Official Nebraska Government Website
Official Nebraska Government Website
Nebraska Department of Health and Human Services

DHHS Licensure — Long-Term Care Facility License Renewal

A completed renewal form with authorized signatures and the required documentation listed below must be attached with your payment.

After attaching the renewal documents, click on “Make Payment” to proceed to PayPort and complete the renewal submission.

  1. Credit/debit card OR checking account and routing information will be required.
  2. A small transaction fee will be added to your payment. For some payments, selection of eCheck will give you a discount on your transaction fee.
  3. We will email a receipt to the email address you provide. You may also print a receipt when the transaction is done.

Required attachments for all renewals - Total file size for all files cannot exceed 17 MB. Pdf, doc, docx, jpg, png, gif, and tiff formats are preferred.

Required attachments, if applicable to the facility

Download the necessary form here.

Download the necessary form here.

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