Starting a Kentucky Home Health or Personal Care Agency?

• Kentucky-licensed Home Health Agency — provides prescribed, part-time or intermittent skilled and health-related services under 902 KAR 20:081.
• Medicare-certified HHA — holds applicable Kentucky licensure and completes federal enrollment, survey, and certification requirements.
• Certified Personal Services Agency — provides or arranges nonmedical personal services under KRS 216.710-216.716 and 906 KAR 1:180.

Home Health and personal assistance have different enrollment, service-scope, personnel, oversight, and continuing-compliance requirements.

Yes. Kentucky OIG licenses Home Health Agencies. Before applying, a new HHA should confirm whether a Certificate of Need is required or an exemption applies, then complete the applicable OIG licensure and survey process.

The agency confirms its Certificate of Need pathway, establishes its business and OIG licensure foundation, completes Medicare enrollment through CMS-855A or PECOS, prepares certification documents, establishes compliant operations and staffing, and becomes ready for a state-agency or approved accreditation survey.

Under 902 KAR 20:081, an HHA provides part-time or intermittent health and health-related services in the patient's residence under a prescribed plan of care. It provides intermittent skilled nursing and at least one other therapeutic service, medical social service, or home health aide service.

Only after the agency completes enrollment and certification requirements and receives an effective Medicare certification date. Kentucky Medicaid likewise will not pay for services furnished before provider-enrollment approval.

Kentucky CHFS OIG's Division of Health Care licenses and surveys HHAs. The Division of Certificate of Need administers applicable CON review. CMS establishes Medicare requirements, and approved accreditors may provide a deemed-status survey pathway.

No. Kentucky Medicaid identifies HHA provider type 34 and requires Medicare enrollment, applicable state licensure, active Medicaid enrollment, and MCO enrollment when applicable. Each approval has a separate process.

A certified PSA may provide or arrange nonmedical personal care, homemaking, companionship, household tasks, and assistance with self-administered medication within Kentucky's PSA scope, the client's written agreement and service plan, and staff competency.

No. A PSA is certified to provide nonmedical personal services. An HHA is separately licensed to provide prescribed skilled and health-related services. PSA certification does not authorize skilled nursing or operation as an HHA.

The applicant submits OIG's PSA certification application, fee, ownership and good-standing records, manager responsibilities, policies, training and competency materials, and required personnel-screening documentation. Current forms and checklist requirements should be verified before filing.

Yes. Kentucky law requires criminal-background checks before employing PSA direct-service staff and prohibits specified convictions. Current OIG materials also identify abuse-registry, caregiver-misconduct, substance-abuse, tuberculosis, competency, and training documentation.

A Kentucky PSA applies annually for recertification. Current regulation requires the application, supporting documentation, and recertification fee at least sixty days before expiration. HHA license renewal follows the separate OIG health-facility process.

• Logo creation and a customized WordPress website.
• One year of website hosting and domain registration.
• 500 business cards and 500 tri-fold brochures.
• Kentucky-specific policy manuals, human-resources documents, admission documents, and operational forms.
• Kentucky OIG HHA licensure or PSA certification preparation and, for the HHA package when selected, Certificate of Need, CMS enrollment, and Medicare certification preparation.
• Members' area access, customization, ongoing guidance, and applicable updates.

No. State and federal filing fees, entity and business licensing, Medicare or Medicaid enrollment, accreditation, background checks, insurance, office, personnel, survey expenses, software, mailing, and other government or third-party costs are separate unless expressly included in writing.

Home Health Forms provides customized documents, startup guidance, and preparation assistance. Kentucky OIG, the Division of Certificate of Need, Kentucky Medicaid, CMS, survey organizations, accreditors, managed-care organizations, and payers make their own decisions. Applicants remain responsible for accurate information, qualified personnel, fees, operational readiness, service delivery, billing, 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.