Choose the type of Mississippi agency you would like to start:
Providing skilled medical care in the clients home accepting Medicare, Insurance, VA, Private Pay, and Workers Compensation Reimbursement. This agency type can enroll as a Medicare provider and receive reimbursement.
Providing skilled medical care and personal care accepting Insurance, VA, Private Pay, and Workers Compensation Reimbursement. This agency type cannot bill Medicare.
Provides personal care services such as medication assistance, transferring, grooming, dressing, meal preparation, toileting, bathing, transportation, and errands.
We can assist with the following services depending on the type of Mississippi agency you are starting:
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 Mississippi 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 Mississippi Home Health Agencies, private-pay Personal Care Agencies, MSDH licensure, Medicare certification, Medicaid E&D Waiver enrollment, MESA, and EVV.
Yes. MSDH licenses Home Health Agencies under Chapter 46, Minimum Standards of Operation for Home Health Agencies. Individual health professionals must also satisfy applicable licensure requirements.
Yes. CON review may apply before establishing an HHA or expanding its licensed county service area. Confirm the current determination with MSDH before filing or committing resources.
Licenses expire June 30 and renew annually. Chapter 46 also addresses separate agency and sub-unit licenses, branch locations, and advance applications for changes of ownership, name, location, or services.
The agency submits CMS-855A through PECOS or to the Medicare Administrative Contractor, completes federal civil-rights clearance, signs CMS-1561, and completes an initial certification survey through MSDH or a CMS-approved accrediting organization.
Leadership, staffing, patient rights, assessments and care plans, clinical records, QAPI, infection control, emergency preparedness, complaints, and service-delivery systems should satisfy Chapter 46 and, for Medicare applicants, 42 CFR Part 484.
MSDH's Division of Health Facilities Licensure and Certification conducts state oversight and federal certification work under agreement with CMS. A CMS-approved accrediting organization may provide an optional deemed-status Medicare survey pathway.
No. MESA provider enrollment, the current provider-type checklist, billing setup, and program compliance remain separate. License and Medicare-certification documentation may be required for the selected provider type.
MSDH's facility rules distinguish residential Personal Care Homes from a private-pay non-medical agency serving clients in their own homes. Mississippi does not appear to use a general MSDH facility-license category for the latter model. Verify the exact service scope with MSDH and applicable local authorities.
Typical non-medical services include assistance with bathing, dressing, grooming, toileting, transfers, mobility, meals, light housekeeping, laundry, companionship, transportation, errands, and medication reminders within each worker's lawful scope and competency.
The Elderly and Disabled Waiver includes Personal Care and In-Home Respite services for eligible participants. An agency must qualify, complete orientation and the provider proposal, enroll through MESA, and receive approval before billing.
Current guidance calls for at least one year of relevant private-pay service history, a non-residential Mississippi office maintained for at least six months, applicable business privilege licensing, Secretary of State registration, an EIN, and qualified personnel.
Complete the Virtual Provider Orientation, prepare the current PCS/IHR proposal and supporting documentation, meet screening and training requirements, and follow the MESA provider-enrollment process.
Covered waiver providers must satisfy current fingerprinting, screening, employee-file, qualification, supervision, and direct-care training requirements.
Yes for covered in-home Personal Care and In-Home Respite services. Approved providers must follow current Division of Medicaid and EVV-vendor requirements.
Yes. These startup pages concern services in clients' own homes. Providing room, board, supervision, or personal care in an agency-controlled residence may constitute a licensed Personal Care Home and requires separate MSDH review.
No. Government filings, Medicare or Medicaid enrollment, accreditation, background checks, insurance, office, personnel, EVV, survey expenses, software, mailing, and other third-party costs are separate unless expressly included in writing.
Home Health Forms provides customized documents, guidance, and preparation assistance. MSDH, Mississippi Division of Medicaid, CMS, MESA, survey organizations, accreditors, and payers make their own decisions. 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 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 4, 2026

Virtute et armis
How to Start a Home Health Agency Videos
Part One
Part Two
News!
Home-Based Care Growth!
The number of Americans age 65 and older is projected to grow nearly 20% over the coming decade.
We have them! RN's, Dietitians, Case manager, Data Entry Operator, Home Health Aide, and even Privacy Officers.
We spent hundreds of hours preparing and perfecting our documents to save your agency time!