| Nursing Home Administrator Fees |
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| Applications |
| License (including by reciprocity) |
$100 |
| Provisional License |
$50 |
| AIT Registration |
$100 |
| Preceptor Registration |
$100 |
| Examinations |
| State examination |
$125 |
| Licensure |
| Administrator License (including by reciprocity) |
$130 (valid for one year) |
| Provisional License |
$50 (valid for six months) |
| Renewal of Administrator License |
$130 (valid for one year) |
| Administrative Fees |
| Delinquency (for each year in inactive status, up to three years) |
$50 |
| Replacement of license, including name change |
$25 |
| Affidavit of Licensure |
$50 |
| Non-sufficient funds |
$25 |
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Application/Information Packet (includes state laws and administrative rules)
$10
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Request a Document
via e-mail
Application forms and Laws and Rules are available for download.
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