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DPBH

Licensing Checklist for Medication Unit (MED)

Licensure Application Information

The link below will take you to the system where you can create an account to apply for a new facility or a Change of Ownership (CHOW).

If you already have an existing license and you are just making a change to your license, you can use this system to apply for any of the following:

  • Change of Administrator
  • Change of Name (facility name only)
  • Change in Corporate Personnel

and more...

Checklist for Initial (new facility) or CHOW Licensure Applications

For all initial/CHOW licensure applications the following items are required to be uploaded to your application:

  • Resume for the Administrator
    • Must list and match the administrator's name provided in your application.
  • Provide a Copy of Current Elder Abuse, Neglect, and Exploitation Training for the Administrator
  • Must have proof of CERTIFICATION BY THE SAMHSA (Substance Abuse and Mental Health Services Administration).
    • DPBH will need evidence that the facility has submitted an application to SAMHSA.
  • Must have proof of EVIDENCE of A D.E.A. APPLICATION
  • Must have proof of EVIDENCE of REGISTRATION WITH STATE BOARD OF PHARMACY
  • Must have proof of the STATE OPIOID TREATMENT AUTHORITY (SOTA) APPROVAL