Division of Health Facilities Evaluation and Licensing

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Acute Care Licensure Payments

Paying for a license via e-check or credit card:

Directions: Click on the type of license you wish to pay for from the selections below.  Please include your facility’s license number for all amended and renewal application transactions. Once you have submitted payment, you must complete and submit the required form and (if applicable) supporting documentation before our review process can begin.

Important: Online payment alone is not sufficient for our review process to begin. The original, signed forms and any required attachments and/or documentation must be mailed to this office with the proof of online payment attached. Your submission will not be valid until the required forms and documentation have been received by this office.

When you are finished paying:
Print the payment confirmation page or the confirmation e-mail you received as proof of payment. Attach this printout to your application form. No submission will be processed without proof of payment.

Please note that the licensure fees listed below are non-refundable.

Ambulatory Care Facility - Initial Registration

Ambulatory Care Facility- Renewal

Ambulatory Care Facility – Amendments

Home Health Agency - Initial Registration

Home Health Agency - Renewal

Home Health Agency – Amendments

Hospice Care Program (Branch) - Initial Registration

Hospice Care Program (Branch) - Renewal

Hospice Care Program (Branch) - Amendments

Hospice Care Program (Main) - Initial Registration

Hospice Care Program (Main) - Renewal

Hospice Care Program (Main) - Amendments

Hospitals - Initial Registration

Hospitals - Renewal

Hospitals - Amendments

Maternal & Child Health Consortium - Initial Registration

Maternal & Child Health Consortium - Renewal

Maternal & Child Health Consortium - Amendments

Pediatric Transitional Home - Initial Registration

Pediatric Transitional Home - Renewal

Pediatric Transitional Home - Amendments


Health Facilities Licensure Payments

Submit Payments for Health Facilities Licensure


Nursing Home Administrator Licensing Board Payments

Submit Payments for Nursing Home Administrator Licensing Board