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Download the Healthcare Services (Fees) Regulations here

HOW HCSA LICENCE FEES ARE CHARGED Click here to download the full list of fees under HCSA. For Phases 2 and 3, the fees are preliminary and will be finalised closer to the implementation dates.

Under HCSA, all licence fees will:

A) Be based on a Standard 2-Year Licence Tenure.
  • The purpose of this standardisation is to help licensees reduce the administrative complexity of managing multiple licences with different licence expiry dates.
  • Licence fees have been adjusted to ensure that they remain commensurate with the regulatory costs of a 2-year licence.
    • Under PHMCA today, Medical Clinic and Laboratory licensees could be eligible for 5-year licences. We have adjusted the fees for these licence categories to be based on a 2-year tenure under HCSA. However, licensees whose remaining PHMCA licence tenure exceeds 2 years at the time of transition to HCSA, will have their full remaining PHMCA licence tenure ported over to HCSA.
  • Example:

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B) Be based on a per-service and per-premises / conveyance basis.

  • Licence fees will be charged based on per-service and per-premises / conveyance basis, i.e. separate licences and therefore, separate fees will apply for each service provided at each premises / conveyance that the service is offered out of.


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  • However, there are a few licence categories that are not charged based on per premises / conveyance basis but rather are tiered by capacity, such as:
  • Phase 1: Emergency Ambulance Services and Medical Transport Services, which are tiered by the number of vehicles (i.e. 10 or fewer vehicles; more than 10 vehicles)
  • For these licence categories, licensees will only need to hold a single licence regardless of the required capacity of vehicles in a fleet.
  • Example:

Licence Fees Image 3

C) Include Standard Administrative Fees

  • All fees are inclusive of a non-refundable application fee of $100 per service licence which will be retained in the event an application is withdrawn or rejected.

Combining A, B and C, this is how the HCSA licensing fees would work out:

A licensee who provides Medical Clinic and Clinical Laboratory services at Site A will pay $360 for a Medical Clinic licence and $1,016 for a Clinical Laboratory licence (i.e. total of $1,376).

  • Both the Medical Clinic and Clinical Laboratory licences held for Site A will be valid for 2 years.
  • Each licence fee includes a non-refundable application fee of $100.
    • Should the licensee withdraw their application before the start of the licence, they will be refunded $260 for the Medical Clinic licence and $916 for the Clinical Laboratory licence. $200 (i.e. $100 for each licence) will be retained as the non-refundable application fee.

Please also note that in addition to the licensing fees described above, the fees chargeable for late renewals and amendments are similar to what is currently charged under PHMCA, and will continue to apply:

  • Renewal applications which are received less than 2 months before the licence expiry, will be charged a late fee equivalent to 20% of their full licence fees.
  • In the course of the 2-year tenure of a licence, if there are changes to the licence that require an amendment of the licence, a $100 fee will be charged.
  • While you may need to hold multiple HCSA licences, most licensees will see no change, or a reduction in their licence fees, unless you provide any of the following:
    • New licensable services (e.g. Cord Blood Banking, Human Tissue Banking, Telemedicine, Health Screening, Inpatient Palliative Care)
    • Special Licensable Services (e.g. Cell, Tissue and Gene Therapy, Assisted Reproduction)
  • To help you manage these changes, we have introduced:
    • Licence Fee Bundles: to help you lower costs when you need to hold multiple HCSA licences.
    • Gradual Fee Increase Mechanism: to spread the increase in fees over several (up to three) renewal cycles, for those who meet the eligibility conditions.

Learn more about these below.

  • Licence Fee Bundles help you to lower costs when you need to hold several HCSA licences.
  • These bundles are for complementary services that are provided by the same licensee, out of the same premises, have the same end-dates for all licences, and can be inspected together.

Table 1: List of HCSA Service Licence Fee Bundles

Types of BundlesCost 
 Clinic Bundle (Ambulatory):
 Medical Clinics providing Telemedicine and/or Health Screening services
$ 360 
 Telehealth Bundle:
 Licensees (excluding Medical Clinics or Acute Hospitals) providing both
 $ 360
 Hospital Bundle:
 Acute Hospitals providing one or more of these services: Ambulatory Surgical 
 Centre, Medical Clinic, Telemedicine, Health Screening, Radiological Service, 
 Clinical Laboratory, Blood Transfusion services
 $ 9,900 (1,000 beds or more)
$ 7,700 (fewer than 1,000 beds)
 Ambulance Bundle:
 Ambulance Operators providing both Emergency Ambulance Service (EAS)
 and Medical Transport Service (MTS)
 $ 1,300 (more than 10 vehicles)
$ 1,000 (10 or fewer vehicles)

If you provide multiple simple or complex special licensable services (SLS), you will also benefit from lower fees by applying for these services together (Table 2).

Table 2: Fees for Multiple SLS Licences

Fees for Multiple SLS LicencesFees 
 One or More Simple Special Licensable Services
 $ 800
 One Complex Special Licensable Service $ 1,900
 Two Complex Special Licensable Services $ 3,700
 Three or More Complex Special Licensable Services $ 5,500
  • The GFI is a mechanism put in place to help mitigate the impact of an increase in licensing fees on licensees, when transiting from PHMCA to HCSA, by gradually increasing fees over several (up to 3) renewal cycles.
  • The GFI will be applied when you make a licence renewal/application on the new IT system, within 1 year of the service being rolled out under HCSA.
  • To get an estimate of your total payable licence fees, download the simplified fee calculator here (only compatible with Excel 2007 or later).
  • Refer to the corresponding user guide here for detailed steps on how to use the fee calculator.

Note: The actual amount of licence fees payable may vary during actual applications based on the actual services/premises applied for and any circumstances that may surface during the actual application. This fee computation service is provided for reference only and the Government disclaims all liability whatsoever for any inaccuracy in the information or resources available, received or transmitted through this service.