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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


Did You Know?

If your State licensed facility is accredited by a nationally recognized organization, you may be eligible to waive your 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) (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