Idaho Home Health Agency Complete Startup Package

Effective July 1, 2025, Medicare-certified Home Health Agencies are no longer required to hold an Idaho state license, and Idaho stopped issuing new HHA licenses. An agency seeking Medicare participation must still complete CMS enrollment, certification, and survey requirements.

This package is designed for an Idaho Home Health Agency pursuing Medicare certification. It is not a package for hospice, assisted living, private-duty nursing, or a Personal Assistance Agency.

An HHA is an organization primarily providing skilled nursing by licensed nurses and at least one additional home health service, such as physical therapy, speech-language pathology, occupational therapy, medical social services, or home health aide services.

The applicant establishes its business and operational foundation, completes Medicare enrollment using CMS-855A or PECOS, prepares the CMS certification packet, and becomes survey ready. The Idaho Bureau of Facility Standards acts as the state survey agency for the federal certification process.

IDHW identifies items including CMS-1561, fiscal-year-end information, applicable sections of CMS-1572A, evidence of CMS-855A or PECOS enrollment, and Office for Civil Rights compliance confirmation. Current forms and instructions should be verified before submission.

No. Medicare billing requires successful enrollment, certification, an applicable state-agency or approved accreditation survey, and continuing compliance with 42 CFR Part 484. Reimbursement is not retroactive to services furnished before the effective certification date.

The agency should have Medicare-aligned governance, administrator and clinical-supervision systems, personnel qualifications, patient rights, comprehensive assessments, plans of care, quality assessment and performance improvement, infection control, emergency preparedness, clinical records, complaint handling, and service-delivery documentation.

The agency must provide skilled nursing and at least one additional qualifying therapeutic or home health aide service, directly or under permissible arrangements, and must have qualified staff and systems to comply with the Medicare Conditions of Participation.

The agency needs a legitimate operational location that supports administration, supervision, secure records, communication, patient services, and survey access. Applicants should verify zoning, lease, accessibility, business-registration, and local requirements before committing to a site.

No. The change ended Idaho licensure for Medicare-certified HHAs and stopped new HHA licenses, but it did not eliminate CMS enrollment, Medicare certification, surveys, complaint oversight, or the federal Conditions of Participation.

Not necessarily. A CMS-approved accrediting organization may provide a deemed-status survey pathway, while the state survey agency handles the federal certification route described by IDHW. Applicants should select the route based on current CMS, IDHW, payer, and business requirements.

No. Medicare certification and Idaho Medicaid provider enrollment are separate. IDHW directs prospective Medicaid providers to complete enrollment through its current vendor, Gainwell Technologies, along with applicable screening, agreement, billing, and program requirements.

There is no guaranteed timeline. Entity setup, Medicare enrollment, policy and staffing readiness, patient census or record requirements, survey scheduling, deficiencies and plans of correction, accreditation when selected, and payer enrollment can all affect completion.

• Logo creation and a customized WordPress website.
• One year of website hosting and domain registration.
• 500 business cards and 500 tri-fold brochures.
• Idaho-specific and Medicare-aligned policy, human-resources, admission, clinical, and operational documents.
• CMS enrollment, Idaho certification-packet, and Medicare survey preparation assistance as identified in the selected package.
• Members' area access, customization, ongoing guidance, and applicable updates.

Unless stated otherwise in writing, the price does not include government fees, legal or financial services, accreditation fees, insurance, rent, utilities, personnel or payroll costs, background checks, fingerprinting, software, patient-care expenses, survey expenses, or other costs not specifically identified as included.

Home Health Forms provides customized documents, guidance, and application-preparation assistance. IDHW, CMS, survey organizations, accreditors, and payers make their own decisions. The applicant remains responsible for qualified personnel, accurate information, operational readiness, fees, patients or records needed for certification, regulator responses, 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.