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Ambulatory Surgical Center (Ambulatory Surgical Facility)

The Ohio Department of Health licenses and/or certifies approximately 250 Ambulatory Surgical Facilities /Ambulatory Surgical Centers


A licensed ambulatory surgical facility (ASF) provides outpatient surgery services.

A certified ambulatory surgical center (ASC) may be either hospital-operated or independent. If hospital-operated, the ASC must be a separately identified entity, physically and administratively distinct from other inpatient operations of the hospital.  An ASC may not provide a surgical procedure on a Medicare patient when, before surgery, an overnight hospital stay is anticipated. In cases where hospitalization after surgery is warranted, the ASC must be able to provide immediate transfer to a hospital.


All ASFs in Ohio are required to be licensed by the Ohio Department of Health under section 3702.30 of the Ohio Revised Code. The Office of Health Assurance and Licensing is responsible for processing initial, renewal and change of operator license applications. See link for applications/forms for a copy of the application and instructions.

The Office of Health Assurance and Licensing, Bureau of Regulatory Operations, certifies ASCs for participation in the Medicare and Medicaid programs.  ASCs may obtain and maintain participation in the Medicare Program through accreditation by a CMS-approved accreditation organization.


The Office of Health Assurance and Licensing, Bureau of Survey and Certification, is responsible for conducting on-site inspections/surveys for compliance with state and federal rules and regulations. ASCs are not currently subject to an annual survey visit, but do receive an unannounced inspection/survey on a schedule established by the Centers for Medicare and Medicaid Services.  During these surveys, all aspects of care and services are evaluated based on state and federal laws and rules.

Ambulatory Surgical Facility Variance Request: To review proposals for variances to Ohio Administrative Code, Section 3701-83-19 (E).

Health Care Provider and Services: To obtain real-time information, generate, print and download reports regarding health care providers that are licensed and/or Medicare/Medicaid certified by the Ohio Department of Health.

Mailing Address:
Ohio Department of Health
Office of Health Assurance and Licensing, Ambulatory Surgical Facilities
246 North High Street
Columbus, OH 43215

Telephone: (614) 995-7466
Fax: (614) 564-2475


Last Updated: 06/15/2015


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