CENTER FOR HEALTH CARE QUALITY
LICENSING & CERTIFICATION PROGRAM
HEALTH FACILITY LICENSE APPLICATION FEES
(BY FACILITY TYPE)
Effective: August 6, 2018
ā
| āCHOW | CHOLā | CHONā | CHOBā |
| āAcute Psychiatric Hospitals (APH) | āAnnual | āāAnnual | ā$25.00 | āPer Bed |
| āAdult Day Health Centers (ADHC) | āāAnnual | āNo Fee | āNo Fee | āN/A |
| āAlternative Birth Center (ABC) | āāAnnual | āNo Fee | āNo Fee | āN/A |
| āChemical Dependency Recovery Hospital (CDRH) | āāAnnual | āNo Fee | āNo Fee | āPer Bed |
| āChronic Dialysis Clinic (CDC) | āāAnnual | āNo Fee | āNo Fee | āN/A |
| āCongregate Living Health Facility (CLHF) | āāAnnual | āNo Fee | āNo Fee | āPer Bed |
| āCorrectional Treatment Centers (CTC) | āāAnnual | āNo Fee | āNo Fee | āPer Bed |
| āGeneral Acute Care Hospitals (GACH) | āāAnnual | Annual | ā$25.00 | āPer Bed |
| āHome Health Agencies (HHA) | āāAnnual | ā$25.00 | $25.00 | āN/A |
| āHospice (2 year license) (HOSPICE) | āāBi-Annual | āNo Fee | āNo Fee | āN/A |
| āHospice Facility (HOFA) | āāAnnual | āNo Fee | āNo Fee | āPer Bed |
| āIntermediate Care Facilities (ICF) | āāAnnual | āAnnual | ā$25.00 | āPer Bed |
| āICF/Developmentally Disabled (ICF/DD) | āāAnnual | āAnnual | āNo Fee | āPer Bed |
| āICF/DD - Habilitative (ICF/DD - H) | āāAnnual | āAnnual | āNo Fee | ā*Per Bed |
| āICF/DD - Nursing (ICF/DD - N) | āāAnnual | āNo Fee | āNo Fee | ā*Per Bed |
| āICF/DD - Continuous Nursing (ICF/DD-CN) | āāAnnual | āNo Fee | āNo Fee | ā*Per Bed |
| āPediatric Day Health/Respite Care (PDHRC) | āāAnnual | āNo Fee | āNo Fee | āPer Bed |
| āPrimary Care (PCC), Community (COMTYC) & Free Clinic (FREEC) | āāAnnual | āNo Fee | āNo Fee | āN/A |
| āPsychology Clinic (PSYCHC) | āāAnnual | āNo Fee | āNo Fee | āN/A |
| āReferral Agency (REFRLAG) | āāAnnual | āNo Fee | ā$25.00 | āN/A |
| āRehabilitation Clinic (REHAB) | āāAnnual | āNo Fee | āNo Fee | āN/A |
| āSkilled Nursing Facility (SNF) | āāAnnual | āAnnual | ā$25.00 | āPer Bed |
| āSpecial Hospital License (SPHOSP) | āāAnnual | āNo Fee | āNo Fee | āPer Bed |
| āSurgical Clinic (SURGC) | āāAnnual | āNo Fee | āNo Fee | N/A |
āNOTES: | āAnnual | āCurrent Fiscal Year (FY) license fee as determined by H&S Code section 1266 | | āCHOW | āChange of Ownership (charged at current FY license fee as determined by H&S Code section 1266) | | āCHOL | āChange 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) | | āCHON | āChange of Name (no charge if name changed in conjunction with CHOW or renewal) | | āCHOB | āChange of Beds - Charged at current FY license fee times number of beds and pro-rated; includes per bed charge for change in bed classification | | āPer Bed | āEach bed charged at FY annual fee rate for that bed's classification |
ā ā | Special Notesā | | āITEM | NOTESā | | āHospice Providers/HHA | Multiple 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 | | āADHC Initial/Provisional License | āExpires one year from date of issue. | | āHHA | āStock transfers of 50% or more are charged CHOW fee | | āInitial Affiliate COMTYC License | āExpires one year from effective date (no provisional license is issued) | | ā*ICFDDH/N CHOB | - āAnnual per bed fee if converting from ICF-DD/H to ICF-DD/N or ICF-DD/N to ICF-DD/H
- No fee for adding same type of beds
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