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Startup Checklists Overview

Launching healthcare and childcare services requires careful preparation and strict adherence to Minnesota licensing standards. These startup checklists provide clear steps to help providers meet requirements, complete applications, and prepare for inspections with confidence.

  • Assisted Living

Launching an assisted living facility in Minnesota requires careful preparation and strict compliance with state regulations. Providers must submit applications, adopt policies, and prepare for inspections.

  • Submit completed application and addenda through the licensing system
  • Adopt policies and procedures consistent with state statutes and rules
  • Prepare for an on-site survey conducted by the Minnesota Department of Health
  • CFSS (Community First Services & Supports)

Community First Services & Supports is a Minnesota program that provides flexible support in homes and communities. Providers must select a service model and meet enrollment requirements.

  • Understand the two available models: agency provider or budget model
  • Prepare to support activities of daily living, medication tasks, and supervision services
  • Complete enrollment requirements with Minnesota Health Care Programs
  • Home Health (Home Care Licensure)

Operating a home care agency in Minnesota requires licensure through the Department of Health. Agencies must prepare policies, submit applications, and undergo background studies.

  • Develop and submit agency-specific policies and procedures aligned with Minnesota statutes 
  • Complete and submit the appropriate licensure application in the state system 
  • Ensure all owners, managers, and designated professionals pass background studies
  • 245D Basic Services

Home and Community-Based Services under 245D require careful preparation of service policies, staff training, and compliance documentation. Providers must meet state licensing standards before service delivery begins.

  • Review the general licensing checklists provided by DHS
  • Adopt policies and service plans that align with HCBS regulations
  • Ensure staff meet training and documentation requirements
  • 245G (Substance Use Disorder Treatment Programs)

Minnesota requires treatment programs under 245G to follow specific licensing processes and program documentation standards. Providers must prepare assessments, service plans, and staff credentials.

  • Submit licensing application forms required by the commissioner 
  • Prepare an initial services plan within 24 hours of service initiation
  • Complete comprehensive assessments and signed summaries within regulatory timelines
  • ARMHS / IRTS

Adult Rehabilitative Mental Health Services and Intensive Residential Treatment Services require state approval with defined treatment standards. Providers must demonstrate staff qualifications, treatment protocols, and compliance readiness.

  • Identify program type and submit the required licensing application 
  • Develop treatment protocols and client care plans consistent with DHS requirements
  • Ensure staff meet all training and qualification standards
  • Foster Care

Foster care licensing in Minnesota is administered by counties under state rules. Applicants must complete training, background studies, and home inspections.

  • Submit completed application forms and required background study documentation
  • Prepare the home safety inspection checklist and correct any deficiencies
  • Complete orientation training and meet county licensing requirements
  • Adult Day Care

Adult day service providers must comply with state regulations for safety, staffing, and client care. Licensure involves application, inspections, and policies.

  • Submit an application for an adult day services license
  • Prepare operational policies and staffing credentials required by DHS
  • Schedule and pass facility inspection for compliance approval
  • Childcare Center

Opening a childcare center requires DHS licensure, documentation, and facility readiness. Programs must pass inspections and meet staffing rules before approval.

  • Complete orientation and submit the application packet with the required documentation 
  • Pass required background studies and fire marshal inspection when applicable
  • Ensure staff meet training and education standards
  • Family Home Childcare

Minnesota requires family childcare providers to be licensed through their county. The process includes inspections, documentation, and training.

  • Submit a complete application with background studies
  • Provide training documentation for all caregivers
  • Pass fire marshal inspections when required and establish emergency plans

Disclaimer:All information provided in these startup checklists is based on official resources from the Minnesota Department of Human Services and the Minnesota Department of Health. Requirements may vary by state or county, so providers should always confirm details with their local licensing authority. Contact us today for a comprehensive guide to access detailed startup guides or speak directly with our staff.

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