New Mexico Home Health Agency Complete Startup Package

Yes. A business that provides at least one medically directed home health service must obtain a Home Health Agency license from the New Mexico Health Care Authority before providing those services.

8.370.22 NMAC is the current Home Health Agencies rule. It replaced former 7.28.2 NMAC on July 1, 2024. Related HCA rules address licensing fees, sanctions, and hearings. Medicare-certified agencies must also comply with 42 CFR Part 484.

Not before HCA approves the initial submission and issues a temporary license. After the temporary license is issued, the agency may admit patients; once it is operational with a patient, it requests its initial survey.

The current rule calls for a letter of intent, completed application and fee, functional program outline, required policies and procedures, and a copy of 8.370.22 NMAC annotated to show where each requirement is addressed in the agency's policies.

A temporary license may be issued for up to 120 days. The rule limits an agency to no more than two consecutive temporary licenses.

Yes. HCA conducts unannounced surveys, including the initial survey after the temporary licensee becomes operational. Surveyors may review the premises, records, staff qualifications, patient care, and compliance systems.

The agency generally must submit an acceptable plan of correction within 10 working days after receiving the official statement of deficiencies and correct the cited noncompliance.

The governing body appoints a qualified administrator and a qualified alternate in writing. The administrator is responsible for daily operations, staffing, policies, services, records, and regulatory compliance.

The administrator may be a physician or registered nurse, or may qualify through a high-school diploma or equivalent plus health-administration training or experience and at least one year of supervisory or administrative home health experience.

Governance, qualified staff, patient rights, assessments and plans of care, clinical records, infection control, emergency systems, quality management, complaints, contracts, and care delivery should comply with 8.370.22 NMAC and applicable federal requirements.

Yes. Professional personnel must hold the applicable New Mexico license, and the agency must verify credentials and maintain personnel documentation. Staff must be at least 18 and meet applicable health-screening requirements.

Yes. The governing body must provide oversight and conduct the reviews required by the rule, including an annual review of agency policies and operations.

Yes. The agency must maintain a compliant office, posted operating hours, and safeguarded records. Its service area generally must remain within 100 miles of the parent office unless HCA grants a temporary exception.

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

No. Medicaid provider enrollment is separate. A provider must satisfy the current New Mexico Medicaid home health rule, enrollment and screening requirements, service authorization, documentation, managed-care, and billing requirements.

EVV applies to covered New Mexico Medicaid home health and personal care services delivered in the home. Confirm the current EVV system, data, exception, and claim requirements with HCA and the applicable managed-care organization.

An annual license is valid for one year. The renewal application and fee are due at least 30 days before expiration, and renewal includes an on-site survey.

A branch generally may be added only after the parent has operated at least one year and meets the rule's survey and compliance conditions. Branches generally must be within 100 miles. Licenses are nontransferable; ownership, location, or licensee changes require the initial-licensure process at least 30 days before the anticipated change.

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 Mexico-specific and Medicare-aligned policy, human-resources, admission, clinical, and operational documents.
• New Mexico HCA licensure, policy crosswalk, 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. HCA, CMS, survey organizations, accreditors, 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.