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Related Sites
Licensing and Certification
Hospice
This page contains information required to operate as a licensed Hospice in Minnesota and become a Medicare-certified Hospice agency. There are also resources for consumers and providers about hospice services.
If you are unsure this is the correct license for your business or have questions, please contact the Federal Licensing, Certification, and Registration team at health.hrd-fedlcr@state.mn.us or call 651-201-4200 to obtain additional clarification.
- Required Forms and Documents
- Related Statutes and Rules
- Consumers, Families, and Caregivers
- Medicare-certified Hospice Information
- Additional Resources for Hospice Providers
Required Forms and Documents
These forms are intended to be downloaded and completed by individuals and organizations seeking to be licensed as a hospice program. Use the forms below to apply for an initial license, or to renew your current license. Please read and understand all applicable documents, statutes, and rules listed below before applying for this license.
- 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)
Related Statutes and Rules
Minnesota Statutes
144A.75 | 144A.751 | 144A.752 | 144A.753 | 144A.754 | 144A.755
Minnesota Rules
Minnesota Administrative Rules: Chapter 4664, Hospice Services
Hospice Bill of Rights
Translated versions of the documents below are available on the Patient, Resident, Home Care Bill of Rights page.
- Hospice Bill of Rights - Regular Print (PDF)
- Hospice Bill of Rights - Large Print (PDF)
- Combined Minnesota & Federal Hospice Bill of Rights - Regular Print (PDF)
- Combined Minnesota & Federal Hospice Bill of Rights - Large Print (PDF)
Consumers, Families, and Caregivers
Hospice Quality Information
The following websites provide information about the quality of care at hospice services providers and are intended for consumers who want to learn more about the services offered at each provider.
MDH also has resources available for consumers:
- Search for Minnesota Health Care Provider Complaints
- Health Care Provider Directory
- Verify a Facility License or Professional Credential
- File a Complaint against a Facility or Professional
Other resources and organizations:
Medicare-certified Hospice Information
- Medicare State Operations Manual Chapter 2: The Certification Process (PDF)
- CMS - Survey & Certification - General Information
- Medicare State Operations Manual Appendix M: Guidance to Surveyors: Hospice (PDF)
- Entrance Conference (Federal Evaluation: Hospice) (PDF): Sample form describing the entrance conference portion of an MDH survey of a hospice facility.