Health Clinic Applications Requirements and Fees

 
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What you need to know

Health clinic licenses expire on February 28 every year and must be renewed annually.

An application for a health clinic license must meet the requirements in:

An applicant must meet the requirements in Title 175 Chapter 7, Regulations Governing the licensure of Health Clinics and in the Health Care Facility Licensure Act. These requirements include:

Submitting a written application

Submitting the required documentation and fee(s); and

Passing an onsite inspection prior to patient use and occupancy

Note:

  • A health clinic may not operate until the inspection has been completed and the Department determines a license can be issued.
  • A change in location of the facility or a change in ownership of the facility voids the current license and requires a new license to be issued prior to providing patient care and services.

Fees: Title 175 Chapter 7​ Regulations Governing Licensure of Health Clinics

Initial Licensing Fees:

  1. All types of health clinics except public health clinics and ambulatory surgical centers: $600
  2. Public health clinics: $400
  3. Ambulatory surgical centers:
    a. One operating/procedure room: $1,250
    b. Two to three operating/procedure rooms: $1,350
    c. Four or more operating/procedure rooms: $1,450

Renewal Licensing Fees:

  1. All types of health clinics except public health clinics and ambulatory surgical centers:
    a. One to 50 patient admissions in the past year: $600
    b. 51 to 100 patient admissions in the past year: $800
    c. 101 or more patient admissions in the past year: $1,000
     
  2. Public health clinics:
    a. One to 50 patient admissions in the past year: $400
    b. 51 to 100 patient admissions in the past year: $450
    c. 101 or more patient admissions in the past year: $500
     
  3. Ambulatory surgical centers:
    a. One operating/procedure room: $1,250
    b. Two to three operating/procedure rooms: $1,350
    c. Four or more operating/procedure rooms: $1,450
    d. All ambulatory surgical centers must also pay an additional fee under the Outpatient Surgical Procedures Data Act, Neb. Rev. Stat. §§ 81-6,111 to 81-6,119, as follows:
         500 or fewer outpatient surgeries per year: $275
         501 to 2,000 outpatient surgeries per year: $350
         More than 2,000 outpatient surgeries per year: $425

Duplicate original license: $10
Duplicate License Application

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.