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Health Facility Licensing & Certification

About the Survey and Certification Team

The Health Facility Licensing & Certification Program (HFLC) is responsible for regulating certain types of non-long term care health care facilities and agencies. 

To ensure that regulated health care facilities comply with all applicable federal and state requirements, HFLC’s Survey and Certification team conducts routine federal Medicare certification surveys and state licensure surveys as well as state and federal complaint investigations.

Join Our Listserv

The Health Facility Licensing & Certification Program (HFLC) sends announcements, information and critical program updates for each of its licensed facility types through a listserv. Select - Join our listserv and choose one or more facility types to obtain announcements. 

Resources On this Page

This page provides links to applicable rules and regulations, relevant forms for licensees and applicants, and current lists of our regulated entities that are updated quarterly. The entity types listed below link to specific information for that entity type. The information is organized under headings for:

  • Laws and rules governing that entity type,
  • Information for licensees,
  • Information for prospective licensees, and
  • Information for the public.

Please Note: The health care facilities and agencies that are listed below may be licensed, registered and/or certified under applicable state and federal laws.

AMBULATORY SURGERY CENTERS (ASC)

Specialize in providing surgery, pain management, and some diagnostic services in an outpatient setting.
Laws & Rules Governing ASCs Federal Regulations

CFR Title 42, Chapter IV, Parts 416 (CMS regulations)
CMS State Operations Manual Appendix L (pdf)

State Laws ORS 441.015 - 441.086, 441.196, 441.198
ORS 442.015
Oregon Administrative Rules Chapter 333 Division 076, Rules 0001 - 0270
Applications for Licensees
Application ASC (pdf) 
Guidance Memos for Licensees

Change of Ownership (CHOW) Information (pdf)

Personal Protective Equipment and Screening in CMS-Certified Outpatient Settings (pdf) 

Surg Tech Certification Options (pdf)

Information for Prospective Licensees

CMS Information ASC (pdf)

Determination Form ASC (pdf)

Initial Licensing Information ASC (pdf)

Information for the Public
Current List of ASCs (pdf)


 

BIRTHING CENTERS (BC)

Non-hospital settings where childbirth is planned and occurs away from a private residence. These facilities must be licensed and approved by the State to provide care.
Laws & Rules Governing BCs State Laws ORS 441.015 - 441.086, 441.196, 441.198
ORS 442.015
Oregon Administrative Rules Chapter 333 Division 076, Rules 0450 - 0710
OAR Tables

Table 1 (OAR 333-076-0650) (pdf)
Admission
Table 2 (OAR 333-076-0650) (pdf)
Intrapartum
Table 3 (OAR 333-076-0650) (pdf)
Postpartum Mother
Tables 1-3 High Risk Table (pdf)

Applications for Licensees Application BC (pdf)

Information for Prospective Licensees Determination Form (pdf)

Initial Letter BC (pdf)

Information for the Public Current List of BCs (pdf)


 

CAREGIVER REGISTRIES (CGR)

Represent independent contractors who provide skilled in-home care.
Laws & Rules Governing CGRs State Laws ORS 443.014 - 441.105, 443.355
Oregon Administrative Rules Chapter 333 Division 540
Applications for Licensees Application CGR (pdf)  

Determination Form CGR (pdf)

Information for Prospective Licensees Initial Letter CGR (pdf)
Information for the Public Current List of CGRs (pdf)

 

COMMUNITY MENTAL HEALTH CENTERS (CMHC)

Provide outpatient mental health services, 24-hour emergency care services, day treatment or other partial hospitalization, and screening for patients being considered for admission to state mental health inpatient facilities. 
Laws & Rules Governing CGRs Federal Regulations CFR Title 42, Chapter IV, Part 485, Subpart J (CMS regulations)
Information for Certified CMHCs CMS CMHC webpage
Information for Prospective CMHCs CMS Certification Process
Information for the PublicNo current certified providers in Oregon

 

COMPREHENSIVE OUTPATIENT REHABILITATION FACILITIES (CORF)

Provide outpatient diagnostic, therapeutic and restorative services for the rehabilitation following injury, disability or sickness.
Laws & Rules Governing CORFs Federal Regulations CFR Title 42, Chapter IV, Part 485, Subpart G (CMS regulations)
CMS State Operations Manual Appendix K
Information for Certified CORFs CMS CORF webpage
Information for Prospective CORFs CMS CORF Certification Process
Information for the Public Current List of CORFs (pdf)


 

END-STAGE RENAL DISEASE TREATMENT FACILITIES (ESRD) / OUTPATIENT RENAL DIALYSIS FACILITIES (ORDF)

Provide outpatient renal dialysis services using machines that act as artificial kidneys by removing waste from blood and removing excess fluids from the body when kidney failure or disease prevents the kidneys from doing so. 
Laws & Rules Governing ESRD/ORDFs Federal Regulations CFR Title 42, Chapter IV, Part 494 (CMS regulations)
CMS State Operations Manual Appendix H (pdf)
State Laws ORS 441.015 - 441.086, 441.196, 441.198


Oregon Administrative Rules Chapter 333 Division 700
OAR Tables Table 1 (OAR 333-700-0120) (pdf)
Required Frequency of Water Testing
Applications for Licensees
Application ESRD/ORDF (pdf)

Guidance Memos for Licensees

Certification Information ESRD/ORDF (pdf)

Change of Ownership (CHOW) Information ESRD/ORDF (pdf)

Dialysis Services for Residents of Long-Term Care Facilities (pdf)

Personal Protective Equipment and Screening in CMS-certified End-Stage Renal Disease Treatment Facilities (pdf)

Information for Prospective Licensees Initial Letter ESRD (pdf)
Information for the Public Current List of ESRD/ORDFs (pdf)


 

EXTENDED STAY CENTERS (ESC)

Provide post-surgical and post-diagnostic medical and nursing services to patients recovering from surgical procedures performed in an affiliated Ambulatory Surgical Center (ASC).
Laws & Rules Governing ESCs State Laws Oregon Laws 2018, Chapter 50  
Oregon Administrative Rules Chapter 333 Division 076, Rules 0001 - 0101 and 0800 - 1100
Applications for Licensees Application ESC (pdf)
Information for Prospective Licensees ESC Survey Tools (pdf)
Information for the PublicCurrent list of ESCs (pdf)


 

FEDERALLY QUALIFIED HEALTH CENTERS (FQHC)

Provide outpatient primary care to medically-underserved populations and areas. 
Laws & Rules Governing FQHCs Federal Regulations CFR Title 42, Chapter IV, Part 491 (CMS regulations)
Information for FQHCs CMS FQHC Center

Personal Protective Equipment and Screening in CMS-Certified Outpatient Settings (pdf)

Information for Prospective FQHCs CMS FQHC Certification
Information for the Public Current List of FQHCs (pdf)


 

HEMODIALYSIS TECHNICIANS
(Hemo Tech)

Are certified individuals responsible for operating dialysis machines that act as artificial kidneys by removing waste from blood and removing excess fluids from the body when kidney failure or disease prevents the kidneys from doing so.
Laws & Rules Governing Hemo Techs State Laws ORS 688.625 - 688.665
Oregon Administrative Rules Chapter 333 Division 275
Appendix A (OAR 333-275-0110)
Applications for Certified Hemo Techs
Application Hemo Techs (pdf) - NEW
Guidance Memos for Certified Hemo Techs

Certification Instructions Web Page

Fee Schedule and FAQ Hemo Techs (pdf)

Fieldprint Livescan Fingerprinting Instructions for Hemodialysis Technicians (pdf) - NEW

Personal Protective Equipment, Screening and Visitation in CMS-certified End-Stage Renal Disease Treatment Facilities (pdf)

Information for the Public Current List of Hemo Techs (pdf)


 

HOME HEALTH AGENCIES (HHA)

Provide skilled medical nursing services and other therapeutic services to patients in their homes.
Laws & Rules Governing HHAs Federal Regulations CFR Title 42, Chapter IV, Parts 484 (CMS regulations)
CMS State Operations Manual Appendix B (pdf)
State Laws ORS 443.014 - 441.105
Oregon Administrative Rules Chapter 333 Division 027
Applications for Licensees
Application HHA (pdf) - NEW

Attestation Form HHA (pdf)

HHA Background Check Request (pdf) - NEW

Guidance Memos for Licensees Background Check Crime List HHA / IHC (pdf)

Change of Ownership (CHOW) Information HHA (pdf)

Fieldprint Livescan Fingerprinting Instructions for HHA (pdf) - NEW

Licensing Requirements for HHAs Revised (pdf)

Personal Protective Equipment and Screening for Home Health Agencies (pdf)

Information for Prospective Licensees Certification Information HHA (pdf)

Initial Letter HHA (pdf)

Information for the Public Current List of HHAs (pdf)

Home Health Agency Complaint Hotline - 971-673-0540 / TTY 711


 

HOSPICE AGENCIES

Includes both facilities and programs that provide care for people with terminal illnesses.
Laws & Rules Governing Hospices Federal Regulations CFR Title 42, Chapter IV, Parts 418 (CMS regulations)
CMS State Operations Manual Appendix M (pdf)
State Laws ORS 443.850 - 443.869
Oregon Administrative Rules Chapter 333 Division 035
Applications for Licensees
Application Hospice (pdf)
Guidance Memos for Licensees Change of Ownership (CHOW) Information Hospices (pdf)

Fee Memo (pdf)

Frequently Asked Questions Hospices (pdf)

Personal Protective Equipment and Screening in Hospice Agencies (pdf)

Information for Prospective Licensees Initial Certification Information (pdf)

Initial Licensure Information (pdf)

Information for the Public Current List of Hospices (pdf)

Hospice Agency Complaint Hotline - 971-673-0540 / TTY 711


 

HOSPITALS

Provide medical and surgical treatment and nursing care for sick or injured people. Within this category are several types of hospitals (pdf).
Laws & Rules Governing Hospitals
Federal Regulations CFR Title 42, Chapter IV, Parts 482 (CMS regulations)
CFR Title 42, Chapter IV, Part 485 (Critical Access)
CMS State Operations Manual Appendix A (Hospitals) (pdf)
CMS State Operations Manual Appendix AA (Psychiatric Hospitals) (pdf)
CMS State Operations Manual Appendix T (Swing Beds) (pdf)
CMS State Operations Manual Appendix V (Responsibilities of Medicare Participating Hospitals in Emergency Cases) (pdf)
CMS State Operations Manual Appendix W (Critical Access Hospitals) (pdf)
State Laws ORS 441.015 - 441.086; 441.151 - 441.192; 441.196; 441.198
Oregon Administrative Rules Chapter 333 Division 200 Emergency Medical Services and Systems
Division 205 Trauma System Hospital Identification in Trauma Area #1 
Division 500 Definitions, Application and Renewal Procedures, Fees, Facility Closure
Division 501 Hospital Monitoring, Surveys, Investigations, Discipline, and Civil Penalties
Division 505 Hospital Organization and Management
Division 510 Patient Care and Nursing Services in Hospitals
Division 515 Hospital Environmental and Maintenance Services
Division 520 Hospital Services
Division 525 Specialty Hospitals
Division 535 New Construction and Alterations of Existing Hospitals
Applications for Licensees

Application Hospitals (pdf) - 2023 license renewals should be completed using the electronic form hospitals received by email
Guidance Memos for Licensees §1135 Waiver Termination (webinar) and PowerPoint (pdf) 

Acute Hospital Care At Home (pdf)

Addition of New Hospital Satellite Location (pdf)

Addition of Services (pdf)

Certificate of Need Information (pdf)

Change of Ownership (CHOW) Information Hospital (pdf)

Crisis Standards of Care Explanation Memo (pdf)

Existing Services: Change of Location (pdf)

Hospital Reporting for Crisis Standards of Care Activation (pdf)

Hospital Rules Related to Crisis Standards of Care (pdf) 

Hospital Satellite Distance Standard (pdf)

Mental Health Discharge Survey Tool - Emergency Department (pdf)

Mental Health Discharge Survey Tool - Inpatient Departments (pdf)

Oregon Interim Crisis Care Tool (pdf) 

Personal Protective Equipment, Screening and Visitation in CMS-certified Hospitals, Psychiatric Hospitals, and Critical Access Hospitals (CAHs) (pdf)

Surg Tech Certification Options (pdf)

Swing Beds Quick Guide (pdf)

Waiver Requests (pdf) **NEW

Information for the Public

Current List of Hospitals (pdf)

Current List of Hospital Satellites (pdf)

Emergency Department Discharge Practices for Behavioral Health Crisis Care: A Statewide Survey of Hospitals - Legislative Report (pdf) 

HB 2574 - Dispensing 5-day supply of HIV post-exposure prophylaxis (pdf) **NEW

Fact sheet: Use of "emergency" and derivative terms in posted name or advertising (pdf) 

Fact sheet: Discharge planning for patients presenting with behavioral health crisis or hospitalized for mental health treatment (pdf) **REVISED

Hospital requirements During Staffing Emergency Impacting Standard of Care - OAR 333-505-0036

SB 1043 - Provision of two doses of overdose reversal medication (pdf) **NEW

SB 1606 - Hospital Support Persons flyer (pdf) - also available in Spanish, Arabic, Traditional Chinese, Simplified Chinese, Chuukese, Hmong, Korean, Marshallese, Russian, Somali, and Vietnamese

SB 1606 - Hospital Support Persons Webinar and accompanying Q&A (pdf) also available in Spanish

SB 1606 - Patient Access to Support Persons while in the Hospital - Permanent Administrative Rules (tracked changes) (pdf)

SB 1606 - Patient Access to Support Persons while in the Hospital - Fact Sheet (pdf)


 



IN-HOME CARE AGENCIES (IHC)

Provide non-medical services using caregivers.
Laws & Rules Governing IHCs State Laws ORS 443.305 - 443.355
Oregon Administrative Rules Chapter 333 Division 536
OAR Tables Table 1 (OAR 333-536-0007) (pdf)
In-Home Care License Classification Table

Applications for Licensees
Application IHC (pdf) - NEW

Application IHC Administrator (pdf) - NEW

Background Check Crime List HHA / IHC (pdf)

IHC Background Check Request (pdf) - NEW

Guidance Memos for Licensees

Administrative Rule Factsheet (pdf)NEW
Branch Office Request Instructions (pdf) - NEW

Change of Administrator Request Instructions (pdf) - NEW

Change of Licensure Classification Application Instructions (pdf) - NEW  

Change of Ownership (CHOW) Instructions (pdf) - NEW

DHS IHC Provider Alert Non-Compete Clause (pdf)

Fieldprint Livescan Fingerprinting Instructions for IHC (pdf) - NEW

Guia Provisoria para el Control de Infecciones por COVID-19 para los Trabajadores que Brindan Cuidados Personales a Domicilio (pdf)  

Guidance for Caring for COVID-19 Exposed or Positive Clients (pdf) - COVID

Informal Conference Request Memo (pdf)

Mandatory Abuse Memo (pdf)

Policy and Procedure Memo (pdf) - NEW

Qualified Individual and Qualified Entity Memo Updated (pdf)NEW 

Self Direct Evaluation Form (pdf) - NEW

Information for Prospective Licensees
IHC Initial Applicant FAQs (pdf) - NEW

Information for the Public
Current List of IHCs (pdf)


 

NONTRANSPLANT ANATOMICAL RESEARCH RECOVERY ORGANIZATIONS (NARRO)

Engage in the recovery and distribution of anatomical material from donors for research or educational purposes but not for anatomical transplants or therapy.
Laws & Rules Governing NARROs State Laws ORS 438.705 - 438.720
Oregon Administrative Rules Chapter 333 Division 081
Applications for Licensees
Application NARRO (pdf) 
Guidance Memos for Licensees Licensing Survey Tool NARRO (pdf)
Prospective Licensee Information Fact Sheet NARRO (pdf)
Information for the Public Current List of NARROs (pdf)


 

ORGAN PROCUREMENT ORGANIZATIONS  - TISSUE BANKS & EYE BANKS (OPO)

Non-profit organizations responsible for the evaluation and procurement of deceased-donor organs for transplantation.
Laws & Rules Governing OPOs Federal Regulations CFR Title 42, Chapter IV, Parts 486 (CMS regulations)
CMS State Operations Manual Appendix Y (pdf)
State Laws ORS 441.079, 441.082
Oregon Administrative Rules Chapter 333 Division 080
Applications for Registered OPOs Application OPO (pdf)  
Prospective OPO Information CMS Certification process (pdf)
Information for the Public Current List of OPOs (pdf)


 

OUTPATIENT PHYSICAL THERAPY OR SPEECH PATHOLOGY SERVICES (OPT/SP)

Use therapeutic exercise, functional training, manual therapy, adaptive services and modalities to treat patient needs.
Laws & Rules Governing OPT/SPsFederal Regulations CFR Title 42, Chapter IV, Part 485, Subpart H (CMS regulations)
CMS State Operations Manual Appendix E (pdf)
Information for Certified OPT/SPs CMS OPT/SP webpage

Personal Protective Equipment and Screening in CMS-Certified Outpatient Settings (pdf)

Prospective OPT/SP Information CMS Certification Process
Information for the Public Current List of OPT/SPs (pdf)


 

PORTABLE X-RAY SUPPLIERS (PXS)

Use x-ray equipment that can be brought to a patient.
Laws & Rules Governing PXSsFederal Regulations CFR Title 42, Chapter IV, Part 486 (CMS regulations)
CMS State Operations Manual Appendix D (pdf)
Prospective PXS Information CMS Certification Request
Information for the Public Current List of PXSs (pdf)


 

RURAL HEALTH CLINICS (RHC)

Provide outpatient primary care services and basic laboratory services in non-urban rural areas that have received a federal healthcare shortage designation.

Laws & Rules Governing RHCsFederal Regulations CFR Title 42, Chapter IV, Part 491 (CMS regulations)
CMS State Operations Manual Appendix G (pdf)

Information for Certified RHCs

Certification Information RHC (pdf)

Change of Ownership (CHOW) Information RHC (pdf)

CMS RHC webpage

Personal Protective Equipment and Screening in CMS-Certified Outpatient Settings (pdf)

Prospective RHC Information CMS Certification Process
Information for the Public Current List of RHCs (pdf)


 

SPECIAL INPATIENT CARE FACILITIES (SICF)

Provide inpatient care in specialized settings such as rehabilitation centers, college infirmaries, chiropractic facilities, freestanding hospice facilities and others.
Laws & Rules Governing SICFs State Laws ORS 441.015 - 441.086; 441.151 - 441.192; 441.196; 441.198
ORS 442.015 and 442.315-442.362
Oregon Administrative Rules Chapter 333 Division 071
Applications for Licensees
Application SICF (pdf)
Guidance Memos for Licensees Personal Protective Equipment and Screening in Hospice Agencies (pdf)

SB 1606 - Patient Access to Support Persons while in a Special Inpatient Care Facility (SICF) - Fact Sheet (pdf)

Information for the Public Current List of SICFs (pdf)

 

If you have any questions about the lists please e-mail your inquiry to us: mailbox.hclc@odhsoha.oregon.gov

If you need any of these documents in large print, please contact us:
Phone: 971-673-0540 TTY: 711