Starting a Montana Home Health or Personal Care Agency?

• Montana Home Health Agency — obtains DPHHS licensure and may separately pursue Medicare certification and Medicaid enrollment.
• Private-pay Personal Care Agency — provides nonmedical in-home support within its lawful service scope.
• Agency-based CFCS/PCS provider — separately completes Montana Medicaid provider and program requirements.

Yes. Montana DPHHS's Licensure Bureau licenses Home Health Agencies under the state's health-care-facility and HHA rules.

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

DPHHS instructs applicants to submit the application and fee, policies and procedures at least 45 days before opening, counties served, a professional-staff list with license numbers, and an administrator attestation. Do not submit more than six months before the desired license date.

Not until it is licensed. After approving the application file, DPHHS issues a six-month provisional license and conducts an onsite survey during that period.

Montana may issue a license for up to three years based on survey results, accreditation, and deficiencies. New facilities, changes of ownership, and certain deficiency findings generally receive a one-year term.

The agency separately completes CMS enrollment, federal materials, operational readiness, and an initial certification survey through the state survey agency or a CMS-approved accrediting organization.

Leadership, employee files, professional licenses, patient rights, assessments and plans of care, clinical records, infection prevention, emergency planning, complaints, quality systems, and service documentation should satisfy Montana rules and, for Medicare applicants, 42 CFR Part 484.

No. Montana Healthcare Programs enrollment, screening, provider agreements, billing, EVV when applicable, and program compliance are separate.

Montana does not appear to use a general DPHHS health-care-facility license for a standalone private-pay, nonmedical agency serving clients in their homes. Service scope matters, and another license may apply. Verify the proposed model with DPHHS.

Typical nonmedical services include bathing, dressing, grooming, toileting, mobility, meals, light housekeeping, laundry, companionship, errands, transportation, and medication reminders within lawful scope and competency.

Community First Choice Services and Personal Care Services are Montana Medicaid programs supporting eligible members with activities of daily living and related approved tasks. They were formerly identified as CFC/PAS.

The organization uses the applicable Montana Healthcare Programs enrollment type and meets current NPI or API, taxonomy, W-9, ownership, screening, insurance, onsite-visit, training, and program-specific requirements.

Yes for Medicaid personal care and home health services subject to EVV. A compliant visit record must be submitted through Mobile Caregiver+ or a certified alternate solution for applicable claims.

Yes. Skilled nursing, therapy, clinical care, or another model meeting Montana's HHA definition can trigger separate licensure and professional requirements. Confirm the scope before offering skilled or mixed services.

• Logo creation, customized WordPress website, one year of hosting, and domain registration.
• 500 business cards and 500 tri-fold brochures.
• Montana-specific policies, human-resources documents, admission or client-service documents, and operational forms.
• DPHHS licensure and CMS preparation for the HHA package, or private-pay and optional CFCS/PCS enrollment preparation for the Personal Care package.
• Members' area access, customization, ongoing guidance, and applicable updates.

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. DPHHS, CMS, Montana Healthcare Programs, 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 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.