Hospital and Critical Access Hospital License
This page contains information and forms required to make application to operate as a licensed Hospital or Critical Access Hospital in the State of Minnesota. These forms are intended for use as reference. Minnesota currently has a moratorium law (MN-Statute 144.551) restricting the establishment of new hospitals or the licensure of additional hospital beds.
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. Licensed hospitals must adhere to the Federal Medicare Conditions of Participation as outlined in the Code of Federal Regulations.
If you have questions regarding this license, please contact the Licensing and Certification Program at 651-201-4101 or e-mail firstname.lastname@example.org to obtain additional clarification.
|Forms and Documents. In accordance with MN-Statute 144.55, subd 3, Federal Medicare Hospital Conditions of Participation as outlined in the Code of Federal Regulations are the minimum standards for hospital licensure.|
|2013 License Application (pdf:149k/7 pages)|
|Hospital Request for Swing Beds (pdf:8k/1 page)|
|Related Statutes and Rules.|
144.551 | 144.555 | 144.56 | 144.561 | 144.562 | 144.563
144.564 | 144.57 | 144.571 | 144.572 | 144.573 | 144.58
144.564 | 626.557 | 626.558 | Fees
|4640 | 4645|
|Code of Federal Regulations|
|Hospital | Critical Access Hospital|
Frequently Asked Questions|
CAH Training February 23-24, 2005
MDH and Chicago Regional Office
|cahfaq1.html June 24, 2005|
Clarifications for Critical Access Hospitals|
Updated June 17, 2005
|cahfaq2.html June 24, 2005|
|Office of Rural Health and Primary Care|