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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: 8/31/2026 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.

    The Minnesota Department of Human Services (DHS) provides licensure for various treatment and rehabilitation programs. Additional information can be found at the links below.
    Rules: 4665

    Statutes: 144.651
    144.652
    626.557
    626.558

    Forms:

    See Licensing and Certification - Supervised Living Facility

    Application for a License to Operate a Supervised Living Facility (PDF): Complete and submit this form with payment to apply for an initial license, renew an existing license, or request a change of ownership.

    Example of Certificate of Liability Insurance (ACORD 25 form) (PDF): Providers are required to submit evidence of workers' compensation coverage with their application; this example shows how the form should be filled out.

    Transfer Agreement:

    Metro counties: Community-Wide Transfer Agreement between Hospitals and Related Health Facilities in the Minnesota Seven-County Metropolitan Area (PDF)

    Non-metro counties: Transfer Agreement between a Hospital and a Related Health Facility in Minnesota (PDF)


    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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