Division of Health Facilities Evaluation and Licensing

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Long Term 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.

*If you provide more than one service the combined payment should not exceed $4,000

Adult/Pediatric Day Health Services – Initial Registration

Adult/Pediatric Day Health Services – Renewal

Adult/Pediatric Day Health Services – Amendments

Alternate Family Care - Initial Registration

Alternate Family Care - Renewal

Assisted Living Program – Initial Registration

Assisted Living Program – Renewal Application

Assisted Living Program – Amendments

Assisted Living Residence/Comprehensive Personal Care – Initial Registration

Assisted Living Residence/Comprehensive Personal Care – Renewal

Assisted Living Residence/Comprehensive Personal Care – Amendments

Residential Health Care – Initial Registration

Residential Health Care – Renewal

Residential Health Care – Amendments

Skilled Nursing Facility – Initial Registration

Skilled Nursing Facility – Renewal

Skilled Nursing Facility – Amendments

Skilled Nursing Facility - Add-A-Bed – Amendment

Sub-Acute Fee-Health Care Quality Monitoring Fee

Health Facilities Licensure Payments

Submit Payments for Health Facilities Licensure

Nursing Home Administrator Licensing Board Payments

Submit Payments for Health Facilities Licensure