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.

List of the types of health care facilities and agencies that HFLC regulates (pdf) in acute care and community-based settings

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.

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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 Public	No 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 Public	Current 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) 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) Attestation Form HHA (pdf) HHA Background Check Request (pdf)
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) 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 Memo (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) Application IHC Administrator (pdf) Background Check Crime List HHA / IHC (pdf) IHC Background Check Request (pdf)
Guidance Memos for Licensees	Administrative Rule Factsheet (pdf) Branch Office Request Instructions (pdf) Caregiver Training Memo and Matrix (pdf) Change of Administrator Request Instructions (pdf) Change of Licensure Classification Application Instructions (pdf) Change of Ownership (CHOW) Instructions (pdf) DHS IHC Provider Alert Non-Compete Clause (pdf) Fieldprint Livescan Fingerprinting Instructions for IHC (pdf) 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) Medication Reminder and Services Guidance (pdf) - NEW Policy and Procedure Memo (pdf) Qualified Individual and Qualified Entity Memo Updated (pdf) Relicensure Survey Provider Preparation Memo (pdf) Self Direct Evaluation Form (pdf)
Information for Prospective Licensees	IHC Initial Applicant FAQs (pdf)
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/SPs	Federal 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 PXSs	Federal 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 RHCs	Federal 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

Health Facility Licensing & Certification

About the Survey and Certification Team

Join Our Listserv

Resources On this Page

Information about Regulated Entity Types

Information for all Regulated Entities

Information for the Public

AMBULATORY SURGERY CENTERS (ASC)

BIRTHING CENTERS (BC)

CAREGIVER REGISTRIES (CGR)

COMMUNITY MENTAL HEALTH CENTERS (CMHC)

COMPREHENSIVE OUTPATIENT REHABILITATION FACILITIES (CORF)

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

EXTENDED STAY CENTERS (ESC)

FEDERALLY QUALIFIED HEALTH CENTERS (FQHC)

HEMODIALYSIS TECHNICIANS(Hemo Tech)

HOME HEALTH AGENCIES (HHA)

HOSPICE AGENCIES

HOSPITALS

IN-HOME CARE AGENCIES (IHC)

NONTRANSPLANT ANATOMICAL RESEARCH RECOVERY ORGANIZATIONS (NARRO)

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

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

PORTABLE X-RAY SUPPLIERS (PXS)

RURAL HEALTH CLINICS (RHC)

SPECIAL INPATIENT CARE FACILITIES (SICF)

HEMODIALYSIS TECHNICIANS
(Hemo Tech)