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THE AGENCY START UP PROCESS

NON-MEDICAL HOME CARE - STATE LICENSED HOME HEALTH - MEDICARE CERTIFIED + ACCREDITED

Solutions to get your agency up and running in all 50 states in the shortest amount of time.

Tried & Trusted by over 1500 agencies nationwide.

Keep in mind that this is a very general idea on how to start an agency.  Each state is different and some things may vary. Some states require a survey before you get your license and some states after.

We guide you through this if needed. We also have state specific info for all types of agency on this website -  so please keep reading.

 

1) AGENCY BUSINESS & NAME

We recommend obtaining your agency license in the name of a corporation (without is OK too - it is not necessary). New tax cuts in 2018 give you another reason to incorporate though.

 

2) AGENCY LOCATION & PHONE

You need a physical Agency Address. Some states allow you to run your agency from your own home which is a money saver for initially starting your agency.

3) OBTAIN YOUR STATE REGULATIONS

You will find the regulations at your State Home Health or Home Care Licensing Departments Website.You will also find the qualifications for your Administrator & or the Clinical Manager/Director of Nursing or Supervisor.

Requirements are different depending on your state and type of agency. We have information on all the state department requirements.  In some states your not required to get an actual Home Care license, for non- medical services. Using tried and tested systems that over 1500 agencies use - is still important to stay in compliance with other state + federal laws.

Click on one of the three agency type buttons to go to the page where you can get your state information - using the interactive map

4) OBTAIN AND COMPLETE YOUR STATE APPLICATION

You will find the application at your State Home Health or Home Care Licensing Departments Website or you may have to request it. Click one of the ageny type buttons to go to an interactive map to get this information.

You Need Qualified Individuals for your Agency. More info

  • Non-Med Home Care: Administrator/Manager & or a Supervisor
  • Medicare Certified: Administrator & Director of Nursing/Clinical Manager
  • Licensed Home Health: Administrator & Director of Nursing

 

Click here if you need our help with completing your state license application

 

5) REQUIRED DOCUMENTATION FOR STATE LICENSE

We can provide you with all the compliance documentation that is requested by your state (mainly Policies & Procedures + Job Descriptions at first). We have a Free Evaluation of the the complete Start-Up Pack for you to download today! Free & Easy Payment Plans also available if you decide to purchase.

The Compliance Documentation is Customized with your State & Agency Information by us or it is also available as a more affordable Templates version. *Important - Documentation is required to be in State & Federal Compliance.

Look at our full range of products by selecting the type of agency

NON-MEDICAL HOMECARE POLICY & PROCEDURE MANUALS, FORMS & START-UP PACKS

theboxpas
PRODUCTS FOR
Personal Assistance Services
Non-Clinical/Non Medical &
Home maker Services
Unlicensed & State Licensed
NON CLINICAL SERVICES
Companionship, Shopping, Dressing
Medication Reminders, Toilet Assistance
bathing, Meal Preparation, Grooming
Housekeeping,  Bill Paying
and Garden/Lawn Care
PAYMENT SOURCES
New 2019/20 Medicare Advantage
Private Duty, Private Pay
Some Long Term Care Insurance
State Programs & Medicaid Waiver

STATE LICENSED HOME HEALTH POLICY & PROCEDURE MANUALS, FORMS & START-UP PACKS

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PRODUCTS FOR
Home Health Agencies
Clinical Services (but will not
bill Medicare) & will work
with other payment sources
CLINICAL SERVICES
Skilled Nursing, Home Health Aide,
Speech Therapy, Physical Therapy,
Occupational Therapy, IV Therapy,
Psychiatric Services,  Dietitian
and Medical Social Worker
PAYMENT SOURCES
Private Duty, Private Pay
Some Long Term Care Insurance
State Programs & Medicaid Waiver

STATE + MEDICARE + ACCREDITED POLICY & PROCEDURE MANUALS, FORMS & START-UP PACKS

theboxlcac
PRODUCTS FOR
Home Health Agencies
will bill Medicare (will need
Certification) and
accept other payment sources
CLINICAL SERVICES
Skilled Nursing, Home Health Aide,
Speech Therapy, Physical Therapy,
Occupational Therapy, IV Therapy,
Psychiatric Services,  Dietitian
and Medical Social Worker
PAYMENT SOURCES
Medicare, Medicaid, Private Pay
Some Long Term Care Insurance
State Programs & Medicaid Waiver

6) YOU RECEIVE YOUR STATE LICENSE. YOU NEED TO HAVE YOUR AGENCY  DOCUMENTATION PREPARED FOR A SURVEY

(YOU ARE SURVEYED BEFORE GETTING THE LICENSE IN SOME STATES)

You can now admit Clients or patient’s & if you want you can bill for Self-Pay, and look into Some Insurance Companies, and Some State Medicaid Waiver Programs for reimbursement.

Note: Some select states also require home health agencies to obtain a certificate of need.

A few states don't require licensing for non-medical home care. It is still important for your new business to have tried and tested systems that can eliminate legal problems, increase efficiency and present a professional image.  There are other State and Federal laws that need complying with too that need documenting.

BELOW ARE THE ADDITIONAL STEPS THAT MEDICARE CERTIFIED AGENCIES ALSO NEED TO COMPLETE

If your want to bill Medicare or Medicaid then you will need to obtain a National Provider Identifier (NPI) Number https://npiregistry.cms.hhs.gov

1) * ACCREDITATION Optional in some states & NO Option in various states. *(Depends upon states work load and Federal rules etc.)

Call your state Licensing Department to find out the latest information. Ask if you have a choice on having to go accredited or not.

If you have to go through an Accreditation Organization like ACHC or CHAP, you would contact them at this time to start their process and to get ready for their survey. ACHC is the most popular with our clients because it has less documentation involved, the organization seems easier to work with and more affordable.

2) NOW COMPLETE YOUR FEDERAL APPLICATIONS

THE CMS-855A FEDERAL APPLICATION

THE CIVIL RIGHTS APPLICATION

We sell Application Templates that walks you through the steps for the complex - Civil Rights Application.

  • We sell our Civil Rights Sample Application Template with Instructions, Required Inserts, Policies, and Sample Brochure. $395

ONCE YOUR CMS-855A & YOUR CIVIL RIGHTS APPLICATIONS ARE APPROVED

3) YOU ADMIT 10 PATIENTS

You must have at least Seven (7) Active Patient’s once the Surveyor walks through the door.

4) THEN YOU WOULD CALL FOR SURVEY

The Surveyor will review the agency’s Employee and Patient Records, All agency documentation: Policies, Procedures, Forms, Systems, Patient Admission Pack and other agency documentation.

5) WHEN YOU PASS YOUR SURVEY

YOU WILL RECEIVE YOUR TEMPORARY ID NUMBER

YOU ALSO RECEIVE INSTRUCTIONS

You will receive instructions on how to access the (HAVEN/JHAVEN) Oasis Software to conduct a Test Transmittal. There is an Oasis Help Desk Hotline Number that will come with your instructions.

6) YOU’LL BE SENT A LETTER:

CONFIRMING YOUR MEDICARE CERTIFICATION

ALONG WITH YOUR MEDICARE CERTIFICATION NUMBER

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