The functions that the Division of Licensing & Certification (DLC) perform for the Centers for Medicare & Medicaid Services (CMS) under the agreements in Section 1864 of the Social Security Act (the Act) are referred to collectively as the certification process.
DLC conducts certification, recertification, complaint, and revisit surveys for the following provider types:
DLC performs only complaint surveys at Federally Qualified Health Centers.
The functions that DLC perform under the authority of MRS 22 §1717, §1812-E, §1812-K, §2042, §2131, §2143, §2144, §2145, §2146, §2148, and §2150 are collectively referred to as the State Licensure Process.
Home Health Agencies/Home Health Care Services provide services to clients in their homes. These agencies must all be licensed by the State of Maine, but they have the choice of also being federally certified. Home Health Agencies are both licensed by the state and federally certified. Home Health Care Services are only licensed by the state.
To apply to be licensed, complete the appropriate application and submit with the required documentation and fees as detailed in the application form, and in the appropriate state regulations.
For Home Health Agencies that are State licensed and Federally certified or intend to be Federally certified:
For Home Health Agencies that are State licensed only and have no intention of being Federally certified:
Please use the following form to report changes within the licensing period. These changes may include, but not limited to, the following: agency name, physical address, mailing address, change in Program Director, addition of a branch(or branches), counties where services are being provided, email addresses, and/or telephone numbers.
For Home Health Agencies that are State licensed only and have no intention of being Federally certified:
Please use the following form to request a waiver of state regulations only.
For Home Health Agencies that are State licensed only and have no intention of being Federally certified:
End Stage Renal Disease Facilities provide dialysis care to individuals in kidney failure. These facilities must all be licensed by the State of Maine and federally certified.
To apply to be licensed, complete the appropriate application and submit with the required documentation and fees as detailed in the application form, and in the appropriate state regulations.
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) care for individuals with intellectual disabilities with a focus on active treatment services. These facilities must all be licensed by the State of Maine and federally certified.
To apply to be licensed, complete the appropriate application and submit with the required documentation and fees as detailed in the application form, and in the appropriate state regulations.
Ambulatory Surgical Centers provide same-day surgical care to patients. These centers must all be licensed by the State of Maine and federally certified.
To apply to be licensed, complete the appropriate application and submit with the required documentation and fees as detailed in the application form, and in the appropriate state regulations.
Hospice Agencies provide comfort and support to patients at end of life in their home or an approved inpatient setting. There are two types of Hospice Agencies: Hospice Agencies and Volunteer Hospice Agencies. Hospice Agencies must all be licensed by the State of Maine and federally certified. Volunteer Hospice Agencies must only be licensed by the State of Maine.
To apply to be licensed, complete the appropriate application and submit with the required documentation and fees as detailed in the application form, and in the appropriate state regulations.
Application for Hospice Agencies (excludes Hospice agencies that provide Volunteer Services only)
Application and Change Notice for Volunteer Hospice Programs only:
Rural Health Clinics provide primary care services to patients in rural communities. These clinics must all be federally certified.
Portable X-Ray Suppliers provide portable x-ray services under the supervision of a licensed medical provider who is qualified and trained in x-ray diagnostics. These suppliers must all be federally certified.
Outpatient Physical Therapy/Speech Pathology (OPT/SP) providers provide, at least, outpatient physical therapy or speech language pathology services that are designed to upgrade the physical functioning of individuals. There are three types of OPT/SPs: clinics, rehabilitation agencies, and public health agencies.
Federally Qualified Health Centers are community-based health care providers that receive funds from the Health Resources and Service Administration (HRSA) Health Center Program to provide primary care services in underserved areas. These centers must all be federally certified.
The Centers for Medicare & Medicaid Services (CMS) regulates all laboratory testing (except research) performed on humans in the U.S. through the Clinical Laboratory Improvement Amendments (CLIA). In total, CLIA covers approximately 260,000 laboratory entities. There are four CLIA certificate types:
Applications and Resources:
To become federally certified, you must do the following:
The provider must report the following changes to DLC:
These changes require a change in licensure or registration and must be reported to DLC with the applicable fee as outlined in MRS 22 §1723.
If the provider is federally certified, the applicable CMS-required form must be completed, as required by CMS, and submitted to the fiscal intermediary.
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