3.D.1. Filing of
Application
Any person, partnership, association or corporation
desiring a license to engage in ambulatory surgical facilities shall, prior to
the commencement of such operation, file an application with the Department.
Applications submitted on behalf of a corporation or association shall be made
by any two officers thereof or by its administrator. (All applicants shall
comply with these rules and regulations.)
3.D.2. Contents of Application
Each application shall contain:
a. The name by which the Ambulatory Surgical
Facility is to be legally known and the name under which it shall be doing
business.
b. A description of all
facilities utilized by the Ambulatory Surgical Facility. This will include the
address(es), telephone number(s) and name(s) of owner(s) of all buildings
utilized by the Ambulatory Surgical Facility.
c. A listing of surgical procedures provided
by the agency.
3.D.3.
Change in Ownership of Ambulatory Surgical Facility
a. No license shall be assigned or
transferred.
b. At least thirty
(30) days advance written notice shall be given to the Division of Program
Analysis and Development, Office of Health Planning and Development and the
Division of Licensing and Certification, Bureau of Medical Services, prior to
the transfer of ownership of any Ambulatory Surgical Facility.
c. Each application for a license from a new
owner shall be accompanied by a statement from the previous owner or his duly
authorized representative concerning the change of ownership. In lieu of this
statement, a copy of the deed or other validating document shall be submitted.
In addition, an application fee, calculated in accordance with Section 3.A.
1. of this chapter, shall be submitted to the
Department. When the ownership of an Ambulatory Surgical Facility provider
changes, upon receipt of a completed application and fee the Department may
issue a license for a period of one year. The new owner's application must
demonstrate that the agency will continue to comply with the requirements for
licensure.
