Licensure/Registration Index Page

Class F Home Care Provider

This page contains reference material, forms and documents required to make an application and for a Class F Home Care Provider and for compliance to operate as a licensed Class F Home Care Provider in the State of Minnesota. These forms are intended for use as reference. They can be downloaded and completed by individuals and organizations seeking to acquire an initial license.

Notification of Updates and Changes
To receive notification of changes to this site please subscribe to the Compliance Monitoring Division Information Bulletin Index.

Please do not use these forms to renew a current license. Currently licensed providers will receive separate notification and instructions for licensure renewal from the Department of Health.

Required Forms and Documents

Class F License Application (PDF: 82KB/10 pages)

Background Studies for New Owners (PDF: 142KB/3 pages)

Orientation to Home Care Services (Revised November 2010) (PDF: 40KB/9 pages)
A Guide to Home Care Services may be used to meet the orientation to home care requirements as outlined in MN Rule 4668.0805 Subpart 1, and is the curriculum mentioned in MN rule 4668.0805 Subpart 3.

Related Home Care Rules and Statutes

Minnesota Statutes: | 144A.43 | 144A.44 | 144A.441 | 144A.442 | 144A.45 | 144A.46 | 144A.4605 | 144A.461 | 144A.465 | 144A.47 | 626.556 | 626.557 | 626.5572 | 144D - Housing With Services | 144G | Fees
Minnesota Rules: | 4668 | 4669 |

Order a copy of the Home Care Licensure Laws from Minnesota's Bookstore

Licensing Requirements for Classes A, B, C & F (with Background)
The current licensing requirements for Classes A, B, C & F can be found in this document. This document includes Chapter 144A, Rules 4668 and 4669, as well as chapters 144D, 144G and the applicable sections of Min. Stat. 626.

Home Care Bill of Rights

For clients receiving services from a licensed-only home care provider:

Regular Print

Large Print

For clients receiving services from a licensed-only home care provider in a Housing With Services Assisted Living setting (as defined by Minn. Stat. Sec. 144G):

For clients receiving services from a Medicare Certified Home Health Agency in a Housing With Services Assisted Living setting (as defined by Minn. Stat. Sec. 144G):

Related Information

Information Bulletins
See the Information Bulletin web site for bulletins coded "HC" and "All Providers". Scroll down to "Information Bulletins by Year" and then click on the list for each year to find the appropriate bulletins. To receive notification of new Information Bulletins posted, "Subscribe" to the Information Bulletin Index and you will receive notification by email when there is a new Information Bulletin posted.

Class F Survey Forms
These are the forms that are utilized by Minnesota Department of Health Staff when conducting a Class F Home Care Provider survey.

Frequently Asked Questions for Class F Providers (PDF: 40KB/8 pages)

Current Survey Results

Current Home Care Provider Survey Results

Previous Survey Results (2010 and Before)

Prior Class F Home Care Provider Survey Results

Class F Contact Information

For more information regarding the Class F Home Care Rules and Statutes and survey related questions, please contact the Home Care and Assisted Living Program:

Telephone: 651-201-5273
Fax: 651-215-9697
Email: Health.homecare@state.mn.us

Mailing Address:
MN Department of Health
Home Care and Assisted Living Program
85 East Seventh Place, Suite 220
P.O. Box 64900
St. Paul, MN 55164-0900

If you are unsure this is the correct license for your business or have questions related to the Class F license application, please contact the Licensing and Certification Program:

Telephone: 651-201-4101
Email: health.fpc-licensing@state.mn.us

 

For more information on the new home care regulations (Comprehensive and Basic home care providers), see Home Care Licensing Changes 2013

Wednesday, 19-Feb-2014 10:21:48 CST