The Michigan Department of Licensing and Regulatory Affairs, Bureau of Community and Health Systems 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 can be safely performed without requiring overnight inpatient hospital care and is not operated as part of a hospital.
An Ambulatory Surgical Center (ASC) is a state licensed FSOF that is federally certified to participate in Medicare/Medicaid.
A. NAME OF LICENSE OR APPROVAL:
Health Facility License -- Freestanding Surgical Outpatient Facility
B. STATUTORY AUTHORITY:
Public Act 368 of 1978, as amended (Michigan Public Health Code)
C. APPLICABLE REGULATION:
D. SUMMARY OF LICENSE/APPROVAL PROCESS:
1. Applicability (activities that require the license)
Offering surgical services to patients that do not require hospitalization and are not performed in a physician's office.
2. Pre-Application Requirements
Medical staff ready to start, policies and procedures established to offer surgical services, supplies and equipment ready, etc.
3. Application Submission Requirements
4. Procedures and Time-Frame for Obtaining Permit or Approval
To be state licensed as an FSOF, a provider must first receive Certificate of Need, Health Facilities Engineering and Fire Safety approvals. A provider also must submit an application for state licensure. After confirmation of the necessary approvals, a pre-licensure inspection will be conducted by the State Licensing Section. If the applicant is in compliance with the Code and applicable rules, a license will be issued and a post-licensure inspection will be conducted. Once licensed, the department will conduct routine inspections and complaint investigations as required.
5. Operational Requirements
Facility ready for occupancy and license.
$500 annual license fee. There is a $2,000 application fee for initial licensure.
7. Appeal Process
8. Public Input Opportunities
E. Contact Information:
Contact the Bureau of Community and Health Systems at 517-241-1970.