North Carolina Home Health Agency Complete Startup Package

G.S. 131E-136 defines a Home Health Agency as a home care agency certified to receive Medicare and Medicaid reimbursement for part-time, intermittent nursing, therapy, medical social services, and home health aide services.

Yes. DHSR states that each site providing certified home health services needs a separate Certificate of Need and license. The applicant must first review the current State Medical Facilities Plan to determine whether it identifies a need in the proposed county.

DHSR's establishment guidance states that a CON cannot be issued for a new certified Home Health Agency when the current State Medical Facilities Plan does not identify a need in the proposed county. Applicants should verify the current plan and review schedule before committing substantial startup funds.

State licensure is governed principally by G.S. 131E-135 through 131E-142 and 10A NCAC 13J. Medicare-certified agencies must also comply with the federal Home Health Conditions of Participation in 42 CFR Part 484 and other applicable CMS requirements.

NC DHHS Division of Health Service Regulation, Acute and Home Care Licensure and Certification Section, handles the state license and performs state survey-agency functions. The Healthcare Planning and Certificate of Need Section handles the CON process.

The applicant completes the applicable multi-purpose Home Care Agency license application and demonstrates compliance with the authorized service categories and 10A NCAC 13J. Medicare and Medicaid certification steps follow state licensure and operational readiness.

North Carolina law permits deemed compliance with state home care licensure rules for qualifying agencies accredited by an organization recognized under G.S. 131E-138. Confirm the current accreditor, scope, survey, and documentation requirements with DHSR.

No. The agency must complete CMS enrollment and certification and receive an effective Medicare certification date before billing Medicare. State licensure alone is not Medicare approval, and reimbursement is not retroactive to the business-formation date.

The agency must complete CMS enrollment, satisfy 42 CFR Part 484, implement OASIS and Medicare-compliant clinical operations, demonstrate readiness for an initial certification survey through the state survey agency or an approved accrediting organization, correct deficiencies, and obtain CMS approval.

The agency must have qualified governing, administrative, and clinical leadership; service-specific personnel; patient-rights and complaint processes; assessments and plans of care; orders; clinical records; infection control; emergency preparedness; quality assessment and performance improvement; and compliant contracted-service oversight.

Yes, for Medicare-certified home health operations when OASIS applies. The agency needs trained clinicians, secure data-submission capability, assessment and correction processes, privacy safeguards, and policies consistent with current CMS OASIS guidance.

An agency must demonstrate actual operational and clinical compliance for certification. Patient and active-census expectations can depend on the current state survey or accreditor pathway, so confirm the applicable readiness criteria before admitting patients or requesting survey.

Yes. Medicare-certified HHAs must maintain emergency-preparedness and quality assessment and performance improvement programs that satisfy current federal requirements, in addition to applicable North Carolina licensure requirements.

No. NC Medicaid enrollment, credentialing, managed-care participation, service authorization, documentation, EVV when applicable, claims submission, and recredentialing are separate processes.

EVV applies to covered Medicaid-funded home health and personal care services delivered in the home. Enrolled agencies must follow the current NC Medicaid EVV system, integration, visit-data, exception, and claims requirements.

DHSR states that each site providing certified home health services requires a separate CON and license. Do not assume a branch or additional location is covered by the primary site's approvals.

North Carolina Home Care Agency licenses, including the service categories supporting a Home Health Agency, are renewed annually. Medicare certification and accreditation, when used, have separate ongoing compliance and survey cycles.

There is no guaranteed timeline. The State Medical Facilities Plan, CON review, business and office readiness, licensing, staffing, policy implementation, CMS enrollment, accreditation or state survey scheduling, corrections, and payer enrollment can each 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.
• North Carolina-specific and Medicare-aligned policies, human-resources, admission, clinical, and operational documents.
• North Carolina licensure, CMS enrollment, Medicare certification, OASIS, 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 CON, licensing, government, accreditation, legal, financial, insurance, background-check, local-approval, office, payroll, software, patient-care, survey, or other third-party expenses.

No. Home Health Forms provides customized documents, guidance, and preparation assistance. NC DHSR, the CON Section, CMS, accreditors, NC Medicaid, managed-care organizations, and other payers make their own decisions.

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.