How to obtain a state license for your Home Health Business?

Prepared by 21st Century Health Care Consultants - A Nationwide Company with 17 Years of Experience in the Licensing and Certification of Home health Care Agencies

Starting a home health business is a demanding task. Legal registration and permits for running the business are required, but the most demanding item is the submission of the required state application and preparation for the subsequent state license inspection. The owner also needs to plan out the services that are offered by the home health business for needing patients or the elderly.

Hiring a Home Health Care Consultant

Consider hiring a Home Care Consultant that is knowledgeable about setting up home health care agencies in your state. A good consultant can simplify the process and can expedite the licensing process, assure that you pass the state license inspection, train your personal on how to operate the agency and develop all the manuals that you will need in order to comply with state and federal laws.

21st Century Health Care Consultants prepares all license applications for its clients. It will typically provide a three hole binder which will include the license application itself and all required attachments an index will be provided as the front cover and the book in its entirety will be mailed to the client who will sign where indicated, attach a check for the license fee and mail the book in its entirety to the state authority. This approach organizes the application package for the person reviewing it and avoids the possible misplacement of documents by the person reviewing the application. Since 21st Century Health Care Consultants adopted this method the percentage of immediate approvals, without the need for corrections has increased to 90%.

The content of the licensure applications varies from state to state but there are always three common components:

  • Proof of agency authorization must be provided
  • Criminal Checks must be conducted, and
  • Proof must be provided that key staff members (typically, Administrators and Director(s) of Nursing) are qualified under state regulations.

The amount of proof and the number of forms that states require to substantiate items 1-3 above varies greatly from state to state. Hence applications may be as short as five pages or as long at 55 pages.

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Unless an applicant fails to sign the application or fails to provide the required fee, the application will not be sent back to the applicant. Instead, if the application is not filled out properly a letter of corrections or omissions will be sent to the applicant and the applicant will be given anywhere from 15 days to 30 days to make the corrections. If the state is not satisfied with the response the application will then be rejected.

The most common reason for an application rejection is that the state determines that either an Administrator or a Director of Nursing is not qualified to hold their positions. 21st Century Health Care Consultants will not allow a license application to be submitted unless we are certain that the staff members qualify.

Every state that requires a license application will also require a license inspection that will either be conducted by its own inspectors or by an Accrediting body. Eighteen states at present require that the licensure inspection take place before a license is issued. All other states will issue a provisional license or what is in effect a provisional license and then follow it up with an inspection visit.

The Chart below provides the following information: Whether or not license applications are accepted, what services can be provided under your license, whether a state application is required and if the license inspection takes place before or after a license is issued.

PUBLIC INFORMATION CONTACT LIST

(Please be advised that as the information below relates to Public Information you will need to advise the individual who answers that you are seeking licensure information so you can be directed to the right party)

StatesApplication RequiredPrograms AcceptedLicense Inspection
AlabamaCertificate of Need
AlaskaYesPrivate Duty, Medicare, MedicaidAfter Licensure
ArizonaYesPrivate Duty, Medicare, MedicaidAfter Provisional License
ArkansasCertificate of Need
CaliforniaYesPrivate Duty, Medicare, Med-CalPrior to license, by State
ColoradoYesPrivate Duty, Medicare, Med-CalPrior to license, by State
ConnecticutYesPrivate Duty, Medicare, Med-CalPrior to license, by State
DelawareYesPrivate Duty, Medicare, Medicaid
FloridaYesPrivate Duty, Medicare, MedicaidPrior to license, by accrediting body
GeorgiaYesPrivate Duty (Nursing Only)Within 1 year after license
HawaiiCertificate of Need
IdahoYesPrivate Duty (Nursing Only)Desk Inspection -no visit- before licensure
IllinoisYesPrivate Duty, Medicare, MedicaidPrior to license, by State
IndianaYesPrivate Duty, Medicare, MedicaidWithin 90 days after provisional license
IowaNoPrivate Duty, Medicare, MedicaidNone
KansasYesPrivate Duty, Medicare, MedicaidNone
KentuckyCertificate of Need
LouisianaCertificate of Need
MaineYesPrivate Duty, Medicare, MedicaidAfter License issued
MarylandYesPrivate Duty, MedicaidPrior to license, by State
MassachusettsNoPrivate Duty, Medicare, MedicaidNone
MichiganNoPrivate Duty, Medicare, MedicaidNone
MinnesotaYesPrivate Duty, Medicare, MedicaidPrior to license, by State
MissouriYesPrivate Duty, Medicare, MedicaidPrior to license by accrediting body
MississippiCertificate of Need
MontanaCertificate of Need
NebraskaYesPrivate Duty, Medicare, MedicaidPrior to license, by State
NevadaYesPrivate Duty, Medicare, MedicaidPrior to license, by State
New HampshireCertificate of Need
New JerseyYesPrivate Duty, MedicaidAfter License issued
New MexicoYesPrivate Duty, Medicare, MedicaidPrior to license, by State
New YorkYesPrivate DutyPrior to license, by State
North CarolinaCertificate of NeedPrivate DutyPrior to license, by State
North DakotaYesPrivate Duty, Medicare, MedicaidPrior to license, by State
OhioNoPrivate Duty, Medicare, MedicaidNone
OklahomaYesPrivate Duty, Medicare, MedicaidPrior to license, by State
OregonYesPrivate Duty, Medicare, MedicaidPrior to license, by State
PennsylvaniaYesPrivate Duty, Medicare, Medicaid2-3 months after license
Rhode IslandCertificate of Need
South CarolinaCertificate of Need
South Dakota
TennesseeCertificate of Need
TexasYesPrivate Duty, Medicare, MedicaidRequired six months after license
UtahYesPrivate Duty, Medicare, MedicaidPrior to license
VermontCertificate of Need
VirginiaYesPrivate Duty, Medicare, MedicaidAfter License issued
Washington, D.C.Certificate of Need
WisconsinYesPrivate Duty, Medicare, MedicaidAfter Provisional license issued
WyomingYesPrivate Duty, Medicare, MedicaidAfter Provisional license issued
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