- Administrative Workers' Compensation Act, Title 85a of the Oklahoma Statutes, as applicable to the Certification of Workplace Medical Plans
- Administrative Rules of the Oklahoma Worker's Compensation Commission, Title 810 of the Oklahoma Statutes, as applicable to the Oklahoma Worker's Compenstation Commission
- Certified Workplace Medical Plans Rules
Health Facility Systems
This office processes licenses and renewals for:
- Adult Day Care Centers
- Assisted Living Centers
- Continuum of Care Facilities
- Nursing Facilities
- Residential Care Homes
- Specialized facilities for people with intellectual disabilities or Alzheimer’s
Health Facility Systems also manages certificate of need regulations for nursing facilities and specialized facilities.
Quick links to:
Alzheimer's Disease or Related Disorders Special Care
Before a long term care facility may offer care or treatment as a special care provider, each provider shall file a standardized disclosure form with the Department.
The Facility Types, Counties, Names, and their associated PDFs have been moved to BOX folders.
The Alzheimer-Dementia Disclosure Act Advisory Council is authorized by House Bill No. 1794. The council shall consist of nine (9) members appointed by the State Commissioner of Health. The members shall be individuals who have knowledge and expertise in the field of memory care or individuals who are consumer representatives directly impacted by memory care services.
Members
| NAME | POSITION | TERM DATES |
| Denise Hawkins | Chair | |
| Lisa Molinsky | Vice Chair | |
| Sheree Martin | Secretary | |
| Mary Brinkley | Member | |
| Mike Charboneau | Member | |
| Melissa Holland | Member | |
| Annette Mays | Member | |
| Dr. Germaine Odenheimer | Member | |
| VACANT |
Services
The council makes recommendations to the State Commissioner of Health regarding the disclosure form and rules promulgated pursuant to the Alzheimer’s, Dementia, and Other Forms of Dementia Special Care Disclosure Act.
Advisory Council Meetings
2025 Meetings
| DATE | TIME | LOCATION | AGENDA | MINUTES |
Feb. 25, 2025 CANCELLED |
1:30 PM | OSDH 123 Robert S. Kerr Ave. Oklahoma City, OK 73102 |
Agenda | No quorum |
Closure Report
2026 Facility Closures
Directory of Facilities
Fees, Laws and Rules
Fees
- Initial License Fee: $75 (180-day license)
- Renewal License Fee: $225 ($75 per year) x (3 years)
Laws and Rules
- Adult Day Care Act
- Adult Day Care Center Rules, Chapter 605
Fees
- Initial License Fee: 180 days (number of beds) x ($10) x (0.5)
- Renewal License Fee: (number of beds) x ($10) x (3 years). An additional fee of Seventy-five Dollars ($75) shall accompany a facility that includes an adult day care service
- Establishment Fee: Up to $1,000
Laws and Rules
Fees
- Initial License Fee: 180 days (number of beds) x ($10) x (0.5)
- Renewal License Fee: (number of beds) x ($10) x (3 years)
Laws and Rules
Fees
- Probationary Licenses $50
- Renewal Licensure Fee: ($25) x (3 years)
- Modification to License: $20
Laws and Rules
Licensure Forms
All Long-Term Facility Licensure Forms
- Adult Day Care License Application: ODH Form 712
- Assisted Living Center or Continuum of Care Facility License application: ODH Form 624 (initial/establishment/amended)
- Assisted Living Center or Continuum of Care Renewal License application: ODH Form 624 R
- License Application For Nursing or Specialized Facility: ODH Form 953-A
- License Application for Residential Care Home: ODH Form 728
- Disclosure Statement Of Owner, Lessee and Manager for a Long-Term Care Facility: ODH Form 953-B
- Detail Attachment To the Disclosure Statement: ODH Form 953-C
- Affirmation Attachment To the Disclosure Statement: ODH Form 953-D
- Staffing Projection And Professional Certification For A Nursing Or Long-term Care Facility: ODH Form 953-E
- Periodic Report for Suspended License for a Long-Term Care Facility: ODH Form 953-F
- Qualified Temporary Manager Application: ODH Form 661
- Notice of Change for All Facility Types: ODH Form 958
- Schedule B Long Term Care Facilities Projected Budget of Revenues and Expenses
- Resident Needs Chart
- Affidavit of Lawful Presence by Person Making Application for a License, Permit or Certification: ODH Form 301
- *Required for an applicant applying for a license as an individual.
- Affidavit of Lawful Presence by Guardian of Person Making Application for a License, Permit or Certification: ODH Form 266
Managed Care Systems
Workplace Medical Plan Certification
Certified workplace medical plans contract with insurers and employers to provide health and medical services for work-related injuries.
- Workplace Medical Plan, ODH Form 621
- Certified Workplace Medical Plan Complaints, ODH Form 945
- List of Certified Workplace Medical Plans
Nursing Home Certificate of Need
- New construction: $3,000
- Acquisition: Up to $5,000 (0.5 percent of the capital cost of project with maximum fee of $5,000)
- Certificate of Need exemption fees: $100
- Disclosure Statement ODH Form 614
- Standard Review ODH Form 615, Document 1 of 2
- Schedule A&B ODH Form 615, Document 2 of 2
- Certificate of Need Application for Exemption of a Management Agreement ODH Form 812
- Certificate of Need Application for Exemption of Facility Replacement or Relocation ODH Form 371
- Certificate of Need Application for Review of Change of Ownership or Stock Transfer ODH Form 372
- Certificate of Need Application for Exemption of a Ten Bed or Ten Percent Expansion of Licensed Capacity ODH Form 372-B
- Facility Acquisition ODH Form 618-N
- Management's Written Statement ODH Form 618-N
- Applicant’s Written Statement ODH Form 618-N
- Staffing Projections ODH Form 953-E
- Projected Budget of Revenues and Expenses (Schedule B)
- Applicant and Persons with Controlling Interest ODH Form 614 – Table I
- Related Legal Entities ODH Form 614 - Table II
- Disclosure for Experience or Credentials Relating to LTC facilities ODH Form 614 -Table III
- Affirmation Attachment Statement ODH Form 953-D
The Notice
2026
The June 1, 2004 edition of "The Notice" was the last to be mass-mailed on paper by the Oklahoma State Department of Health. Section 8 of Enrolled House Bill 2723 [O.S. § 1-85731(B)] changed the distribution method for Certificate of Need status reports. The amended law requires posting the monthly notice to the Oklahoma State Department of Health Internet site. "The Notice" was mailed monthly in Oklahoma for more than 25 years. The change allows distributing the Certificate of Need project information in a less costly and more timely manner via the Internet. "The Notice is now distributed exclusively through the Oklahoma State Department of Health Internet site.
Reports
Uniform Credentialing Application
Contact Information
Mailing Address:
Oklahoma State Department of Health
Health Facility Systems
P.O. Box 268823
Oklahoma City, OK 73126-8823
Physical Address:
Oklahoma State Department of Health
123 Robert S. Kerr Ave.
Oklahoma City, OK 73102-6406
Phone: (405) 426-8175
Fax: (405) 900-7571
E-mail: HealthResources@health.ok.gov
