Rule 111-8-40-.05. Application for a Permit

An application for a permit to operate a hospital shall be submitted on forms provided by the Department. The application submitted to the Department shall be an original document. No application shall be considered by the Department unless it is complete and accompanied by all required attachments.

1. (a) Application for Initial Permit. The application for an initial permit shall be submitted to the Department not later than thirty (30) days prior to the anticipated date of the opening and initiation of operations by the hospital. The application shall be signed by the hospital administrator or the executive officer of the hospital's governing body and shall include:

   1. 1. A listing of the services provided:
   2. 2. Proof of hospital ownership. In the case of corporations, partnerships, and other entities authorized by law, the applicant shall provide a copy of its certificate of incorporation, or other acceptable proof of its legal existence together with the names and addresses of all persons owning five (5) percent or more;
   3. 3. A list of the locations of any services offered by the hospital on separate premises; and
   4. 4. A copy of the Certificate of Need (CON) from the Department.

2. (b) Application Due to a Change in Name, Location, or Bed Capacity of a Hospital.

   The application for a new permit due to a change in name, location, or authorized bed capacity of a hospital shall be submitted at least thirty (30) days prior to the proposed effective date of the change.

3. (c) Application Due to a Change in Classification of the Hospital. The application for a new permit due to a change in the classification for the hospital shall be submitted at least thirty (30) days prior to the proposed effective date of the change. The application shall be signed by the hospital administrator or the executive officer of the governing body and shall include:

   1. 1. A listing of the service(s) to be provided; and
   2. 2. A copy of the required Certificate of Need (CON) from the Department, if applicable.
4. (d) Application Due to a Change in Ownership. The application for a new permit due to a change in ownership shall be submitted at least thirty (30) days prior to the change whenever possible. Proof of ownership documents, as required with the application for the initial permit and any other approvals required by state law, shall be submitted upon the completion of the transaction changing ownership.

Authority: O.C.G.A. § 31-7-3.

History. Original Rule entitled "Application for a Permit" adopted. F. Feb. 20, 2013; eff. Mar. 12, 2013.