Apply for a 245D-HCBS License

To apply for a 245D license, we ask that you contact the Home and Community-Based Services Unit to discuss the application process, all required documentation to complete a license application and receive the link to the 245D application portal.

You can contact the 245D Home and Community-Based Services Unit at 651-431-6624.

Develop required documentation before you apply for a license

Before obtaining a link to the 245D HCBS License application, you must complete the following. Have all of the information available when you are on the phone with a licensor to complete the on line application:

**NOTE**
All documents to be uploaded into the application and must be in a PDF or Microsoft Word format. All documents listed in b through e below will be required to be uploaded.

a. 245D Pre-Application Worksheet (PDF)
Fill out form completely with all required information.
*This will not be uploaded with the application, but is required to compile necessary information.

b. Policies (PDF)

  • • Drug and Alcohol Prohibition Policy
  • • Emergency Use of Manual Restraint (EUMR) Policy
  • • Grievance Policy
  • • Maltreatment of Minors Reporting and Internal Review Policy
  • • Service Suspension and Termination Policy
  • • Vulnerable Adults Maltreatment Reporting and Internal Review Policy
  • • Emergency Use of Manual Restraint
  • *It is highly encouraged that you use our sample policies for your program. They were developed by 245D HCBS Licensors and will ensure compliance with 245D Standards. Follow the highlighted instructions on the top of each document.

    c. Applicant and License Holder Notarized Signature Form (PDF)
    Fill out Page 2 of the Authorized Agent Notarized Signature Form and sign in front of a Notary Public

    d. Worker's Compensation Insurance Verification Form
    Include your policy information, or indicate why you are exempt from this requirement, with a signature on the bottom

    e. Organizational Chart
    Indicate the names of the highest authority in your program, including names of all Controlling Individuals

    When you are ready to apply

    When you contact the 245D Licensing Unit with all completed forms, please allow for 30-45 minutes for assistance with the application. A licensor will email you a link to the application portal and will work with you, step-by-step through the application process to ensure accuracy and efficiency.

    We have found that applicants who do not seek the assistance of a licensor in the application process may find the application approval process takes longer due to services selection errors, missing information and errors on the application itself.

    All of the required documents must be completed and uploaded to your computer in a PDF or Microsoft Word format prior to calling the HCBS Licensing Unit.

    Once your application has been received by the 245D HCBS Licensing Unit, we will review your application for all required fields and documents. Your application will be approved when the license application fee has been paid and cleared; the application and all materials meet compliance with 245D standards; and when the background studies for all Controlling Individuals have been cleared.

    Please call us if you have any questions or concerns when preparing your materials for the 245D application process.

    Application fees

    You must be prepared to pay an application fee at the time you complete your application with a licensor. This process is completed online and may be paid via Visa, MasterCard or E-Check.

    Applicants submitting a 245D license application will pay the standard $500 application fee.

    Background studies

    After you submit your 245D application, your Authorized Agent will receive an email from the DHS NETStudy Administrator with instructions for a NETStudy 2.0 account to submit background studies on all Controlling Individuals. These background studies for all Controlling Individuals must be submitted and cleared before your license can be issued. Be sure to monitor any Spam/Junk folders for the email correspondence.

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