Licensing and approvals

Facility Licensing & Approvals in Saudi Arabia

MOH licensing runs through the Seha platform in two stages: initial approval of the project and a final licence after inspection. We prepare the technical file, floor plans and service scope, coordinate municipal and civil defence approvals, and track each comment until inspection. Tulazai manages the process; licences are issued only by the authorities.

The rules of the ground

Who regulates and pays in Saudi Arabia

Private sector employers must insure their Saudi and expatriate employees and dependants under the CHI mandatory policy, so insured patients form the core of private provider revenue. Claims, eligibility checks and prior authorisations are exchanged through NPHIES, the national platform, and payment depends on clean electronic submission using CHI coding standards. Insurers themselves are now licensed by the Insurance Authority, while CHI keeps the policy and exchange rules. Network contracts, tariffs and approval rules are negotiated insurer by insurer, and the largest payers dominate the market.

Ministry of Health (MOH)

Licenses private hospitals, medical complexes, clinics and pharmacies, sets facility standards and inspects compliance, with applications handled electronically through the Seha platform.

Council of Health Insurance (CHI)

Regulates the mandatory private health insurance system, the unified policy and coding standards, and runs NPHIES together with the national health information bodies.

Saudi Commission for Health Specialties (SCFHS)

Verifies credentials through DataFlow, grants professional classification and registration via Mumaris Plus, and sets the licensing exams every practitioner must clear before practising.

Saudi Food and Drug Authority (SFDA)

Issues Medical Device Marketing Authorisation (MDMA) and establishment licences for importers and distributors, and oversees device safety, recalls and vigilance.

Ministry of Investment (MISA)

Registers foreign investors under the Investment Law, the first step before a foreign-owned company can obtain its commercial registration and sector licences.

Scope

What we deliver in Saudi Arabia

01

Licensing pathway assessment

Confirmation of the correct authority, facility category and service list for your project, with every approval, document and dependency mapped into a single sequenced plan before any fees are paid.

02

Initial approval and design review

Preparation and submission of initial approval applications and design drawings, checked against the applicable facility guidelines for room sizes, clinical zoning, infection control, services and accessibility.

03

Practitioner licensing support

Document preparation, primary source verification tracking and exam scheduling for doctors, nurses and allied staff through DHA, DoH, MOHAP, SCFHS or DHP, aligned with your opening date.

04

Inspection preparation

A mock inspection against the regulator's checklist covering policies, equipment, emergency readiness, waste management and records, with a close-out list completed before the official visit.

05

Related permits and radiation licensing

Coordination of civil defence, municipality and waste permits, and FANR licensing for X-ray and other radiation-emitting equipment, so the health licence is not held back by an external approval.

06

Amendments, renewals and compliance calendar

New specialties, added services, relocations, ownership or medical director changes and annual renewals handled through the right channel, supported by a compliance calendar that flags expiries in advance.

Process

How the work runs

  1. Scope the licence

    We confirm the facility type, services and licensing authority, and list every approval, document and practitioner licence the project will need.

  2. Prepare the file

    Documents, drawings, policies and practitioner files are assembled, cross-checked and reviewed against the regulator's current requirements before anything is submitted.

  3. Submit and track

    Applications are filed through the correct portal and tracked daily, with every regulator comment answered quickly, completely and in the format requested.

  4. Inspect and activate

    After a mock inspection and close-out, we coordinate the official inspection and the steps that activate the licence for patient care.

  5. Stay compliant

    Renewals, amendments and licence expiries for the facility and every practitioner are managed from one shared calendar, so nothing lapses unnoticed.

Frequently asked questions

Can a foreign investor own 100% of a private clinic or hospital in Saudi Arabia?
Healthcare is open to full foreign ownership for most activities, subject to registration with the Ministry of Investment (MISA) and licensing by the Ministry of Health. The practical conditions (capital, premises, professional staffing and Saudisation) vary by facility type. We confirm the current requirements for your specific model before you commit to premises or staff.
What does a healthcare consultancy in Saudi Arabia actually do for a new facility?
A healthcare consultancy in Saudi Arabia plans the regulatory route, prepares licensing files for MOH through Seha, coordinates SCFHS registrations for clinicians, checks SFDA status of equipment and prepares NPHIES and insurer readiness. Tulazai Health manages that process on your behalf. We do not issue licences or guarantee approvals, which remain with the authorities.
Is NPHIES mandatory for private providers?
Yes, for insured activity. Eligibility checks, prior authorisations and claims for patients under private health insurance are exchanged through NPHIES, and claims that are not submitted through the platform are not reimbursed. Providers need a compatible system, correct coding to CHI standards and trained staff before they start seeing insured patients.
How long does it take to license a clinic in Saudi Arabia?
Timelines depend on the facility type, the city, the readiness of the premises and how complete the file is. Delays usually come from site issues, missing documents or clinician registrations that are not ready. We give a realistic plan after reviewing your model and location, rather than a fixed promise, and track every step to keep it moving.
What is involved in healthcare facility licensing in Dubai?
In Dubai, facility licensing runs through DHA's Sheryan system. The facility licence is first issued in an inactive state and must then be activated, which requires items such as a valid trade licence, an appointed medical director and an EMR that meets NABIDH requirements. Design review, inspection and practitioner licensing run alongside. We map and manage each step for your facility type.
How is licensing different in Abu Dhabi and the northern emirates?
Abu Dhabi facilities are licensed by the Department of Health, with applications handled through the TAMM government services platform and requirements such as Malaffi connectivity. Facilities in Sharjah, Ajman, Umm Al Quwain, Ras Al Khaimah and Fujairah fall under MOHAP. Standards, fees and inspection checklists differ, so a plan that works in Dubai cannot simply be copied.

Complimentary 30-minute call

Talk it through with Dr. Neeraj.

Tell us where your facility is today and where you want it to be. You leave the call with a clear next step.