Table of Content
Copy of any and all current government-issued business licenses for each office location; this may include state, county, or city licenses. Pursuant to Chapter , HAR, an initial licensure fee of $1,200 is due prior to issuance of the new license. Nursing services or other clinical professional services normally provided by home health agencies or private duty nursing services. Copy of any and all current government issued business licenses for each office location; that may include state, county, or city licenses. With the required qualified personnel (administrator/supervisor), nursing supervisor, and alternatives to satisfy the requirements in obtaining a home care license.

The term Home Care Agency does not apply to an individual, including an individual who is incorporated as a business or is a volunteer. The primary reason home care licensure applicants are not approved for licensure is because they do not understand and/or comply with the initial survey checklist and/or NC licensure rules. It should be noted these are minimal requirements and failure to comply with them may result in delay of licensure for the applicant. Therefore, it is recommended that applicants be prepared for the initial survey in order to achieve the anticipated approval.
Notice of Nondiscrimination
After review and acceptance of the application materials, the department’s Office of Investigation and Inspection will contact the applicant and schedule an initial survey. Applicants must pass the survey process in order for their license to be issued. After review and acceptance of the application materials, the department's Office of Investigation and Inspection will contact the applicant and schedule an initial survey. Home Care Agency is defined as a public or proprietary agency, a private, nonprofit organization, or a subdivision of an agency or organization, engaged in providing home care services to clients in their residence.
Please notify the department of changes as they occur at the agency. Copy of In-home Services Orientation Class “certificate of completion.” Applications will not be processed unless a certificate of completion has been submitted. These services must be pre-approved for each patient by the local Department of Social Services or the New York City Human Resources Administration .
Applications & Forms
Resources on this page provides links to applicable rules and regulations, relevant forms for licensees and applicants and steps that must be followed to obtain a license for a home care agency in North Carolina. The Incident Report Form is for health care facilities to notify the Indiana Department of Health of a reportable incident pursuant to the IDOH Reportable Unusual Occurrence Policy. The Incident Report Form is also for health care facility staff to report a reasonable suspicion of a crime against a resident pursuant to Federal regulations.

Completedin-home services application , along with the initiallicensing fee. This information is provided by the Washington State Department of Health. For more information on home care agencies, including fees and orientation classes, pleasevisit their website. A description of how the agency will provide management and supervision of home health services throughout all requested service areas.
Program Information and Policies
We take pride in our accuracy and in a short period of time you will see approval of your home care agency license. 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. For the federal Medicare-certified hospice agency application, continue on tothe Department of Health’s website.

The owner also needs to plan out the services that will be offered by the Home Health Care Agency. Information on the registry for home health aides, certified nurse aides, and qualified medication aides. Review all applicable information PRIOR to submission of application to the Department. Select a topic below for instructions on how to submit the change to the department.
This law is intended to promote consumer protection for elderly and disabled individuals who hire private aides to come into their homes and provide assistance with activities of daily living. The Office of Health Care Assurance performs all state licensing activities on healthcare facilities, agencies and organizations in Hawaii. This includes conducting all on-site state licensing surveys or inspections and Medicare certification surveys or inspections on behalf of the U.S. To apply for an initial license to operate a home health agency complete the “APPLICATION FOR LICENSE TO OPERATE A HOME HEALTH AGENCY” and submit with $250.00 licensure fee and other required information to the Indiana Department of Health.
In addition, all licensed Home Care Agencies are subject to unannounced inspections to ensure safe levels of care in the recipient’s home. Include proof of previously owning and operating a home care agency OR include proof of completion of home care provider training. Include the appropriate fee (Payment should be in the form of a check, money order or certified check and must be payable to the N.C. Division of Health Service Regulation).
An email will be sent to the applicant requesting the policies, procedures, and personnel documents. A description of the agency's organizational structure listing, for example, the names of the officers, administrator, direct care supervisor, and other key positions. The next step is the state will visit your location and conduct a licensing survey. Our licensing specialist will be available to review resumes to identify qualified personnel assuring this part of the licensing approval process. Did you know that all of our 10 Registered Nursing Consultants are certified Medicare accreditation surveyors through the Community Health Accreditation Partners.

Review the North Carolina rules governing the licensure of home care agencies. Getting a home care license in your state can be an overwhelming and daunting experience. However, with the help of 21st Century Health Care Consultants, you will have “Peace of Mind” in knowing that we have been in business for close to 30 years and helped over 6,000 clients obtain their state home care license. Each state will have different certification requirements and processes. One of the reasons we guarantee your success is that we take full responsibility for the application process.
Our survey team consists of registered nurses who have experience and training in home care, home health, and hospice services. IDOH inspects state licensed home health agencies for quality of care to citizens of Indiana and to ensure compliance with state law and rules. IDOH also monitors agencies, on behalf of the Centers for Medicare and Medicaid Services, for quality of care for all citizens in need of those services and to ensure compliance with federal regulations. Licensed Home Care Services Agencies offer home care services to clients who pay privately or have private insurance coverage. The NYS Department of Health is responsible for monitoring the care provided by licensed care services agencies. The department recognizes that agencies have limited resources and complying with these new regulations translates into increased costs.
The OASIS VUT is a software utility that can be used to validate OASIS submission files in XML format. Copies of current valid Indiana licenses, limited criminal history checks and resumes on staff. A description of the agency’s organizational structure listing; for example, the names of the officers, administrator, director of clinical services, and other key positions. Home care agencies provide non-medical services to ill, disabled, or vulnerable people with functional limitations, enabling them to maintain their highest level of independence and remain in their homes. A description of the agency's organizational structure listing; for example, the names of the officers, administrator, director of clinical services, and other key positions.
A list of licensed home care agencies is posted on the Department’s website. An email will be sent to the applicant confirming receipt of the license application packet and fee. Submit an in-home services application , along with the initial licensing fee. This includes an in-depth description of planned operational policies, as well as the resumes and documentation of prospective employees’ professional licensing and criminal background screening. Did you know that you will be appointed a licensing coach, who will be completing your application and assisting with the regulatory requirements needed to pass your licensing survey.
