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Hospital (general) Licensing and Certification Program

Program Overview

A hospital is a health care facility that generally is an institution, a place, a building, or an agency that holds out to the general public that it is operated for hospital purposes and that it provides care, accommodations, facilities, and equipment, in connection with the services of a physician, to individuals who may need medical or surgical services.

Any facility that meets the definition of a hospital found in Indiana Code 16-18-2-179 must be licensed by the Indiana State Department of Health (ISDH) on an annual basis.

The ISDH monitors the health care quality of hospitals through the licensure process.  ISDH surveyors visit hospitals regularly in accordance with rules under IC 16-21-1-10 for licensure inspections or more often if complaints are filed about a hospital.

Announcements / Current News

COVID-19 National/State Emergency Hospital Blanket Waiver: Conversion of Standard Patient Rooms to Negative Pressure Isolation Rooms

  • Retroactive to March 6, 2020
  • A blanket waiver from state rules and FGI Guidelines regarding the requirements for isolation rooms. Facilities and design firms will not be required to submit waiver requests or plan designs for converting non-isolation rooms to isolation rooms during the declared National and State COVID-19 Emergency. The ISDH hereby issues a blanket waiver applicable to all hospitals subject to the requirements of this notice.

COVID-19 National/State Emergency Hospital Blanket Waiver: Patient Beds

  • Retroactive to March 6, 2020
  • A waiver from state rules regarding plan review of rooms converted for patient use for the duration of the state and national emergency (emergency) related to the COVID‐19 is granted under the terms of this waiver.
  • Room(s) and unit(s) previously planned reviewed and approved but not in current use may be operationalized without review or inspection.

Third Emergency Order Granting Temporary Blanket Waivers for Hospitals

Fourth Emergency Order Amending Blanket Waiver on Negative Pressure Isolation Rooms

Contact the Program

Indiana State Department of Health
Division of Acute Care
2 North Meridian Street, 4A
Indianapolis, IN 46204
(317) 233-7474 (Acute Care Receptionist)
(317) 233-1325 (ISDH Main Switchboard)

Program Manager
Jennifer Hembree
(317) 232-3095
(317) 233-7472  [Administrative Assistant]

Report a Complaint or Incident to the ISDH

Report a complaint regarding a health care facility
Individuals can call or email to make complaints about care provided at any licensed or certified Indiana health care providers or suppliers.

Report an incident regarding a health care facility
The Incident Report Form is for health care facilities to notify the Indiana State Department of Health of a reportable incident pursuant to the ISDH Reportable Unusual Occurrence Policy.  The Incident Report Form is also for health care facility staff (nursing homes, intermediate care facilities, and hospice agencies) to report a reasonable suspicion of a crime against a resident pursuant to Federal regulations.  This form is not to be used to file a complaint.

Consumer Information

Your Medicare Rights and Responsibilities

Advance Directives Resource Center

Consumer Reports

Choosing a Hospital
A guide for people with Medicare

Hospital Consumer Reports

National Hospital Reporting Initiative (Hospital Compare)


Directory of Hospitals (City/County)

Directory of Hospitals (Alphabetical)

Employment Opportunities

Learn more about Employment Opportunities with the Indiana State Department of Health


Application for Construction Permit for Acute Care Facilities

Application for License to Operate a Hospital

Centers of Medicare and Medicaid Services Forms

Federal Forms Home Page

State Forms Catalog

Laws and Regulations

Federal Laws and Regulations

42 CFD 412 (Hospitals – Rehabilitation/ Psychiatric)

42 CFR 482 (General Acute Hospitals)

State Operations Manual  Appendix A (Hospitals)

42 CFR 485 (Critical Access Hospitals)

State Operations Manual  Appendix W (Critical Access Hospitals)

42 CFR 489 (Patient Dumping)

State Operations Manual  Appendix V (Patient Dumping)

Code of Federal Regulations (CFR) Homepage

State Operations Manual  Appendix T (Swing Bed)

State Laws and Rules

Indiana Code 16-21-2; Licensure of Hospitals

Indiana Code 16-21-6;  Hospital Financial Disclosure Rule

Indiana Code 16-21-9;  Provision of Charitable Care by Non-profit Hospitals

410 IAC 15-1 Hospitals Licensure Rules with Interpretive Guidelines

410 IAC 15-1.1; Licensure of Hospitals

410 IAC 15-1.4-2.2; Hospital Medical Error Reporting

410 IAC 15-4-1; Reporting of Healthcare Associated Infections

Indiana Law and Rules Homepage

Indiana Register

Limited Criminal History Search


Professional Organizations

American Health Information Management Association

Association of Professionals in Infection Control and Epidemiology

Centers for Medicare and Medicaid Services

Indiana State Medical Association

Indiana State Nurses Association

Accreditation Organizations

American Osteopathic Association

Joint Commission on Accreditation of Hospital Organizations

Quality Improvement Organizations

Quality Improvement Organization Information

A Quality Improvement Organization (QIO) is a group of health quality experts, clinicians, and consumers organized to improve the care delivered to people with Medicare.  QIOs work under the direction of the Centers for Medicare and Medicaid Services (CMS) to assist Medicare providers with quality improvement and to review quality concerns for the protection of beneficiaries of the Medicare Trust Fund.

State Government

Indiana Public Access Counselor

Office of Medicaid Policy and Planning (FSSA)

Federal Government

National Government Services

Agency for Healthcare Research and Quality (AHRQ)

Americans with Disabilities Act (ADA)

Centers for Disease Control and Prevention (CDC)

Centers for Medicare and Medicaid Services (CMS)

National Patient Safety Foundation

Office of Civil Rights

Program Information and Policies

American Institute of Architects' Guidelines for Design and Construction of Health Care Facilities,2001 Edition  

Centers for Medicare and Medicaid Services Letter (S&C 05-20)
 Independent Associated Deficiency Citations

Construction Plan Review for Hospitals

Submitting the Hospital Fiscal and Service Reports via the Web

Advisory Letters



  • AC 2019-01 HOSP Standing Waiver for Use of NFPA 101 and NFPA 99 2012 Edition


  • AC 2014-01 HOSP Patient Self Referral to Hospital Physical Therapy Departments


  • AC 2012-01 HOSP Cardiographic Technicians and Cardiovascular Technologist Scope of Practice


  • AC 2011-01 HOSP Standing Waiver for Electronic Verification of Licensure, CSR Registration and DEA Registration
  • AC 2011-02 HOSP Vein Harvesting by Certified Surgical First Assistants versus Certified Surgical Technologists
  • HAI-2011-01 Healthcare Associated Infections Reporting Rule


Hospital Fiscal Reports

Hospital Service Reports

Hospital Medicare Cost Reports

Hospital Audited Financial Statements

Hospital Community Benefit Reports

Medical Errors Reports

Public, Hospital Discharge Data

Health Care Facilities Task Force Final Report