Licensing and changes
California Department of Public Health (CDPH) General Acute Care Hospital licensing, change-of-ownership and report-of-change applications. The current GACH/APH process uses CDPH's online application system. CDPH hospital applications.
Participation and survey work
For participating hospitals, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation under 42 CFR Part 482, agency correspondence and corrective-action responses. State licensure and federal participation remain distinct. CMS hospital requirements.
Commercial relationships
Physician professional-services agreements, medical-director arrangements, coverage commitments, supply contracts and purchased services. We address accountability, payment and termination with the affected operation in view.
The relevant facility class
Acute Psychiatric Hospitals use CDPH's APH process; other psychiatric facilities can follow different agency frameworks. We begin with the licensed setting and actual services. CDPH GACH/APH portal.
Service arrangements
Staffing, professional coverage, transfer relationships and information sharing among hospital and outside providers.
Operational changes
Proposed service additions, consolidations, location changes and contractual transitions. We identify which notices, approvals and agreements need attention before assigning a timetable.
For psychiatric programs beyond the hospital setting, see Behavioral Health & Addiction Treatment.
Governance and shared services
Affiliation terms, reserved powers, committee authority, intercompany agreements and capital obligations. We make the division of responsibility usable for the people implementing it.
Nonprofit transactions
California Attorney General review and consent questions for covered nonprofit health-facility transactions, including conditions that may affect future operations. Attorney General transaction framework.
Market-consolidation review
Applicability of Office of Health Care Affordability (OHCA) Material Change Notices and associated review. We assess the entities and transaction rather than assuming every affiliation follows the same path. OHCA resources.
Yes. A physician agreement, vendor negotiation or employment dispute can start as a defined matter. We identify the people and related documents needed to understand its effect on the organization.
Yes. We agree on the assignment, decision authority and coordination with your team at the outset. Scope and the fixed fee are set before the work begins.
