Licensing Fact Sheet

Applicable Accreditation Standards

Facilities must appoint a facility director who is board-certified in sleep medicine (as defined in Standard B-2) by the ABSM, a member board of the ABMS or a member board of the AOA and who may be a MD, DO or PhD. See Standards B-1 through B-4 for additional requirements

  1. Facility License
    Facilities must maintain a valid state license to provide health care services. If a valid state license is not required by applicable law, the facility may submit a certificate of occupancy and/ or permit to provide health care services. If no license, certificate or permit is required by applicable law, the facility director must submit a written attestation that the above is not required.
  2. Individual Licensure
    All professional staff (including MDs, DOs, PhDs, APRNs, PAs, and RNs) and technical staff (including RRTs, RSTs, RPSGTs and non-registered technologists) must maintain valid, unrestricted licenses commensurate with the services they perform in the state(s) where patients are seen, when required by state law. Each staff member must practice within the limits of his or her license. The AASM neither sanctions nor defends individuals practicing outside the scope of their license. Privileges and restrictions of licenses are contained in the practice act related to each license.

Facility License


  • Must maintain a valid license to provide health care services if required by state law.
  • Facility licensing is required to show the sleep facility is complying to local law, regulation and building codes to operate as a health care provider.
  • Recent fire inspection reports are acceptable in the absence of a Certificate of Occupancy or Hospital License.
  • Business licenses, Business Tax licenses, Certificate Tax licenses, and Articles of Incorporation do not meet the licensing requirement.


  • Hospital licenses for hospital based sleep facilities.
    • Hospital licenses are acceptable provided the facility is located within the hospital premises and carries the primary address of the hospital, or
  • Certificate of Occupancy, or
  • Building Permit, or
  • A signed letter of attestation from the Facility Director if the state law does not require a license for services.

Individual Licensure


  • All professional staff must maintain a valid unrestricted license within the states where patients are seen, and services are performed, commensurate to the services they perform.
  • All technical staff, where required by the state law, are required to maintain a valid unrestricted license.


  • Current valid license of all professional staff: MD, DO, PhDs, PA APRNs and RN.
  • Current valid license, if required by state, for sleep technicians only: RPSGTs, RSTs, CPSGTs, and RRTs.

Key Things to Keep In Mind

  • If the sleep facility is located within the hospital premises, the hospital license is acceptable.
  • Hospital licenses that include multiple onsite and off-site locations may submit an annex license or other evidence that the off-site locations are included in the hospital license.
  • If staff are in the process of obtaining a technical state license, confirmation of submission may be submitted as evidence.
  • Current licenses are required to be on site; if the license has expired and the new license has not yet been received – submit the website confirmation.