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Title: Supervised Living Facility
Alternate Title:
Description: Minnesota Department of Health (MDH)
Subject: Group Care
Health Care
Health Care Facilities
Living Assistance
Creation Date: 9/11/2008 2:17:47 PM
Modification Date: 8/22/2024 4:03:38 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:
Unit Name: Licensing Certification Program
Unit URL:
Unit Description:
Unit Phone: 651-201-4200
Unit Fax: Contact person(s): health.hrd-fedlcr@state.mn.us
Unit URL:
Audience: Hold Application URL:
Renewal URL:
Versa URL:
Requirements:

Review:

Licensing and Certification - Supervised Living Facility

A supervised living facility provides supervision, lodging, meals and in accordance with the Department of Human Services counseling and developmental habilitative or rehabilitative services to five or more persons who are developmentally disabled, chemically dependent, adult mentally ill, or physically disabled.

Department of Human Services (DHS) Information on Supervised Living Facilities
The Minnesota Department of Human Services (DHS) provides licensure for various treatment and rehabilitation programs in Supervised Living Facilities, such as those listed below. Additional information on those programs and requirements for Supervised Living Facility providers can be found on the DHS website at:


Rules: 4665

Statutes: 144.651
144.652
626.557
626.558

Forms:
Required Forms and Documents / License Renewal
License Application to Operate a Supervised Living Facility: Complete and submit this form with payment to apply for an initial license, renew an existing license, or request a change of ownership.
Example Form: Certificate of Liability Insurance: Providers are required to submit evidence of workers' compensation coverage with their application; this example shows how the form should be filled out.

Applications are available at Supervised Living Facility Licensure


Fees:

Base fee - $183, plus $91 per bed. 


Period of Issuance:

Supervised Living Facility licenses are renewed annually. Licensees will receive a renewal notification approximately 60-90 days prior to the expiration date of the license. If you do not receive a renewal notification within 30 days of the expiration date, please contact Health.HRD-FedLCR@state.mn.us.


Length of Determination: Applications should be filed 90 days prior to the anticipated opening date.
Other Info:
Activity: Health Care Facilities
Group Homes
Boarding Care Homes
License Detail URL:

Licensing and Certification - Supervised Living Facility

Health Care Provider Directory

Minnesota Department of Health

      


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