Title: Hospice
Alternate Title:
Description: A hospice is any entity that is regularly engaged in the delivery of services for a fee to terminally ill hospice patients. Minnesota Department of Health (MDH)
Subject: Health Care
Health Care Providers
Home Health Care
Hospices
Creation Date: 9/11/2008 2:13:45 PM
Modification Date: 8/22/2024 2:18:43 PM
Agency Name: Health (MDH), Minnesota Department of
Agency URL: https://www.health.state.mn.us
Agency Description:
The Minnesota Department of Health is the state's lead public health agency, responsible for protecting, maintaining and improving the health of all Minnesotans.
Agency Phone: 651-201-5000
888-345-0823
Agency Fax: Agency URL: https://www.health.state.mn.us
Agency Address: Health, Minnesota Dept. of
625 Robert St. N.
P.O. Box 64975
St. Paul
MN
55164-0975
Division Name: Health Regulation Division
Division URL:
Division Description:
Division Phone: 651-201-4200
Division Fax: Division URL:
Audience: Hold
Application URL:
Renewal URL:
Versa URL:
Requirements:
Review Licensing and Certification - Hospice Licensure
A hospice is any entity that is regularly engaged in the delivery of services for a fee to terminally ill hospice patients.
Licenses are renewed on an annual basis. Licenses are not transferable.
Rules: 4664
Statutes: 144A.75
144A.751
144A.752
144A.753
144A.754
144A.755
Forms:
Application for a License to Operate a Hospice Program (PDF): Use this form to apply for an initial license, or to submit a change of ownership of your license.
Renewal Application for a License to Operate a Hospice Provider (PDF): Use this form to renew your current license.
A Guide to Hospice Care Services (PDF)
Background Studies for New Owners (PDF)
Application forms and documents are available at Hospice Licensure
Fees:
Fees are based on revenue derived from hospice care.
Period of Issuance:
License is effective for one year from effective date.
Length of Determination: Applications should be submitted at least 90 days before the requested date of the licensure.
Other Info:
Activity: Hospice
Health Care Providers
Home Health Care
License Detail URL:
Licensing and Certification - Hospice Licensure
Health Regulation Division
Health Care Provider Directory

