License Fees

Initial Fees

All new residential and non-residential facilities are required to pay an initial licensing fee as per N.C. General Statute 131E-272. This statute became effective August 14, 2009.

Please submit the licensure fee with your application. Do not submit the construction fee. Our Construction Section will bill you for the applicable fee prior to conducting their site visit.

The following is a table that includes the types of facilities we license, the amount of the required initial licensure fee, the base fee and the per bed fee.

Type of FacilityNumber of BedsBase FeePer-Bed Fee
Facilities (non-ICF/IID) 6 or fewer beds $350.00$0
More than 6 beds $525.00 $19.00
ICF/IID Only* 6 or fewer beds $900.00$0
More than 6 beds $850.00 $19.00
Non Residential 0 $265.00$0

*ICF/IID: Intermediate Care Facility for Individuals with Intellectual Disabilities, a specialized Medicaid facility requiring a Certificate of Need from the DHSR Certificate of Need Section.

Construction Fees

In addition to the license fee, the DHSR Construction Section has a one-time, per project fee to review the physical plant requirements. You will receive an invoice from the Construction Section for the appropriate fee. The following is a list of fees:

Type of Facility Number of Beds Project Fee
Non-ICF/IID Facilities 1-3 $125.00
Non-ICF/IID Facilities 4-6 $225.00
Non-ICF/IID Facilities 7-9 $275.00
ICF/IID Group Homes 1-6 $350.00
Other Residential 10 or more $275 + $.15/square foot project space

Annual Fees

All licensed facilities, residential and non-residential are required to pay an annual licensing fee. N.C. General Statute 122C-23 (PDF, 18 KB):

The annual fee amount also applies to Change of Ownership applications.

The following is a list of types of facilities that require an annual fee, including the base fee and the per bed fee.

Type of Facility Number of Beds Base Fee Per-Bed Fee
Facilities (non-ICF/IID) 6 or fewer beds $305.00 $0
More than 6 beds $475.00 $17.50
ICF/IID Only* 6 or fewer beds $845.00 $0
More than 6 beds $800.00 $17.50
Non Residential 0 $215.00 $0

*ICF/IID: Intermedicate Care Facility for Individuals with Intellectual Disabilities, a specialized Medicaid facility requiring a Certificate of Need from the DHSR Certificate of Need Section.

Contact Information

Please contact the Mental Health Licensure and Certification Section Raleigh 0ffice at 919-855-3795, or Asheville office at 828-681-9898, for any questions or for questions concerning the licensing process. For any questions for our Construction Section, they may be reached at 919-855-3893.