“Starting a Home Health Agency”
Comment Page 5

  • Sonja said on July 31, 2011
    I have a business management degree and I'm interested in opening a homehealth care (non medical) staffing agency in the Atlanta, GA & Houston, TX area; it will be a small staffing business initially run out of my home. I have no idea where to even begin. Do I have to have a RN on my staff, and where do I go for information regarding licensing, medicaire/medicaid for the state of Georgia and/or Texas?
  • Valeisha said on August 1, 2011
    I am starting a HHA business in Missouri and need some help getting medicare and state certified, I am need of Procedure Manual. Is there anyone that can guide me through this process?
  • Lilian Bello expert adviser said on August 1, 2011

    @valeisha, Good afternoon, I am Lilian. I am a part of a firm that specializes in health care business start-ups as well as continuing proper management. We can definitely assist you in the process of getting started with your agency. Feel free to give us a call so that we may be of help in your project. I look forward to hearing from you soon,

    @sonja, Hi sonja. Our firm can definitely help you in this process. What you are looking to get started with is called a Private Duty Nursing agency. The start-up costs are between $10,000-$20,000. You may start from home. The cost estimate includes our fee for taking you through the entire process. Feel free to reach us so that we can help get your business foundations right from the start. I look forward to hearing from you soon.

    @Hazem, Hello Hazem, your question is a valid one. Allow me to begin by saying that any individual or entity (corporation, LLC, DBA, etc.) who provide health care services, whether home health, clinic, adult day care, assisted living, hospital, nursing home, group home, rehab, hospice, etcetera, is titled a provider. Therefore, you can be an individual provider or an entity provider. Depending on the services you provide, you are classified into a "provider type". In the case of an individual home health aide, they can provide services such as personal care, homemaking, companion, chore, respite, etcetera. So in regards to your first question, a home health aide can be an individual provider. In regards to the 2nd question, the agency is the provider and the home health aide is the staff member contracted by the home health agency. I hope this helps clear your questions. Feel free to reach me to discuss it further, Good luck.

    @Shumia Mathis-Cost, Good evening Shumia. What you are interested in starting is known as a Private Duty Nursing agency. It acts as a home health agency, however, it can only provide services to Medicaid recipients, private pay, and private insurances. The start-up costs run between $10,000-$20,000 and this includes our fee for taking you through the whole process. We provide you policies and procedures, complete your forms, prepare you for survey from the state, etcetera. Feel free to give us a call and have our trusted company guide you on the right direction. I look forward to hearing from you soon,

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Lilian Bello expert adviser said on August 1, 2011

    @Jeff, Good evening Jeff, Health Care Business Advisors is a firm made of a team of consultants and support staff. There are two of us our Clients work with. In your case, I will be the one to work alongside with you to get this project rolling. You will deal strictly with me throughout the process. In Pennsylvania, you may use a residential address to get started, Great news Jeff, you do not need to have double provider enrollment. Your home health agency license and medicare certification allows you to provide therapies (physical, occupational and speech). The only catch is, they have to be provided in the clients' homes. You cannot provide them in the office. That is a separate provider type. So yes, you will deal with me directly, you may start from home, and as a home health you can provide therapies. Feel free to give me a call and we can discuss this further, Good luck!

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Lilian Bello expert adviser said on August 1, 2011

    @iris ramos, Hi Iris! I am always excited to hear someone in Puerto Rico is looking to start a health care business. I am Cuban with Puerto Rican roots. In regards to your question, I can tell you it is very hard to find grants in today's economy. The pointers I can give you though, is that bank of america has given money in the past to starting businesses. However, I am almost sure you will have to be a guarantor. I know SBA does not really provide much money either and in regards to grants, you have to check in your local government for those. I know at a local level, cities do offer grants as incentive to businesses, usually non-profit organizations. You will need an estimate of $60,000 to get started. The process will take about 9 months including the medicare certification process. Feel free to give me a call so that we can discuss the process further. I look forward to hearing from you soon!

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Billy said on August 3, 2011
    I have just open a home health agency with my partner, We are looking for someone with connection/Capital here in New mexico to get us referrals. He/She will partner with us and hopefully run this agency smoothly. We have great webpage, start hiring nurses, looking for clients.Please get in touch if you have connection/start-up capital and health care experience. We reside in Albuquerque, New Mexico. licensing is done, working on getting medicare.
  • jay said on August 8, 2011
    Hello Lillian, I am a registered radiation therapist for over 20 years. I will not have a job starting oct. of this year. Instead of looking for a job in my field since it is physically demanding and the pay is limited I am thinking about opening a home health care here in Michigan. My question is should I buy an existing home health already running or should I start one from scratch? Most likely I will have a partner. If I buy an existing agency then I can receive income right away right?Starting from scratch I probably will have to wait about one year to generate income. Do you also guide on who to get patient referrals from since I don't have any contacts?Thanks for your time!
  • Lilian Bello expert adviser said on August 9, 2011

    @jay, Hi Jay, how are you? I am sorry to hear about your losing your job. Both of the choices are good. The first choice of purchasing an agency though, is riskier. Here's the issue, you don't know what you are buying. Unfortunately, nowadays, you do not have to be committing fraud to be shut down. Nowadays, you can be shut down by not being compliant with rules and regs. Therefore, you have to make sure you are purchasing a good standing business. A company like ours will help you make sure the business you are buying is in good standing. Although it is never 100% sure since it all depends on the size of the company and how many years they' ve been in business, we can give you the green light to buy or red light not to buy. We will check everything, from client records to staff records, to financial documents, looking for specific items that will will tell us how the business has been managed. In addition, you will not be able to make money right away, you still need to be approved by CMS and the other regulating agencies, if any, that are involved. In other words, CHOW paperwork has be completed and sent correctly. Our agency can also take you through that process since we work with mergers and acquisitions. In option 2, yes, it can take you 9 months - 12 months, but you are starting something from the beginning in which you are aware has not committed any fraud or has started from the beginning with efficient management and has been compliant. Remember, two things can get you shut down, fraud and compliance. It's just that the risks are higher when you buy one than when you start from scratch. I have been hired in situations where companies have had their provider number terminated and we have to prepare an appeal for that. Although we have been successful in all cases, it is still not a guaanteed process. In other cases, companies have bought a business for let's say $400,000 and 30 days later have received a letter from Medicare stating they have to return over $1,000,000 for wrongful billing, and have been forced to shut down down to not having the money to return. In other cases, they have bought a business and it's turned out that the previous owner has committed fraud, and they have had to go through the whole process of proving they weren't involved in the fraud, but have been forced to shut down anyway because they lose their billing privileges. There are many factors you face, And both choices have their ups and downs. Not to mention, a lot of times, it will cost you triple the amount of money to buy an established agency than to start one, therefore, it is still cheaper for you to start it although you won't generate money right away. An established agency will cost you anywhere from $150,000 + depending on size of company and starting one should not cost you more than $60,000 throughout the whole process. Yes, part of our consulting packet does guide you through techniques of generating patient referrals. I hope this helps clear up your choices and I look forward to helping you make the right choice for you. As always, I wish you luck!

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Julie said on August 10, 2011
    we have got medicaid accreditation and number. Needs ideas about source of referrals.
  • alex Martinez said on August 11, 2011
    Hi Lilian: My name is Alex and I am from New Jersey. I have a business plan, registered Elderly Care Solutions with the state of NJ and have the FEIN. I also received applications from the NJ Department of Consumer Affairs to open a Health Care Service Firm that I have not yet completed. I have written a 241 page policy and procedures manual as well as the employee manual, hundreds of different forms and the health aide manual, however, I am still very confused on the process of getting Medicare which seems to be the where most people get stalled. I am not sure if NJ has any moratorium on getting Medicaid. I have a Masters in Public Administration and for years have worked with disable individuals. They are my passion; especially children and elderly people. How much would it cost me to start? Thanks a lot Alex Martinez amartinez08081@yahoo.com
  • christy said on August 12, 2011
    hi lilian i'm interesting about open an home health or health care training center but have no ideas about how to get start, i wandering if you can help me with idea,i live in illinois thanks,,,,,
  • Lilian Bello expert adviser said on August 12, 2011
    @christy, yes christy. Our firm can definitely take you through the process in Illinois. Give us a call so that we may discuss it further. I wish you the best of luck.

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Cesar said on August 16, 2011
    Hi Lilian, We are a group of 3 RNs trying to start a home health agency in Dallas, TX. I've read that you estimate about $60K or less for start up costs. Could you please give me a breakdown of the costs or tell me what determines those startup costs? is there a way to bring them down? Is the medicate contingency funding relative to the expected expenses or is it a minimum fixed amount? Could we start out of a home office in the state of TX? We would also work for free until the company is certified. Also, how long do you estimate the certification process to take? Thank you for your advice in advance!
  • Lilian Bello expert adviser said on August 17, 2011
    @cesar, hi and thank you for your inquiry. Since you are 3 nurses, yes the cost can be less as you can see patients yourselves and not spend on salary. We are looking at an estimate of $40,000-$50,000 contingent upon the fact that you are three nurses and you will save on staffing expenses. In Texas, depending on where you want to start it, you may be able to start from home. According to the state, they don't care if you start in a commercial address or a residential, however, at the local (city) level, it differs. Once we are hired, this is something we uncover for you. In the state of Texas, there is a licensure process as well as the certification process. Licensure can take 3-4 months and certification can take 4-6 months, in certain cases, it has taken longer than that, but it hasn't been the norm. The 60k breakdown, is basically a projection for clients who have to hire the nurses, and who have to start from a commercial address as a requirement. Once we start working together, there is a business plan provided to you as well as a breakdown of the costs to come. Thank you so much once again for your inquiry and feel free to reach us when you are ready to get started.

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • C. Daniels said on August 25, 2011
    Hello Lillian: I've been researching literally all night. I just happened to stumble upon this website and I must say you are amazingly knowledgeable!! I'm in oklahoma. I've researched the ok dept of human/health websites, SOS website, CMS websites, etc. I do have the jist of things however in regards to an estimated start-up costs, I have yet to figure that out. I have read all of your posts on here...just nothing for OKla. I'm not sure if Oklahoma is a need state or moratorium state. I do have a private investor as my partner and I will be attending school to become the admin to begin the business. It will be a medical home health agency specializing in behavioral illness in men. I probably know the answer to this first question, but will we still have to go through all same processes, applications, etc even if we're specializing in a particular area? Can u also give an eta on licensing, accreditation in okla? Would it be wise to join the all national assocs and get a d&b duns number? Will I need a board and how many supv will I need to run the facility including me as the admin? I look forward to contacting your company in regards to the business planning stages soon. Thx in Advance!!!
  • Lilian Bello expert adviser said on August 26, 2011
    @C.Daniels; Thank you so much for your support and positive thoughts about what I do. The Scope of Service you are choosing is a unique one. To answer your first question, yes, you would still need to undergo licensing process as a regular home health agency. In the case of Oklahoma, I do believe it is a CON state (certificate of need). I am waiting for Rod to call me back and confirm. The estimated time frame for the process is usually standard across the board, 9-12 months. The investment would be about $60,000 throughout the whole process. Yes, you will need a board of directors established and a PAC established with an MD or DO as a member. We will need to see if you qualify to be an Administrator, if not, the DON can be your Administrator and another person can be used as the Alt. Administrator. We do provide business plans for a fee. Definitely, let us know when you are ready. I look forward to hearing from you soon. Enjoy your weekend.

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Jeannette Rosier said on August 27, 2011
    I'm in school now but when I be finish I would like to have my own home health aid business I' am already a nursing assistant school for LPN I need your help how to stat it.
  • Lilian Bello expert adviser said on August 29, 2011

    @Jeanette, Good morning Jeanette, the business you are looking to own is a Home Care agency. Depending on where you are located (which state) is the process you must follow to receive a license to operate. Just let me know when you are ready to give us a call. :)

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • C. Daniels said on August 30, 2011
    Thanks so much Lillian for answering my questions. I look forward to working with you in the future!!
  • Isa said on September 1, 2011
    Is there a moratorium for the state of Texas? Does a pediatric hh, that will not bill medicare, still have to follow same steps to function?
  • Shona Turner said on September 1, 2011
    Hi Lilian, I tried to find my question in the previous posts so that you wouldn't have to repeat it:) I live in Dallas Texas, and I need the steps to starting a home health agency. I certified as a nursing assistant. I currently work in human resources/accounts payable within an assisted living environment, and I have a degree in paralegal studies. I believe that pieces of my background can put together a well thought plan, but I need help at an VERY inexpensive rate. I spoke with a the local SCORE chapter, but my no one had attempted to open a home health agency through them in years so they were unfamiliar.

    Do I need a state license to hire employees, receive medicare payments and/or insurance payments?
    Where do I find the census for the amount of home health agencies in my area to do a competitive analysis?
    I am confused.... Will you help me?
  • Lilian Bello expert adviser said on September 2, 2011

    @C. Daniels, I look forward to doing so as well.

    @Isa, Hi Isa, there is not moratorium in Texas... And yes, a pediatrics home health does have to go through the licensure process as any regular home health. However, you do not have to undergo certification for Medicare since you will not work with geriatrics. But yes, you do have to go through licensing with DADS.

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Lilian Bello expert adviser said on September 2, 2011

    @Shona, Hi Shona, thank you for your inquiries. Yes, i order to function as a home health agency, (hire staff for services and provide services) you do have to be licensed by the state of Texas, You can get the census for your competition from carepathways.com. And it is understandable that you are confused and that's what we are here for. The steps to starting a home health agency in Texas is licensing, certification (if you want to work with geriatrics Medicare patients, and accreditation). Feel free to give us a call so that we may discuss your options. :)

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Brad said on September 3, 2011
    I am looking to start my own Home Health Agency but cannot find any information on how to get private pay patients or how to approach Dr.'s to get on their referral lists.
  • Isa said on September 5, 2011
    How long is the process taking to open a PHC of non medical providers in Texas? What is the approximate start up cost? Do you offer consulting for this type of providers?
  • George Jackson said on September 8, 2011
    I am considering Queens NY area for my health care agency I intend to get the jobs and issue them to certified CNA and HHA aides, can I employ the aides as subcontractors requiring them to obtain liability and workers comp insurance is this possible?
  • Kayla said on September 13, 2011
    I am looking to start my own Home Health Care & Hospice billing services from home, but do not know where to start.
  • vanny Loch said on September 13, 2011
    Hello, Lilian , I am a new member. I am seeing that you have helped a lot of people out about starting a home health agency. I am hoping you can help me as well. I live in Columbus, Ohio. And I am also wanting to start a non medical home heath agency. I am clueless in this business. I had business of my own in the past. I have done a lot researches, bust still in the dark. Please give me some advices on what I need to do to get started. Thanks. Vanny
  • Lilian Bello expert adviser said on September 16, 2011
    @Brad. We can definitely assist you with the marketing strategies as well as the the start-up process in order to ensure a smooth process. Feel free to give us a call so we nay discuss it further. As always, I wish you luck with your project.

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Lilian Bello expert adviser said on September 16, 2011

    @Isa, Hello Isa, a non-skilled agency would still require a home health license in the State of Texas. PHC is a type of program and it takes at least one year of you being licensed as a home health in addition to providing services to10 consumers in order to contract with PHC. Feel free to reach us for more information regarding your process. The best of luck on your project and look forward to hearing from you soon.

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Lilian Bello expert adviser said on September 16, 2011

    @George, Yes George, you can. But there is a lot more to starting and running a health care agency in New York. Feel free to reach us so that we may discuss the process further with you. The best of luck on your project. Look forward to hearing from you.

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Lilian Bello expert adviser said on September 16, 2011

    @@Kayla, Hi Kayla, do you have billing experience? Did you go through a course to learn it? Where are you located? All of these are questions I need to know in order to guide you correctly. Feel free to reach us for more information.

    P.S. There is more to the process of medical billing than what you are taught in a school setting. There is some risk involved in the process as well. It is a great career to be in, very comfortable in the sense that it is flexible so you may work from home as you look after your kids. Overall, it is a great choice, but as any business, it does have to be taken very seriously and with caution.

    As always, I wish you luck with your venture!

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Lilian Bello expert adviser said on September 16, 2011

    @Vanny, Hi Vanny! Starting a non-medical agency in Ohio, we would have to find out the type of licensing that "may" be required. You can find out with the Department of Health. In Ohio, skilled home health agencies deal directly with Medicare certification. There is no license really issued. So, the question really is, does Ohio Department of Health monitor licensing requirements for this type of business. Feel free to reach us for more information. As always, warm wished with your project!

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • MELANIE said on September 16, 2011
    114 MILL ST PLEASANT CITY OHIO 43772. WANTING TO START A HOME HEALTH AGENCY. HAVE DID PRIVATE DUTY SINCE 1998. JUST WONDERING WERE I NEED TO START.
  • leomie teewia said on September 17, 2011
    what are the requirements and also how much capital do i need to open a non medical agency in the state of Tennessee? Somebody please help me.
  • Geanette said on September 17, 2011
    I have started a new minority owned personal care agency to the elderly in NYC. I submitted a request for a license over 6 months ago and was told the process can take up to 1 year! I have been set up and been advertising for 6 months, but have no clients!! Can you tell me how to best market my business to get real results? Since I do not have a license, I cannot bill for Medicaid or Medicare because I have to go through the Dept of Aging and cannot register with them until I have my license...I am in a catch 22 situation...
  • Jacqui said on September 22, 2011
    Hi Lillian, my business is located in Hollywood, Florida. We are in the process of getting accredited and My partner and I was told the we would needed $100,000 in the bank the day of the inspection. Can you please let me know if that's correct because we had the understanding we needed at least 3mths expenses in the bank? Please let me know how much is the requirement and a breakdown if that's possible. Thanks in advance
  • Lilian Bello expert adviser said on September 23, 2011
    @Melanie... Good morning... You need to start with the Ohio Department of Health.

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Lilian Bello expert adviser said on September 23, 2011

    @Leomie, The start-up capital we are looking at is anywhere between $10,000-$20,000. You will most likely need a license. But you will know for sure by calling Teneessee's Department of Health. Good luck with your endeavor as always.... Feel free to give us a call if you have more questions.

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Lilian Bello expert adviser said on September 23, 2011

    @Geanette, Good morning! It is my understanding that you may not accept clients nor provide services to clients as a company until you have a license to operate. Double check with the state to make sure. But I am pretty sure that is the way it is done. Either way, you should market yourself to the whole community you want to serve... It never really shows the results until a while later... For an actual marketing strategy feel free to give us a call so that we may assist you through that process. I wish you luck!

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Lilian Bello expert adviser said on September 23, 2011

    @Jacqui, Hi Jacqui! When you say, accreditation it is not the same thing as certification. Accreditation is when a company such as Joint Commission, CHAP or ACHC come out to your business and conducts a 3-day survey (for agencies that are per-existing that survey may be more days depending on the number of clients). At the end of the survey, they will award (tell Medicare) that you are in full compliance with the COPs (conditions of participation) and with their accreditation standards. For this accreditation process, you do not need $100,000. The accrediting organization does not check any monies from the agency. They check your financial documents such as your annual budget. For the certification process, yes you do need to have contingency finding money which I have stated in posts above, it would be beneficial to you if you read the discussions from earlier this year which are available above. There it explains all about the money. For Hollywood, FL, I would count on about $75,000-$80,000. But the highest I've seen in the whole country has been $98,000 and that is for the area of Miami. This is for Medicare to check and approve (the certification process). Feel free to give us a call so we may guide you through this process. I wish you the best of luck!

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • PAPY TSASA said on September 24, 2011
    We have a home health care in las vegas NV and are planning to start another one in Phoenix Arizona. Can u please advise me on how to approach it. Should I go for a new HHA or use the one we have here as a parent office. Thansk
  • Lilian Bello expert adviser said on September 24, 2011
    @Papy... Good evening, I believe it is wiser to go ahead and franchise by using the name of your current Home Health. However, it would not be considered a parent office per say, it would be more like your Corporate Headquarters. Each office you open throughout the country, will have to follow the rules and regs of the state in which it will be located and also receive its own stand alone certifications. Meaning, you will receive new provider numbers for each location you open. This in the long run, will bring more value as a company. Take for instance, Amedisys Home Health Services being one of the largest franchises in home health. Feel free to reach me with more questions. I wish you luck with your project.

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Darlene said on September 26, 2011
    South Carolina. I have a home care in South Carolina, and would like to know what are some of the best ways to advertise and market for new clients. Thanks
  • Kevin said on September 26, 2011
    Bloomfield Twp. Michigan. I am interested in purchasing a home and turning it into private pay, assisted living house, 6 people or less. What specifically do I need to do for licensing to get the house approved and tenants to occupy?
  • nicole said on September 29, 2011
    Ponca City,Ok I am interested in starting my own home health care service,i am a LPN and wish to do all the work myself, i only want a few clients and will not be hiring anyone unless i need to. How can i make this work, i need to know the process to get licensed and so on.
  • Monique Smith said on September 29, 2011
    Houston, TX, USA- Hello there Lilian! As I have scrolled through the post above, I am very impressed at the wealth of knowledge you have shared thus far. My question is, if my business partner and I are trying to decided if we want to open a "home care" or a "home health-care" agency, what things should we consider? Which of the two is more profitable? We want to deal primarily with medicaid/medicare and private pay. Which one is in more demand? If you can't answer those questions, perhaps you could tell me where I would go to research the demographics for our area? Any advice will be helpful. Thank you in advance.
  • Addie said on September 30, 2011
    Hi Lillian, first of all, i want to say you are well versed in this field and you are doing a great job. I live in Maryland, and i'm trying to start my own home care business, but i want to start something that will produce the money to enlarge the business itself, someone told me about starting with companion agency but i don't even know how to go about it, exactly what do i need to go about the companion agency business and if it's not too strenuous to start up my nursing agency business i wouldn't mind jumpstarting it...pls what do you suggest that i do? do have anyone in mind who can do this in maryland or can you start whatever you suggest for me? just that you know, i'm a Licensed Practical Nurse, close to obtaining my RN BSN in about a year. i have registered the business already, i have my EIN already but don't know where to go from there......pls reply asap, thanking you in advance for your prompt response.
  • my duong said on October 2, 2011
    Hello LiLian, It is very fortunate for us to have someone with good hearth for help as you. I live in Virginia, having a LPN license for 2 years and have been working almost 2 years in home health service, with many H/H/C agencies. Under State of Virginia law, what I need to have in order to operate a H/H/C agency? If any elderly need me to come to her home to take care, it is fine with the Virginia law for a LPN to come to an elderly as her request. Thank you, GOD Bless you. My
  • Lilian Bello expert adviser said on October 3, 2011

    @Darlene, Good morning Darlene! Our firm specializes in preparing marketing strategies with our clients. Feel free to give us a call (305) 492-5308 do come up with a strategic plan for marketing in your area. I look forward to hearing from you soon!

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Lilian Bello expert adviser said on October 3, 2011

    @Kevin, Hi Kevin, the process you are interested in takes local and state licensing procedures that require you to be compliant with a number of laws. You will need to have policies and procedures in place and then develop a marketing plan that will get people qualified for these services interested in your home versus other homes that would be your competition. Our firm specializes in guiding people through this process from start to finish. It also includes enrollment in 4 programs that cover these services and so forth. Feel free to give us a call so we can better assist you with your plan.

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Lilian Bello expert adviser said on October 3, 2011

    @Nicole, Hi Nicole, once again, the process for this requires compliance with local, state and federal laws. Depending on your location, federal enrollment may be mandatory. There are forms, data collection to be implemented, marketing plans to follow, possible accreditation requirements, and so on. Feel free to give us a call and see if we can guide you through this process. I look forward to hearing from you soon. Our contact number is (305) 492-5308.

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Lilian Bello expert adviser said on October 3, 2011

    @Monique, Hi Monique, definitely, a home health care agency is your most profitable choice. Medicare does not reimburse solely for home health aide services, home health aide services through Medicare is covered in combination with a skilled services. As a home care agency, you are limited in working with insurances as well as the services you will be able to provide. Now, in Texas, I can tell you that even though you offer non-skilled services, you would still hold a home health agency license, but you would be considered non-medical if what you choose to provide is solely home care (non-skilled) services. Feel free to give us a call so we may discuss your options better. I look forward to hearing from you soon.

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Sandra Gomez said on October 3, 2011
    I'm a freelance Medical Spanish interpreter /translator in DE & PA. I have various friends in the medical field (RNs & Nurses aides) who came to me asking to start a HHC agency in NJ. My healthcare contacts and friends all live in NJ and They dont want to relocate neither do I. I want to know if I could run a NJ HHC agency out of my PA home. Thank you in advance for your consideration.
  • Lilian Bello expert adviser said on October 3, 2011

    @Addie, Hi Addie! First and foremost I would like to say thank you for your thoughts regarding the work I do. I do appreciate my clients and the guts that they have for considering going on their own venture. It is a scary move to make and it requires a lot of dedication and hard work from your part. I first opened my business when I was 25, personally very young but I had a plan and as I look back, yes it has been very strenuous and felt discouraged at times, but I do not regret fighting to accomplish my goals. Even as you believe you have made it, something takes place to make you realize you still have a lot more to go (LOL). In regards to your venture, for Maryland, you can open a Residential Service Agency as there is a moratorium on Home Heath Care. Yes, you can start with companion, personal care, homemaking, maybe even medication management. The licensing for what you are interested has a fee of $500 with the state. In addition you will need 2 submit policies and procedures with the application for them to review. Our office can help you through the whole process. Yes, we can start with the process ASAP. Feel free to call me at (305) 492-5308 so I can guide you through the contract process and fees. I look forward to hearing from you soon.

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Lilian Bello expert adviser said on October 3, 2011

    @my duong, Good afternoon, basically it "should" be ok with the law to be hired by private patients to see them and get paid. However, the services would have to be provided by you, no hiring other individuals. Once you get into hiring other individuals, then you must register as a business and go through licensing process. That is how you begin your home health agency. Therefore, you must decide whether you wish to do this individually for yourself, or if you wish to hire more individuals and then you must form a company. Feel free to reach me if you have further questions (305) 492-5308.

    Lilian Bello
    Senior Advisor
    PH: (305) 492-5308 | 15295 NW 60th Ave * STE 100, Miami Lakes, FL 33014

  • Tim said on October 3, 2011
    Hi Lilian have quick question. Live in NC just found out about CON. Is there anyway around this? Seems like that is more of a monopoly thing more than it is to help. We want to go forward with our agency on cash basis. As well as Medicaid. It looks like Medicare is out of the picture. What would you suggest? Was really aggressive until they told me today on the phone I can not apply for a medicare number :(. Thanks
  • Emmanuel said on October 8, 2011
    Emmanuel from Cumming, GA, I have registered my private home health care agency business, and done all the needed stuffs like finger printed , IRS for paperwork, affidavit and now need the help in putting the process and procedure and also the final touch to send the paper work to Georgia state for an approval and need help. I check on line and its seem it cost between $600-$1500 just for the paper weeks that I needed. Please some help me. Just want make sure my entire document for registering with state of Georgia are in right standing to start my journey. I can be contact @ kwesiarmah@hotmail.com. Need your help. Thank you
  • shaminal said on October 11, 2011
    I'm looking for any information on starting a HH business from home perry,fl. what does it takes?
  • Mel said on October 19, 2011
    I am starting a Home Health agency in Wisconsin. I need help with rates for services we are offering (where do I come up with the rates), and policies and procedures. Someone please help!!
  • Lia Kristen Mitchell said on October 23, 2011
    I am in process of starting a HH agency in Alabama and currently working my way through the CMS 855 form. Needless to say, I am overwhelmed and needing guidance.
  • Ike said on October 29, 2011
    I live in the triangle Raleigh/Durham area and looking to Home Health agency. I will like to get info on how to get started. How to get clients and medicare/medicaid payments.
  • Tom said on October 31, 2011
    Hello, My brother lives in Florida, but me and my RN sister live in CA. He would like to start a Home Health Service in CA and have me and my sister run it. My sister does not want to put money down and does not want her license number being used on the application. 1. Can we still open a business somehow? 2. If the application process takes 9-12 months and we're spending the $60K, how soon can we start accepting patients and how long is the breakeven period? I've heard that it will take a year to breakeven after you get licenses because we need to take 6 trial patients and 3 regular patients for a year. Thanks for your response.
  • Pallavi Patel said on November 6, 2011
    Hi, Lilian, I would like to know more information for adult day care center. pallavi
  • Bob said on November 7, 2011
    I live in Northern Virginia and am interested in starting a non- medical assisted living serving MD DC and VA area. I plan for the facility to be located in Maryland. Could you please provide me with a step by step guide on the licenses, amount and type of insurance required, and how to attract clients. I have worked as a Direct Care associate for about 3 years, managing and a small facility. Please send any and all information regarding this. Thank you.
  • tintin said on November 9, 2011
    Bob, I live in Nothern VA and Im a PT. I'm looking to work in an assisted living as a PT. I can provide services for ur company if you need. WE can keep in contact if ever u need Physical therapy services, plz email me at pt_us@yahoo.com. Thanks
  • tamara santo- kelminskiene said on November 11, 2011
    Florida Boynton Beach 3 years experience in Homemakers-Companions Agency owner State of Connecticut , moovde in Florida how to start in Florida? Thanks ..
  • Lesha said on November 16, 2011
    From Milwaukee, WI. I have read everyone's reply and posting, Its Redundant to post the same thing that I am in need for. However I have consider all the info. shared and I am looking forward for some progress within my phone calls to most of you and I pray that everyone is legit in all things and upcoming info for me. Looking forward to talking with Lilian Bello!
  • Steve said on November 19, 2011
    @Lilian. I have heard there is a moratorium on home health in Texas. Have you heard that.
  • Monica said on November 21, 2011
    Hello Lillian, I'm an RN in south texas and wanted to see if you can provide me more information and cost about your services. A couple of rn's and myself are interested in opening up an agency in the very near future and will be needing a consultant. Is it true there will be a moratorium in effect for 2012 for tx, and how long does that last?
  • Lana said on November 24, 2011
    I am amazed at the wealth of knowledge and information that you share with people. Reading through some of this has helped to reiterate a lot of what I have already learned. Currently, I am in the early stages of my business plan. Thankfully, the Good Lord has blessed me with a the small business director at a local college that is helping me one-on-one with much of my endeavors. However, I still feel very lost in several areas. I am a Registered Nurse with business plans in the Home Care/Home Health area. I have worked in home hospice and LOVED it. For some reason, I have always been drawn to the elderly population. I thought that going back to school would help me with my business endeavors. The problem with that is that I am not sure which route to go. I want to offer the best holistic approach possible for my future clients. In your OPINION, which areas do you think would be of greater opportunity? Social Work, Health Care Management, Public Health, or continue with nursing to a Masters in Gerontology. It would be great if there was a way to get a nice splash that included all of these, but I know that is not feasible. Thank you for all of the information that you so graciously share, and thank you for your time.
  • Ruth said on November 27, 2011
    Hi, planning to buy Medicaid certified agency in NJ. As I know recently all Medicaid recipients were transferred to 4 Medicaid HMOs and HHC agencies got temporary providers from those HMOs. Do you know if this temporary providers could be transferred to new owners or I should wait until all this providers become permanent? Thank you.
  • tuneka wright said on November 28, 2011
    hi lilian. i am starting a home healthcare agency in ohio. this whole process is new to me. i have a registered nurse license. have been for over 15 years. but where to begin with my home healthcare agency is confusing. for example. when can i start seeing patients? or how do i attain a provider number. or can i start seeing private pay clients prior to being medicaid and medicare certified. and also does your company help with the business side of the home health company. i have purchased office space, office supplies, and i just opened up a business account for my company. where do i start lilian?
  • Trina said on December 1, 2011
    I am an Independent Provider for the State of Ohio & want to start a home health agency in my area. I have been doing home health for 12 yrs & 2 yrs of nursing home experience. Would I qualify to do this or do I have to be a nurse, go to college, ect? Any idea on how much start up costs are? Can I run this out of my home to start with? Any help I could get would be greatly appreciated. I don't know where to start. It would be in Northwest Ohio. Thanks!
  • Sherry said on December 6, 2011
    I'm interested in opening a home health agency in the State of Mississippi.I need the steps to get started. Any help would be greatly appreciated. Thank you
  • sam melles said on December 9, 2011
    I am registered nursing interested in starting hhc in san antonio texas. what step do i need to accomplish this goal. hi Peggy. call me at this number: 2104159463
  • Syncere said on December 12, 2011
    I am looking to Purchase a Home Health,Hospices or both in the DFW area .. If you have any information my Email:Epollardaec@yahoo.com
  • sonia said on December 20, 2011
    I lived in ocoee florida, and I would like to open a 24 hr private in home, non-medical elderly care business. please tell me ,how do I get started.I would like to start with 3 seniors. Is it legal? Your replying back will be appreciated.
  • molly said on December 27, 2011
    I live in Rhinelander, WI. I have been working as an independant contractor for 4 years through a home health service and am now going off on my own with a private client. Ultimately I would like to have a senior day care or non medical home health service but have no idea where to begin. I would appreciate any advice. Thank you
  • carla keeler said on December 28, 2011
    Hi I live in sumter s.c and I'm very interested in starting my own Home health agency..where do I start???
  • Lisa said on December 29, 2011
    hello all! Like all of you I want to start my own home agency too. From what I'm reading I obviously can't do it alone. I've been a aide for nearly 7 years & feel the need to do more, allow the elderly to stay in their own home as much as possible. I'm near Cincinnati & if anyone would like a business partner contact me. Hazeleyes9904@aol.com I have very good ideas
  • Dontrelle Terrell said on January 2, 2012
    Hello all! I am trying to open my own Personal Care attendant business in Slidell, La. I am a cna at the moment, and looking forward to opening my own business. I need to know how I can get information on what city has a need for this type of business.
  • Nika Cage said on January 2, 2012
    hi, i want to start my own pca company in Baton Rouge, LA. I had a job at an agency like that but they didn't stay in business long. So I really didnt find out necessary info.
  • rebecca c. said on January 6, 2012
    Hi Lilian, I am so impressed how knowledgeable you are about starting up a home health agency. I have been researching informations. I wanted to start here in VA. Regarding the costs, I have limited funding. It will be a family owned, since there are 3 nurses in the family. Any suggestions on how to start?
  • Sandra Quinn said on January 9, 2012
    I'm interested in starting a pediatric home care agency in Philadelphia I also was thinking about opening a track and vent home for children. Any advice you can give me on where to start and how would I get patients. Thank you for your help. And of course funds are very limited.
  • Gene Perd said on January 10, 2012
    My wife and me are on a way to open Private Care Agency in NY STATE. (Long Island Area)We are looking for complete sample of drafted POLICY and PROCEDURE. Any help will be appropriated. We can not afford to pay $1,500 at this point. I was director of Dietary Department over 17 years serving diff. nursing homes and care facilities. My wife she is in the same field, RN.Please help!
  • Barbara Farrington said on January 12, 2012
    Hi Lillian, I am an RN in massachusetts who is interested in opening an independent Nurse Practitioner PCP office with possible home care component in the future. I worked in home care as a case manager and field staff in the past and currently work as a staff nurse in the PICU of our central mass tertiary care center. I am just starting my research on this area and came across your website. Do you have any experience in opening an independent NP practice or can you point me in the direction of someone who does? Thanks for your help.
  • christine said on January 15, 2012
    hi,how can i open a home care agency without using medicaid and medicare,just private pay and do i need nc license.
  • Mark G said on January 17, 2012
    I was wondering about starting up a home health agency in Florida. I was wondering how long it usually takes to get licensing for Medicare and Medicaid. Also, I read that one needs a surety bond of at least $500,000. With just these expenses, how much would start up costs be? In addition to this, how does one start a home health agency from home? Don't you need medical equipment, staff, etc? Thank you for your help!
  • Bob said on January 18, 2012
    I am planning to start a Home Health Agency in Chicago.I was looking for direction to get medicare/Medicaid licensing.I was also looking for a consultant who can help in getting it started. We are planning the below services.We have necessary resources for the activity below Physical therapy, OT, Nursing, Speech, Caregiver Service. I can be reached at bobbyjohnm@yahoo.com. Regards, Bobby
  • Ann said on January 20, 2012
    Hi Lilian I'm from Los Angeles, CA. a BSN graduate. I'm planning and very excited to put up a non-medical care-giving agency. Please help me to decide if i need to hire caregiver as an employee or as an independent contractor, as you know this kind of job doesn't have permanency of assignment. Also, i need help how to do client contract and marketing strategy. Have a blessed day!!!
  • Kayla said on January 23, 2012
    Hi, my father has just gave some money to my older sister and I, that he recently received from an investment deal. My mother said based on my experience in hospitals, nursing homes, and home care, it would be best for me to start my own home care business. Please i need help setting up and doing this project.
  • carolyn mungin said on January 25, 2012
    I am interested in setting up a business for elderly care. I am not quite sure how to file my business name to protect myself. Also, where can i look for grants, etc?
  • Felix said on January 25, 2012
    I am interesting in starting a home health agency in Texas. Need info about start up cost?
  • Barbara said on January 26, 2012
    Hello All, I am looking to start my own Home Healthcare Agency in New York, and is seeking a qualified Home care Consultant to prepare the policies and procedures manual, assist with the licensing process and other startup requirements. I will greatly appreciate any feedback on this inquiry. Thanks!
  • Hynaci said on January 29, 2012
    Hello I'm looking to start a sitting service in Texas but having a hard time with figuring out exacting what license I need. I also am having a hard time with what price to charge once I've started. Can anyone give me any direction I have a passion for the field which I've started in, and after being laid off for the third time in a massive layoff in accounting I've decided to start my own company.
  • Sylvia said on January 31, 2012
    Hi I'm trying to open a Health Care Agency in North Carolina I have done some research and started doing my brochures to market people. I have also found an affordable office space i just need a little more advice on what more to do to get clients. I know about the business license and the healthcare professional certification. You can email me at s.anode@aim.com
  • Dustin said on February 1, 2012
    I am in the process of opening a non medical home service company in central illinois. I am wanting to do so with out being involved with medicaid and medicare. Will I still be able to operate this company without a license issued from illinois public health department? What are some loop holes that may help me? Please someone help..
  • BRIDGRETTE JOHNSON said on February 6, 2012
    I would like information send to me on opening Home Health Agency in the Vernon Ca. area My address is 15903 Lakewood Blvd. #103 Bellflower Ca. 90706 Thank You
  • Jack Hostetler said on February 10, 2012
    We fell into a very rewarding situation helping a senior citizen with 24/7 non medical care. By using 1099 contractor agreements we have 5 caregivers working "for" us. We would like to add another client or two but don't want to get into a big time business or anything medical, just activities of daily living. In Tennessee, it looks like having one client is OK, but more clients mean we would have to get licensed by the state. When would we officially be termed an agency or can we get by without the $800+ licensing? Which State Agencies in TN really care about small businesses providing personal, non-medical care for the elderly?

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