Starting a Nebraska Home Health or Personal Care Agency?

• Nebraska Home Health Agency — obtains DHHS licensure under Title 175 NAC 14 and may separately pursue Medicare certification and Medicaid enrollment.
• Private-pay in-home personal services agency — remains within Nebraska's nonmedical HHA-rule exclusion.
• Medicaid PAS or HCBS agency provider — separately completes Nebraska Medicaid provider and program requirements.

Yes. The Nebraska DHHS Division of Public Health Licensure Unit licenses HHAs under Title 175 NAC 14.

An HHA provides skilled nursing or at least one listed therapeutic or health care service in a person's residence, including therapy, home health aide, social work, intravenous therapy, or dialysis services.

First, submit a complete application with the original signature and required fee. Second, pass the onsite inspection. The agency must be ready to operate, but may not operate until it receives an active license.

After receiving a complete application and written notice that the applicant is ready, DHHS generally has 30 working days to conduct the inspection unless the applicant requests a later date.

The owner, Administrator, and back-up Administrator must demonstrate compliance with 175 NAC 14-006 using agency-specific organizational charts, job descriptions, policies, procedures, forms, and operational systems.

A Nebraska HHA license expires January 31 each year. Renewal requires the completed renewal application, correct signatures and information, the fee, and any additional required items.

The agency must first hold a Nebraska HHA license, then separately complete CMS enrollment, federal requirements, OASIS readiness, and an initial certification survey under 42 CFR Part 484.

A new Medicare HHA must demonstrate OASIS test-transmission capability before the initial certification survey and transmit again after receiving its CMS Certification Number.

No. Nebraska Medicaid screening, electronic provider enrollment, provider agreements, service-location enrollment, EVV, managed-care contracting, and billing requirements are separate.

Title 175 NAC 14 excludes in-home personal services agencies limited to attendant services for non-medically fragile persons, companionship, and homemaker services, provided they do not furnish health care services defined by the HHA rules.

Typical services include attendant support, bathing, dressing, grooming, mobility assistance, meals, companionship, homemaker services, light housekeeping, laundry, and errands within the agency's lawful nonmedical scope.

Personal Assistance Services and waiver programs support eligible people with activities of daily living and approved in-home services. Agency and independent provider options and requirements differ by program.

Since June 1, 2025, provider enrollment is electronic. Agencies must satisfy current screening, ownership, NPI, service-location, provider-agreement, background-check, policy, and program-specific requirements before payment.

Yes. Applicable agencies need a Type 2 organization NPI, and individual providers, direct-care workers, caregiver employees, and contracted care staff need Type 1 NPIs associated with their enrollments.

Yes for Medicaid personal assistance, home health, and specified HCBS services. Applicable visits must be recorded through Nebraska's EVV solution or an approved alternate system, and noncompliant services may not be paid.

Yes. Health care services outside the in-home personal services exclusion can trigger HHA licensure. Respite care, medication services, transportation, and other activities may have separate requirements. Confirm the planned scope before opening.

• Logo creation, customized WordPress website, one year of hosting, and domain registration.
• 500 business cards and 500 tri-fold brochures.
• Nebraska-specific policies, human-resources documents, admission or client-service documents, and operational forms.
• DHHS licensure and CMS preparation for the HHA package, or private-pay and optional Medicaid PAS/HCBS enrollment preparation for the Personal Care package.
• Members' area access, customization, ongoing guidance, and applicable updates.

No. Government filings, Medicare or Medicaid enrollment, accreditation, background checks, fingerprinting, insurance, office, personnel, EVV, inspection expenses, software, mailing, and other third-party costs are separate unless expressly included in writing.

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