General Hospitals

For consideration of a general hospital license, an establishment must meet the following two components:

• offer services, facilities and beds for use for more than 24 hours for two or more unrelated individuals requiring diagnosis, treatment or care for illness, injury, deformity, abnormality or pregnancy; and
• regularly maintain, at a minimum, clinical laboratory services, diagnostic x-ray services, treatment facilities including surgery or obstetrical care or both, and other definitive medical or surgical treatment of similar extent.

The Facility Licensing Group is responsible for developing rules that establish minimum standards for general hospital licensing procedures; fees; operational requirements; inspection and investigation procedures; construction; fire prevention and safety requirements; license denial, probation, suspension and revocation.

Accreditation

Applying for an Initial General Hospital License

Audit Tools

Directories of Hospitals

Fees

Injury Prevention and Control Reporting Requirements

Medicare Information

Patient Bill of Rights

Waivers

Accreditation

Hospitals may be accredited by the Joint Commission on Accreditation of Health Care Organizations (JCAHO) or the American Osteopathic Association (AOA).

Applying for an Initial General Hospital License

The application process for general hospital licensing involves:

• Health Facility Licensing Group staff who review the application and required documents for deficiencies. Refer to the application form for fee amount, mailing address and instructions.
• Health Facility Compliance Group staff who are responsible for conducting a pre- survey conference and surveying the facility for compliance with the provisions on Health and Safety Code, Chapter 241 and TAC Chapter 133. Refer to the application form for timelines.
• Architectural Review Group staff who are responsible for approving final construction documents, plans and specifications, as well as, conducting inspections. Click here for more information on the architectural review process.

Audit Tools

Audit tools are provided for use by your facility in preparation for a state licensure and/or Medicare certification survey. We suggest you conduct an audit of your facility’s compliance to standards of licensure and/or certification prior to the scheduled or unannounced survey.

Fees

$39 per bed for licensing application fee
Refer to architectural forms included in license application packet for appropriate plan review and inspection fees.
Application fees are not refundable.

Medicare Information

Hospitals may be certified to participate in the federal Medicare program. The Secretary of the Department of Health and Human Services (DHHS) directs state health agencies or other appropriate agencies to determine if health care entities meet federal standards. This helping function is termed "provider certification." Health Facility Compliance Group staff is responsible for certifying hospitals. For more information on the certification process, refer to Rules/Regulation link on right-hand side menu box or contact your zone office. See the City-Region-Zone List to find your appropriate zone office.

• Critical Access Hospital (CAH)- This type of hospital is a federal designation. See the Center for Medicaid and Medicare Services' web site for information on attaining Medicare certification. The Office of Rural Community Affairs maintains a list of CAHs in Texas.

• Initial Medicare Surveys (To view medicare certification letters, click pdf file below, posted 11/8/2007)

• Hospital Restraint/Seclusion Death Report Worksheet (to view worksheet click here PDF File 16KB)

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Texas Department of State Health Services, Health Facillity Licensing Program
1100 West 49th Street - Austin, Texas 78756 - (512) 834-6646

Last Updated November 25, 2008