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Ambulatory Outpatient Surgical Centers (ASC) Licensing and Certification Program

Program Overview

An ambulatory surgery center is a health care facility that specializes in providing surgery, pain management and certain diagnostic (e.g., colonoscopy) services in an outpatient setting. In simple terms ambulatory surgery center procedures are more intensive than that done in the average doctors office but not so intensive as to require a hospital stay.

Any facility that meets the definition of an ambulatory outpatient surgical center found in Indiana Code 16-18-2-14 must be licensed by the Indiana State Department of Health (ISDH) on an annual basis. The ISDH monitors the health care quality of ambulatory surgery centers through the licensure process.  ISDH surveyors visit centers for licensure inspections.

Announcements / Current News


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

Ambulatory Surgery Center Consumer Reports


Directory of Ambulatory Surgery Centers

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 an Ambulatory Surgery Center

Centers of Medicare and Medicaid Services Forms

Laws and Regulations

Federal Laws and Regulations

42 CFR 416 (Ambulatory Surgery Centers)

Code of Federal Regulations (CFR) Homepage

State Operations Manual  Appendix L (Ambulatory Surgery Centers)

State Laws and Rules

Indiana Code 16-21-2; Licensure of Ambulatory Surgery Centers

410 IAC 15-2 Ambulatory Surgery Center Licensure Rules with Interpretive Guidelines

410 IAC 15-2.1-2; Licensure of Ambulatory Surgery Centers

410 IAC 15-2.4-2.2; Ambulatory Surgery Center Medical Error Reporting

Indiana Law and Rules Homepage

Indiana Register

Limited Criminal History Search


Professional Organizations

Indiana Federation of Ambulatory Surgical Centers

American Association of Ambulatory Surgical Centers

American Health Information Management Association

Association of Professionals in Infection Control and Epidemiology

Indiana State Medical Association

Indiana State Nurses Association

Accreditation Organizations

Accreditation Association for Ambulatory Health Care

American Association for Accreditation of Ambulatory Surgery Facilities

American Osteopathic Association

Joint Commission on Accreditation of Hospital Organizations

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

Construction Plan Review for Ambulatory Surgery Centers

Submitting the ASC Utilization Report via the Web

Advisory Letters



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



  • AC 2011-01 ASC Standing Waiver for Electronic Verification of Licensure, CSR Registration and DEA Registration


Utilization Reports

Medical Errors Reports

Medical Errors Reports