Hospitals

The Medical Facilities Unit oversees the licensing of all hospitals in the State of Maine as well as federal certification jurisdiction as determined by the Centers for Medicare & Medicaid Services (CMS). There are four types of hospitals:

  • Acute Care Hospitals
  • Critical Access Hospitals
  • Psychiatric Hospitals
  • Rehabilitation Hospitals

The Certification Process

The functions that the Division of Licensing & Certification (DLC) perform for the Centers for Medicare & Medicaid Services (CMS) under the agreements in Section 1864 of the Social Security Act (the Act) are referred to collectively as the certification process.

The State Licensure Process

The functions that DLC perform under the authority of MRSA 22 §1811, §1813, §1814, §1816, and §1817 are collectively referred to as the State Licensure Process.

Acute Care Hospitals

An Acute Care Hospital is an institution primarily engaged in providing, by or under the supervision of physicians, inpatient diagnostic and therapeutic services or rehabilitation services. An Acute Care Hospital has the option to provide organ transplant services.

Federal Regulations

 State Regulations - 10-144 CMR Ch 112, Rules for the Licensing of Hospitals (Word)

State Operations Manual Appendix Q – Core Guidelines for Determining Immediate Jeopardy

Critical Access Hospital

A Critical Access Hospital  is a rural hospital consisting of no more than twenty-five (25) acute/skilled nursing care beds that can be used for either acute inpatient or skilled nursing care.

Federal Regulations

State Regulations - 10-144 CMR Ch 112, Rules for the Licensing of Hospitals (Word)

State Operations Manual Appendix Q – Core Guidelines for Determining Immediate Jeopardy

Psychiatric Hospitals

A Psychiatric Hospital is a specialized hospital that provides inpatient and outpatient services for individuals with mental illness.

Federal Regulations

 State Regulations - 10-144 CMR Ch 112, Rules for the Licensing of Hospitals (Word)

State Operations Manual Appendix Q – Core Guidelines for Determining Immediate Jeopardy

Rehabilitation Hospitals

Rehabilitation Hospitals  provide essential therapy and coordinated care that assists patients in recovering from serious disabling illness or injury. These hospital-based services may be provided in the inpatient setting or as outpatient services.

Federal Regulations

 State Regulations - 10-144 CMR Ch 112, Rules for the Licensing of Hospitals (Word)

State Operations Manual Appendix Q – Core Guidelines for Determining Immediate Jeopardy

How to Become Federally Certified

To become federally certified, you must do the following:

  1. submit an enrollment application
  2. DLC will provide additional, CMS-required, forms. Complete these and return to DLC

How to Apply for Licensure

To apply to for an initial licensure, you must do the following:

  • visit the Healthcare Oversight page of our DLC website and review the instructions under the Certificate of Need program
  • Email "DLRS.MedFacilities@maine.gov" to request the electronic hospital application
  • complete the application and submit electronically
  • Print the application, sign, and submit with the appropriate fees and documentation as indicated in the rules

To apply for a renewal of a license, you must do the following:

  • Complete and submit the application that DLC will send to you electronically at least 30 days prior to the expiration of the hospital license
  • Print the application, sign, and submit with the appropriate fees and documentation as indicated in the rules

Changes to a Hospital After Initial Licensure/Certification

The provider must report the following changes to DLC:

  • Change of ownership
  • Change of administrator/CEO
  • Relocation
  • Change of outpatient services/locations
  • Change of mailing address
  • Change of phone/fax number or email address
  • Deeming status

These changes require a change in licensure and must be reported to DLC with the applicable fee as outlined in MRSA 22 §1723.

If the provider is federally certified, the applicable CMS-required form must be completed, as required by CMS, and submitted to the fiscal intermediary.

For the addition of services, please follow the guidelines outline in the Certificate of Need section of the Healthcare Oversight page.

Construction/Renovations

In the event of construction or renovations to a hospital, the provider must do the following:

  • visit the Healthcare Oversight page of our DLC website and review the instructions under the Certificate of Need program
  • Submit architectural plans electronically to the State Fire Marshal’s Office and to DLC
  • An architect’s certification must be submitted to DLC  as indicated in the state rules

Free Hospital Care Guidelines (FHCG)

This rule establishes guidelines for the free care policies of hospitals for services including minimum income guidelines to be used in determining whether individuals are unable to pay for hospital services. It sets forth procedures for notifying patients of the availability of free care, determining who is qualified for such care, and annually reporting the quantity of free care provided.

All related disclosable schedules for each hospital licensed in the state and filed with the department as required by chapter 150 of Free Care Guidelines are included in the table below.

Hospital Financial Information

Public Law 2009, Chapter 350, was enacted and became effective in September 2009. This law requires the department to post the Federal Internal Revenue Service Form 990

Hospital Town Free Care Disclosure 990 Form
Northern Light Acadia Hospital Bangor   pdf
Northern Light AR Gould Hospital Presque Isle   pdf
Northern Light Blue Hill Memorial Hospital Blue Hill   pdf
Bridgton Hospital Bridgton   pdf
Calais Regional Hospital Calais   pdf
Cary Medical Center Caribou    
Central Maine Medical Center Lewiston   pdf
Charles A. Dean Memorial Hospital Greenville   pdf
Down East Community Hospital Machias   pdf
Northern Light Eastern Maine Medical Center Bangor   pdf
Franklin Memorial Hospital Farmington   pdf
Houlton Regional Hospital Houlton   pdf
Northern Light Inland Hospital Waterville   pdf
Lincoln Health Damariscotta   pdf
Northern Light Maine Coast Memorial Hospital Ellsworth   pdf
Maine Medical Center Portland   pdf
MaineGeneral Health & Medical Center Augusta/Waterville   pdf
Mayo Regional Hospital Dover-Foxcroft    
Northern Light Mercy Hospital Portland   pdf
Mid Coast Hospital Brunswick   pdf
Millinocket Regional Hospital Millinocket   pdf
Mount Desert Island Hospital Bar Harbor   pdf
New England Rehab Hospital Portland    
Northern Maine Medical Center Portland   pdf
Penobscot Bay Medical Center Rockport   pdf
Penobscot Valley Hospital Lincoln   pdf
Redington-Fairview General Hospital Skowhegan   pdf
Rumford Hospital Rumford   pdf
Sebasticook Valley Hospital Pittsfield   pdf
Southern Maine Health Care Biddeford   pdf
Spring Harbor Hospital Westbrook   pdf
St. Joseph Hospital Bangor   pdf
St. Mary's Regional Medical Center Lewiston   pdf
Stephens Memorial Hospital Norway   pdf
Waldo County General Hospital Belfast   pdf
York Hospital York   pdf

Note: Previous years may be available.  Please contact CONU with requests at DLRS.CON@maine.gov