Licensure/Registration Index Page
Class A Licensed Home Care Provider/
Medicare Certified Home Health Agency/OASIS
This page contains reference material, forms and documents required to make an application and for a Class A Professional Home Care Agency and for compliance to operate as a licensed Class A 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.
Class A License Application (pdf:62k/ 10 pages)
Background Studies for New Owners (pdf:142k/ 3 pages)
Related Home Care Rules and Statutes
| Minnesota Statutes: |
| 144A.43
| 144A.44
| 144A.441
| 144A.442
| 144A.45
| 144A.46
| 144A.465 | 144A.47 | | 626.556 | 626.557 | | 626.5572 | |
| Minnesota Rules: | | 4668 | 4669 | Fee Schedule 4669.0050 | |
Order a copy of the Home Care Licensure Laws from Minnesota's Bookstore
Medicare Certified Home Health Agencies/OASIS
Federal Centers for Medicare and Medicaid Services Guidelines and Program Letters - Please check these web addresses weekly for updates.
http://www.cms.gov/SurveyCertificationGenInfo/
http://www.cms.gov/manuals/downloads/som107_Appendicestoc.pdf
CMS Satellite Broadcast/Webcast Educational Programs - http://surveyortraining.cms.hhs.gov/index.aspx
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.
Orientation to Home Care Services (Revised November 2010) (pdf:40k/ 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.
Minnesota Home Care Bill of Rights/Assisted Living
See applicability at top of each version.
Class A Survey Forms
These are the forms that are utilized by Minnesota Department of Health Staff when conducting a Class A Home Care Provider survey.
Frequently Asked Questions for Class A Providers
Survey Results
Medicare Certified Home Health Agency Survey Results
Current Home Care Provider Survey Results
Prior Survey Results (2010 and Before)
Prior Class A Home Care Provider Survey Results2010Class A Contact Information
For questions regarding the Class A Home Care Rules and Statutes and survey related questions, please contact the Home Care and Assisted Living Program by telephone, fax or in writing:
Telephone: (651) 201-5273
Fax: (651) 201-3839
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 A license application, please contact the Licensing and Certification Program by telephone or e-mail:
Telephone: 651-201-4101
E-mail: health.fpc-licensing@state.mn.us
