Hospital Licensing


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What you need to know


A hospital is a facility where diagnosis, treatment, medical care, obstetrical care, nursing care or related services are provided on an outpatient or inpatient basis for a period of more than 24 hours to people who are ill or injured or to aged and infirmed people requiring or receiving convalescent care. A 'Hospital' includes a facility or a distinct part of a facility which provides space for a general acute hospital, a rehabilitation hospital, a long-term care hospital, a critical access hospital, or a psychiatric hospital.


Transplant hospital information is available here.

Applications & Requirements

Hospital licenses are renewed annually and expire on December 31st.

An application for a hospital license must meet the requirements in:

Requirements include:

  • Submit a written application
  • Submit required documentation and fees
  • Pass an onsite inspection prior to patient use and occupancy


A hospital may not operate until the inspection has been completed and the Department determines a license can be issued.

A change in location or ownership of the facility voids the license. A new license is required prior ot providing patient care and services.

Certificate of Need

CON prohibits new nursing home and rehabilitation beds, with a few specific exceptions. If you want to create, increase, relocate, convert, or change ownership of beds, please email with a brief description of your proposed project.

Phone: (402) 471-2115
Fax: (402) 471-3577


Title 175 Chapter 9​: Regulations Governing Licensure of Hospitals​

Initial and Renewal Licensure Fees:

  • 1 to 50 Beds $1,750
  • 51 to 100 Beds $1,850
  • 101 or more Beds $1,950

All hospitals must also pay with their renewal licensure fee an additional fee under the Outpatient Surgical Procedures Data Act, Neb. Rev. Stat. §§ 81-6,111 to 81-6,119, as follows:

  • (1) 500 or fewer outpatient surgeries per year $275
  • (2) 501 to 2,000 outpatient surgeries per year $350
  • (3) More than 2,000 outpatient surgeries per year $425

Duplicate of original license: $10

Refunds for denied applications:

  • If the Department did not perform an inspection, the license fee is refunded except for an administrative fee of $25; or
  • If the Department performed an inspection, the fee is not refunded.

Duplicate License

For a duplicate license, submit the online form or a letter with the required information. If submitting the online form, print it, sign it (a copy or scan is not acceptable), and mail it to us at the address on the form.

Change Notification

A facility must notify the Department in writing of the following changes:

  • Change in facility ownership (within 10 working days)
  • Change in facility location (within 10 working days)
  • Change in facility name (within 10 working days)
  • Change in facility administrator (within 5 working days), and/or:
  • New construction or remodeling (prior to the start of construction)
  • Bed increases or decreases (30 days prior)
  • Addition or deletion of offsite practice locations (30 days prior)
  • Addition or deletion of specific types of services (30 days prior)

Please submit your written change notices on facility letterhead/signed by a facility officer to:

DHHS Public Health – Licensure Unit
Acute Care Facilities Office
PO Box 94669
Lincoln, NE 68508-4669

OR you can submit the signed letter via email to:  


The Department conducts onsite inspections of hospitals in accordance with 175 NAC 9 Regulations Governing the Licensure of Hospitals​​​​ and in accordance with Centers for Medicare & Medicaid (CMS) mandates.

Per 175 NAC 9, the Department may conduct an onsite inspection of the facility at any of the following times:

  • Prior to issuing an initial license
  • Prior to use and occupancy at new facilities or where there's been new construction
  • At any time to determine compliance with the health clinic licensure regulations or for any of the following reasons:
    - An occurrence resulting in patient death or serious physical harm
    - An  occurrence resulting in imminent danger to or the possibility of death or serious physical harm to patients
    - An accident or natural disaster resulting in damage to the facility that would have a direct or immediate adverse effect on the health, safety, and security of patients
    - The passage of five years without an onsite inspection
    - A complaint alleging violation of the Health Care Facility Licensure Act or 175 NAC 7
    - Complaints that  raise concerns about the maintenance, operation, or management of the health clinic
    - Financial instability of the licensee or of the licensee's parent company
    - Outbreaks or recurrent incidents of physical health problems such as dehydration, pressure sores, or other illnesses
    - Change of services, management, or ownership
    - Change of status of accreditation or certification on which licensure is based as provided in 175 NAC 7-004.08
    - Any other event that raises concerns about the maintenance, operation, or management of the health clinic.

Results of inspections/surveys and other facility related information can be found at:

Pharmacy Requirements

Hospital pharmacies that do not hold a commercial pharmacy license must submit a completed Hospital Pharmacy Quality Review Assessment (HPQAR) form and an Inventory of Controlled Substances to the Department by May 1st, annually.

​Change in Pharmacist in Charge

The Department must be notified within 30 days of a change in the hospital pharmacist in charge. Please note there is no grace period for the facility to be without a pharmacist in charge. If you have a change, please complete and submit the change form below and the controlled substance inventory to the below address.

Please send all documents to:

or mail to:

DHHS Licensure Unit
Attn: Acute Care Facilities
PO Box 94669
Lincoln, NE 68508-4669

Prescription Drug Monitoring Program (PDMP)


Hospital Licensing
Department of Health & Human Services/Division of Public Health/Licensure Unit
Phone Number
(402) 471-3484
Fax Number
(402) 742-8319
Mailing & Physical Addresses

DHHS Licensure Unit

Attn: Hospital Licensing

PO Box 94669

Lincoln, Nebraska 68509-4669


Nebraska State Office Building
301 Centennial Mall South

14th & M Streets, 3rd Floor

Lincoln NE 68508

Hours: Monday-Friday 8:00 a.m. - 5:00 p.m. Closed federal holidays.