North Dakota Home Health Agency Complete Startup Package

Yes. An entity meeting the statutory Home Health Agency definition must obtain a license from North Dakota Health and Human Services before accepting patients. An unlicensed entity may not operate or use the terms “home health agency” or “home health services.”

NDCC Chapter 23-17.3 establishes the licensing framework, and NDAC Chapter 33-03-10.1 contains the detailed operating standards. Medicare-certified agencies must also comply with 42 CFR Part 484 and other applicable federal requirements.

No. The agency must obtain its initial license before accepting patients for care or treatment.

HHS reviews the application, attachments and statements, services and geographic area, inspection findings, financial resources, ownership disclosures, recent license or certification actions, and specified criminal proceedings involving controlling persons.

The initial license is valid for no more than one year and expires December 31 of the year issued. Renewal licenses also expire December 31.

Yes. Initial approval includes an inspection or investigation. HHS may later use announced or unannounced onsite reviews, examine records, interview staff, conduct patient home visits with permission, or request written compliance documentation.

The agency must submit an acceptable plan of correction within 10 calendar days after receiving the deficiency statement. Corrections generally must be completed within 60 days of survey completion unless HHS specifies another schedule.

The governing body must employ a qualified administrator and designate an authorized alternate in writing. Skilled nursing services require a qualified nurse executive or director of nursing and a written RN alternate.

The administrator may be a licensed physician, registered nurse, or bachelor’s-degree graduate with at least three years of health care management experience. A person without a college degree may qualify with the equivalent of six years of supervisory health care management experience.

Governance, bylaws, budget, staffing, services, policies, personnel files, patient rights, plans of care, clinical records, contracts, education, infection control, emergency procedures, complaints, and quality systems should comply with state and applicable federal requirements.

The nurse executive must be a North Dakota-licensed RN with at least three years of RN experience, including one year of full-time direct patient care experience in home health, and must be a full-time salaried agency employee.

Yes. The agency must maintain an ongoing agency-wide quality assessment and performance improvement program and complete and document a performance improvement project annually.

Home Health Aides must meet the training and competency requirements in NDAC 33-03-10.1-18. The training program totals at least 75 hours, including at least 16 classroom hours before supervised practical training and at least 16 hours of supervised practical training. Aides also receive 12 hours of in-service education each 12 months.

Medicare certification is separate from the North Dakota license. An agency that intends to bill Medicare must also complete CMS enrollment, satisfy the Medicare Conditions of Participation, meet OASIS requirements, and pass the applicable certification survey.

Accreditation is an optional Medicare deemed-status survey pathway when a CMS-approved accrediting organization is used. It does not replace the North Dakota HHA license or other state requirements.

No. Medicaid provider enrollment is a separate electronic process. The agency must satisfy current enrollment, screening, ownership, NPI, service authorization, documentation, billing, and revalidation requirements.

EVV applies to covered North Dakota Medicaid home health services requiring an in-home visit. North Dakota uses an open EVV model with Therap as the state vendor and Sandata as the aggregator; an agency using another system must submit required data to the aggregator.

Licenses expire December 31. The renewal application must reach HHS with enough time for processing before the new licensure period, and compliance is evaluated through periodic unannounced onsite surveys and requested information.

Branches under the same management are licensed under the parent agency’s license. The license is not transferable. HHS requires at least 30 days’ advance written notice of ownership, operating-rights, agency-name, service, or geographic-area changes.

There is no guaranteed timeline. Entity setup, zoning, the licensing application, background checks, prelicensure review, staffing, policy readiness, CMS enrollment, accreditation when selected, surveying, corrections, and payer enrollment can all 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 Dakota-specific and Medicare-aligned policy, human-resources, admission, clinical, and operational documents.
• North Dakota HHS 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 licensing or government fees, required public notices, legal or financial services, accreditation fees, insurance, local approvals, rent, utilities, personnel or payroll costs, background checks, software, patient-care expenses, survey expenses, or other unlisted costs.

No. Home Health Forms provides customized documents, guidance, and preparation assistance. North Dakota HHS, CMS, survey organizations, accreditors, Medicaid, 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.