For over twenty years, 21st Century Home Health Care Consultants have specialized in CHAP (The Community Health Accreditation Program), ACHC (The Accreditation Commission for Health Care) and JCAHO (Joint Commission) Accreditation Certification for Medicare Accreditation, Medicaid Accreditation, Private Duty Accreditation, Personal Care, and Companion Care Services.
Our New Home Health Care Agency Startup department prides itself on having the most effective licensing department in the industry. This allows us to take months off the normal waiting time for application approvals. Our experience, resources, and proven process are the most efficient in the industry!
Tools, resources, in-depth training, and comprehensive support services, these FOUR CORE VALUES best describe our Accreditation Process.
We not only assure that your agency gets its Medicare, Medicaid or Private Duty Accreditation / Certification, we also insure that your agency is well-prepared to operate and be completely successful in the ever-changing Home Health Care arena.

Our Boot Camp Training

Startup Agency Boot Camp at our Corporate Headquarters
For Our Clients Only
 
Click here for a description of our
Training Program
 
Reserve Now! Space is limited.
 
Please see www.homecareuniversity.net for our upcoming dates.
 
Advanced Marketing and Business Development Training Course
 
Please see www.homecareuniversity.net for our upcoming dates.
 
Click here for a description of our advanced training course.
 
Coding and Oasis Training Course
 
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Click here for a description of our advanced training course.
 
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Testimonials

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Our Guiding Principles

 
Grace Ogunsola, Rosina McFadden, Emily Lupton

The 21st Century Consulting Team embraces
the following core values held by the Home
Office and demonstrated by our
commitment to our CLIENTS:
To honor God in all we do.
To treat each other with dignity and respect. To encourage growth in ourselves and others.
To build value in our service to others.




Our Training Facility in Tampa, Florida

Thank you to the following Agencies that had a great day of training at our facility in Tampa, Florida

All Broward Home Health

Express Home Health Inc.

Blue Sky Home Health Care, Inc.

Boca Home Health

Texas comfort care, inc.

Gold Team Home Health

Asher Heath Care, LLC

First Health Systems

National Health Care Agency

Mission Home Health Care

Medicor Healthcare

Plan B-Adult care

Ambience HHC

Patriot Home Health Care

Caregiving with Love
HomeHealth Specialists














nationalhc



medicor





patriot


NAHC Conference




    


Thank you to everyone who visited us!


HCAF Conference



Thank you to everyone who visited us!

Our God Principle


Boot Camp Training Video Testimonials

How to obtain a state license for your Home Health Care Agency?

Prepared by 21st Century Health Care Consultants - A Nationwide Company with 17 Years of Experience in the Licensing and Certification of Home health Care Agencies

Starting a home health business is a demanding task. Legal registration and permits for running the business are required, but the most demanding item is the submission of the required state application and preparation for the subsequent state license inspection. The owner also needs to plan out the services that are offered by the home health business for needing patients or the elderly. 

Hiring a Home Health Care Consultant

Consider hiring a Home Care Consultant that is knowledgeable about setting up home health care agencies in your state. A good consultant can simplify the process and can expedite the licensing process, assure that you pass the state license inspection, train your personal on how to operate the agency and develop all the manuals that you will need in order to comply with state and federal laws.

Registrations for Opening a Home Health Care Agency

The home health business needs to be registered to be a legally operating business in the United States. According to Business.gov, each state has a set of requirements or rules regarding business registration. You will need to register the home health business under the state laws in  your  state. Set up the business entity that will best fit your needs Typically this will be a sub-chapter S corporation or  a Limited Liability Company (LLC) . If you have an existing corporation or LLC, these entities can be used,  as you may wish to obtain an assumed or fictitious name to identify your agency .

Permits and Licenses required to open a Home Health Care Agency

Permits and home health care licenses are required for a home health business. The permits and home health care license requirements will differ for each state,. The business may also require local permits, which can include a local business permit and an occupational permit from the county’s building and planning department.

Tax ID and  NPI Numbers required to open a Home Health Care Agency

To open a home health agency you will need to apply for a Federal TAX  and a National Provider Indicator (NPI number) These can be done at the respective websites.  When you register  your company with your state you will get information pertaining to your state tax ID and the payment of state income taxes and employment taxes, income taxes and employment taxes for the business should it require additional assistance.

 Home Health Care Licensing

 Fourteen states do not accept license applications unless it can be proven through a Certificate of need application that the need for a home health Agency is pressing.  (CONs are difficult, if not impossible to obtain and they typically require a significant and non-refundable filing fee)  Thirty-six states at present  allow the establishment of new Home Health Care agencies without a Certificate of Need Application  . All but four ( Iowa, Michigan, Massachusetts and Ohio) require the submission of a state license application.

 21st Century Health Care Consultants prepares all license applications for its clients. It will typically provide a three hole binder which will include the license application itself and all required attachments an index will be provided as the front cover and the book in its entirety will be mailed to the client who will sign where indicated, attach a check for the license fee and mail the book in its entirety to the state authority. This approach organizes the application package for the person reviewing it and avoids the possible misplacement of documents by the person reviewing the application. Since 21st Century Health Care Consultants adopted this method the percentage of  immediate approvals, without the need for corrections has increased to 90%.

 The content of the licensure applications varies from state to state but there are always three common components: 

            1.  Proof of  agency authorization must be provided,

            2.  Criminal Checks must be conducted,  and

            3.  Proof must be provided that key staff members (typically, Administrators and      Director(s) of Nursing) are qualified under state regulations.

 The amount of proof and the number of forms that states require to substantiate items 1-3 above  varies greatly from state to state. Hence applications may be as short as five pages or as long at 55 pages.

 Unless an applicant fails to sign the application or fails to provide the required fee, the application will not be sent back to the applicant. Instead, if the application is not filled out properly a letter of corrections or omissions will be sent to the applicant and the applicant will be given anywhere from 15 days to 30 days to make the corrections. If the state is not satisfied with the response the application will then be rejected.

 The most common reason for an application rejection is that the state determines that either an Administrator or a Director of Nursing is not qualified to hold their positions. 21st Century Health Care Consultants will not allow a license application to be submitted unless we are certain that the staff members qualify.

 Every state that requires a license application will also require a license inspection that will either be conducted by its own inspectors or by an Accrediting body.  Eighteen states at present require that the licensure inspection take place before a license is issued. All other states will issue a provisional license or what is in effect a provisional license and then follow it up with an inspection visit.

 The Chart below provides the following information: Whether or not license applications are accepted, what services can be provided under your license, whether a state application is required and if the license inspection takes place before or after a license is issued.

States

Application Required

Programs Accepted

License Inspection

Alabama

Certificate of Need

 

 

Alaska

Yes

Priv Duty, Medicare, Medicaid

After licensure

Arizona

Yes

Priv Duty, Medicare, Medicaid

After Provisional License

Arkansas

Certificate of Need

 

 

California

Yes

Priv Duty, Medicare, Medi- Cal

Prior to license,  by State

Colorado

Yes

Priv Duty, Medicare, Medi- Cal

Prior to license,  by State

Connecticut

Yes

Priv Duty, Medicare, Medi- Cal

Prior to license,  by State

Delaware

Yes

Priv Duty, Medicare, Medicaid

 

Florida

Yes

Priv Duty, Medicare, Medicaid

Prior to lic,  by accrediting body

Georgia

Yes

Private Duty -Nursing only

 Within 1 year after license

Hawaii

Certificate of Need

 

 

Idaho

Yes

Private Duty -Nursing only

"Desk Inspection -no visit- before licensure

Illinois

Yes

Priv Duty, Medicare, Medicaid

Prior to license,  by State

Indiana

Yes

Priv Duty, Medicare, Medicaid

Within  90 days  after provisional license

Iowa

NO

Priv Duty, Medicare, Medicaid

None

Kansas

Yes

Priv Duty, Medicare, Medicaid

None

Kentucky

Certificate of Need

 

 

Louisiana

Certificate of Need

 

 

Maine

Yes

Priv Duty, Medicare, Medicaid

After License issued

Maryland

Yes

Priv Duty, Medicaid

Prior to license,  by State

Massachusetts

NO

Priv Duty, Medicare, Medicaid

None

Michigan

NO

Priv Duty, Medicare, Medicaid

None

Minnesota

Yes

Priv Duty, Medicare, Medicaid

Prior to license,  by State

Missouri

Yes

Priv Duty, Medicare, Medicaid

Prior to license by accrediting body

Mississippi

Certificate of Need

 

 

Montana

Certificate of Need

 

 

Nebraska

Yes

Priv Duty, Medicare, Medicaid

Prior to license,  by State

Nevada

Yes

Priv Duty, Medicare, Medicaid

Prior to license,  by State

New Hampshire

Certificate of Need

 

 

New Jersey

 Yes

Priv Duty and Medicaid

After License issued

New Mexico

Yes

Priv Duty, Medicare, Medicaid

Prior to license,  by State

New York

Yes

Priv Duty

Prior to license,  by State

North Carolina

Certificate of Need

Priv Duty

Prior to license,  by State

North Dakota

Yes

Priv Duty, Medicare, Medicaid

Prior to license,  by State

Ohio

NO

Priv Duty, Medicare, Medicaid

None

Oklahoma

Yes

Priv Duty, Medicare, Medicaid

Prior to license,  by State

Oregon

Yes

Priv Duty, Medicare, Medicaid

Prior to license,  by State

Pennsylvania

Yes

Priv Duty, Medicare, Medicaid

2-3 months after license

Rhode Island

Certificate of Need

 

 

South Carolina

Certificate of Need

 

 

South Dakota

 

 

 

Tennessee

Certificate of Need

 

 

Texas

Yes

Priv Duty, Medicare, Medicaid

Required Six months after license

Utah

Yes

Priv Duty, Medicare, Medicaid

Prior to License

Vermont

Certificate of Need

 

 

Virginia

Open 07/01/2012

Priv Duty, Medicare, Medicaid

After License issued

Washington, D.C

Certificate of Need

 

 

Wisconsin

Yes

Priv Duty, Medicare, Medicaid

After Provisional license issued

Wyoming

Yes

Priv Duty, Medicare, Medicaid

After Provisional license issued

 

PUBLIC INFORMATION CONTACT LIST

(Please be advised that as the  information below relates to Public Information you will need to advise the individual who answers that you are seeking licensure information so you can be directed to the right party)


Alabama Alabama Department of Human Resources Public Information Number: 1-334-242-1310

http://www.dhr.state.al.us/
Alaska Alaska Department of Health and Social Services Public Information Number: 1-907-465-3030

http://www.hss.state.ak.us/
Arizona Arizona Department of Economic Security Public Information Number: 1-602-542-4791

http://www.de.state.az.us/
 Arkansas Arkansas Department of Human Services (ADHS) Public Information Number: 1-351-682-8635

http://www.arkansas.gov/dhhs/homepage.html
California California Department of Social Services Public Information Number: 1-916-455-6951 or 1-916-654-3345

http://www.dss.cahwnet.gov/
Colorado Colorado Department of Human Services Public Information Number: 1-303-866-5700 

http://www.cdhs.state.co.us/
Connecticut Connecticut Department of Social Services Public Information Number: 1-800-824-1358

http://www.ct.gov/dss/site/default.asp

Delaware

Delaware Department of Health and Social Services

Public Information Number: 1-302-577-4352 

http://www.dhss.delaware.gov/dhss/

District of Columbia D.C. Department of Human Services Public Information Number: 1-202-INFO-211 (1-202-463-6211

http://www.dhs.dc.gov/
Florida Florida Agency for Health Care Administration Public Information Number: 1-835-488-1295

http://www.fdhc.state.fl.us/
Georgia Georgia Department of Human Resources Public Information Number: 1-404-651-6314

http://www.dhr.state.ga.us/
Hawaii Hawaii Department of Human Services Public Information Number: 1-808-586-4997 

http://www.hawaii.gov/dhs
Idaho Idaho Department of Health and Welfare Public Information Number: 1-208-334-6558 

http://www.healthandwelfare.idaho.gov/
Illinois Illinois Department of Human Services Public Information Number: 1-217-557-1601 

http://www.dhs.state.il.us/
Indiana Indiana Family and Social Services Administration Public Information Number:

1-317-233-4690 

http://www.in.gov/fssa
Iowa Iowa Department of Human Services Public Information Number:

1-515-281-3147 

http://www.dhs.state.ia.us/
 Kansas Kansas Department of Social and Rehabilitation Services Public Information Number:

1-785-296-3271

http://www.srskansas.org/
 
Kentucky Kentucky Cabinet for Health and Family Services Public Information Number:

1-352-564-7042 

http://chfs.ky.gov
Louisiana Louisiana Department of Social Services Public Information Number: 1-225-342-7475 

http://www.dss.state.la.us/
 Maine Maine Department of Health and Human Services Public Information Number: 1-207-287-3707 

http://www.maine.gov/dhhs/
Maryland Maryland Department of Human Resources Public Information Number:

1-800-332-6347 o 1-410-767-7109 

http://www.dhr.state.md.us/
 
Massachusetts Massachusetts Department of Social Services Public Information Number: 1-617-748-2000

http://www.mass.gov/dss

Massachusetts Executive Office of Health and Human Services Public Information Number: 1-617-727-7600

http://www.mass.gov/eohhs
 Michigan Michigan Department of Community Health Public Information Number: 1-517-373-3740

http://www.michigan.gov/mdch
Minnesota Minnesota Department of Human Services

Public Information Number: 1-651-296-6117 

http://www.dhs.state.mn.us/
Mississippi Mississippi Department of Human Services Public Information Number: 1-800-345-6347

http://www.mdhs.state.ms.us/
Missouri Missouri Department of Social Services Public Information Number: 1-800-735-246 or 1-573-751-4815  

http://www.dss.mo.gov/
Montana Montana Dept of Public Health & Human Services Public Information Number: 1-406-444-5622

http://www.dphhs.mt.gov/
Nebraska Nebraska Health and Human Services System Public Information Number: 1-402-471-9433

http://www.hhs.state.ne.us/
Nevada Nevada Department of Human Resources Public Information Number: 1-775-687-4000

http://dhhs.nv.gov/
New Hampshire New Hampshire Department of Health and Human Services Public Information Number: 1-603-271-4685 

http://www.dhhs.state.nh.us/
New Jersey New Jersey Department of Human Services Public Information Number: 1-609-292-5325

http://www.state.nj.us/humanservices
New Mexico New Mexico Children, Youth and Families Department Public Information Number: 1-355-827-7602

http://www.cyfd.org/

New Mexico Human Services Department Public Information Number: 1-355-827-7735 

http://www.hsd.state.nm.us/
 New York Office of Children & Family Services http://www.ocfs.state.ny.us/
New York State Department of Health Public Information Number: 1-518-474-5422

http://www.health.state.ny.us/
North Carolina North Carolina Department of Health and Human Services Public Information Number: 1-919-733-4534 

http://www.dhhs.state.nc.us/
North Dakota North Dakota Department of Human Services Public Information Number: 1-701-328-2310 

http://www.nd.gov/humanservices/
Pennsylvania Pennsylvania Department of Public Welfare (DPW) Public Information Number: 1-717-787-2600 

http://www.dpw.state.pa.us/ServicesPrograms/
Rhode Island Rhode Island Department of Human Services Public Information Number: 1-401-462-2121 

http://www.dhs.state.ri.us/
South Carolina S C Department of Health&  Human Services Public Information Number: 1-803-898-2350

http://www.state.sc.us/dss/

South Carolina Department of Social Services

Public Information Number: 1-803-898-7601
 Tennessee Tennessee Department of Human Services Public Information Number: 1-615-313-4707  http://www.state.tn.us/humanserv/  Texas Texas Health and Human Services Commission

http://www.hhsc.state.tx.us/
Utah Utah Department of Health Public Information Number: 1-801-538-6101  http://www.health.state.ut.us/
Utah Department of Human Services Public Information Number: 1-801-538-4001  http://www.dhs.state.ut.us/
 Vermont Vermont Agency of Human Services Public Information Number: 1-802-241-2220  http://www.ahs.state.vt.us/  

 

 
Washington Washington Department of Social and Health Services Public Information Number: 1-360-902-7800 

http://www1.dshs.wa.gov/
West Virginia West Virginia Department of Health and Human Resources Public Information: 1-304-558-0684  http://www.wvdhhr.org/
Wisconsin Wisconsin Dept of Health and Family Services Public Information Number: 1-608-266-9622  http://www.dhfs.state.wi.us/  Wyoming Wyoming Department of Health Public Information Number: 1-307-777-7656 http://wdh.state.wy.us/main/index.asp

Home Health Care Associations

For over twenty years, 21st Century Home Health Care Consultants
have specialized in CHAP (The Community Health Accreditation
Program), ACHC (The Accreditation Commission for Health Care) and
JCAHO (Joint Commission) Accreditation Certification for Medicare Accreditation, Medicaid Accreditation, Private Duty Accreditation,
Personal Care, and Companion Care Services.


www.1staccreditation.com 888-850-6932

    TAHC
The Texas association of Health Care
www.Tahc.org
HCAF
Health Care Association of Florida
www.Ahhif.org
NAHC
National Association for
Home Care & Hospice
www.Nahc.org

CAHSAH
California Association For
Health Services at Home
www.cahsah.org
HCANJ
Health Care Association of New Jersey
www.Hcanj.org

CHCANYS
Community Health Care Association of New York State
www.Chcanys.org
IHCC
Illinois Home care Council
www.Ilhomecare.org

AAHC
Arizona Association for
Health Care
www.AZHomecare.org

OHPCO
Ohio Home Care Organization
www.Ohpco.org
OAHC
Oklahoma Association for Home Care
www.Oahc.com
MHHA
Michigan Home Health Association

www.mhha.org
PHA
Pennslyvania Homecare
Association
http://www.pahomecare.org
MAHC
Missouri Alliance for
Home Care
www.mhha.org
UAHC
Utah Association
of Home Care
http://www.ua4hc.org
IAHH
Indiana Association for Home & Hosipice
www.iahhc.org
IHHC
Illinois Alliance for Home Care
www.ilhomecare.org