Starting an Oklahoma Home Health or Personal Care Agency?

The options shown above are a Medicare-certified Home Health Agency, a state-licensed Home Health Agency that cannot bill Medicare, and a non-medical personal care agency.

Oklahoma licenses the selected skilled or personal care services through its Home Care Agency licensing program. Federal certification is a separate step for the Medicare path. Choose the startup package that matches the services and payers you plan to use.

The Oklahoma State Department of Health (OSDH), Home Services Division, licenses and surveys Home Care Agencies. The principal requirements are the Home Care Act, 63 O.S. § 1-1960 et seq., and OAC Title 310, Chapter 662.

Oklahoma's Home Care Agency license covers the services selected in the application, including personal care or skilled care. The service scope determines the staffing, supervision, and care requirements.

The initial license and application fee is $1,000. The annual renewal fee is $500. These amounts apply to the Home Care Agency license used for the personal care and state-licensed skilled startup paths.

ODH Form 757 also lists a $25 annual branch renewal fee. The form explains prorated renewal fees when an initial license is aligned with the July 31 renewal date. State fees are nonrefundable and separate from our startup package.

Use ODH Form 757, Application for License to Operate a Home Care Agency. Required supporting materials include:

• Business registration and any trade-name or DBA documentation.
• Ownership, affiliated-person, management, and prior business information.
• Evidence of financial solvency and staffing availability.
• A plan of delivery describing services and geographic coverage.
• Administrator certification and supervising and alternate professional license verification.
• Liability insurance and workers' compensation documentation.
• Required disclosures, attachments, and the applicant's signature.

Home Health Forms prepares the application using the company information you provide.

Yes. The agency must operate from a place of business physically located in Oklahoma and accessible to the public. ODH Form 757 specifically states that an agency cannot be located in a home.

Provide the physical address, office hours, contact details, and an after-hours telephone number. Staff providing services must be supervised from the agency location, and required records must be available for review.

Yes. The governing body appoints a qualified administrator who must hold the required OSDH home care administrator certification. This certification is separate from the agency's license.

The administrator directs agency operations, employs qualified staff, oversees training and evaluations, and ensures agency practices follow its written policies. Proof of current administrator certification must be posted conspicuously.

OSDH provides a route through an approved Oklahoma Home Care Administrator Preparedness and Assessment Program (OHCAPA) and examination. The preparedness course is 160 hours.

Applicants who meet OSDH's deeming criteria may qualify to take the examination without completing the preparedness course. After passing, the individual must apply for initial certification within six months. The certification application, credentials, screening, and fees are separate from agency application preparation.

Home care administrator certificates expire annually on July 31. OSDH requires 12 hours of continuing education annually, with no more than six hours through home study. No continuing education is required for the first renewal.

The published administrator renewal fee is $55. Retain certificates and supporting documentation for qualifying education.

Yes. An agency providing only personal care must employ or contract with a supervising physician or registered nurse who is available to advise client-care staff whenever personal care is provided. These supervisory services may be provided on an on-call basis.

A physician or qualified registered nurse alternate must be designated in writing to cover the supervising nurse's absence.

Oklahoma requires home health aides providing personal care to be certified and listed on the OSDH Home Health Aide Registry, unless the worker is a licensed health professional meeting the rule's exception.

Verify the worker's credentials, registry status, screening, orientation, and competency before assignment. A job title alone does not establish eligibility to provide hands-on personal care.

Personal care includes assistance with dressing, bathing, ambulation, exercise, toileting, eating, and other personal needs. The agency can arrange the accompanying household and errand assistance described in its service plan.

Medication assistance and other assigned tasks must remain within the worker's qualifications and permitted duties. The personal care package supports non-medical services; nursing and therapeutic services require the appropriate professional staff and service scope.

Yes. A physician, authorized non-physician practitioner, or registered nurse prepares the plan at the initial assessment in consultation with the client or representative. It identifies the services, frequency or hours, problems, interventions, and resolution dates.

The caregiver receives the plan before or when care begins. Revise it when necessary and have the registered nurse and appropriate staff review and update it at least every six months.

When a client receives only home health aide or personal care services, a physician or licensed nurse must make a supervisory visit to the client's residence at least once every six months.

Visits must occur more often when the client's condition requires. Maintain documentation of supervision and employee performance evaluations.

The skilled agency may offer nursing, physical therapy, occupational therapy, speech therapy, respiratory therapy, medical social services, and home health aide or personal care services, as appropriate to its application and staffing.

Oklahoma's state licensing rules govern the services actually offered. The agency must maintain qualified staff, necessary supervision, and care plans for each service; the state-licensed package is the path that cannot bill Medicare.

Skilled services require an order from a physician or authorized non-physician practitioner. The agency sends the order to the practitioner within 10 days for signature and timely return.

The admission plan addresses diagnoses, services, equipment, visit frequency or hours, medications, treatments, functional limits, nutrition, safety, and other patient needs. Clinical records receive continuing review for each 62-day period to assess the plan and continued care.

Yes. Oklahoma uses OK-SCREEN for covered applicant screening, fingerprinting authorization, and employment eligibility determinations. The agency must complete the required screening and registry checks for the positions it fills.

Keep eligibility and credential verification in personnel records. Supportive home assistants also have specific criminal-history and registry restrictions under the Home Care Act.

The agency rules specify liability insurance of at least $100,000 per occurrence and $300,000 aggregate. The application also requires workers' compensation verification.

Provide evidence of financial solvency, such as a bank statement, letter of credit, or line of credit in the required operating-entity or DBA name. Maintain an annual operating budget and sufficient resources to provide the planned services.

Yes. Each Home Care Agency needs an ongoing quality assessment and improvement program approved by its governing body. It covers services provided directly and by contract and includes client satisfaction surveys and sample clinical-record reviews.

Document assessments and improvement recommendations and report them to the administrator and governing body at least every three months. Written policies must support the services offered, personnel, client care, infection control, safety, emergencies, and records.

Home Health Forms provides Oklahoma-specific quality improvement and written policies.

OSDH's application guidance places a complete application in the queue for an initial onsite licensure survey. The agency must be ready for business, with its required staff, policies, records, and operating arrangements available for review.

The survey determines whether the agency meets the minimum licensing requirements. Providing home care services before receiving the required license is not permitted.

An initial license is issued for 12 months. Renewal licenses are aligned to July 31, with a prorated renewal when necessary. OSDH's renewal letter instructs agencies to submit the completed renewal materials and fee by June 30.

Renewal includes current administrator certification, supervising-professional verification, insurance, business information, and the applicable fee.

This skilled agency model provides medical care and personal care with Insurance, VA, Private Pay, and Workers Compensation reimbursement arrangements.

The agency must meet each payer's participation, authorization, covered-service, and billing requirements. Private-pay services use the agency's client payment agreement. The state license does not itself create a payer contract.

The Oklahoma Home Care Agency Complete Startup Package may include:

• A professionally designed company logo.
• A customized WordPress business website.
• One year of website hosting.
• One year of domain registration.
• 500 customized business cards.
• 500 customized tri-fold brochures.
• Oklahoma-specific policies and procedures cross-walked to applicable Oklahoma OAC Title 310, Chapter 662 requirements.
• Human-resources and personnel documents.
• New-client admission documents.
• Operational and administrative forms.
• Preparation assistance for the Oklahoma Home Care Agency application.
• Access to the Home Health Forms members' area.
• Customization of documents to the purchaser's agency.
• Ongoing guidance and applicable document updates.

Home Health Forms provides startup guidance, customized documents, and application-preparation assistance. The Oklahoma Department of Health makes all licensing decisions.

The applicant remains responsible for providing complete and truthful information, satisfying ownership, financial, insurance, personnel, office, background-check, supervision, and operational requirements, paying government fees, responding to state requests, preparing for the survey, and maintaining regulatory compliance. Home Health Forms 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 Home Health Forms receives all company information needed to complete the customization.

logo creation, website development, domain registration, printing, shipping, and other package components may have separate production timelines.

Cancellation and refund eligibility depends on the work already completed, customized materials produced, digital products delivered, third-party expenses paid, printing ordered, and other services already performed.