Home Management Registration
This page contains information and a form required to register as a "Home Management Provider" in the State of Minnesota. This form is intended for use as reference. It can be downloaded and completed by individuals and organizations seeking to acquire an initial registration.
Notification of Updates and Changes
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Please do not use this form to renew a current registration. Currently registered establishments will receive separate notification and instructions for renewal from the Department of Health. If you are unsure this is the correct registration for your business or have questions, please contact the Licensing and Certification Program at 651-201-4101 or e-mail firstname.lastname@example.org to obtain additional clarification.
|Required Forms and Documents. Please read and understand all applicable documents, statutes and rules list below before registering as a home management provider.|
|Registration Form (pdf:28k/4 pages)|
|Orientation to Home Care Services (Revised November 2010) (pdf:40k/9 pages)|
|Home Care Bill of Rights|
|Related Statutes and Rules.|
|Minnesota Statutes||| 144A.461 ||
|Minnesota Rules||| 4668.0120 ||
To view the PDF files, you will need Adobe Acrobat Reader (free download from Adobe's website).