Notice
The Business Analysis & Applications Unit (BAAU) is currently processing license applications received in September 2023. If you have questions, please contact BAAU at BAAU@dshs.wa.gov
The Business Analysis & Applications Unit (BAAU) is currently processing license applications received in September 2023. If you have questions, please contact BAAU at BAAU@dshs.wa.gov
During the application process, we communicate with applicants by email. Please make sure you check your spam or junk folder to avoid missing important messages.
All requirements in WAC 388-76-10060 and WAC 388-76-10057 must be met prior to an application being submitted to the Department. Applications submitted without the required items listed in these WAC(s) will not be accepted by the Department.
Effective January 1, 2024, the Department provided Orientation class will no longer be required. AFH license applicants applying through December 31, 2023 must complete the orientation class. For more information see WSR 23-19-016. An informational slideshow detailing the initial inspection process will be available here after January 1, 2024.
During the application process, we communicate with applicants by email. Please make sure you check your spam or junk folder to avoid missing important messages.
The following are needed prior to applying for a license and/or contract:
Federal Employer Identification Number (EIN) - A copy of the IRS SS-4 form showing the assigned EIN number will be accepted as verification an EIN was obtained. For more information on EINs, visit https://www.irs.gov/
Unified Business Identifier (UBI) - A copy of the Washington State business license showing that the trade name has been registered with the Department of Revenue. For more information on UBIs, visit https://dor.wa.gov/open-business/apply-business-license
Certificate of Incorporation or Certificate of Formation issued by the Secretary of State. For more information on this registration, visit https://www.sos.wa.gov/corporations-charities
During the application process, we communicate with applicants by email. Please make sure you check your spam or junk folder to avoid missing important messages.
Notice for Change of Ownership (CHOW) Applicants: In order for licensees to remain in compliance with federal and state regulations (42 CFR 489.18 and WAC 388-97-4280), the applicant must complete the state CHOW application process prior to transferring ownership of the nursing home business enterprise to another party. The effective date of the CHOW for State Licensing and Medicare/Medicaid purposes will be the Bill of Sale date or the Transfer of Operations Agreement date (whichever applies).
Effective immediately, the street address for submissions to be delivered via Federal Express or United Parcel Service is:
4450 10th Ave SE
Lacey, WA 98503
Nursing Home Facility License Application (DSHS 10-670)
Notice for Change of Ownership (CHOW) Applicants: In order for licensees to remain in compliance with federal and state regulations (42 CFR 489.18 and WAC 388-97-4280), the applicant must complete the state CHOW application process prior to transferring ownership of the nursing home business enterprise to another party. The effective date of the CHOW for State Licensing and Medicare/Medicaid purposes will be the Bill of Sale date or the Transfer of Operations Agreement date (whichever applies).
Download the following individual forms or informational handouts by clicking on the corresponding link:
If you are unable to view these documents online or require materials in hard copy format, please contact the Residential Care Services Business Analysis and Applications Unit at (360) 725-2420.
If you have difficulty printing these documents, please read the Print Troubleshooting Guide.
During the application process, we communicate with applicants by email. Please make sure you check your spam or junk folder to avoid missing important messages.
If you are interested in becoming a licensed ESF, Residential Care Services (RCS) and HCS will meet with you to outline the process and provide ongoing assistance as you develop your plan for licensing. Request an information meeting by contacting HCS Residential Support Program Manager Sandy Spiegelberg, (360) 725-2576 or sandra.spiegelberg@dshs.wa.gov
Once you are ready to apply for a license and/or contract: