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Health care Facility Licensing and Certification

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Phone: (916) 552-8632
For application status requests, please include the following in your email:
  • Name of Facility or Agency
  • License or Facility/Agency # (if applicable)
  • Address
  • Facility or Provider Type
  • Date Documentation Sent
  • Contact Number

Hospice Agency
Change in Geographical Service Area Application Packet

A State license is required to operate as a Hospice Agency in California. A Hospice means "a specialized form of interdisciplinary health care that is designed to provide palliative care, alleviate the physical, emotional, social, and spiritual discomforts of an individual who is experiencing the last phases of life due to the existence of a terminal disease, and provide supportive care to the primary caregiver and the family of the hospice patient," pursuant to Health and Safety Code section 1746(d).

Attention Hospice Applicants! Please review [AFL 21-53 ]  This AFL notifies hospices of the chaptering of SB 664 (Chapter 494, Statutes of 2021) that establishes a moratorium on hospice licensure, prohibiting the California Department of Public Health (CDPH) from issuing a new hospice license on or after January 1, 2022, and until 365 days from the date the California State Auditor (CSA) publishes a report on hospice licensure. Applications for licensure of a multiple location of an existing hospice, a change of geographical service area, or a change of location outside of a hospice's approved geographical service area will be subject to the moratorium.

Application After January 1, 2022

Applications for a Change of Geographical Service Area will be assessed based on the need for hospice services in the applicant's proposed geographical service area based on concentration of all existing hospice services in that area.

To report a Change in Geographical Service Area, you must complete the required application packet.

How to Apply

An applicant must submit a completed application packet to the Centralized Applications Branch (CAB). The application packet contains the required forms in one location. The provider checklist identifies the required forms and supporting documents needed to apply for licensing and certification. The provider instructions are a resource to guide you through the process. The Sample Application Packet is a visual aid that displays a sample of the completed forms contained in the application packet.

Where to Submit Applications

Submit completed application packets to the CAB at the address listed below.  Do not send any completed application packets, forms, or supporting documents to the local CDPH, District Office.

          California Department of Public Health
          Licensing and Certification Program
          Centralized Applications Branch
          P.O. Box 997377, MS 3207
          Sacramento, CA 95899-7377

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