Application for License

(A) Applicants must submit license applications or for renewal of such license on a form provided by the Department and accompanied by all supporting documents required by 105 CMR 130.000. Applications for initial licensure shall be submitted at least 60 days prior to the anticipated provision of clinical services. (B) In addition to the above requirement hospitals seeking deemed status under 105 CMR 130.000 shall file a consent form provided by the Department concerning release of information under 105 CMR 130.202. (C) The applicant must include the hospital license fee. (D) If the application is for an acute-care hospital resulting from a transfer of ownership, the applicant must submit: (1) information on all financial transactions related to the transfer, including remuneration of all officers of hospitals affected by the transaction; and (2) if the transferor is a non-profit entity, an attestation that the hospital’s governing board publicly presented and evaluated all proposals for the merger or acquisition that resulted in the proposed transfer.