Freestanding Surgical Outpatient Facility License

The Michigan Department of Licensing and Regulatory Affairs, Bureau of Health Care Services issues licenses to Freestanding Surgical Outpatient Facilities (FSOF).

A "Freestanding Surgical Outpatient Facility" (FSOF) is a facility, other than the office of a physician, dentist, podiatrist, or other private practice office, offering surgical procedure and related care that, in the opinion of the attending physician, can be safely performed without requiring over night inpatient hospital care and is not operated as part of a hospital. It does not include a surgical outpatient facility owned by and operated as part of a hospital.

Freestanding Surgical Outpatient Facility/Ambulatory Surgical Center (FSOF/ASC); A "freestanding surgical outpatient facility/ambulatory surgical center" is a facility that is both licensed as a FSOF and certified as an ASC.

New!  Applications for these tasks are submitted and paid for online through the Michigan Business One Stop portal.  

A. NAME OF LICENSE OR APPROVAL:  

Health Facility License -- Freestanding Surgical Outpatient Facility

Addendum for Pregnancy Termination Facilities Requesting a Waiver  

B. STATUTORY AUTHORITY:  

Public Act 368 of 1978, as amended  

C. APPLICABLE REGULATION:  

PHC & R325.3801-3877  

D. SUMMARY OF LICENSE/APPROVAL PROCESS:  

 1.  Applicability (activities that require the license)  

Patients needing a surgical procedure that doesn't require hospitalization or needs a procedure that cannot be performed in a physician's office.

 2.  Pre-Application Requirements  

Medical staff ready to start, emergency transportation arrangements made.

 3.  Application Submission Requirements  

LC-125 and LC-103 completed.

 4.  Procedures and Time-Frame for Obtaining Permit or Approval  

Call the Department of Community Health, Division of Licensing and Certification, at (517) 241-4160 To obtain an application for a new FSOF. A Pre-licensure survey is required to be conducted before patients can be seen.

 5.  Operational Requirements  

Facility ready for occupancy and license.  

 6.  Fees  

$238 annual license fee.  

 7.  Appeal Process  

MCL 333.20166

 8.  Public Input Opportunities  

N/A

E. Contact Information:  

Contact Us

Creation/Revision Date:

September 8, 2010