The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer.
Freestanding Surgical Outpatient Facilities (FSOF/ASC)
Freestanding Surgical Outpatient Facilities (FSOF/ASC)
State Licensing
State licensing is required for freestanding surgical outpatient facilities (FSOF).
New License |
To begin operation of a new Freestanding Surgical Outpatient Facility, all of the following steps must be completed:
1. Complete state licensure application LARA-SLACR-101 and email completed application to LARA-BCHS-NLTCSLS@michigan.gov
2. Payment: For electronic payments, visit LARA BCHS NLTC LICENSE - Electronic Payment. Paying electronically is the fastest way to have your application processed. There is a 1.75% processing fee for electronic payments. Paying electronically expedites the application process. If you do not agree to pay the processing fee, a written check may be submitted by mail. Please note, submitting by mail may delay processing 4-6 weeks. When submitting for a new license by mail, you must submit the application, licensure invoice (only required for written check submissions) and written check to:
Department of Licensing and Regulatory Affairs
Bureau of Community and Health Systems
Health Facilities Licensing, Permits and Support Division
P.O. Box 30664
Lansing, MI 48909
Fees for New Licensure
Freestanding Surgical Outpatient Facility $2,500
Changes |
To make changes to an existing licensed facility including relocation, facility name change, change of ownership, and change in bed capacity (residence only). See below for Change of Administrator information.
1. Complete the state licensure application and change request form LARA-SLACR-101
2. Fees/Payment: To make your payment electronically for changes to an existing license, visit LARA Change Request Payments. Paying electronically is the fastest way to have your application processed. There is a 1.75% processing fee for credit card payments or $0.15 processing fee for electronic check payments. Paying electronically expedites the process for changes to existing licenses. If you do not agree to pay the processing fee, a written check may be submitted by mail. Please note, submitting by mail may delay processing 4-6 weeks. When submitting a change request by mail, you must submit the change request form, licensure invoice (only required for written check submissions) and written check to:
Department of Licensing and Regulatory Affairs
Bureau of Community and Health Systems
Health Facilities Licensing, Permits and Support Division
P.O. Box 30664
Lansing, MI 48909
Fees for Changes to an Existing License
► License (facility/DBA) name change $500
► CHOW or corporate name change $500
► Relocation $500
Renewals |
All State Licenses must be renewed annually. Annual renewal letters and invoices are sent in June of each year. License renewals must be paid online no later than July 31st at eLicense (michigan.gov).
Fees for Renewal
Freestanding Surgical Outpatient Facility $500
Other state agencies may require approval prior to licensing actions. Contact the following state agencies to determine whether their approval is required.
Certificate of Need (Only if hospice beds & long term care beds) 320 S. Walnut Street Lansing, MI 48913 Phone: 517-241-3344 |
Health Facilities Engineering Section Michigan Department of Licensing and Regulatory Affairs (LARA) PO Box 30664 Lansing, MI 48909 Phone: 517-241-3408 |
Bureau of Fire Services Michigan Department of Licensing and Regulatory Affairs (LARA) 4th Floor PO Box 30700Lansing, MI 48909 Phone: 517-335-5804 |
Federal Certification
Surgery centers may apply for certification to participate in the Medicare/Medicaid programs. The Centers for Medicare and Medicaid Services (CMS) contracts with LARA to evaluate compliance with the federal regulations by conducting certification surveys and complaint investigations. Surgery centers must be licensed with the State of Michigan before Medicare certification is approved.
Initial certification or change of ownership:
- Complete Provider Enrollment Application (CMS-855B) and submit to Medicare Administrative Contractor (MAC)/Fiscal Intermediary (FI)
- Complete and submit the following to Federal Survey & Certification Division LARA-BSCSupport@michigan.gov
Contact Accrediting Organization (AO) to schedule survey for initial certification
Change in Administrator
For a change in administrator, please email LARA-BSCSupport@michigan.gov the following:
- Facility name, address, and provider # or state facility ID
- New administrator full name
- Effective start date of administrator
Resources
State Licensing Administrative Rules - State
Michigan Public Health Code – State (emphasis on Parts 201 and 208)
CMS Conditions of Participation/for Coverage – Federal
CMS Forms – Federal
HHS Forms (Civil Rights) – Federal
State Operations Manual – Federal
Wisconsin Physician Services (WPS) – MAC/FI
Contact Information
Michigan Department of Licensing & Regulatory Affairs
Bureau of Community and Health Systems
611 W. Ottawa Street
PO Box 30664
Lansing, MI 48909
Main Line: 517-335-1980
State Licensing
Phone: 517-241-1970
FAX: 517-241-3354
Email: LARA-BCHS-NLTCSLS@michigan.gov
Federal Survey and Certification Division
Phone: 517-284-8953
FAX: 517-763-0214
Email: LARA-BSCSupport@michigan.gov