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
Skilled Nursing, Therapeutic Services, and Personal Care
We make the process easy by providing a complete startup package. Instead of trying to piece everything together on your own, we complete all the steps and send professionally prepared documents to you, ready for signature and submission to the state.
Our goal is to save you time, reduce confusion, and help you move forward with a professional, well-prepared foundation for your Nevada Home Health Agency. Let Us Start Your Nevada Home Health 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.
We also accept check or money order.
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Home Health Forms
3098 N. Eastman Rd, Suite 109
Longview, TX 75605
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 Hawaii 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 look forward to being a part of your success!
Sincerely,
David Anderson
Home Health Forms Owner
Established 2007
Answers to common questions about Nevada HCQC licensure, Medicare certification, Medicaid enrollment, inspections, and our startup package.
Yes. NAC 449.752 prohibits establishing, conducting, or maintaining a Nevada Home Health Agency without first obtaining a license from the state licensing authority. Health Care Quality and Compliance (HCQC) administers health-facility licensing.
NAC 449.768 requires an HHA applicant and licensee to maintain its home office in Nevada.
Each license is issued to a specific person for a specific location and designated service area and is not transferable. Separate premises and branch offices require the applicable license documentation, and the agency must maintain liability coverage.
After receiving a properly completed application, identity documentation, and fee, the licensing authority investigates the premises, personnel qualifications, methods of operation, policies, and the facility and management plan, and conducts the applicable prelicensure survey.
The current licensing checklist should be followed. Typical items include the online application, fee, zoning or local approval, insurance, surety bond, entity and governing documents, business history or references, financial information, administrator credentials, background-check materials, laboratory attestation, and other required compliance documents.
Yes for designated owners and other persons covered by Nevada law. HCQC provides fingerprint and background-check instructions for initial and change-of-ownership applications. Personnel screening and professional-license verification also remain the agency's responsibility.
No. The agency must complete the required application and prelicensure process and receive its active Nevada license before operating.
NAC 449.761 provides for periodic inspections. When deficiencies are found, the inspection report is provided after the agency conference, and the administrator must submit a correction plan within 10 days after receiving the report.
Governance, qualified administration, professional staff, personnel files, patient rights, assessments and plans of care, clinical records, infection prevention, emergency preparedness, complaints, quality systems, record review, and service documentation should satisfy Nevada requirements and applicable federal HHA standards.
Nevada's HHA rules broadly incorporate 42 CFR Part 484 and CMS Appendix B survey guidance, with specified exceptions for agencies that are not Medicare certified. Applicants should build policies and operations to the precise state and federal provisions that apply to their certification status.
Medicare certification is separate from the Nevada 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 Nevada HHA license or other state requirements.
No. Nevada Medicaid enrollment is separate and must be submitted electronically. The agency must meet the enrollment checklist for Provider Type 29, applicable ownership, screening, NPI, insurance, agreement, revalidation, and billing requirements.
Yes for Nevada Medicaid home health services subject to EVV. Provider Type 29 is among the types required to use EVV, and covered claims must flow through Nevada's EVV system even when the provider uses an approved alternate vendor.
Yes. Nevada Medicaid requires EVV training before providing covered home health, personal care, or waiver services. Credentials are issued after successful completion of required training.
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.
Unless stated otherwise in writing, the price does not include licensing or government fees, legal or financial services, accreditation fees, insurance, surety bonds, zoning, 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. HCQC, the Nevada Health Authority, CMS, survey organizations, accreditors, Nevada 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.
Last reviewed: September 4, 2026
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Answers to common questions about Nevada HCQC licensure, Medicare certification, Medicaid enrollment, inspections, and our startup package.
Yes. NAC 449.752 prohibits establishing, conducting, or maintaining a Nevada Home Health Agency without first obtaining a license from the state licensing authority. Health Care Quality and Compliance (HCQC) administers health-facility licensing.
NAC 449.768 requires an HHA applicant and licensee to maintain its home office in Nevada.
Each license is issued to a specific person for a specific location and designated service area and is not transferable. Separate premises and branch offices require the applicable license documentation, and the agency must maintain liability coverage.
After receiving a properly completed application, identity documentation, and fee, the licensing authority investigates the premises, personnel qualifications, methods of operation, policies, and the facility and management plan, and conducts the applicable prelicensure survey.
The current licensing checklist should be followed. Typical items include the online application, fee, zoning or local approval, insurance, surety bond, entity and governing documents, business history or references, financial information, administrator credentials, background-check materials, laboratory attestation, and other required compliance documents.
Yes for designated owners and other persons covered by Nevada law. HCQC provides fingerprint and background-check instructions for initial and change-of-ownership applications. Personnel screening and professional-license verification also remain the agency's responsibility.
No. The agency must complete the required application and prelicensure process and receive its active Nevada license before operating.
NAC 449.761 provides for periodic inspections. When deficiencies are found, the inspection report is provided after the agency conference, and the administrator must submit a correction plan within 10 days after receiving the report.
Governance, qualified administration, professional staff, personnel files, patient rights, assessments and plans of care, clinical records, infection prevention, emergency preparedness, complaints, quality systems, record review, and service documentation should satisfy Nevada requirements and applicable federal HHA standards.
Nevada's HHA rules broadly incorporate 42 CFR Part 484 and CMS Appendix B survey guidance, with specified exceptions for agencies that are not Medicare certified. Applicants should build policies and operations to the precise state and federal provisions that apply to their certification status.
Medicare certification is separate from the Nevada 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 Nevada HHA license or other state requirements.
No. Nevada Medicaid enrollment is separate and must be submitted electronically. The agency must meet the enrollment checklist for Provider Type 29, applicable ownership, screening, NPI, insurance, agreement, revalidation, and billing requirements.
Yes for Nevada Medicaid home health services subject to EVV. Provider Type 29 is among the types required to use EVV, and covered claims must flow through Nevada's EVV system even when the provider uses an approved alternate vendor.
Yes. Nevada Medicaid requires EVV training before providing covered home health, personal care, or waiver services. Credentials are issued after successful completion of required training.
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.
Unless stated otherwise in writing, the price does not include licensing or government fees, legal or financial services, accreditation fees, insurance, surety bonds, zoning, 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. HCQC, the Nevada Health Authority, CMS, survey organizations, accreditors, Nevada 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.
Last reviewed: September 4, 2026
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