Starting a Medicare‑certified home health agency
is not a good “DIY” project
DIY Challenges
- Regulations are overwhelming: Medicare CoPs, state licensing, accreditation options, and payer enrollment each have their own language and can be difficult to interpret.
- Costly delays: Missteps with licensing, survey readiness, or documentation will delay your first billable visit — and burn through your cash and morale.
- You’re getting conflicting advice from AI, google searches, software vendors, and well‑meaning colleagues.
You don’t need more scattered checklists. You need a structured path and a partner who understands both regulations and real‑world home health operations.
Amity is here to help you build a compliant and sustainable Medicare certified home health agency from day one.
We provide end‑to‑end consulting for founders and leaders who want to start (or restructure) a Medicare‑certified home health agency with a strong foundation for compliance, quality, and growth.
What’s included:
- Strategic planning: Clarify your agency’s mission, target patients, referral strategy, and financial assumptions so your model is realistic and sustainable.
- Regulatory and licensing roadmap: Map out your specific state licensing steps, Medicare certification pathway, and key milestones, in clear, non‑legal language.
- Policy and procedure development:Review and adapt policies to align with Medicare CoPs, your care model, and workflows.
- Operational design: Define roles, responsibilities, workflows and processes.
- Survey readiness and quality practices: Integrate quality, infection control, documentation standards, and performance improvement into your operations from the beginning so you’re always survey ready.
- Leadership support: Support for Administrators, DONs, and key leaders as they build a culture that supports compliance, accountability, and staff satisfaction.
Is this program a good fit for you?
Perfect for you if:
You’re serious about Medicare certification: You’re ready to invest time, money, and attention to build a real agency, not just explore casually.
You want to build a sustainable business that has predictability in business and clinical operations.
You care about quality of care: You want your agency to be known for ethical, patient‑centered, and compliant care.
You value partnership: You want a consultant who listens, explains, and builds with you — not just hands you templates and disappears.
Not a fit if:
You’re looking for a license or Medicare certification “on paper only.”
You want someone to do everything and you’re not willing to learn.
You’re not able to allocate dedicated time or resources to the startup process.
What you’ll get
By the end of our work together, you can expect to have:
- A clear startup roadmap to Medicare certification: A step‑by‑step plan from where you are now to first billable visit and beyond with support to get there.
- Assistance with putting all your business and clinical systems/processes in place.
- Policies and procedures that meet the regulations and are instructional and easy to follow.
- Survey readiness – An understanding of what surveyors look for and how to embed those expectations into daily operations.
- Confidence and predictability in running your agency – You’ll know what you’re doing, why you’re doing it, and what’s coming next — instead of reacting to every new requirement.
Frequently asked questions
Q1: How long does it take to start a Medicare‑certified home health agency?
A: Timelines vary by state and by how quickly you move through licensing, enrollment, and survey steps. During our initial work together, we’ll map a realistic timeline based on your situation, so you know what to expect. Typically, the timeline is between 6 – 18 months.
Q2: Do you provide policies and procedures?
A: Yes
Q3: Can you guarantee that we’ll pass survey?
A: We haven’t had a client fail a survey. No consultant can guarantee survey results. What we can do is help you understand requirements, build compliant systems, and prepare your team so you’re not surprised by what surveyors look for.
Q4: Do you work with agencies in any state?
A: Yes, we can support agencies in multiple states. During our discovery call, we’ll clarify any state‑specific considerations and whether I’m a good fit for your location and needs.
Q5: What are the qualifications of your consultants?
A: All our consultants are RNs with extensive experience and expertise in Medicare certified home health.
Ready to start your home health agency the right way?
If you’re committed to building a Medicare‑certified home health agency that is compliant, sustainable, and truly patient‑centered, I’d love to talk. Our first step is a no‑pressure discovery call to discuss your goals, timeline, and whether this consulting is the right fit
