We have taken the headache out of searching and creating the necessary forms to successfully run a home health company.
Stay current with the Home Care Industry
New Hampshire DHHS Licensure and Medicaid Readiness
We make the process easier with a coordinated startup package for a New Hampshire home health care provider licensed specifically for personal care services. RSA 151 and He-P 809 address the application, public notice, local approvals, administrator and director of patient services, criminal-record and registry checks, staff orientation and training, client assessments, care plans, supervision, quality improvement, emergency preparedness, and licensing inspection. New Hampshire Medicaid enrollment and EVV are separate when the agency will bill Medicaid.
Our goal is to save you time, reduce confusion, and help you move forward with a professional, well-prepared foundation for your New Hampshire Personal Care Agency. Let Us Start Your New Hampshire Agency!
Already have brochures, website, or logo? Don’t need everything included in the package? Let us know, and we can customize the package and adjust the price accordingly.
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 New Hampshire 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 also accept check or money order.
Mail Check or Money Order to:
Home Health Forms
3098 N. Eastman Rd, Suite 109
Longview, TX 75605
Answers to common questions about New Hampshire home health care provider licensing limited to personal care services, He-P 809 compliance, staff training, care plans, Medicaid enrollment, and EVV.
Yes. An agency providing personal care in clients' residences is generally licensed by the New Hampshire Department of Health and Human Services, Health Facilities Administration, as a home health care provider with a license limited to personal care services under RSA 151:2-b and He-P 809.
RSA 151:2-b broadly includes organizations that arrange or provide nursing, home health aide, therapeutic, personal care, or homemaker services in a person's residence. An agency that provides only personal care receives a license limiting it to personal care services.
He-P 809.17 permits defined assistance with grooming, bathing, dressing, transfers, mobility, toileting, personal appliances, nutrition, hydration, and meal preparation. Case-by-case tasks require agency authorization, appropriate training, and inclusion in the care plan.
No. Both operate within the New Hampshire home health care provider framework, but the license classification and scope differ. A personal-care-only license does not authorize nursing or therapeutic services reserved to qualified professionals and the appropriate license classification.
The New Hampshire Department of Health and Human Services, Health Facilities Administration, receives the application and conducts the licensing inspection under RSA 151 and He-P 809.
Applicants should follow the current DHHS application instructions. He-P 809.04 addresses the signed application, entity authority, applicable fee, local approvals, required public notice, and criminal-record results for the applicant, licensee, and administrator.
For a newly licensed provider, He-P 809.04 requires certification that notice describing the proposed provider was published in a newspaper of general circulation in at least two separate issues no fewer than 10 business days before filing. Additional notice applies near a critical access hospital.
The licensee must appoint an administrator and a written alternate. A new administrator must have at least a bachelor's degree in business or a health-related field or be a registered nurse. One person may hold multiple roles only when qualified and able to perform all duties.
Yes. He-P 809.15 requires a director of patient services responsible for overall care and services. A new director must have at least two years of qualifying experience and be a New Hampshire or compact RN or hold a bachelor's degree in a health-related field.
Yes. He-P 809.17 requires New Hampshire criminal-record checks for covered applicants, volunteers, and independent contractors providing direct or personal care, qualification verification, and review of applicable BEAS and nursing registries before assignment, subject to stated exceptions and waiver provisions.
Before patient contact, covered personnel receive orientation on rights, duties, policies, infection control, emergencies, mandatory reporting, and body mechanics. He-P 809.17 also addresses health screening or examination and TB testing before contact with patients or food.
Before assisting with transfers, bathing, feeding, or dressing, personal care service providers whose duties include those tasks must complete at least eight hours of training, including a clinical portion conducted by a licensed professional. Training records must be maintained.
An RN, LPN, or director of patient services must complete the personal care assessment initially and at least every six months. An assessment completed by an LPN or non-RN director must be reviewed and co-signed by an RN or physician before the care plan is developed.
For clients receiving direct or personal care, the provider must develop a care plan within three business days after admission or before services begin, if later. Services and case-by-case tasks must follow that plan.
He-P 809.17 requires the provider to supervise each personal care service provider every six months. The director of patient services coordinates individual case-specific training and assures that the care plan is carried out.
Yes. He-P 809.18 requires a quality-improvement program and committee. The committee meets at least quarterly, keeps dated minutes, evaluates identified problems and corrective actions, and retains quality documentation on-site for at least two years.
The license is annual. Under He-P 809.06, the renewal application is due at least 120 days before expiration, and renewal depends on a completed application, inspection, compliance, and any required accepted plan of correction.
No. RSA 151:5 makes licenses nontransferable. He-P 809.08 requires a new application and license before a change in ownership or license classification and advance notice for specified location, address, and name changes.
No. New Hampshire Medicaid enrollment is a separate online process. The provider must satisfy current enrollment, screening, provider-type, NPI, service-authorization, documentation, managed-care, billing, and revalidation requirements.
EVV applies to covered New Hampshire Medicaid personal care and home health services furnished in the home. Required visit data must be submitted through New Hampshire's AuthentiCare solution, directly or through an integrated alternate system, before applicable claims are processed.
No. Licensure and Medicaid enrollment do not guarantee clients, referrals, authorization, claim payment, or revenue. Each service must satisfy the client assessment, service plan, authorization, documentation, EVV, billing, and payer requirements.
No. Licensing, business, and Medicaid fees; required notices; background checks; insurance; zoning and local approvals; rent; utilities; personnel and payroll; training; EVV or software expenses; 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. New Hampshire DHHS, New Hampshire 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.
Last reviewed: September 4, 2026
Policy Manual Demo
Press Play and then Double Click on the Video for Full Screen Size
Answers to common questions about New Hampshire home health care provider licensing limited to personal care services, He-P 809 compliance, staff training, care plans, Medicaid enrollment, and EVV.
Yes. An agency providing personal care in clients' residences is generally licensed by the New Hampshire Department of Health and Human Services, Health Facilities Administration, as a home health care provider with a license limited to personal care services under RSA 151:2-b and He-P 809.
RSA 151:2-b broadly includes organizations that arrange or provide nursing, home health aide, therapeutic, personal care, or homemaker services in a person's residence. An agency that provides only personal care receives a license limiting it to personal care services.
He-P 809.17 permits defined assistance with grooming, bathing, dressing, transfers, mobility, toileting, personal appliances, nutrition, hydration, and meal preparation. Case-by-case tasks require agency authorization, appropriate training, and inclusion in the care plan.
No. Both operate within the New Hampshire home health care provider framework, but the license classification and scope differ. A personal-care-only license does not authorize nursing or therapeutic services reserved to qualified professionals and the appropriate license classification.
The New Hampshire Department of Health and Human Services, Health Facilities Administration, receives the application and conducts the licensing inspection under RSA 151 and He-P 809.
Applicants should follow the current DHHS application instructions. He-P 809.04 addresses the signed application, entity authority, applicable fee, local approvals, required public notice, and criminal-record results for the applicant, licensee, and administrator.
For a newly licensed provider, He-P 809.04 requires certification that notice describing the proposed provider was published in a newspaper of general circulation in at least two separate issues no fewer than 10 business days before filing. Additional notice applies near a critical access hospital.
The licensee must appoint an administrator and a written alternate. A new administrator must have at least a bachelor's degree in business or a health-related field or be a registered nurse. One person may hold multiple roles only when qualified and able to perform all duties.
Yes. He-P 809.15 requires a director of patient services responsible for overall care and services. A new director must have at least two years of qualifying experience and be a New Hampshire or compact RN or hold a bachelor's degree in a health-related field.
Yes. He-P 809.17 requires New Hampshire criminal-record checks for covered applicants, volunteers, and independent contractors providing direct or personal care, qualification verification, and review of applicable BEAS and nursing registries before assignment, subject to stated exceptions and waiver provisions.
Before patient contact, covered personnel receive orientation on rights, duties, policies, infection control, emergencies, mandatory reporting, and body mechanics. He-P 809.17 also addresses health screening or examination and TB testing before contact with patients or food.
Before assisting with transfers, bathing, feeding, or dressing, personal care service providers whose duties include those tasks must complete at least eight hours of training, including a clinical portion conducted by a licensed professional. Training records must be maintained.
An RN, LPN, or director of patient services must complete the personal care assessment initially and at least every six months. An assessment completed by an LPN or non-RN director must be reviewed and co-signed by an RN or physician before the care plan is developed.
For clients receiving direct or personal care, the provider must develop a care plan within three business days after admission or before services begin, if later. Services and case-by-case tasks must follow that plan.
He-P 809.17 requires the provider to supervise each personal care service provider every six months. The director of patient services coordinates individual case-specific training and assures that the care plan is carried out.
Yes. He-P 809.18 requires a quality-improvement program and committee. The committee meets at least quarterly, keeps dated minutes, evaluates identified problems and corrective actions, and retains quality documentation on-site for at least two years.
The license is annual. Under He-P 809.06, the renewal application is due at least 120 days before expiration, and renewal depends on a completed application, inspection, compliance, and any required accepted plan of correction.
No. RSA 151:5 makes licenses nontransferable. He-P 809.08 requires a new application and license before a change in ownership or license classification and advance notice for specified location, address, and name changes.
No. New Hampshire Medicaid enrollment is a separate online process. The provider must satisfy current enrollment, screening, provider-type, NPI, service-authorization, documentation, managed-care, billing, and revalidation requirements.
EVV applies to covered New Hampshire Medicaid personal care and home health services furnished in the home. Required visit data must be submitted through New Hampshire's AuthentiCare solution, directly or through an integrated alternate system, before applicable claims are processed.
No. Licensure and Medicaid enrollment do not guarantee clients, referrals, authorization, claim payment, or revenue. Each service must satisfy the client assessment, service plan, authorization, documentation, EVV, billing, and payer requirements.
No. Licensing, business, and Medicaid fees; required notices; background checks; insurance; zoning and local approvals; rent; utilities; personnel and payroll; training; EVV or software expenses; 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. New Hampshire DHHS, New Hampshire 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.
Last reviewed: September 4, 2026
Outside
Inside