Montana Home Health Agency Complete Startup Package

Yes. A Home Health Agency must obtain a license from the Montana Department of Public Health and Human Services (DPHHS) Licensure Bureau and comply with the current Montana health-care-facility and Home Health Agency rules.

Medicare certification is separate from the Montana license. An agency that plans to bill Medicare must also complete CMS enrollment, certification, and survey requirements under 42 CFR Part 484.

No. DPHHS's current prospective-provider instructions state that a Home Health Agency is not reviewed by the Health Planning Program and a Certificate of Need is not required.

DPHHS instructs applicants to submit the completed license application and fee, policies and procedures at least 45 days before the expected opening, the counties to be served, a professional-staff list with license numbers, and the administrator attestation. Use the current DPHHS checklist and forms.

DPHHS advises applicants not to submit more than six months before the desired license date. An application that remains inactive can be withdrawn, so respond promptly to requests for missing material.

The Licensure Bureau issues a six-month provisional license. The agency may not accept patients until it is licensed, and DPHHS conducts an onsite survey during the provisional-license period.

Montana may issue a license for up to three years based on survey results, accreditation, and deficiencies. New facilities operating less than one year, changes of ownership, and certain deficiency findings generally receive a one-year license. Verify the term shown on the issued license and file renewal materials on time.

The applicant establishes its licensed operation, leadership, staffing, policies, insurance, and records; submits CMS-855A through PECOS; completes applicable federal materials; and completes an initial certification survey through the state survey agency or a CMS-approved accrediting organization.

Governance, administrator oversight, qualified staff, employee files, patient rights, assessments and plans of care, clinical records, infection prevention, emergency planning, complaint handling, quality systems, and service documentation should satisfy Montana rules and, for Medicare applicants, 42 CFR Part 484.

No. Medicare billing requires successful enrollment, certification, the applicable survey, and continuing compliance. Services furnished before the effective certification date are not automatically reimbursable.

Accreditation is an optional Medicare deemed-status pathway when a CMS-approved accrediting organization is used. It does not replace the Montana license, although qualifying accreditation or survey results can affect the state license term.

No. Montana Healthcare Programs enrollment is separate. The provider must meet the applicable enrollment type, licensure, NPI or API, taxonomy, W-9, ownership, screening, agreement, and program-specific requirements.

Yes for Medicaid home health services subject to EVV. Montana requires a compliant visit record through Mobile Caregiver+ or a certified alternate EVV solution for applicable dates of service; claims without the required EVV record may be denied.

Yes. The agency must verify current professional licenses and qualifications and maintain employee records, health information, orientation, competency, supervision, screening, and other documentation required by Montana and applicable federal standards.

There is no guaranteed timeline. Entity setup, the DPHHS review, staffing and policy readiness, the provisional survey, CMS enrollment, accreditation when selected, corrections, 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.
• Montana-specific and Medicare-aligned policy, human-resources, admission, clinical, and operational documents.
• DPHHS licensure, CMS enrollment, Medicare certification, and 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, software, patient-care expenses, survey expenses, or other unlisted costs.

Home Health Forms provides customized documents, guidance, and preparation assistance. DPHHS, CMS, survey organizations, accreditors, Medicaid, and payers make their own decisions. The applicant remains responsible for accurate information, qualified staff, operational readiness, fees, 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 customization information is received. Website, printing, shipping, and other 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.