Medical practice license extension

Are you planning to add a new specialty, diagnostic service or rehabilitation area to your clinic? If the list of specialties or types of care changes, such changes are formalised through an extension of the medical practice licence.

Prikhodko & Partners helps determine the required licensing actions, assess the institution’s readiness and prepare documents for the Ministry of Health. If the address, personnel or equipment are changing at the same time, we include these matters within the legal support.

When do changes to a medical licence require an extension?

The key question is which services the institution will provide after the changes. Under the Licensing Conditions, new specialties listed in Appendix 7 and new types of medical or rehabilitation care are formalised through an extension application under Appendix 8.

The list is assessed based on the actual nature of the work, not merely the name of a service in the price list. For example, purchasing an ultrasound machine requires checking who will perform the examinations and whether they are covered by the current licensing file.

When is it sufficient to notify the Ministry of Health about changes?

If there are no new specialties or types of care, it may be sufficient to amend the medical practice licence by submitting a notification. This applies, in particular, to personnel updates, a change of manager, equipment changes and the addition of an address under an existing profile.

For example, a second dental office with the same licensed profile and the launch of a radiology service that was not previously included require different assessments. In the first case, we review changes concerning the place of practice; in the second, an extension must also be considered.

To select the correct procedure, we clarify:

• which specialties and types of care are already covered by the licensing file;
• which examinations, interventions and rehabilitation services are planned;
• at which addresses the new specialists will work and whether the existing places of practice will remain.

What documents are required to extend a medical licence?

An application under Appendix 8 and the documents specified in paragraph 6 of the Licensing Conditions are submitted. The package includes information under Appendix 2 concerning the material and technical base and personnel. It is prepared for each place where activities are carried out; where a legal entity operates several healthcare institutions, the data are also separated by institution.

To prepare and review the package, we require:

• current licensing data and information previously submitted;
• a list of new specialties, types of care and planned services;
• documents confirming the education, qualifications and employment of the relevant specialists;
• information about the premises, accessibility, equipment and documents confirming compliance with the declared conditions.

Audit materials and attachments to the application are different. For example, we review diplomas and equipment passports when completing the information forms; mandatory attachments are determined according to the relevant procedure.

What should be checked before launching a new medical service area?

The new area must have the required personnel and equipment at the place where it will operate. We check whether qualifications correspond to the declared specialties, the formalisation of primary and secondary employment, the designated use of rooms and the equipment. The availability of an empty room and an employment agreement alone does not confirm readiness to provide new services.

For example, during the extension of the licence of a children’s rehabilitation centre, we reviewed the equipment of seven specialised zones and checked documents for more than 30 employees. The centre was opening a new building and adding ultrasound diagnostics, radiology and rehabilitation specialties. For physical therapists, occupational therapists and other specialists, we compared their education and specialisation with the requirements for the relevant positions. As a result of the legal support, the Ministry of Health issued a positive decision on the extension.

Diagnostic rooms and the work of a rehabilitation team require different checks. We therefore prepare the document package for the specific list of services.

What mistakes delay a licence extension?

• A new specialty is included only in a personnel notification, without an extension application.
• An employee’s qualifications do not correspond to the declared specialty or position.
• Information about rooms, addresses and equipment does not correspond to the actual working conditions.

The consequences depend on the nature of the deficiencies: they may need to be corrected, or grounds for refusal may arise. The right to operate in a new area depends on the proper formalisation of the extension, not merely on sending the application.

How does legal support for a licence extension work?

At Prikhodko & Partners, legal support includes:

1. Assessment of the development plan. We identify the specialties, types of care and related changes.
2. Readiness assessment. We analyse personnel documents, premises and the material and technical base.
3. Preparation and submission. We prepare the application and supporting information and agree them with the client.
4. Support through the outcome. We address comments, review the Ministry of Health decision and verify that the declared areas have been properly formalised.

We use an available submission method: the electronic cabinet, personal submission or post with an inventory of enclosures. Preparation time depends on the number of addresses, specialties and the readiness of the documents. The cost of legal support and any statutory payments are determined separately.

What does support from Prikhodko & Partners provide?

• One action plan covering new specialties, personnel changes and relocation.
• Review of documents before submission and a list of matters that need to be corrected.
• Verification that the result corresponds specifically to the areas the institution plans to launch.

Are you planning to launch a new specialty or type of care? Submit a request to determine the required licensing actions, the list of documents and the scope of legal support.