New Hampshire Home Health Agency Complete Startup Package

Yes. Organizations arranging or providing nursing, home health aide, therapy, or related services in a client's residence are home health care providers under RSA 151:2-b and require the applicable license from New Hampshire DHHS Health Facilities Administration.

RSA Chapter 151 establishes the licensing framework, and New Hampshire Administrative Rules He-P 809 contain the principal home health care provider requirements. Medicare-certified agencies must also satisfy the applicable federal Conditions of Participation.

No. The provider must complete the application and prelicensure process and receive the applicable license before operating or representing itself as licensed.

He-P 809.04 addresses the signed application, proof of authority to conduct business, applicable fee, local approvals, required public notice, criminal-record results for covered applicant parties and the administrator, and other current DHHS application materials.

A newly licensed provider must certify publication of notice in at least two separate issues of a newspaper of general circulation no fewer than 10 business days before filing. Additional notice applies when the proposed provider is within 15 miles of a critical access hospital.

Yes. He-P 809.09 provides for inspection before an initial license, change in ownership, change in license classification, and license renewal, and as needed to verify a plan of correction or investigate compliance.

The department issues a statement of findings. When noncompliance is cited, the licensee must submit a plan of correction within 21 days of the transmittal letter and implement the accepted or department-issued plan.

He-P 809.15 requires an administrator and a director of patient services. The administrator must designate an alternate, and the director is responsible for overall delivery of patient care and services.

A new administrator must have at least a bachelor's degree in business or a health-related field or be an RN. A new director of patient services needs at least two years of qualifying experience and must be a New Hampshire or compact RN or have a bachelor's degree in a health-related field.

Governance, scope of services, qualified staff, patient rights, assessments and care plans, clinical records, medication systems, infection control, emergency preparedness, complaints, personnel screening, quality improvement, and contracted services should comply with He-P 809 and applicable federal requirements.

Yes. Professional personnel must assess the patient before beginning the applicable discipline, at least every 90 days, and after a significant change, subject to specified personal-care and homemaker exceptions. Direct-care patients must have a timely written care plan based on the assessment.

Yes. He-P 809.18 requires a quality-improvement program and committee. The committee must meet at least quarterly, maintain dated minutes, evaluate problems and corrective actions, and keep quality documentation on-site for at least two years.

He-P 809.20 requires a written emergency plan addressing interruptions in patient services, site-specific hazards, utilities, communications, staff responsibilities in patients' homes, coordination using incident command concepts, competency-based education, and annual review.

Medicare certification is separate from the New Hampshire 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 New Hampshire HHA license or other state requirements.

No. New Hampshire Medicaid enrollment is separate and online. For Medicaid home health participation, the provider generally must hold a current New Hampshire license, be Medicare certified, and be enrolled with New Hampshire Medicaid, in addition to satisfying current enrollment and billing requirements.

EVV applies to covered New Hampshire Medicaid home health and personal care services furnished in the home. Required visit data must flow through New Hampshire's AuthentiCare solution, directly or from an integrated alternate EVV system, for applicable claims.

The license is annual. He-P 809.06 requires the renewal application at least 120 days before expiration. Renewal depends on a complete application, inspection, compliance, and implementation of any accepted plan of correction.

Branch offices require advance notice and applicable local-approval information. A change in ownership or license classification requires a new application and license before the change, while specified name, address, and location changes require advance notice under He-P 809.08.

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.
• New Hampshire-specific and Medicare-aligned policy, human-resources, admission, clinical, and operational documents.
• New Hampshire DHHS 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.

Home Health Forms provides customized documents, guidance, and preparation assistance. New Hampshire DHHS, CMS, survey organizations, accreditors, New Hampshire Medicaid, managed-care organizations, and other 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.