To start a home health care business you need a state license, Medicare certification (for skilled care), caregiver hiring systems, HIPAA compliance, and liability insurance. Most agencies launch in 6–12 months with $100,000–$350,000.
Choose between skilled home health (nursing, therapy — Medicare-certified) or non-medical home care (personal care, companionship — private pay or Medicaid).
Apply for a home health agency license from your state health department; requirements include policies, procedures, and a completed survey before operation.
If offering skilled care, apply for Medicare certification through CMS; this requires an accreditation survey and can take 6–12 months.
Purchase general liability, professional liability, workers’ comp, and dishonesty bond; home health carries significant patient care and employee risk.
Establish HIPAA privacy and security policies, an OSHA compliance program, and caregiver training protocols; compliance is heavily scrutinized in home health.
Hire CNAs, HHAs, and RNs; conduct background checks, verify credentials, and provide training on patient care, safety, and documentation.
Use home health software (AlayaCare, ClearCare, HHA eXchange) for scheduling, caregiver matching, time tracking, and care documentation.
Network with hospitals, rehab facilities, physicians, and social workers for skilled referrals; market to families and senior centers for private-pay care.
BizResCo connects you with verified professionals for every step of starting and growing your business.
Startup costs range from $100,000 for a non-medical care agency to $350,000+ for a Medicare-certified skilled home health agency.
Our AI assesses your business and generates a custom 90-day action plan with tasks, provider matches, and growth insights.
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