology Clinic (PSYCHC) | $150 | $0 | $150 | Not Applicable | $0 | $0 | $0 | $0 |
| Referral Agency (REFRLAG) | $150 | $0 | $150 | $150 | $0 | $0 | $0 | $0 |
| Rehabilitation Clinic (REHAB) | $150 | $0 | $150 | Not Applicable | $0 | $0 | $0 | $0 |
| Skilled Nursing Facility (SNF) | $150 | $0 | $150 | Not Applicable | $0 | $0 | $150 | $150 |
| Surgical Clinic (SURGC) | $150 | $0 | $150 | Not Applicable | $0 | $0 | $0 | $0
|
Report of Change Fees Table
(4 of 4)
| Facility Type | Change of Administrator
Designee | Change of Director of Patient Care Services Designee | Change of Mailing
Address | Change of
Property
Owner | Change of
Facility Type | Change of
Parent | Intermittent Clinic Conversion |
| Acute Psychiatric Hospital (APH) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| Adult Day Health Center (ADHC) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| Alternate Birthing Center (ABC) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| Chemical Dependency Recovery Hospital (CDRH) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| Chronic Dialysis Clinic (CDC) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| Community Clinic (COMTYC) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| Congregate Living Health Facility (CLHF) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| Correctional Treatment Center (CTC) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| General Acute Care Hospital (GACH) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| Home Health Agency (HHA) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| Hospice | $150 | $150 | $150 | $150 | $0 | $0 | $0 |
| Hospice Facility (HOFA) | $150 | $150 | $150 | $150 | $0 | $0 | $0 |
| Intermediate Care Facility (ICF) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| ICF / Developmentally Disabled (ICF/DD) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| ICF/DD-Habilitative (ICF/DD-H) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| ICF/DD-Nursing (ICF/DD-N) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| ICF/DD-Continuous Nursing (ICF/DD-CN) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| Pediatric Day Health and Respite Care (PDHRC) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| Free Clinic (FREEC) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| Psychology Clinic (PSYCHC) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| Referral Agency (REFRLAG) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| Rehabilitation Clinic (REHAB) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| Skilled Nursing Facility (SNF) | $0 | $0 | $150 | $150 | $0 | $0 | $0 |
| Surgical Clinic (SURGC) | $0 | $0 | $150 | $150 | $0 | $0 | $0
|
*Initial/Renewel fees only include the Statewide Fee. Facilities within LA County will be charged the LAC Supplemental Fee.
**Hospice Initial/Renewel fee is for a 2-year license/renewal.
Notes:
1) None of the application fees specified here shall exceed the licensing renewal fee for the the facility. If the calculated fee exceeds the renewal fee, the renewal fee shall be charged.
2) There will be a 25% surcharge assessed on CHOW,
CHOL, CHOB (Increases), CHOS, and LSR applications for facilities within LA
County, unless it is indicated as Initial/Renewal. In such cases, the fee will
be the Initial/Renewal fee, which includes the LAC Supplemental fee for such
facilities.
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