Long Term Care (LTC) Facilities
Licensing, oversight, and monitoring of Alaska LTC facilities
Overview
A long-term care (LTC) facility is a setting designed to provide extended care and support for individuals who have chronic illnesses, disabilities, or other conditions that require ongoing medical attention or assistance with daily activities.
LTC facilities are for people who require extensive health care services, including nursing, therapy, and assistance with daily living tasks. The facilities provide 24-hour medical care and supervision.
Who qualifies?
- LTC facilities are required to be licensed in the state of Alaska.
- LTC facilities that meet federal requirements (see Resources, below) may also be eligible for federal certification.
How to sign up
Initial licensing
If you are interested in obtaining an initial license, please complete the following steps:
- Complete LTC Licensing Application packet
- Pay the associated provisional licensing fee
- Provide an electronic copy of all policies and procedures
Submit all requested information to Health Facility Licensing and Certification. Your application will be reviewed by our unit staff. We will work closely with you to ensure your application meets all the licensing requirements, followed by an onsite inspection.
Provisional licensing fee: $1,000 + $125/bed
Licensing applicationHow to use
Renew your license
To renew your license please complete the LTC Licensing Application and pay the renewal fee. You must submit the required information to Health Facility Licensing and Certification before April 1 of even-numbered years.
Biennial renewal fee: $,2000 + $250 per bed
Renewal applicationModify your application
If the facility needs to modify previously approved applications, a modification application and associated fee must be submitted to Health Facility Licensing and Certification.
Relocation fee: $500
Increase bed fee: $125 per bed
Miscellaneous modification fee: $250
Modification applicationReport leadership change
If the facility has a change in administrative leadership, a Change of Leadership form needs to be completed and submitted to Health Facility Licensing and Certification.
No associated fee
Leadership change formResources
Electronic Plan of Correction
All Alaska Medicare-certified LTC facilities are required to use the ePOC system to receive their statements of deficiency and send their plans of correction. Facilities that do not have users signed up to use ePOC risk being out of compliance.
Civil Money Penalty
A Civil Money Penalty (CMP) is a monetary penalty the Centers for Medicare & Medicaid Services (CMS) may impose against LTCs for either the number of days or for each instance an LTC is not in substantial compliance with one or more Medicare and Medicaid participation requirements.
A portion of CMPs collected from LTCs is returned to the states in which CMPs are imposed. More information about CMP funds and projects in Alaska funded by CMP funds is on the CMPRP website.
- The CMPRP website contains many resources and downloads that include:
- CMP Reinvestment Application Resources
- CMP Reinvestment Website Frequently Asked Questions
- Allowable and Non-Allowable Uses of CMP Funds
- Ideas for CMP projects/Toolkit Resources
Statutes and regulations
The following statutes and regulations apply to licensed ASCs in the State of Alaska.
- Criminal Background Check 7 AAC 10.900 – 990
- General Variance Procedures 7 AAC 10.9500 – 9535
- Inspections and Investigations 7 AAC 10.9600 – 9620
- Ambulatory Surgical Centers 7 AAC 12.350 - 370
- General Provisions 7 AAC 12.600 – 990
- Licensing Statute AS 47.32.010 - 900
In order to participate in Medicare, an LTC facility must meet federal requirements and be separately certified and approved. Federal requirements for an LTC facility are outlined in the Code of Federal Regulations (CFR). A list of specific regulations that apply to each facility type can be found in the Medicare State Operations Manual Appendix.
Medicare State Operations Manual Appendix