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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 health.fpc-licensing@state.mn.us 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.
Required Documents  
2013 License Application (pdf:149k/7 pages)  
Hospital Request for Swing Beds (pdf:8k/1 page)  
MinnesotaCare Tax  

Related Statutes and Rules.
Minnesota Statutes
144.50 | 144.51 | 144.52 | 144.53 | 144.54 | 144.55
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
Minnesota Rules
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
Updated Tuesday, 11-Dec-2012 10:31:03 CST