Licensure Application Forms, Federal Certification, and Information for Health Care Providers

This index provides access to the required documents, forms and information regarding state licensure and/or registration for health care facilities and service providers. If you need additional clarification please contact the Licensing and Certification Program at 651-201-4101 or e-mail If you need additional clarification specifically related to Home Care Licensing, please contact the Home Care and Assisted Living Program at 651-201-5273 or e-mail

Home Care Providers

State Licensing

Federal Certification

The application forms below are no longer utilized or accepted for renewals occurring after July 1, 2014. All renewals will be completed online. A letter will be mailed prior to the license expiration date with instructions on how to complete your renewal.

Services Requiring Registration

Long Term Care

Other Licensed and/or Certified Programs

Updated Wednesday, April 22, 2015 at 01:33PM