Starting a New Hampshire Home Health or Personal Care Agency?

• New Hampshire Home Health Agency — a licensed home health care provider offering skilled services and, when desired, separately pursuing Medicare certification and Medicaid enrollment.
• New Hampshire Personal Care Agency — a home health care provider whose license is limited to personal care services.

Yes. RSA 151:2-b and He-P 809 establish licensing requirements for organizations arranging or providing nursing, home health aide, therapeutic, personal care, or homemaker services in clients' residences.

The New Hampshire Department of Health and Human Services, Health Facilities Administration, administers the license and inspections.

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

Yes. Inspections occur before an initial license, change in ownership, change in license classification, and renewal. A plan of correction is due within 21 days when the department cites noncompliance.

He-P 809 requires an administrator, written alternate administrator, and director of patient services. New appointees must meet the rule's education, licensure, and experience qualifications.

The licensed agency separately completes CMS enrollment, federal materials, OASIS readiness, the Conditions of Participation, and an initial certification survey through the state survey agency or a CMS-approved accrediting organization.

No. Medicaid enrollment is separate and online. Medicaid home health participation generally also requires current New Hampshire licensure and Medicare certification.

Yes. Under RSA 151:2-b, a home health care provider that provides only personal care services receives a license limiting its services to personal care.

He-P 809.17 defines permitted assistance with grooming, bathing, dressing, transfers, mobility, toileting, personal appliances, nutrition, hydration, and meal preparation. Case-specific tasks require authorization, training, and care-plan direction.

Personnel need required orientation and annual in-service education. Staff assigned to transfers, bathing, feeding, or dressing must first complete at least eight hours of training, including a clinical portion conducted by a licensed professional.

Yes. Personal-care-only clients require an initial assessment and reassessment at least every six months by authorized clinical or service leadership. A written care plan is due within three business days after admission or before services begin, if later.

Yes. He-P 809 requires New Hampshire criminal-record checks and qualification verification for covered personnel, volunteers, and contractors, plus applicable BEAS and nursing-registry review, subject to stated exceptions and waivers.

The provider supplies rights and responsibilities, complaint information, services to be provided, and disclosure of contracted services, obtains acknowledgment and consent, and gathers the clinical, contact, directive, and release information required by He-P 809.

The provider must supervise each personal care service provider at least every six months. The director of patient services coordinates case-specific training and assures care-plan implementation.

The license is annual, and He-P 809.06 requires a renewal application at least 120 days before expiration. Renewal includes inspection and correction of cited noncompliance.

No. New Hampshire Medicaid enrollment is a separate online process with its own provider-type, screening, authorization, documentation, managed-care, billing, and revalidation 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 through an integrated alternate system.

Yes. He-P 809 requires ongoing quality improvement with quarterly committee meetings and written minutes, plus a written emergency plan that is reviewed annually and addresses continuity of patient services.

• Logo creation, customized WordPress website, one year of hosting, and domain registration.
• 500 business cards and 500 tri-fold brochures.
• New Hampshire-specific policies, human-resources documents, admission or client-service documents, and operational forms.
• New Hampshire DHHS licensure and CMS preparation for the HHA package, or DHHS licensing limited to personal care and optional Medicaid preparation for the Personal Care package.
• Members' area access, customization, ongoing guidance, and applicable updates.

No. Licensing and government fees, required public notices, accreditation, background checks, insurance, local approvals, office, personnel, EVV, survey 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. New Hampshire DHHS, CMS, New Hampshire 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.