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Title: Assisted Living Licensure
Alternate Title:
Description:

Assisted Living Licensure (ALL) within the Health Regulation Division of the Minnesota Department of Health (MDH) oversees and regulates licensed assisted living providers in Minnesota.


Subject: Health Care
Health Care Providers
Home Health Care
Creation Date: 8/30/2021 2:13:45 PM
Modification Date: 8/22/2024 3:07:24 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: Assisted Living Licensure
Unit URL: https://www.health.state.mn.us/facilities/regulation/assistedliving/index.html
Unit Description:
Unit Phone: 651-201-4200
Unit Fax: Contact person(s): health.assistedliving@state.mn.us
Unit URL: https://www.health.state.mn.us/facilities/regulation/assistedliving/index.html
Audience: Hold Application URL:
Renewal URL: https://icsd.web.health.state.mn.us/security/login.do
Versa URL:
Requirements:
 
Assisted Living License Renewal

Providers are required to renew their Assisted Living license each year. A license may be renewed for up to one year if the licensee:

  • submits an application for renewal at least 60 days before the expiration of the license,
  • pays the renewal fee online, and
  • provides information sufficient to show that the applicant meets the requirements of licensure.
Related Minn. Stats. §§ 144G.12, 144G.17
 
The renewal application is posted to the Improved Customer Service Delivery (ICSD) portal approximately 90 days before the license expires. Provider Renewal Notification Letters with login credentials will be emailed to the licensee’s permanent business email address.
 


You can view this and other resources related to the renewal process on the
Assisted Living License Renewal page.


Rules:
Statutes: 144A.43 - .484
144D
144G
626.556
626.557
626.5572

Forms:

Assisted Living Licensure Application Materials

Forms

Provisional Assisted Living (with Dementia Care) License Application (PDF)

Assisted Living Licensure Application Addendum: Building Information (PDF)

Assisted Living Licensure Application Addendum: Additional Direct or Indirect Owner Information (PDF)

Assisted Living Licensure Application Addendum: New Construction Information (PDF)

Assisted Living Licensure Application Addendum: Additional Managerial Officials and Controlling Individuals Information (PDF)

Uniform Disclosure of Assisted Living Services and Amenities (UDALSA) (PDF)

Assisted Living License Renewal

Forms

Change of Information for Assisted Living Providers (PDF): Ensure MDH has the correct information on file. The Provider Renewal Notification Letter will be sent to the permanent business email address. Renewal License will be sent to the business mailing address.

Closure Form for Assisted Living Providers (PDF): If you are not renewing your license, you must follow 144G.57 and notify MDH by submitting this closure form along with a closure plan and proposed notice to residents. After MDH has approved the plan, the facility must provide notice to residents at least 60 days before closing.

Licensed Resident Capacity Increase Request (PDF): Use this form if you are requesting an increase to your licensed resident capacity during your renewal license renewal period.

Licensed Resident Capacity Decrease Request (PDF): Use this form if you are requesting a decrease to your licensed resident capacity during your renewal license period.

License Renewal Provider Checklist (PDF): This checklist provides guidance for gathering all potential items that may be needed to submit a renewal application for an Assisted Living Facility (ALF) license or for and Assisted Living Facility with Dementia Care (ALFDC) license.

Uniform Disclosure of Assisted Living Services and Amenities (PDF): An updated version must be submitted with your license renewal application. The UDALSA form must be saved as a non-editable PDF before it can be uploaded to the system. If you can see the fillable fields within the PDF, it is still editable. To save it as a non-editable PDF, right-click on the file and open it with a browser, and then Print the file as a PDF.

Notice of Providing Assisted Living Services (PDF): A provisional licensee will not receive their renewal notification letter with login credentials until after a full license has been issued following a successful survey. A survey won’t be scheduled unless MDH is notified the provisional licensee has begun to provide assisted living services. Notice is required within two days.

Refer to Assisted Living Licensure Application Materials and Assisted Living License Renewal


Fees:

Contact MDH.


Period of Issuance:

A license is effective for one year from the effective date.


Length of Determination:

The Minnesota Department of Health has up to 60-90 days in which to grant or deny a license, once the application is deemed complete.


Other Info:
Activity: Hospice
Health Care Providers
Home Health Care
License Detail URL:

Assisted Living Licensure

Health Care Provider Directory

Minnesota Department of Health

      


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