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Hospice Services
Renewal License

Hospice licenses expire on June 30th of each year.

Renewal process:  Notice of renewal is sent to the licensee’s preferred mailing address no later than 30 days prior to the expiration date. To renew a license you must submit the: 

  • Completed Renewal Application: The applicant must submit a completed Licensure Renewal Application and the following information and documentation as required in PDF File 175 Nebraska Administrative Code (NAC) 16, Section 003.02A. If there are changes in information from the previous license application, complete the application with the current information including the date the change became effective. For a renewal application, please call 402-471-4967.
  • Required licensure fee specified in 175 NAC 16, Section 004.10.
  • List of names and addresses of all persons in control of the hospice. The list must include all individual owners, partners, limited liability company members, parent companies, and members of boards of directors owning or managing the operations and any other persons with financial interests or investments in the service. In the case of publicly held corporations, the individual owners listed must include any stockholders who own 5% or more of the company’s stock.
  • Signatures of:
    a. The owner, if the applicant is an individual or partnership;
    b. Two of its members, if the applicant is a limited liability company;
    c. Two of its officers, if the applicant is a corporation;
    d. The head of the governmental unit having jurisdiction over the
    to be licensed, if the applicant is a governmental unit;

Licensure Renewal Requirements for Inpatient Hospice Facilities: For Addendum to Licensure Renewal Application, click here.

Final notice: Renewals not postmarked or received by the Department on June 30th will be sent a final notice. If a renewal is not received by August 1 the license will be placed in lapsed status. PDF File 175 NAC 16, Section 003.02B. During lapsed status the hospice may not operate until the license has been reinstated.

Refusal to renew: The Department can refuse to renew a license. 175 NAC 16, Section 008.

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