LDH Hospital Licensing Packets

HSS requires a plan review from the OSFM (the DH plan review) for the following actions:

• Initial Hospital licensing
• Changes to inpatient beds, nurseries, or NICU
• Changes inclusive of, but not limited to inpatient and outpatient surgical services, labor delivery services, bronchoscopy, endoscopy, heart cath units, pre-operative services, post-operative services or intra-operative services.
• Changes to sterile processing physical enviroment
• Changes to psychological/behavioral health services physical environment
• Changes to the ED services functional program and/or physical environment
• Imaging centers that provide linear acceleration and proton beam therapy (if licensed to a hospital)
• Hospital Conversions

Who needs a licensing packet?

• Initial hospital licensure
• Actions that require DH plan review
• Changes of ownership and Changes of information
• Relocations of hospitals or hospital offsite campus
• Changes of address of a hospital or offsite location
• Name Changes for a hospital or offsite location
• Addition of a practice location that has a different name and/or geographical address than that of the hospital campus on which it is located
• Trauma Centers actions
• Crisis Receiving Center actions
• Any changes to a Prospective Payment System (PPS) unit
• Changes to inpatient dialysis

The following free-standing independent provider types are not licensed by Health Standards. If a hospital decides to add one of the services, please refer to the guidance listed above as to whether a hospital licensing packet is required:

• Fertility clinics
• Sleep centers
• Urgent care clinics
• Cancer centers
• Outpatient imaging centers
• Infusion centers
• Mobile units such as MRI, CTs, etc.:
  • Please note that mobile units are not approved by DH for use by hospitals. Any hospital contemplating the use of a mobile unit needs to contact Health Standards prior to using them.
• Outpatient surgical center

Packets

• HSS-HO-55 Offisite Addition and Changes
• HSS-HO-60 Bed Change Packets
• HSS-HO-59 Name Change
• HSS-HO-58 Address Change
• HSS-HO-56 Service Action
• HSS-HO-01d Main Campus Relocation or Redesignation
• Federal Documents Required for Packets
• HSS-HO0047a Hospital License Voluntary Closure (Main Campus &/or Offsite Campuses)
• HSS-HO-62 Conversion of Hospital Type

 

Please note: incomplete packets will not be processed.

Contact

For more info, contact the hospital desk at 225-342-5782.