North Carolina Home Care Agency Complete Startup Package

Yes. A business providing in-home personal care or other regulated home care services generally must obtain a Home Care Agency license from the North Carolina Department of Health and Human Services, Division of Health Service Regulation, Acute and Home Care Licensure and Certification Section.

The principal state requirements are the Home Care Agency Licensure Act at G.S. 131E-135 through 131E-142 and the licensing rules in 10A NCAC 13J. Additional Medicaid, payer, professional-practice, labor, privacy, and local requirements may apply.

No. A licensed Home Care Agency may be authorized for one or more service categories. A North Carolina Home Health Agency is a licensed agency that also completes the separate certificate-of-need and Medicare/Medicaid certification pathway for skilled intermittent services.

North Carolina's establishment guidance states that each site providing home care services must be separately licensed. Confirm whether a proposed additional location is a separately licensed site and complete the applicable application before operating from it.

NC DHHS Division of Health Service Regulation, Acute and Home Care Licensure and Certification Section, reviews applications and conducts licensing oversight, surveys, and complaint investigations.

The applicant submits the current licensure application, required fee, and proof that the applicant previously owned or operated a home care agency or completed training provided by a DHSR-approved trainer. DHSR then reviews the packet and requests the policies, procedures, and personnel documents needed for the initial review.

An applicant that cannot document prior ownership or operation of a home care agency must provide proof of completing home care provider training through a DHSR-approved trainer. Use the current DHSR trainer list before enrolling.

DHSR's establishment guidance states that the applicant must complete all necessary requirements within 12 months after the initial application and fee are received. The actual completion time varies with application accuracy, document readiness, staffing, corrections, and agency workload.

The agency must have an agency director and qualified supervision for each service category. The director and service supervisor job descriptions, credentials, experience, authority, and responsibilities must meet the applicable provisions of 10A NCAC 13J .1001 and the agency's authorized services.

The DHSR checklist addresses administrative organization, infection control, annual program evaluation, client rights and complaints, admissions, discharge, plans of care, service-specific policies, records, orders, personnel qualifications, orientation, in-service education, competency, background investigations, and aide supervision.

Yes. The agency must follow the criminal-background investigation requirements in 10A NCAC 13J and all applicable Health Care Personnel Registry, Nurse Aide Registry, professional-license, identity, and exclusion-screening requirements before assignment and during employment when required.

Personnel files must support required qualifications, orientation, competency verification or skills validation, in-service education, and annual performance evaluation. Requirements vary by job and service category, so assignments should remain within the employee's verified competency and authorized scope.

Yes. The agency must complete the assessment and written plan of care required for the authorized service, obtain applicable orders, provide only accepted services, document care delivered, and review the plan at the intervals required by 10A NCAC 13J and the payer.

The DHSR initial survey checklist identifies quarterly supervision of in-home aides under 10A NCAC 13J .1110. More frequent supervision may be required by the client's needs, the aide's performance, the plan of care, or another applicable program rule.

10A NCAC 13J requires an annual program evaluation and quarterly review of a sample of client records. The agency should document findings, corrective action, follow-up, and governing-body or management review.

North Carolina Home Care Agency licenses are renewed annually. Submit the current renewal materials and fee by the state's deadline and maintain compliance throughout the license period.

No. NC Medicaid provider enrollment, managed-care contracting, service authorization, program qualifications, documentation, billing, and recredentialing are separate from DHSR licensure.

EVV applies to covered Medicaid-funded personal care and home health services delivered in the home. An enrolled provider must use the current NC Medicaid EVV process or an approved integrated system and comply with applicable visit-data and claims requirements.

No. Licensure and payer enrollment do not guarantee referrals, service authorizations, claim payment, or revenue. The agency must separately satisfy each payer's contracting, credentialing, authorization, documentation, EVV, and billing requirements.

• Logo creation and a customized WordPress website.
• One year of website hosting and domain registration.
• 500 business cards and 500 tri-fold brochures.
• North Carolina-specific policies, human-resources documents, client-service documents, and operational forms.
• DHSR application, 10A NCAC 13J policy, personnel-document, and initial-review preparation, plus optional NC Medicaid and EVV preparation as identified in the selected package.
• Members' area access, customization, ongoing guidance, and applicable updates.

No. Licensing, business, Medicaid, training, background-check, insurance, local-approval, office, payroll, software, EVV, mailing, and other government or third-party costs are separate unless expressly included in writing.

Home Health Forms provides customized documents, guidance, and preparation assistance. NC DHHS, NC Medicaid, managed-care organizations, and other authorities 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.