We have taken the headache out of searching and creating the necessary forms to successfully run a home health company.
Stay current with the Home Care Industry
Skilled Nursing, Therapeutic Services, and Personal Care
We make the process easy by providing a complete startup package. Instead of trying to piece everything together on your own, we complete all the steps and send professionally prepared documents to you, ready for signature and submission to the state.
Our goal is to save you time, reduce confusion, and help you move forward with a professional, well-prepared foundation for your Kentucky Home Health Agency. Let Us Start Your Kentucky Home Health Agency!
Already have brochures, website, or logo? Don’t need everything included in the package? Let us know, and we can customize the package and adjust the price accordingly.
We also accept check or money order.
Mail Check or Money Order to:
Home Health Forms
3098 N. Eastman Rd, Suite 109
Longview, TX 75605
Give us a call and let us know about your needs.
Our documents are State Specific, customized with your company information, and cross-walked to the accreditation body of your choice as well as to state regulations.
We have helped hundreds of agencies with their document needs from Kentucky to Alaska and Coast to Coast. We offer the best prices in the industry with the fastest delivery.
Updates are Free!
We will customize the documents to your company at no additional charge!
You will have access to the member's area where you can interact with other members and download updates free of charge.
We look forward to being a part of your success!
Sincerely,
David Anderson
Home Health Forms Owner
Established 2007
Answers to common questions about Kentucky's current Home Health Agency requirements, Medicare certification, and our Kentucky Startup Package.
Yes. A Kentucky Home Health Agency is licensed by the Cabinet for Health and Family Services Office of Inspector General. Establishing the service may also require a Certificate of Need unless an exemption applies.
This package is designed for a Kentucky Home Health Agency, including an agency that plans to pursue Medicare certification. It is not a Personal Services Agency, hospice, assisted-living community, or private-duty nursing package.
Under 902 KAR 20:081, a Kentucky HHA provides part-time or intermittent health and health-related services in a patient's residence under a prescribed plan of care. It must provide intermittent skilled nursing and at least one other therapeutic service, medical social service, or home health aide service.
The applicant should first confirm the Certificate of Need pathway with the Kentucky Division of Certificate of Need, then complete the Office of Inspector General HHA application, licensure documentation, fee, staffing, policies, and survey readiness. An agency pursuing Medicare also completes CMS-855A or PECOS enrollment and federal certification requirements.
The agency should confirm its Certificate of Need or exemption status, ownership, service area, administrator and professional staff, operational location, policies, patient-care systems, background screening, emergency preparedness, clinical records, quality review, and all OIG and CMS materials required for the selected pathway.
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.
The Kentucky CHFS Office of Inspector General, Division of Health Care, licenses and surveys HHAs. The Division of Certificate of Need handles applicable CON review. CMS establishes Medicare requirements, and a Medicare applicant follows the applicable state-agency or CMS-approved accreditation survey pathway.
Not necessarily for state licensure. A CMS-approved accrediting organization may provide a deemed-status Medicare survey pathway, while Kentucky OIG performs state licensing and state-survey-agency functions. Applicants should verify the pathway with OIG, CMS, the accreditor, and payers.
No. Kentucky HHA licensure, Medicare certification, Kentucky Medicaid enrollment, and managed-care contracting are separate approvals. Kentucky Medicaid identifies HHA provider type 34 and requires Medicare enrollment, applicable state licensure, active Medicaid enrollment, and MCO enrollment when applicable.
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.
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. Kentucky OIG, the Division of Certificate of Need, CMS, survey organizations, accreditors, Kentucky Medicaid, managed-care organizations, 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.
Last reviewed: September 3, 2026
Policy Manual Demo
Answers to common questions about Kentucky's current Home Health Agency requirements, Medicare certification, and our Kentucky Startup Package.
Yes. A Kentucky Home Health Agency is licensed by the Cabinet for Health and Family Services Office of Inspector General. Establishing the service may also require a Certificate of Need unless an exemption applies.
This package is designed for a Kentucky Home Health Agency, including an agency that plans to pursue Medicare certification. It is not a Personal Services Agency, hospice, assisted-living community, or private-duty nursing package.
Under 902 KAR 20:081, a Kentucky HHA provides part-time or intermittent health and health-related services in a patient's residence under a prescribed plan of care. It must provide intermittent skilled nursing and at least one other therapeutic service, medical social service, or home health aide service.
The applicant should first confirm the Certificate of Need pathway with the Kentucky Division of Certificate of Need, then complete the Office of Inspector General HHA application, licensure documentation, fee, staffing, policies, and survey readiness. An agency pursuing Medicare also completes CMS-855A or PECOS enrollment and federal certification requirements.
The agency should confirm its Certificate of Need or exemption status, ownership, service area, administrator and professional staff, operational location, policies, patient-care systems, background screening, emergency preparedness, clinical records, quality review, and all OIG and CMS materials required for the selected pathway.
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.
The Kentucky CHFS Office of Inspector General, Division of Health Care, licenses and surveys HHAs. The Division of Certificate of Need handles applicable CON review. CMS establishes Medicare requirements, and a Medicare applicant follows the applicable state-agency or CMS-approved accreditation survey pathway.
Not necessarily for state licensure. A CMS-approved accrediting organization may provide a deemed-status Medicare survey pathway, while Kentucky OIG performs state licensing and state-survey-agency functions. Applicants should verify the pathway with OIG, CMS, the accreditor, and payers.
No. Kentucky HHA licensure, Medicare certification, Kentucky Medicaid enrollment, and managed-care contracting are separate approvals. Kentucky Medicaid identifies HHA provider type 34 and requires Medicare enrollment, applicable state licensure, active Medicaid enrollment, and MCO enrollment when applicable.
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.
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. Kentucky OIG, the Division of Certificate of Need, CMS, survey organizations, accreditors, Kentucky Medicaid, managed-care organizations, 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.
Last reviewed: September 3, 2026
Outside
Inside
Open outside image in a new tab
Open inside image in a new tab