(a) The Texas Health and Human Services Commission
(HHSC) shall send written notice of license expiration to a limited
services rural hospital (LSRH) at least 60 calendar days before the
expiration date of the license. If the LSRH has not received notice,
it is the LSRH's duty to notify HHSC and request a renewal notice.
(b) The LSRH shall submit the following to HHSC before
the license expiration date:
(1) a complete and accurate application;
(2) a copy of two fire inspections that are conducted
and approved by an individual certified by the Texas Commission on
Fire Protection to conduct fire inspections and meet the requirements
of §511.141 of this chapter (relating to Fire Prevention and
Protection), one from within the last 12 months and one from the year
before, as the LSRH must obtain an approved fire inspection annually;
(3) the renewal license fee; and
(4) if the applicant is accredited by a Centers for
Medicare & Medicaid Services-approved organization, a copy of
documentation from the accrediting body showing the current accreditation
status of the hospital.
(c) HHSC may conduct an inspection before issuing a
renewal license in accordance with §511.112 of this chapter (relating
to Inspections).
(d) Subject to subsection (g) of this section, HHSC
shall issue a renewal license to an LSRH that meets the requirements
for a license.
(e) Renewal licenses will be valid for two years from
the previous expiration date.
(f) If an LSRH fails to submit the application, documents,
and fee by the expiration date of the LSRH's license, HHSC shall notify
the LSRH that it must cease operation and immediately return the license
to HHSC. If the LSRH intends to provide services after the expiration
date of the license, HHSC may require the LSRH to apply for a license
under §511.12 of this subchapter (relating to Application and
Issuance of Initial License).
(g) Denial of a renewal license shall be governed by §511.121
of this chapter (relating to Enforcement).
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