CENTER FOR HEALTH CARE QUALITY
LICENSING & CERTIFICATION PROGRAM
HEALTH FACILITY LICENSE APPLICATION FEES
(BY FACILITY TYPE)
Effective: August 6, 2018
| CHOW | CHOL | CHON | CHOB |
| Acute Psychiatric Hospitals (APH) | Annual | Annual | $25.00 | Per Bed |
| Adult Day Health Centers (ADHC) | Annual | No Fee | No Fee | N/A |
| Alternative Birth Center (ABC) | Annual | No Fee | No Fee | N/A |
| Chemical Dependency Recovery Hospital (CDRH) | Annual | No Fee | No Fee | Per Bed |
| Chronic Dialysis Clinic (CDC) | Annual | No Fee | No Fee | N/A |
| Congregate Living Health Facility (CLHF) | Annual | No Fee | No Fee | Per Bed |
| Correctional Treatment Centers (CTC) | Annual | No Fee | No Fee | Per Bed |
| General Acute Care Hospitals (GACH) | Annual | Annual | $25.00 | Per Bed |
| Home Health Agencies (HHA) | Annual | $25.00 | $25.00 | N/A |
| Hospice (2 year license) (HOSPICE) | Bi-Annual | No Fee | No Fee | N/A |
| Hospice Facility (HOFA) | Annual | No Fee | No Fee | Per Bed |
| Intermediate Care Facilities (ICF) | Annual | Annual | $25.00 | Per Bed |
| ICF/Developmentally Disabled (ICF/DD) | Annual | Annual | No Fee | Per Bed |
| ICF/DD - Habilitative (ICF/DD - H) | Annual | Annual | No Fee | *Per Bed |
| ICF/DD - Nursing (ICF/DD - N) | Annual | No Fee | No Fee | *Per Bed |
| ICF/DD - Continuous Nursing (ICF/DD-CN) | Annual | No Fee | No Fee | *Per Bed |
| Pediatric Day Health/Respite Care (PDHRC) | Annual | No Fee | No Fee | Per Bed |
| Primary Care (PCC), Community (COMTYC) & Free Clinic (FREEC) | Annual | No Fee | No Fee | N/A |
| Psychology Clinic (PSYCHC) | Annual | No Fee | No Fee | N/A |
| Referral Agency (REFRLAG) | Annual | No Fee | $25.00 | N/A |
| Rehabilitation Clinic (REHAB) | Annual | No Fee | No Fee | N/A |
| Skilled Nursing Facility (SNF) | Annual | Annual | $25.00 | Per Bed |
| Special Hospital License (SPHOSP) | Annual | No Fee | No Fee | Per Bed |
| Surgical Clinic (SURGC) | Annual | No Fee | No Fee | N/A |
NOTES: | Annual | Current Fiscal Year (FY) license fee as determined by H&S Code section 1266 | | CHOW | Change of Ownership (charged at current FY license fee as determined by H&S Code section 1266) | | CHOL | 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) | | CHON | Change of Name (no charge if name changed in conjunction with CHOW or renewal) | | CHOB | 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 | | Per Bed | Each bed charged at FY annual fee rate for that bed's classification |
| Special Notes | | ITEM | NOTES | | Hospice 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. | | ADHC Initial/Provisional License | Expires one year from date of issue. | | HHA | Stock transfers of 50% or more are charged CHOW fee | | Initial Affiliate COMTYC License | Expires one year from effective date (no provisional license is issued) | | *ICFDDH/N CHOB | - Annual 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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