Licensure Bureau
Health Care and Community Residential Facility Applications
Information for Providers:
Statutes and Rules Governing Adult Day Care:
- Adult Day Care Rules
- Rights of Long-Term Care Facility Residents.
- Minimum Standards for All Health Care Facilities
- Montana Elder and Persons with Developmental Disabilities Abuse Prevention Act
- Sewage System
Other Resources:
Application Packet:
- Initial Application Letter
- Initial or Change of Ownership Application for Adult Foster Care
- Personal Statement of Health Form
- Release of Information for Background Check: DPHHS-QAD/ CRL-018
- Safety Compliance Checklist
Statutes and Rules Governing Adult Foster Care Facilities
Additional Resources
- Tribal Court List (Tribal background checks, please contact the appropriate Tribal Court)
- Criminal Background Checks on Department of Justice
Information for Providers:
- Initial Application Letter
- Initial or Change of Ownership Application for Assisted Living Facility
- Category B supplemental Application Form
- Category C Supplemental Application Form
- Change of Ownership Letter
- Renewal Application
Statutes and Rules Governing Assisted Living Facilities
- Assisted Living Facility Rules (37.106.2801 - 37.106.2898)
- MCA - Hospitals and Related Facilities
- Montana Elder and Persons with Developmental Disabilities Abuse Prevention Act
- Rights of long-term care facility residents 50-5-1104
- Safety Devices:
- Food Service Establishments
- Minimum Standards for All Healthcare Facilities
Additional Resources
MCA 50-5-226(6) "The department shall develop standardized forms and education and training materials to provide to the assisted living facilities and to the licensed health care professionals who are responsible for the signed statements provided for in subsection (3)(f). The use of the standardized forms is voluntary."
- Assisted Living Assistance with Self-administration
- Bathroom Requirements
- Certification Form for Licensed Health Care Professionals
(For Category B/C: admissions and change of level of care, including changing from Category B to A level of care) - Incident/Accident Report
- Involuntary Discharge guide and checklist
- Medication Aide Program
- Resident Agreement Guide and Checklist
- Resident Needs Assessment
- Safety Device - Consent Form
- Safety Device - One Daughter's Story
- Hospice Memo for Assisted Living
- Service Plan for Category A Assisted Living Residents
- Health Care Plan for Category B Assisted Living Residents
- Health Care Plan for Category B / C and A/C Assisted Living Residents
- Survey Tools:
- Printable Version of Minimum Standards for All Healthcare Facilities
- Printable Version of MCA for Hospitals and Related Facilities
- Printable Version of Montana Elder and Persons with Developmental Disabilities Abuse Prevention Act
- Printable Version of Administrative Rules of Montana for Assisted Living Facilities
- Printable Version of Administrative Rules of Montana for Restraint/Assistive Devices
Information for Providers
- Initial or Change of Ownership Critical Access Hospital Application
- Critical Access Hospital Application Letter
- Renewal Application
Statutes and Rules Governing Critical Access Hospitals
Information for Providers:
Statutes and Rules Governing End Stage Renal Dialysis Facilities:
Information for Providers:
Statutes and Rules Governing Group Homes for Developmentally Disabled or Physically Disabled
- Community Homes for Persons with Developmental Disabilities ARM'S
- MCA Community Homes for Persons with Developmental Disabilities
- Community Homes for Persons with Physical Disabilities ARM'S
- MCA Community Homes for Persons with Physical Disabilities
Additional Resources
- Tribal Court List (Tribal background checks, please contact the appropriate Tribal Court)
- Montana Criminal Records Background Check
Information for Providers:
- Initial Application Letter
- Initial or Change of Ownership Application for Home Health Agencies
- Renewal Application for Home Health Agencies
Statutes and Rules Governing Home Health Agencies
- Minimum Standards for All Healthcare Facilities
- 42 CFR 484.10-484.55- Federal Guidelines & Regulations
- eCFR
Additional Resources
Information for Providers:
- Initial Application Letter
- Initial or Change of Ownership Application for Home Infusion Therapy Agency
- Renewal Application
Statutes and Rules Governing Home Infusion Therapy Agency
Additional Resources
Information for Providers:
- Initial Application Letter
- Initial or Change of Ownership Application for Hospice
- Renewal Application
Statutes and Rules Governing Hospice Facilities
- Hospice Rules (37.106.37.106.2301 through 37.106.2311)
- Minimum Standards for All Health Care Facilities (37.106.301 thorough 37.106.330)
- Montana Elder and Persons with Developmental Disabilities Abuse Prevention Act
- Rights of Long-Term Care Facility residents MCA 50-5-1104
- Safety Devices in Long-Term Care Facilities MCA
- eCFR
Additional Resources
Information for Providers:
- Initial Application Letter
- Initial or Change of Ownership Application for Hospital
- Renewal Application
Statutes and Rules Governing Hospital
- MCA Regarding Hospitals and Related Facilities
- Construction and Minimum Standards for All Health Care Facilities
- Minimum Standards for a Hospital
- Federal Regulations
- eCFR
Additional Resources
Information for Providers:
- Initial Application Letter
- Initial or Change of Ownership Application for Infirmary
- Renewal Application
Statutes and Rules Governing Infirmaries
Information for Providers:
Statutes and Rules Governing Intermediate Care Facility for the Developmentally Disabled:
Information for Providers:
- Initial or Change of Ownership Skilled Nursing Facility Application
- Skilled Nursing Facility Application Letter
- Skilled Nursing Facility Renewal Application
Statutes and Rules Governing Long-Term Care Facilities
Information for Providers:
Statutes and Rules Governing Mental Health Facilities:
Information for Providers:
- Initial Application Letter
- Initial or Change of Ownership Application for Outdoor Behavioral Program
- Application Supplement - Staff Training
- Personal Statement of Health
- Release of Information for Background Check
- Tribal Court List (For Tribal background checks, please contact the appropriate Tribal Court)
Statutes and Rules Governing Outdoor Behavioral Programs:
- Outdoor Behavioral Program Statutes
- Mandatory abuse and neglect reporting
- Minimum Standards for Outdoor Behavioral Program Facilities
Additional Resources:
Information for Providers:
- Application Letter
- Initial or Change of Ownership Application for Outpatient Facility
- Renewal Application
Statutes and Rules Governing Outpatient Facilities:
Application Packet
- List of Private Alternative Adolescent Residential or Outdoor Programs (PAARP)
- Initial or Change of Ownership PAARP Application
- Application Supplement - Staff Roster
- New Hire Packet Letter
Statues and Rules Governing Private Alternative Adolescent Residential or Outdoor Programs
Application Packet:
- Initial or Change of Ownership Residential Treatment Facility Application
- Initial Application Letter
Statutes and Rules Governing Residential Treatment Facilities:
- Minimum Standards for all Health Care Facilities
- Montana Code Annotated for Health Care Facilities
- Montana Code Annotated for Treatment of the Seriously Mentally Ill
- Residential Treatment Facility (Psychiatric Residential Treatment Facility) Rules
- Additional requirements under 37.106.2202(1):
- Title 42 of the Code of Federal Regulations (CFR), part 411, subpart D
Information for Providers:
- Retirement Home Application Letter
- Initial or Change of Ownership Retirement Home Application
- Renewal Application
Statutes and Rules Governing Retirement Homes:
- Administrative Rules for Retirement Homes
- Minimum Standards for All Healthcare Facilities
- Montana Elder and Persons with Developmental Disabilities Abuse Prevention Act
- Rights of Long-Term Care Facility residents
- Food Service Establishment Act
- Water and Sewer Requirements
Other Resources:
Information for Providers
- Initial Application Letter
- Initial or Change of Ownership Specialty Mental Health Facility Application
Statutes and Rules Governing Specialty Mental Health Facility
Information for Providers:
- Residential/Inpatient Substance Use Disorder Facility Initial Application Letter
- Initial or Change of Ownership Application for Substance Use Disorder Facilities.
Statutes and Rules Governing Sub
- Hospital and Related Facility Statute
- Minimal Standards for all Substance Use Disorder Facilities
- Minimal Standards for all Health Care Facilities
Additional Resources
Youth Care Facilities in Montana
Application Packets:
- Initial or Change of Ownership Youth Group Home and Youth Shelter Care Application
- Initial or Change of Ownership Therapeutic Youth Group Home Application
- Initial or Change of Ownership Child Care Agency Application
- New Hire Packet
Fingerprint Background Check Flow Chart
Statutes and Rules Governing Youth Foster Care Facilities
- All Youth Care Facilities
- Child Care Agency
- Therapeutic Group Homes
- Mandatory Report of Child Abuse and/or Neglect
- Youth Residential Services
Interpretive Guides
A Youth Care Facility is a licensed facility in which substitute care is provided to youth. The Youth Care Facility types licensed by the Office of Inspector General are regular youth group homes, therapeutic youth group homes, shelter care facilities and child care agencies. Youth care facilities can serve children under the age of 18 years with the exception of youth participating in Montana Medicaid Programs. These youth can be served up to the age of 21 years.
A Youth Care Facility is required to have an initial and annual licensing survey. The surveys are completed prior to the initial license being issued and prior to the expiration date of the previous license.
Youth Care Facilities in Montana
Application Packets:
- Initial or Change of Ownership Youth Group Home and Youth Shelter Care Application
- Initial or Change of Ownership Therapeutic Youth Group Home Application
- Initial or Change of Ownership Child Care Agency Application
- New Hire Packet
Fingerprint Background Check Flow Chart
Statutes and Rules Governing Youth Foster Care Facilities
- All Youth Care Facilities
- Child Care Agency
- Therapeutic Group Homes
- Mandatory Report of Child Abuse and/or Neglect
- Youth Residential Services
Interpretive Guides
A Youth Care Facility is a licensed facility in which substitute care is provided to youth. The Youth Care Facility types licensed by the Office of Inspector General are regular youth group homes, therapeutic youth group homes, shelter care facilities and child care agencies. Youth care facilities can serve children under the age of 18 years with the exception of youth participating in Montana Medicaid Programs. These youth can be served up to the age of 21 years.
A Youth Care Facility is required to have an initial and annual licensing survey. The surveys are completed prior to the initial license being issued and prior to the expiration date of the previous license.
Youth Care Facilities in Montana
Application Packets:
- Initial or Change of Ownership Youth Group Home and Youth Shelter Care Application
- Initial or Change of Ownership Therapeutic Youth Group Home Application
- Initial or Change of Ownership Child Care Agency Application
- New Hire Packet
Fingerprint Background Check Flow Chart
Statutes and Rules Governing Youth Foster Care Facilities
- All Youth Care Facilities
- Child Care Agency
- Therapeutic Group Homes
- Mandatory Report of Child Abuse and/or Neglect
- Youth Residential Services
Interpretive Guides
A Youth Care Facility is a licensed facility in which substitute care is provided to youth. The Youth Care Facility types licensed by the Office of Inspector General are regular youth group homes, therapeutic youth group homes, shelter care facilities and child care agencies. Youth care facilities can serve children under the age of 18 years with the exception of youth participating in Montana Medicaid Programs. These youth can be served up to the age of 21 years.
A Youth Care Facility is required to have an initial and annual licensing survey. The surveys are completed prior to the initial license being issued and prior to the expiration date of the previous license.
Youth Care Facilities in Montana
Application Packets:
- Initial or Change of Ownership Youth Group Home and Youth Shelter Care Application
- Initial or Change of Ownership Therapeutic Youth Group Home Application
- Initial or Change of Ownership Child Care Agency Application
- New Hire Packet
Fingerprint Background Check Flow Chart
Statutes and Rules Governing Youth Foster Care Facilities
- All Youth Care Facilities
- Child Care Agency
- Therapeutic Group Homes
- Mandatory Report of Child Abuse and/or Neglect
- Youth Residential Services
Interpretive Guides