Georgia Private Home Care Provider — Medical Complete Startup Package

This package is designed for a Georgia Private Home Care Provider (PHCP) authorized to provide nursing services in clients' residences. The application may also identify personal care and companion or sitter services when those service categories are part of the applicant's approved scope.

It is not a Georgia Home Health Agency license, Medicare-certification package, hospice license, personal care home license, or staffing-agency package unless additional services are added in writing.

A PHCP is an individual or organization that directly provides or arranges private home care services through employees, qualifying independent contractors, or certain referral arrangements. Georgia's PHCP service categories are nursing services, personal care tasks, and companion or sitter tasks.

The Georgia Department of Community Health (DCH), Healthcare Facility Regulation Division (HFRD), licenses and regulates PHCPs under Georgia Rules Chapter 111-8-65.

Georgia's current fee schedule lists a $300 new-application processing fee and a $250 annual license fee for each PHCP service category. A nursing-only PHCP would generally pay the $300 application fee plus the $250 nursing-services license fee. Adding personal care or companion/sitter services adds $250 annually for each additional category. Confirm the current schedule and payment instructions before submission.

No. DCH fees, local business-license costs, insurance, background checks, fingerprinting, office expenses, personnel costs, and other government or third-party charges are separate from the Home Health Forms Startup Package price.

The current initial-application checklist calls for notarized affidavits, the applicant's photo identification, a current local business license, evidence of entity registration or other legal authority, an electronic owner form, required GCHEXS determinations, administrator qualifications and job description, administrator orientation documentation, a current Georgia RN license, and the applicable fee. DCH may request other information based on ownership, services, personnel, and the proposed geographic area.

Home Health Forms provides application-preparation guidance, but the applicant must supply complete and accurate company and personnel information.

Yes. The application requires a physical facility address and a current city or county business license showing the facility name and address. The PHCP license must be displayed at the licensed location, and each office location must be separately licensed. Applicants should confirm local zoning, lease, business-license, record-security, and inspection requirements before committing to a location.

Yes. Georgia's current PHCP application checklist states that an Administrator and a Registered Nurse are required to open a PHCP, regardless of the initial service level. The applicant must submit a copy of the RN's current Georgia license. An RN may also serve as the owner and/or administrator if the person satisfies the requirements for each role.

Nursing services may be provided by a Georgia-licensed RN or by a Georgia-licensed LPN working under the direction required by Georgia law and the client's service plan. A PHCP that offers nursing must employ a fully licensed Georgia RN to supervise nursing services and the employees who provide them.

Nursing personnel assess nursing needs, participate in the service plan, provide nursing services within their legal scope and the service plan, and report client problems and progress. Nursing clients require signed and dated clinical or progress notes. Nursing service plans must be reviewed and updated at least every 62 days and sooner when the client's needs change.

Georgia's PHCP definition excludes physical, speech, and occupational therapy; medical nutrition therapy; medical social services; home health aide services furnished by a licensed Home Health Agency; and proxy-caregiver services furnished by a proxy caregiver hired by the patient.

No. A Georgia PHCP license is not a Georgia Home Health Agency license and does not, by itself, authorize Medicare billing. Medicare participation requires the appropriate agency type and separate federal certification and enrollment.

Georgia Rule 111-8-65-.07 states that a Certificate of Need is not required for PHCP licensure so long as the provider does not operate as a licensed Home Health Agency or personal care home.

The current application checklist states that the initial review timeframe is 30 business days from submission. Applications are reviewed in the order received, and additional-document requests can extend the total time. No completion date can be guaranteed.

DCH's current checklist states that an approved initial applicant receives a provisional license active for three months. During that period, the PHCP must become operational, admit at least three clients, and timely request its initial survey. After successful completion of the survey, DCH issues the permanent permit. Applicants should follow the current DCH instructions and any written direction provided with their provisional license.

• Logo creation and a customized WordPress website.
• One year of hosting and domain registration.
• 500 business cards and 500 tri-fold brochures.
• Georgia PHCP nursing policies, human-resources documents, admission documents, and operational forms.
• Preparation assistance for the Georgia PHCP application with nursing services.
• Members' area access, document customization, ongoing guidance, and applicable updates.

Unless stated otherwise in writing, the price does not include DCH fees, Medicare or Medicaid enrollment, accreditation fees, insurance, rent, utilities, personnel or payroll costs, background checks, fingerprinting, local business-license costs, or other expenses not specifically identified as included.

Home Health Forms provides documents, guidance, and application-preparation assistance. Georgia DCH makes all licensing decisions. The applicant remains responsible for accurate information, qualified personnel, operational readiness, fees, responses to DCH, 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, printing, shipping, and other 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.