Apply for a 245D-HCBS License

IMPORTANT NOTICE: This page was updated 11/21/2013. Updates on when you can apply for a license are posted under When do I apply for a 245D-HCBS license?

Who must obtain a 245D HCBS program license?

Do home care providers licensed by the Minnesota Department of Health (MDH) under Minnesota Statutes, Chapter 144A have to obtain a 245D license?

How do I apply for a 245D-HCBS license?

When do I apply for a 245D-HCBS license?

When will my 245D-HCBS license become effective?

Who will notify the DHS MHCP Provider Unit that my application has been approved for licensure effective Jan. 1, 2014?

Who must obtain a 245D HCBS program license?

Providers of services governed by 245D must obtain a 245D-HCBS program license. A single 245D-HCBS program license covers provision of all services the provider is determined qualified to provide. The provider’s qualifications are determined through the license application process. The services may be provided anywhere in the state. The type of service dictates where it may be provided (the service setting). Service settings may include a service recipient’s family or own home, a community-based setting used by the general public, a licensed facility, or a combination of these settings.

Do home care providers licensed by the Minnesota Department of Health (MDH) under Minnesota Statutes, Chapter 144A have to obtain a 245D license?

Most licensed home care providers will not have to obtain a 245D-HCBS program license. These providers will become part of the MDH Home Care and DHS HCBS Licensing integrated licensing system. However, there is one exception. If the licensed home care provider provides foster care services as defined under the CAC, CADI, or BI waiver programs to all of the residents in a corporate adult foster care home, then the provider must obtain a 245D-HCBS program license and the Rule 203 adult foster care license must convert to a 245D-Commiunity Residential Setting license. More information about the impact of 245D-HCBS program license on foster care homes is available online.

How do I apply for a 245D-HCBS license?

Providers applying for a 245D license are strongly encouraged to read and use these resources. They provide basic information to help you understand the process of applying and converting licenses. They also provide important information on requirements for DHS license applicants and license holders.

  • DHS License Application Process Guide – This guide provides important general information related to obtaining a DHS license.
  • 245D Pre-Application Worksheet - This worksheet will help applicants prepare for completing the online 245D license application. It provides links to additional documents that must be submitted with your application. For providers who do not currently hold a 245B license you must complete and submit all additional required materials with your application, including policies and procedures. You are encouraged to use the sample policies and procedures provided on this website free of charge.
  • E-Licensing Management System: Reference Guide for Submitting a Licensing Application- This will help applicants navigate the 245D online license application.
  • Requirement to complete the 2012 legislative update

    Providers with a DHS license who want to apply for a 245D must complete the online DHS license holder update before they begin the 245D license application. The application system will not accept your application unless you have completed this update. Failure to complete the update will result in a delay of approval for licensure and completion of the MHCP provider record review. Information about the MHCP provider record review and 245D license requirements is available online from the MHCP Provider Training Home.

    Modified application process if you hold a 245B DD services license

    Current 245B license holders who meet the following criteria will follow a modified application process under section 245A.042, subd. 2, and are exempt from paying an application fee:

  • • the applicant holds a chapter 245B license issued on or before December 31, 2013, at the time of application;
  • • the applicant’s chapter 245B license or licenses are in substantial compliance1 according to the licensing standards in this chapter and chapter 245b; and
  • • DHS Licensing has conducted at least one on –site inspection of the chapter 245B license or licenses within the two-year period before submitting the chapter 245D license application.
  • The modified application procedures mean DHS Licensing will accept the applicant's attestation of compliance with certain requirements in lieu of providing information to DHS Licensing for evaluation that is otherwise required when seeking a 245D license.

    1"Substantial compliance" means DHS Licensing has not issued a sanction according to section 245A.07 against any chapter 245B license held by the applicant or made the chapter 245B license or licenses conditional according to section 245A.06 within the 12-month period before submitting the application for chapter 245D licensure.

    Exceptions to the eligibility criteria for the modified application procedure

    DHS Licensing will evaluate the need for additional information from providers holding a 245B license who do not meet all of the eligibility criteria for a modified application procedure at the time of conversion. These providers will not pay an application fee, but may be required to submit additional information at the time of conversion.

    Conversion of corporate Adult Foster Care (Rule 203) license to 245D Community Residential Setting license

    Corporate adult foster care homes where the AFC license holder will provide services that require a 245D-HCBS program license must convert to a 245D-Community Residential Setting (CRS) license when ALL residents of the home receive crisis respite, supported living services, or foster care services.as defined under the CAC, CADI, BI or DD waivers. Foster care services under the elderly waiver (EW) or the alternative care (AC) programs are excluded.

  • • There is no application fee required for the conversion of these licenses.
  • • The conversion will be processed using the DHS eLicensing system as part of the application or conversion to a 245D Home and Community-Based Services program license.

  • When do I apply for a 245D-HCBS license?

    If you are currently providing services that will require a 245D-HCBS license effective Jan. 1, 2014, you MUST apply for the license NOW.  Complete applications received on or before Dec. 1, 2013 will have a 245D license issued effective Jan. 1, 2014.  DHS will make every attempt to process applications received after Dec. 1 to be approved for licensure effective Jan. 1, 2014. Providers are responsible for ensuring timely submission of complete applications.

    Providers who currently hold a 245B DD services license; a corporate adult foster care license; or any other type of license issued directly by DHS must complete the 2012 License Holder Update before starting a 245D license application.

  • • Providers who DO hold a 245B DD services license must enter their User Name and Password they received and used to complete the 2012 License Holder Update, then press the Login button. DO NOT CREATE AN ACCOUNT. Doing so will result in a delay of your 245D license being issued for Jan. 1, 2014.

  • • Providers who DO NOT hold  245B DD services license must create an account by pressing the Create Account button.  DHS license holders or corporate AFC license holders who DO NOT hold a 245B DD services license MUST NOT login using their User name and Password they received and used to complete the 2012 License Holder Update. Doing so will result in a delay of your 245D license being issued for Jan. 1, 2014.

  • Start a 245D-HCBS license now.

    When will my 245D-HCBS license become effective?

    245D applications approved for licensure will become effective on January 1, 2014. Applicants will be notified when their applications have been approved and will be provided further instructions for initiating background studies on all staff having direct contact with persons served by the program. Timely completion of these background studies is critical in ensuring your program is able to provide uninterrupted service on January 1, 2014.

    Who will notify the DHS MHCP Provider Enrollment that my application has been approved for licensure effective Jan. 1, 2014?

    The DHS MHCP Provider Unit will receive daily updates from the Licensing Division about which providers have initiated and completed the 245D-HCBS license application and when the provider’s application has been approved for licensure. The MHCP Provider Unit will use this information to complete your MHCP provider record review. More information about the Waiver/AC Provider Record Review is available online.

    For questions about completing the online 245D license application or navigating the DHS eLicensing system please call 651-431-6624.


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