Licensing Rules

Note: The following links are not on DLRS's web site. To return to DLRS's web site click on the 'back' button.

Current Licensing Rules

*For a free viewer or to request a hard copy

• Ambulatory Surgical Centers
  • State Licensing Regulations   (Microsoft Word*)
  • Federal Survey Guidelines, Appendix L , Centers for Medicare and Medicaid Services (CMS) State Operations Manual (SOM) (Adobe PDF*)
• Chapter 113 : Regulations Governing the Licensing and Functioning of Assisted Housing Programs
• Adult Day Service Programs : (Microsoft Word*)Chapter 117 Regulations governingteh licensing and functioning of Adult Day Services Programs.
• End Stage Renal Disease Units/Facilities
  • State Licensing Regulations   (Microsoft Word*)
  • Federal Survey Guidelines, Appendix H , Centers for Medicare and Medicaid Services (CMS) State Operations Manual (SOM)  (Adobe PDF*)
• Entire Current Rules for Family Child Care Providers (Microsoft Word*)
• Entire Current Rules for Child Care Facilities (Microsoft Word*)
• Home Health
  • Home Health Care Services
  • State Licensing Regulations Governing the Licensing and Functioning of Home Health Care Services (Microsoft Word*)
  • Home Health Agencies
  • Federal Survey Guidelines, Appendix B , Centers for Medicare and Medicaid Services (CMS) State Operations Manual (SOM)  (Adobe PDF*)
• Hospital
  • Rules for the Licensing of Hospitals, 10-144 C.M.R. Ch 112 (Microsoft Word*)
  • Rules Governing the Reporting of Sentinel Events, 10-144, C.M.R. Ch 114 (Microsoft Word*)

• Hospice
  • State Licensing Regulations   (Microsoft Word*)
  • Federal Survey Guidelines, Appendix M , Centers for Medicare and Medicaid Services (CMS) State Operations Manual (SOM)  (Adobe PDF*)
• Intermediate Care Facilities for Persons with Mental Retardation
  • State Licensing Regulations   (Microsoft Word*)
  • Federal Survey Guidelines, Appendix J , Centers for Medicare and Medicaid Services (CMS) State Operations Manual (SOM)  (Adobe PDF*)
• Long Term Care/Nursing Facilities
  • State Licensing Regulations
  • Federal Survey Protocol, Appendix P , Centers for Medicare and Medicaid Services (CMS) State Operations Manual (SOM)  (Adobe PDF*)
  • Federal Survey Guidelines, Appendix PP , Centers for Medicare and Medicaid Services (CMS) State Operations Manual (SOM)  (Adobe PDF*)
• Outpatient Physical Therapy or Speech Pathology Services
  • No state licensing regulations
  • Federal Survey Guidelines, Appendix E, (Adobe PDF*)Centers for Medicare and Medicaid Services (CMS) State Operations Manual (SOM)
• Portable X-ray Services
  • No state licensing regulations
  • Federal Survey Guidelines, Appendix D , Centers for Medicare and Medicaid Services (CMS) State Operations Manual (SOM)  (Adobe PDF*)
• Rural Health Clinics
  • No state licensing regulations
  • Federal Survey Guidelines, Appendix G , Centers for Medicare and Medicaid Services (CMS) State Operations Manual (SOM)  (Adobe PDF*)
• DHHS Rules