State licensing is required for freestanding surgical outpatient facilities (FSOF).

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 Initial Licensure Payment.  There is a 2% processing fee for electronic payments.  

Fees for New Licensure
Freestanding Surgical Outpatient Facility                        $2,500

3. You must have approval from the below state agencies.  If you have not already done so, contact the following state agencies to initiate the process for their approval:

To make changes to an existing licensed facility including relocation, facility and/or corporate name change, and change of ownership, complete the following steps below. To report a change in administrator, please report the change to Bureau of Survey and Certification.

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 Licensure Change Request Payments.  There is a 2% processing fee for credit card payments or $0.15 processing fee for electronic check payments.

Fees for Changes to an Existing License

► License (facility/DBA) name change $500

► CHOW or corporate name change $500

► Relocation                 $500

Other state agencies may require approval prior to licensing actions. Contact the following state agencies to determine whether their approval is required.

All State Licenses must be renewed annually.  Annual renewal letters and invoices are sent in June of each year.  You may also sign up to receive these and all notifications/alerts at Non-Long Term Care State Licensing Alerts. Licenses cannot be renewed prior to June 1st or prior to receiving the renewal notices.   

License renewals must be paid online no later than July 31st at eLicense (michigan.gov).    

Note: A license is required by MCL 333.20141(1) to establish or maintain and operate a health facility or agency. A provider’s non-renewal of a license by September 1st is not considered as a refusal to renew by the department under MCL 333.20165.  All licenses must be renewed, in accordance with Administrative Rule 325.45113. All licenses non-renewed by a licensee will receive a notice on or after September 1st that the license is closed and this notice will be posted to the license on the department web page (State Licensing).

Fees for Renewal
Freestanding Surgical Outpatient Facility          $500

In accordance with R 325.45169, you must notify the department in writing at least 30 days prior to your proposed closure date.  The required closure plan must be sent to LARA-BCHS-NLTCSLS@michigan.gov and the closure plan must meet all of the requirements as provided for in R 325.45169, which the details can be found:  Administrative Rules (under “Licensing Health Facilities or Agencies)   Please review the Closure Plan Checklist to aid you in this process. 

State Licensing Administrative Rules (under Licensing Health Facilities or Agencies)

Michigan Public Health Code (emphasis on Parts 201 and 208)

Closure Plan Checklist

Bureau of Survey & Certification – (CMS forms, administrator changes, CMS Coverage/Participation)

Non-Long-Term Care State Licensing
Phone: 1-833-757-7308
Email: LARA-BCHS-NLTCSLS@michigan.gov