Relating to the issuance of a single license for a hospital and a mobile stroke unit of the hospital.

Contracts

• Vendor/Lease Agreements: If your MSU is leased or operated by a third party, amend the Master Services Agreement (MSA). You must insert a clause requiring the vendor to maintain operational standards that satisfy your specific CMS-approved accrediting body (e.g., The Joint Commission, DNV).
• Accreditation Agreements: Review your contract with your accrediting body to ensure the MSU is explicitly listed as a surveyable site/asset.

Hiring/Training

• Credentialing Alignment: Ensure clinical staff operating within the MSU are credentialed specifically under the hospital’s primary license. The legal distinction between the "field" and the "hospital" has been removed for these units.

Reporting & Record-Keeping

• Proof of Accreditation: You must obtain and file a distinct certificate or formal attestation of accreditation for the MSU. This document is now a mandatory attachment for your DSHS license application.
• Asset Ledger: Update the hospital's organizational chart and asset ledger to reflect the MSU as a department of the hospital, not an affiliate, to satisfy the "of the hospital" statutory language.

Fees & Costs

• Fee Exemption: The law explicitly exempts MSUs from the additional per-premise licensing fees typically charged for multiple locations under one license. There is no added state licensing fee for consolidating the MSU.