Indiana Home Health Agency Complete Startup Package

This package is designed for an agency seeking an Indiana Home Health Agency license from the Indiana Department of Health under IC 16-27 and 410 IAC 17.

It does not include Medicare certification, Indiana Medicaid enrollment, accreditation, hospice licensure, or other payer approvals unless those services are added in writing.

An Indiana Home Health Agency provides skilled nursing and other therapeutic services to patients in their homes under an authorized plan of care. Medicare participation adds separate federal enrollment, certification, survey or accreditation, and Conditions of Participation requirements.

The Indiana Department of Health (IDOH), Division of Home and Community-Based Care, licenses and surveys Indiana Home Health Agencies. IDOH also performs state survey-agency functions for applicable Medicare and Medicaid certification.

IDOH 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.

IDOH currently lists a $250 initial licensure fee with State Form 4008. The renewal fee is also currently $250. Fees and submission instructions should be verified with IDOH before filing.

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

IDOH's current initial-licensure instructions call for State Form 4008, the fee, the applicable survey report and geographic service-area forms, business-formation or assumed-name evidence, IRS EIN evidence, and requested personnel documentation. Current Indiana professional licenses, limited criminal-history checks, and resumes may be required for identified staff.

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 agency must designate an administrator who is responsible for operations and compliance and meets the applicable education or experience requirements in Indiana's home health rules. A qualified alternate must be available when required.

The agency must maintain qualified clinical supervision appropriate to every service offered, including nursing supervision by properly licensed personnel. Additional roles and qualifications may apply through Medicare, accreditation, Indiana Medicaid, and professional-practice standards.

Skilled nursing must be furnished by appropriately licensed Indiana 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.

Indiana 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 Indiana 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 Indiana and, when applicable, Medicare requirements.

IDOH reviews the application and inspects state-licensed agencies for compliance with Indiana law and rules. Agencies also pursuing Medicare certification must complete the separate federal certification pathway, including the applicable survey or approved accreditation process.

Indiana Home Health Agency licenses are renewed through IDOH. The renewal application must be filed at least 60 days, but not sooner than 90 days, before the current license expires under 410 IAC 17-11-3.

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.

IDOH 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.

• Logo creation and a customized WordPress website.
• One year of website hosting and domain registration.
• 500 business cards and 500 tri-fold brochures.
• Indiana-specific policy, human-resources, admission, clinical, and operational documents aligned to IC 16-27 and 410 IAC 17.
• Preparation assistance for the Indiana Home Health Agency application.
• Members' area access, document customization, ongoing guidance, and applicable updates.

Unless stated otherwise in writing, the price does not include IDOH fees, Medicare certification, Indiana Medicaid 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. IDOH 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.