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State License Applications for

Health Facilities

Application for Licensure text

The document below provides links and other vital information for those who are interested in becoming Medicare & Medicaid participates.


License Applications


Did You Know?

State licensed facilities who are accredited by a nationally recognized organization may be eligible to waive the biennial State licensing survey during the current/upcoming licensing period. To review related regulations for survey waivers, see 7 ACC 12.925 and AS 47.32.030(a)(9)(A-C).
To apply, complete theInspection Waiver Application, attach the required documents and email to:
If you have any questions, contact us at (907) 334-2483.
Ambulatory Surgical Centers (ASC)
Free-Standing Birth Centers
Rural Health Clinics (RHC) / Frontier Extended Stay Clinics (FESC)
Home Health Agencies (HHA)
Hospice Agencies
Hospitals (This application applies to all hospitals including General Acute Care, Rural Primary Care, Critical Access, Long Term Acute Care, and Specialized Hospitals.)
Nursing Homes (LTC) (New facilities must complete the LTC Application AND the Initial LTC documents located below. Facilities that are renewing their bi-annual license are only required to complete the LTC Application.)
LTC Application

State License Fees - Please review the following memorandum from the Office of the Lieutenant Governor regarding the adoption of new licensing fees for health facilities in Alaska.  The effective date for the new licensing fees was June 29th, 2017.

Licensing Fees Memorandum