Delaware Medicare Home Health Agency Complete Startup Package

A Delaware 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 Delaware Department of Health and Social Services (DHSS), Division of Health Care Quality, Office of Health Facilities Licensing and Certification licenses and surveys Home Health Agencies. The principal state regulations are in 16 DE Admin. Code 3350 of the Delaware Code of Regulations.

A Medicare Home Health Agency provides skilled nursing and other qualifying home health services. It must meet applicable state or local requirements and the federal Home Health Conditions of Participation, as well as complete Medicare enrollment and certification.

No. State approval and Medicare participation are separate. A state license, business registration, or submitted application alone does not authorize Medicare billing. The agency must complete the applicable federal enrollment and certification process.

Obtain the agency’s National Provider Identifier (NPI), prepare the institutional enrollment application through PECOS or the applicable CMS-855A process, and work with the Medicare Administrative Contractor and the appropriate survey or accreditation organization. Follow their current instructions and application-fee requirements.

Medicare participation requires demonstrating compliance with the applicable federal standards. This generally involves a State Survey Agency survey or accreditation through a CMS-approved accrediting organization with the appropriate home health program. State requirements may also apply. Accreditation alone is not a substitute for completing enrollment.

Prepare qualified leadership and clinical staff, written policies, clinical and personnel records, care-planning procedures, emergency preparedness, infection prevention, quality improvement, and applicable OASIS processes. Confirm operational readiness and patient-service requirements with the organization conducting the initial survey.

Yes. Pricing for each payment option is the same regardless of the agency’s location. Choose a one-time payment or four equal installments using the shared PayPal checkout options on this page. We also accept check or money order.

Government filing and application fees, accreditation and survey charges, insurance, background checks, office expenses, staffing, software, and other third-party costs are separate. Full Certificate of Need proposal work is separate unless included in a written agreement.

Home Health Forms provides documents, preparation assistance, and guidance. Licensing agencies, CMS, Medicare contractors, and survey or accreditation organizations make their own approval decisions. A purchase does not authorize the agency to operate or bill Medicare.

Customized policy manuals, forms, and related digital materials are generally emailed within five business days after all information needed for customization is received. Website, printing, application, and survey schedules depend on their separate requirements.

Yes. Use the email form on this page for a summary of the complete Medicare Startup Package, pricing information, and next steps.