Which licences does a new hospital in Maharashtra need?
20 February 2026 · 6 min read
Opening a facility in Maharashtra means several separate approvals from different authorities, each with its own form and timeline. They are best filed in a deliberate order, because some depend on others.
Usually needed by almost every facility
- Nursing home registration under the Bombay Nursing Homes Registration Act (Form A), filed with your local supervising authority
- MPCB Consent to Establish, then Consent to Operate
- Bio-medical waste authorisation, including a tie-up with an authorised waste handler
- Health Facility Registry listing and ABHA readiness
Depends on the services you offer
- PNDT registration if you run USG or 2D echo equipment
- MTP approval if you offer termination-of-pregnancy services
- Family planning registration for sterilisation and related procedures
- STP / ETP registration if there is a treatment plant on site
Worth planning for early
NABH accreditation, MJPJAY empanelment and insurance/TPA tie-ups are not day-one licences, but they shape revenue and often reference each other — accreditation status frequently matters to empanelment decisions.
Exact requirements, fees and timelines vary by region within Maharashtra and change over time [confirm with Ganraj Enterprises].