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Arizona Skilled Nursing, Therapeutic Services, and Personal Care
We make the process easy by providing a complete startup package. Instead of trying to piece everything together on your own, we complete all the steps and send professionally prepared documents to you, ready for signature and submission to the state.
Our goal is to save you time, reduce confusion, and help you move forward with a professional, well-prepared foundation for your Arizona Home Health Agency. Let Us Start Your Arizona Home Health Agency!
Already have brochures, website, or logo? Don’t need everything included in the package? Let us know, and we can customize the package and adjust the price accordingly.
We also accept check or money order.
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Home Health Forms
3098 N. Eastman Rd, Suite 109
Longview, TX 75605
Give us a call and let us know about your needs.
Our documents are State Specific, customized with your company information, and cross-walked to the accreditation body of your choice as well as to state regulations.
We have helped hundreds of agencies with their document needs from Hawaii to Alaska and Coast to Coast. We offer the best prices in the industry with the fastest delivery.
Updates are Free!
We will customize the documents to your company at no additional charge!
You will have access to the member's area where you can interact with other members and download updates free of charge.
We look forward to being a part of your success!
Sincerely,
David Anderson
Home Health Forms Owner
Established 2007
Answers to common questions about Arizona Home Health Agency licensure, Medicare certification, and the services included in our Arizona Startup Package.
This package is designed for an agency seeking a Arizona Home Health Agency license from ADHS under Arizona Administrative Code Title 9, Chapter 10, Article 12. The Home Health Agency license permits basic services plus nursing, therapy, medication management, delegated tasks, and other professional services within the provider’s approved scope.
It does not include Medicare certification, AHCCCS enrollment, accreditation, hospice licensure, or other payer approvals unless those services are added in writing.
A Home Health Agency may furnish all services allowed under a nonmedical service scope plus nursing, therapy, medication management, delegated nursing or therapy tasks, and other services listed in Arizona Administrative Code Title 9, Chapter 10, Article 12. Medicare participation adds separate federal enrollment, certification, survey or accreditation, and Conditions of Participation requirements.
The Arizona Department of Health Services (ADHS), Licensing Division, licenses and surveys Arizona Home Care Providers and administers the application process.
ADHS describes licensed Home Health Agency services as nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aide, and other therapeutic services provided in a patient's temporary or permanent residence. The agency must be staffed and organized for the services it elects to provide.
ADHS assesses application and licensing fees under its current fee schedule. Verify the current amount and payment instructions in the ADHS Licensing Online portal before filing.
No. ADHS fees, background checks, professional licenses, insurance, office expenses, personnel costs, Medicare or AHCCCS enrollment, accreditation, and other government or third-party expenses are separate unless expressly included in writing.
The current application process generally requires ownership and controlling-interest information, the agency location and service area, administrator and clinical leadership information, services to be offered, required disclosures, supporting documents, and the applicable fee. ADHS may request additional materials during review.
Home Health Forms prepares the application for review, but the applicant must provide complete and accurate company, ownership, personnel, and service information.
The application must identify the agency's parent office and any applicable branch locations. The proposed site must support secure records, administration, communication, and operations and must also satisfy local zoning, lease, accessibility, privacy, and business requirements.
The application identifies owners and managerial officials responsible for the provider’s operation and compliance. ADHS requires background studies for owners, managerial officials, and the named registered nurse or licensed health professional.
A Home Health Agency must maintain policies for assessments by a registered nurse or appropriate licensed health professional, professional licensure, medication and treatment management, delegation, and supervision. Staff assignments must remain within each professional’s Arizona scope of practice.
Skilled nursing must be furnished by appropriately licensed Arizona nursing personnel acting within their lawful scope and under the plan of care. Staffing, supervision, competency, and documentation must also satisfy the agency's Medicare, accreditation, payer, and professional-practice obligations.
Arizona Home Health Agency services may include nursing, physical therapy, occupational therapy, speech therapy, medical social services, home health aide services, and other therapeutic services within the approved scope. Services must be ordered and delivered by personnel who meet applicable licensure, competency, and supervision requirements.
Home health aides must meet applicable Arizona certification, competency, assignment, supervision, and in-service requirements. Medicare-certified agencies must also satisfy federal aide-training, competency, and supervision standards.
Skilled services must be furnished under an authorized, individualized plan of care that identifies diagnoses, treatments, medications, disciplines, frequency and duration, safety measures, and other relevant directions. Review and signature timing must follow current Arizona and, when applicable, Medicare requirements.
The agency must maintain the quality-assurance, performance-improvement, policy-review, complaint, infection-control, and record systems required by Arizona licensure and any applicable Medicare, accreditation, or AHCCCS program. Home Health Forms includes the documents necessary to meet these requirements.
ADHS reviews the application and may conduct an inspection or survey to determine compliance before issuing or renewing a license. Timing depends on application completeness, corrections, readiness, and survey scheduling; applicants should follow the current ADHS instructions.
License expiration and renewal requirements appear on the license and current ADHS instructions. The agency should submit a complete renewal and fee on time and maintain continuous compliance with applicable rules.
No. State licensure alone does not authorize Medicare billing. Medicare participation requires separate CMS enrollment and certification, an applicable survey or approved accreditation process, and compliance with 42 CFR Part 484.
No. ADHS licensure and AHCCCS provider enrollment are separate. An agency seeking Medicaid reimbursement must satisfy the applicable enrollment, certification, contracting, screening, service, documentation, and billing requirements.
ADHS does not guarantee one processing time for every application. Completeness, corrections, ownership and personnel review, survey scheduling, and any Medicare or accreditation steps can affect the timeline.
Unless stated otherwise in writing, the price does not include ADHS fees, Medicare certification, AHCCCS enrollment, accreditation fees, insurance, rent, personnel costs, background checks, fingerprinting, software, or other expenses not specifically identified as included.
Home Health Forms provides documents, guidance, and application-preparation assistance. ADHS makes state licensing decisions, and federal authorities determine Medicare enrollment and certification. The applicant remains responsible for qualified personnel, accurate information, fees, regulator responses, surveys, and ongoing compliance. Home Health Foms provides guidance and documents that meet regulatory requirements to ensure your success.
Customized policy manuals, forms, and related digital documents are generally emailed within five business days after all information needed for customization is received. Website development, printing, shipping, and other package components may have separate timelines.
Eligibility depends on work completed, customized materials produced, digital products delivered, third-party expenses paid, printing ordered, and other services already performed.
Last reviewed: August 31, 2026
Policy Manual Demo
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Answers to common questions about Arizona Home Health Agency licensure, Medicare certification, and the services included in our Arizona Startup Package.
This package is designed for an agency seeking a Arizona Home Health Agency license from ADHS under Arizona Administrative Code Title 9, Chapter 10, Article 12. The Home Health Agency license permits basic services plus nursing, therapy, medication management, delegated tasks, and other professional services within the provider’s approved scope.
It does not include Medicare certification, AHCCCS enrollment, accreditation, hospice licensure, or other payer approvals unless those services are added in writing.
A Home Health Agency may furnish all services allowed under a nonmedical service scope plus nursing, therapy, medication management, delegated nursing or therapy tasks, and other services listed in Arizona Administrative Code Title 9, Chapter 10, Article 12. Medicare participation adds separate federal enrollment, certification, survey or accreditation, and Conditions of Participation requirements.
The Arizona Department of Health Services (ADHS), Licensing Division, licenses and surveys Arizona Home Care Providers and administers the application process.
ADHS describes licensed Home Health Agency services as nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aide, and other therapeutic services provided in a patient's temporary or permanent residence. The agency must be staffed and organized for the services it elects to provide.
ADHS assesses application and licensing fees under its current fee schedule. Verify the current amount and payment instructions in the ADHS Licensing Online portal before filing.
No. ADHS fees, background checks, professional licenses, insurance, office expenses, personnel costs, Medicare or AHCCCS enrollment, accreditation, and other government or third-party expenses are separate unless expressly included in writing.
The current application process generally requires ownership and controlling-interest information, the agency location and service area, administrator and clinical leadership information, services to be offered, required disclosures, supporting documents, and the applicable fee. ADHS may request additional materials during review.
Home Health Forms prepares the application for review, but the applicant must provide complete and accurate company, ownership, personnel, and service information.
The application must identify the agency's parent office and any applicable branch locations. The proposed site must support secure records, administration, communication, and operations and must also satisfy local zoning, lease, accessibility, privacy, and business requirements.
The application identifies owners and managerial officials responsible for the provider’s operation and compliance. ADHS requires background studies for owners, managerial officials, and the named registered nurse or licensed health professional.
A Home Health Agency must maintain policies for assessments by a registered nurse or appropriate licensed health professional, professional licensure, medication and treatment management, delegation, and supervision. Staff assignments must remain within each professional’s Arizona scope of practice.
Skilled nursing must be furnished by appropriately licensed Arizona nursing personnel acting within their lawful scope and under the plan of care. Staffing, supervision, competency, and documentation must also satisfy the agency's Medicare, accreditation, payer, and professional-practice obligations.
Arizona Home Health Agency services may include nursing, physical therapy, occupational therapy, speech therapy, medical social services, home health aide services, and other therapeutic services within the approved scope. Services must be ordered and delivered by personnel who meet applicable licensure, competency, and supervision requirements.
Home health aides must meet applicable Arizona certification, competency, assignment, supervision, and in-service requirements. Medicare-certified agencies must also satisfy federal aide-training, competency, and supervision standards.
Skilled services must be furnished under an authorized, individualized plan of care that identifies diagnoses, treatments, medications, disciplines, frequency and duration, safety measures, and other relevant directions. Review and signature timing must follow current Arizona and, when applicable, Medicare requirements.
The agency must maintain the quality-assurance, performance-improvement, policy-review, complaint, infection-control, and record systems required by Arizona licensure and any applicable Medicare, accreditation, or AHCCCS program. Home Health Forms includes the documents necessary to meet these requirements.
ADHS reviews the application and may conduct an inspection or survey to determine compliance before issuing or renewing a license. Timing depends on application completeness, corrections, readiness, and survey scheduling; applicants should follow the current ADHS instructions.
License expiration and renewal requirements appear on the license and current ADHS instructions. The agency should submit a complete renewal and fee on time and maintain continuous compliance with applicable rules.
No. State licensure alone does not authorize Medicare billing. Medicare participation requires separate CMS enrollment and certification, an applicable survey or approved accreditation process, and compliance with 42 CFR Part 484.
No. ADHS licensure and AHCCCS provider enrollment are separate. An agency seeking Medicaid reimbursement must satisfy the applicable enrollment, certification, contracting, screening, service, documentation, and billing requirements.
ADHS does not guarantee one processing time for every application. Completeness, corrections, ownership and personnel review, survey scheduling, and any Medicare or accreditation steps can affect the timeline.
Unless stated otherwise in writing, the price does not include ADHS fees, Medicare certification, AHCCCS enrollment, accreditation fees, insurance, rent, personnel costs, background checks, fingerprinting, software, or other expenses not specifically identified as included.
Home Health Forms provides documents, guidance, and application-preparation assistance. ADHS makes state licensing decisions, and federal authorities determine Medicare enrollment and certification. The applicant remains responsible for qualified personnel, accurate information, fees, regulator responses, surveys, and ongoing compliance. Home Health Foms provides guidance and documents that meet regulatory requirements to ensure your success.
Customized policy manuals, forms, and related digital documents are generally emailed within five business days after all information needed for customization is received. Website development, printing, shipping, and other package components may have separate timelines.
Eligibility depends on work completed, customized materials produced, digital products delivered, third-party expenses paid, printing ordered, and other services already performed.
Last reviewed: August 31, 2026
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