Starting an Indiana Home Health or Personal Services Agency?

This page presents three common startup paths:

• Indiana Medicare Home Health Agency — skilled home health services with Indiana approval and federal Medicare certification.
• Indiana Home Health Agency — skilled services without Medicare billing unless separately certified.
• Indiana Personal Services Agency — attendant care, homemaker, and companion services.

IDOH licenses Home Health Agencies under IC 16-27 and 410 IAC 17 and separately licenses Personal Services Agencies under IC 16-27-4. Medicare certification is an additional federal pathway for qualifying Home Health Agencies.

The Indiana Department of Health (IDOH), Division of Home and Community-Based Care, licenses both Home Health Agencies and Personal Services Agencies.

IDOH currently lists a $250 initial and renewal licensure fee for a Home Health Agency. Personal Services Agency applications and payments are now completed through IDOH Gateway, which displays the applicable payment amount. Verify the current amount and instructions before filing.

Requirements depend on the applicant, ownership structure, location, and proposed services. The application process generally requires:

• An Access Indiana account and access to the Personal Service Agency License Registration application in IDOH Gateway.
• Agency, ownership, manager, and location details.
• Required documents and Indiana-specific policies.
• Attestation and payment through the Gateway workflow.

A Home Health Agency must designate qualified administrative and clinical leadership under 410 IAC 17. A Personal Services Agency identifies a manager in the IDOH Gateway application and must maintain the management, personnel, screening, training, and supervision systems required by IC 16-27-4.

The application must identify the agency's location and any additional locations. The office must support administration and secure records and must satisfy applicable local zoning, lease, privacy, accessibility, and business requirements.

Processing time varies with application completeness, document review, applicant readiness, inspection scheduling, and correction of deficiencies. Medicare certification or accreditation adds separate steps. Home Health Forms does not guarantee a state or federal processing time.

An Indiana Personal Services Agency may provide attendant care, homemaker services such as housekeeping, shopping, laundry, meal planning and preparation, and companion services such as fellowship, transportation, mail reading, and escort services in the client's residence.

Skilled nursing, therapy, and other therapeutic services require the appropriate Home Health Agency authority and professional personnel.

Indiana law and IDOH application instructions require applicable criminal-history screening for owners, administrative staff, and direct-care personnel. The exact checks depend on the person's role and the governing program; applicants should use IDOH's current Criminal History Check Information.

IC 16-27 contains defined exclusions and exemptions for certain arrangements and providers. A business should compare its actual services, workers, clients, and payment model with the current statute before relying on an exclusion.

Not solely because it holds Indiana licensure. An organization planning to seek federal certification must first obtain Indiana state licensure and then complete the applicable Medicare certification and enrollment process. Medicare-certified agencies must also comply with applicable federal Home Health Conditions of Participation.

Yes. Indiana applications and ongoing operations require policies appropriate to the license and services offered. IDOH instructs Personal Services Agency applicants to upload only the policies requested in the application and to write them to the cited Indiana Code requirements. Home Health Foms offers policies and procedures that meet regulatory requirements to ensure your success.

Customized policy manuals, forms, and related digital documents are generally emailed within five business days after Home Health Forms receives all company information needed to complete the customization. Other package components may have separate production timelines.

Cancellation and refund eligibility depends on the work already completed, customized materials produced, digital products delivered, third-party expenses paid, printing ordered, and other services already performed.