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Ambulatory Surgical Centers

7/1/2025 - 6/30/2026 Fee Schedule		Regulations:
6 CCR 1011-1 Chapter 2 - General Licensure Standards
6 CCR 1011-1 Chapter 20 - Ambulatory Surgical Center & ASC With Convalescent Center
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Application TypeFeesPer OR/PR FeeFee Cap/
Maximum		Fee DescriptionAdditional Information
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Initial License Application
Ambulatory Surgical Center		$8,045.80Notify the Department by submitting a Letter of Intent (LOI). An email notification will be sent to you on how to apply. A completed application, attachments, and the appropriate fees must be submitted at least 90 calendar days before the anticipated start-up date.

FGI Plan Review Required
DFPC Life Safety Code Plan Review Required
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Renewal License Application$1,755.45$243.81$3,657.18Must submit renewal application, attachments, and the appropriate fees 60 calendar days prior to license expiration. If the insurance policy includes a deductible or self-insured retention, the application must be submitted 90 days in advance of the license expiration date.

Total Renewal Fee = Base Fee + OR/PR Fees + Late Fees (if applicable)
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Renewal License Application with Deeming Discount$1,579.91$243.81$3,657.18
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Renewal Application
Late Fees Charged

10%Six (6) to twenty-nine (29) calendar days after expiration date, a late fee of 10% of the total renewal fee is due in addition to the renewal fee.Failure to submit a complete renewal application and appropriate fees to the Department by the license expiration date will result in late fees as indicated.
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50%Thirty (30) to fifty-nine (59) calendar days after expiration date, a late fee of 50% of the total renewal fee is due in addition to the renewal fee.
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75%Sixty (60) to eighty-nine (89) calendar days after expiration, a late fee of 75% of the total renewal fee is due in addition to the renewal fee.
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License
Invalidated		If a license renewal application and appropriate fees are not received by day ninety (90) following the expiration of the license, the licensee shall cease operation and submit an initial application and associated fees to the Department in accordance with Chapter 2, Section 2.3.
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Change of Ownership
(ASC Only)		$4,998.14Fee for Ambulatory Surgical Center CHOW only, no Convalescent Center
The current licensee is required to notify the Department by submitting a Letter of Intent (LOI). An email notification will be sent with information on the CHOW application process. The CHOW Application and appropriate fees must be submitted by the prospective licensee at least 60 calendar days before the change of ownership. Requires prior approval by the Department. A new license will be issued.

Additional CHOW Guidance
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Change of Ownership
(ASC + Convalescent Center)		$5,437.00This fee includes both the Ambulatory Surgical Center & the Convalescent Center licenses
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Increase in Licensed Capacity$438.86Change of InformationNotify the Department by submitting an Update Application in the COHFI system and information will be provided to you. Update Application requests must be submitted at least 30 calendar days before the change.
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Decrease in Licensed Capacity$438.86
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Change of Name$91.43
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Conditional License10% to 25% of the applicable initial or renewal feeEnforcementA Conditional License is an enforcement action.
See the following regulations for more information:
6 CCR 1011-1 Chapter 2 Part 2.8.3
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Provisional License
(ASC Only)		$2,821.89Fee paid for each provisional license termApplicable only to initial licensure application.
See the following regulations for more information:
6 CCR 1011-1 Chapter 2 Part 2.4
6 CCR 1011-1 Chapter 20 Section 25.3
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Provisional Licensse
(ASC + Convalescent Center)		$3,228.25Fee paid for each provisional license term.
This fee would include the provisional license for both the Ambulatory Surgical Center and the Convalescent Center, if both licenses are being applied for.
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