Hawaii Home Health Agency Complete Startup Package

This package is designed for a Hawaii-licensed Home Health Agency offering skilled medical home health services under HAR Chapter 11-97.1. It covers agency structure, application preparation, policies, personnel materials, and operational documents for skilled services.

This is the state-licensed startup path. It does not include federal Medicare certification.

A Home Health Agency is an organization licensed by the Hawaii Department of Health to provide skilled nursing and other qualifying home health services on a visiting basis in a homebound patient's residence.

Its services can include nursing, therapy, medical social services, and home health aide care. Services must match the agency's licensed scope, qualified staff, and each patient's treatment plan.

The Hawaii Department of Health, Office of Health Care Assurance (OHCA), licenses and inspects Home Health Agencies. The principal state rules are HAR Chapter 11-97.1, together with applicable Hawaii laws and professional-licensure requirements.

A Hawaii Home Health Agency must provide skilled nursing and at least one additional qualifying service, such as physical therapy, occupational therapy, speech-language pathology, medical social services, or home health aide services.

The agency must have qualified personnel for the services it provides. Additional services may be furnished through arrangements or contracts that meet Hawaii's requirements.

The fee is $2,750 for initial licensure and $2,000 for license renewal. These amounts are listed in the initial and renewal fee schedules in HAR Chapter 11-103.1.

The home health license follows a two-year renewal cycle. State licensing fees are separate from the Startup Package price.

No. Department of Health fees, background checks, insurance, office expenses, personnel costs, Medicare or Medicaid enrollment, accreditation, and other government or third-party expenses are separate unless expressly included in writing.

OHCA's published opening guidance calls for a written response from the State Health Planning and Development Agency (SHPDA): an approved Certificate of Need for applicants pursuing federal certification, or a letter stating that a CON is unnecessary for a non-federally-certified proposal.

The SHPDA response is submitted with the request for home health licensure. Obtain a written determination that matches your actual proposed services and certification plans.

OHCA's published checklist identifies:

• Policies and procedures covering governance, personnel, patient care, emergency planning, infection control, training, medical records, and program evaluation.
• Contracts for services not provided through salaried employees.
• Agency and personnel licenses or credentials.
• Legal business name, tax identification number, and any DBA.
• Physical office address, telephone number, and operating days and hours.
• Administrator contact information and the applicable SHPDA response.

Home Health Forms prepares the application for review, using the company, ownership, personnel, and service information you provide.

Yes. The agency must maintain an operating location where required administrative and clinical records are kept and where its current license is posted conspicuously. OHCA asks for the physical address and operating hours, and the location is subject to inspection.

Each home health license is issued for a single contiguous geographic location. Discuss additional offices or island coverage with OHCA before expanding.

The governing body appoints an administrator who is responsible for the agency's day-to-day operations, qualified personnel, and availability of a clinical manager during operating hours.

When the administrator is absent, a qualified person designated and authorized in writing by the administrator and governing body assumes those responsibilities. The designee may be the clinical manager.

Yes. A qualified clinical manager must oversee patient care services and personnel and be available during the agency's operating hours.

HAR Chapter 11-97.1 identifies Hawaii-licensed physicians, APRNs, physician assistants, physical therapists, speech pathologists, occupational therapists, audiologists, social workers, and registered nurses as eligible professional categories for this role.

Nursing services must be provided by personnel who meet Hawaii's professional licensing and qualification requirements, including appropriately licensed registered nurses and licensed practical nurses working within their permitted scope.

The services must follow the responsible practitioner's written orders and treatment plan. The agency must maintain job descriptions, personnel qualifications, clinical oversight, and records of the care provided.

Qualifying services include physical therapy, occupational therapy, speech-language pathology, medical social services, and home health aide services. The agency must use personnel who meet Hawaii's applicable qualifications for the services assigned.

Written agreements with other licensed home health agencies or contracts with qualified health professionals may be used for services the agency does not provide directly, consistent with the state rules.

Hawaii defines a home health aide as someone who has completed the prescribed basic nurse aide course or an equivalent course, with additional training and supervision for the home health aide role.

The agency must provide orientation to its policies and objectives and a continuing in-service education program for personnel providing patient services. Personnel policies also address health examinations, tuberculosis screening, and other appropriate tests and immunizations.

The plan of treatment must be ordered and signed by the responsible physician, APRN, or physician assistant and incorporated into the patient's clinical record.

The attending practitioner reviews the total plan with agency professionals as often as the patient's condition requires, and at least once every two months. Staff must report changes that may require the plan or services to be adjusted.

Yes. The agency must maintain an ongoing, agency-wide quality assessment and performance improvement program that reflects its services, includes contracted services, and documents its work to improve patient outcomes.

Written policies must address the scope and geographic coverage of services, clinical care, personnel, records, patient rights, complaints, infection prevention, and other required operations. Clinical policies are established through the governing body or the advisory structure specified in the rules.

Home Health Forms provides Hawaii-specific quality improvement and written policies.

Yes. The agency must develop and maintain an emergency preparedness plan and review and update it at least every two years.

The plan addresses the patient population, services available during an emergency, continuity of operations, interruptions in care, and communication with staff, treating practitioners, contracted providers, and other people involved in maintaining patient care.

Yes. OHCA's published process includes review of the submitted policies and other materials and an initial onsite survey to determine compliance with licensing requirements.

The agency must be ready to implement its policies and provide the required staff, records, and operating arrangements. State rules also permit unannounced inspections after licensure.

The license follows a two-year renewal cycle. The renewal application must be submitted 30 days before expiration; failure to file causes cancellation at the expiration date.

A license is issued to the agency named in the application and is not transferable or assignable to another agency or person.

No. This state-licensed agency type cannot bill Medicare. Medicare participation requires separate federal enrollment and certification; those steps are not included in this state-licensure startup package.

This agency model provides skilled medical care and personal care with Insurance, VA, Private Pay, and Workers Compensation reimbursement arrangements. Hawaii's home health rules expressly recognize services for VA beneficiaries under authorized VA practitioners.

Provider participation, service authorizations, covered benefits, and billing requirements depend on the payer. Private-pay services use the agency's client payment agreement.

• Logo creation and a customized WordPress website.
• One year of website hosting and domain registration.
• 500 business cards and 500 tri-fold brochures.
• Hawaii HAR 11-97.1 policy, human-resources, admission, clinical, and operational documents for skilled medical services.
• Preparation assistance for the Hawaii Home Health Agency application.
• Members' area access, document customization, ongoing guidance, and applicable updates.

Home Health Forms provides documents, guidance, and application-preparation assistance. The Hawaii Department of Health makes licensing decisions. The applicant remains responsible for qualified personnel, accurate information, insurance, operational readiness, fees, regulator responses, inspections, and ongoing compliance. Home Health Forms 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.

Select a payment option. After purchase, complete the company questionnaire linked on the thank-you page. We use your company details to customize the selected documents and coordinate the remaining work.