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License Applications for Health Facilities

Application for Licensure text
New Facilities and Federal Certification Information provides a detailed list of information, additional links, and other vital information for facilities looking into becoming Medicare & Medicaid participates.

License Applications 

Ambulatory Surgical Centers (ASC)
Free-Standing Birth Centers
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) (Initial licensure applications for nursing homes must include both the following forms. Renewal only requires the LTC Application.)
LTC Application

July 11, 2017 - Please review the following memorandum from the Office of the Lieutenant Governor regarding the adoption of new licensing fees for providers in Alaska.  The effective date for the new licensing fees was June 29th, 2017.

NEW Licensing Fees Adopted