# How to start a home health agency (9 sources)

> The Home Care Agency Licensing carries 9 published figures read from 4 sources' own pages, from 5 to 120 day, read 12 October 2026.

Retainvia · https://retainvia.com/datasets/home-care-agency-licensing/ · computed 2026-10-18

**Range of the published figures:** 5 to 120 day (range 5 to 120 day; 9 sources with a figure; 4 of 11 sources read publish one).

4 of the 11 named sources read in full publish a figure; 7 publish none, read 12 October 2026.

## By rule

| Breakdown | Median | Range | Sources |
|---|---|---|---|
| rule federal-oasis-transmission | 30 day | 30 to 30 day | 1 |
| rule federal-recertification-window | 5 day | 5 to 5 day | 1 |
| rule federal-post-discharge-visit | 48 hour | 48 to 48 hour | 1 |
| rule federal-plan-of-care-review | 60 day | 60 to 60 day | 1 |
| rule federal-aide-training-hours | 75 hour | 75 to 75 hour | 1 |
| rule federal-skilled-professional-visit | 14 day | 14 to 14 day | 1 |
| rule federal-rn-supervisory-visit | 60 day | 60 to 60 day | 1 |
| rule ny-ownership-transfer-notice | 120 day | 120 to 120 day | 1 |
| rule fl-financial-ability-test | 15 % | 15 to 15 % | 1 |
| rule fl-accreditation-proof-window | 120 day | 120 to 120 day | 1 |
| rule fl-liability-insurance-minimum | 250,000 USD | 250,000 to 250,000 USD | 1 |
| rule fl-application-fee | 2,000 USD | 2,000 to 2,000 USD | 1 |
| rule fl-unlicensed-facility-notice | 72 hour | 72 to 72 hour | 1 |
| rule fl-inactivity-revocation | 60 day | 60 to 60 day | 1 |
| rule ny-late-registration-penalty | 500 USD | 500 to 500 USD | 1 |
| rule ny-violation-report-window | 10 day | 10 to 10 day | 1 |
| rule fl-contingency-funding | 1 month | 1 to 1 month | 1 |
| rule fl-financial-statements | 2 year | 2 to 2 year | 1 |

## Every figure, with its source

One row per source: the figure the source's own page publishes, the page, and the day it was read.

| Source | Figure | Breakdown | Read |
|---|---|---|---|
| [Florida Senate: Chapter 400 Section 471](https://www.flsenate.gov/Laws/Statutes/2013/0400.471) | 250,000 USD | fl-liability-insurance-minimum | 2026-10-12 |
| [Florida Senate: Chapter 400 Section 471](https://www.flsenate.gov/Laws/Statutes/2013/0400.471) | 2,000 USD | fl-application-fee | 2026-10-12 |
| [New York State DOH: New York State Department of Health: Lhcsa](https://profiles.health.ny.gov/home_care/pages/lhcsa) | 500 USD | ny-late-registration-penalty | 2026-10-12 |
| [New York State DOH: search](https://www.health.ny.gov/facilities/home_care/lhcsa/) | 120 day | ny-ownership-transfer-notice | 2026-10-12 |
| [Florida Senate: Chapter 400 Section 471](https://www.flsenate.gov/Laws/Statutes/2013/0400.471) | 120 day | fl-accreditation-proof-window | 2026-10-12 |
| [eCFR: eCFR :: 42 CFR Part 484 -- Home Health Services](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484) | 75 hour | federal-aide-training-hours | 2026-10-12 |
| [Florida Senate: Chapter 400 Section 471](https://www.flsenate.gov/Laws/Statutes/2013/0400.471) | 72 hour | fl-unlicensed-facility-notice | 2026-10-12 |
| [eCFR: eCFR :: 42 CFR Part 484 -- Home Health Services](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484) | 60 day | federal-plan-of-care-review | 2026-10-12 |
| [eCFR: eCFR :: 42 CFR Part 484 -- Home Health Services](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484) | 60 day | federal-rn-supervisory-visit | 2026-10-12 |
| [Florida Senate: Chapter 400 Section 471](https://www.flsenate.gov/Laws/Statutes/2013/0400.471) | 60 day | fl-inactivity-revocation | 2026-10-12 |
| [eCFR: eCFR :: 42 CFR Part 484 -- Home Health Services](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484) | 48 hour | federal-post-discharge-visit | 2026-10-12 |
| [eCFR: eCFR :: 42 CFR Part 484 -- Home Health Services](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484) | 30 day | federal-oasis-transmission | 2026-10-12 |
| [Florida Senate: Chapter 400 Section 471](https://www.flsenate.gov/Laws/Statutes/2013/0400.471) | 15 % | fl-financial-ability-test | 2026-10-12 |
| [eCFR: eCFR :: 42 CFR Part 484 -- Home Health Services](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484) | 14 day | federal-skilled-professional-visit | 2026-10-12 |
| [New York State DOH: New York State Department of Health: Lhcsa](https://profiles.health.ny.gov/home_care/pages/lhcsa) | 10 day | ny-violation-report-window | 2026-10-12 |
| [eCFR: eCFR :: 42 CFR Part 484 -- Home Health Services](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484) | 5 day | federal-recertification-window | 2026-10-12 |
| [Florida Senate: Chapter 400 Section 471](https://www.flsenate.gov/Laws/Statutes/2013/0400.471) | 2 year | fl-financial-statements | 2026-10-12 |
| [Florida Senate: Chapter 400 Section 471](https://www.flsenate.gov/Laws/Statutes/2013/0400.471) | 1 month | fl-contingency-funding | 2026-10-12 |

## The sentence each figure was read from (18)

- [Florida Senate: Chapter 400 Section 471](https://www.flsenate.gov/Laws/Statutes/2013/0400.471), read 2026-10-12: "408.810, the home health agency must also obtain and maintain the following insurance coverage in an amount of not less than $250,000 per claim, and the home health agency must submit proof of coverage with an initial application for licensure and with each application for license renewal:"
- [Florida Senate: Chapter 400 Section 471](https://www.flsenate.gov/Laws/Statutes/2013/0400.471), read 2026-10-12: "The amount of the fee shall be established by rule and shall be set at an amount that is sufficient to cover the agency’s costs in carrying out its responsibilities under this part, but not to exceed $2,000 per biennium."
- [New York State DOH: New York State Department of Health: Lhcsa](https://profiles.health.ny.gov/home_care/pages/lhcsa), read 2026-10-12: "A LHCSA that fails to submit a complete and accurate set of all required registration materials by the established deadline shall be required to pay of fee of $500 for each month or part thereof that the LHCSA is in default."
- [New York State DOH: search](https://www.health.ny.gov/facilities/home_care/lhcsa/), read 2026-10-12: "Form Required for Transfer of Ownership Interest (90/120 day) Notice Submissions"
- [Florida Senate: Chapter 400 Section 471](https://www.flsenate.gov/Laws/Statutes/2013/0400.471), read 2026-10-12: "408.806, an applicant that has applied for accreditation must provide proof of accreditation that is not conditional or provisional within 120 days after the date of the agency’s receipt of the application for licensure or the application shall be withdrawn from further consideration."
- [eCFR: eCFR :: 42 CFR Part 484 -- Home Health Services](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484), read 2026-10-12: "(1) Home health aide training must include classroom and supervised practical training in a practicum laboratory or other setting in which the trainee demonstrates knowledge while providing services to an individual under the direct supervision of a registered nurse, or a licensed practical nurse who is under the supervision of a registered nurse. Classroom and supervised practical training must t"
- [Florida Senate: Chapter 400 Section 471](https://www.flsenate.gov/Laws/Statutes/2013/0400.471), read 2026-10-12: "(b) Knowingly providing home health services in an unlicensed assisted living facility or unlicensed adult family-care home, unless the home health agency or employee reports the unlicensed facility or home to the agency within 72 hours after providing the services;"
- [eCFR: eCFR :: 42 CFR Part 484 -- Home Health Services](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484), read 2026-10-12: "(1) The individualized plan of care must be reviewed and revised by the physician or allowed practitioner who is responsible for the home health plan of care and the HHA as frequently as the patient's condition or needs require, but no less frequently than once every 60 days, beginning with the start of care date."
- [eCFR: eCFR :: 42 CFR Part 484 -- Home Health Services](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484), read 2026-10-12: "(A) The registered nurse must make an onsite, in person visit every 60 days to assess the quality of care and services provided by the home health aide and to ensure that services meet the patient's needs; and"
- [Florida Senate: Chapter 400 Section 471](https://www.flsenate.gov/Laws/Statutes/2013/0400.471), read 2026-10-12: "(d) Failing to provide at least one service directly to a patient for a period of 60 days;"
- [eCFR: eCFR :: 42 CFR Part 484 -- Home Health Services](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484), read 2026-10-12: "(iii) Discharge and return to the same HHA during the 60-day episode. (2) Within 48 hours of the patient's return to the home from a hospital admission of 24 hours or more for any reason other than diagnostic tests, or on physician or allowed practitioner-ordered resumption date;"
- [eCFR: eCFR :: 42 CFR Part 484 -- Home Health Services](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484), read 2026-10-12: "An HHA must encode and electronically transmit each completed OASIS assessment to the CMS system, regarding each patient with respect to which information is required to be transmitted (as determined by the Secretary), within 30 days of completing the assessment of the patient."
- [Florida Senate: Chapter 400 Section 471](https://www.flsenate.gov/Laws/Statutes/2013/0400.471), read 2026-10-12: "The applicant has demonstrated financial ability to operate if the applicant’s assets, credit, and projected revenues meet or exceed projected liabilities and expenses. An applicant may not project an operating margin of 15 percent or greater for any month in the first year of operation."
- [eCFR: eCFR :: 42 CFR Part 484 -- Home Health Services](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484), read 2026-10-12: "(A) A registered nurse or other appropriate skilled professional who is familiar with the patient, the patient's plan of care, and the written patient care instructions described in paragraph (g) of this section, must complete a supervisory assessment of the aide services being provided no less frequently than every 14 days; and"
- [New York State DOH: New York State Department of Health: Lhcsa](https://profiles.health.ny.gov/home_care/pages/lhcsa), read 2026-10-12: "If there are findings that a violation of rules and regulations exist during such activities, a written report called a Statement of Deficiencies is issued and the agency must submit a plan of correction to the Department within 10 days."
- [eCFR: eCFR :: 42 CFR Part 484 -- Home Health Services](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484), read 2026-10-12: "(1) The last 5 days of every 60 days beginning with the start-of-care date, unless there is a—"
- [Florida Senate: Chapter 400 Section 471](https://www.flsenate.gov/Laws/Statutes/2013/0400.471), read 2026-10-12: "(f) A balance sheet, income and expense statement, and statement of cash flows for the first 2 years of operation which provide evidence of having sufficient assets, credit, and projected revenues to cover liabilities and expenses."
- [Florida Senate: Chapter 400 Section 471](https://www.flsenate.gov/Laws/Statutes/2013/0400.471), read 2026-10-12: "(e) Evidence of contingency funding equal to 1 month’s average operating expenses during the first year of operation."

## Read in full, publishes no figure

- [CMS: Home Health Agency Ownership Data \| CMS Data](https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/home-health-agency-all-owners), read 2026-10-12: read in full and no accepted figure on the page
- [CMS: Home Health Agencies \| CMS](https://www.cms.gov/medicare/health-safety-standards/certification-compliance/home-health-agencies), read 2026-09-12: read in full and no accepted figure on the page
- [Ohio Department of Health: Home Health Agencies \| Ohio Department of Health](https://odh.ohio.gov/know-our-programs/home-health-agencies), read 2026-10-12: read in full and no accepted figure on the page
- [Texas HHS: Home and Community Support Services Agencies (HCSSA)](https://www.hhs.texas.gov/providers/long-term-care-providers/home-community-support-services-agencies-hcssa), read 2026-09-12: read in full and no accepted figure on the page
- [Medicare.gov: Find Healthcare Providers: Compare Care Near You \| Medicare](https://www.medicare.gov/care-compare/), read 2026-10-12: read in full and no accepted figure on the page
- [New York State DOH: Guidance Documents for LHCSA Applicants](https://www.health.ny.gov/facilities/home_care/guidance_docs_for_lhcs_applicants.htm), read 2026-10-12: read in full and no accepted figure on the page
- [California CDPH: HHA Initial Application Packet](https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/AppPacket/HHA-Initial.aspx), read 2026-10-12: read in full and no accepted figure on the page

## Methodology

Every row is a verbatim sentence read from the named source's own page through our fetch service on the date shown, hash-pinned to the stored read (the sha of the page's visible text; the raw page is mirrored to R2). 4 of the 11 named sources that could be read published a usable figure; 7 published none and are recorded as not published, never filled in; 0 could not be read (blocked, dead or unreachable) and count nowhere. The headline figures (median, minimum, maximum, quartiles) are over ONE figure per source for each breakdown it prices, in day (a source's median where its page yielded several accepted sentences for one breakdown), so a page that gives figures for several breakdowns gives one for each and N counts 9 figures, never sentences; 11 candidate sentence(s) were refused by a reviewer with the reason recorded. The fuller derivation this dataset is chartered to grow into (not yet what the figures above are; they are each source's own published figure as read): one row per state per licence type: what the licence is called, the application fee, whether a certificate of need or public-need review applies, the surety bond, the staffing requirement, the pre-opening survey, and the elapsed time the state itself states - each quoted from that state's own health department page, with the federal layer (42 CFR Part 484 and CMS certification) held separately because a state licence and Medicare certification are two different gates. The comparison nobody publishes is the ladder: the states ranked by total cost and elapsed time to open, and the handful where a certificate of need makes a new agency effectively impossible.

## Sources

- [eCFR: eCFR :: 42 CFR Part 484 -- Home Health Services](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484) (the publisher's own terms; quoted for reporting and comment)
- [CMS: Home Health Agency Ownership Data \| CMS Data](https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/home-health-agency-all-owners) (the publisher's own terms; quoted for reporting and comment)
- [CMS: Home Health Agencies \| CMS](https://www.cms.gov/medicare/health-safety-standards/certification-compliance/home-health-agencies) (the publisher's own terms; quoted for reporting and comment)
- [Ohio Department of Health: Home Health Agencies \| Ohio Department of Health](https://odh.ohio.gov/know-our-programs/home-health-agencies) (the publisher's own terms; quoted for reporting and comment)
- [Texas HHS: Home and Community Support Services Agencies (HCSSA)](https://www.hhs.texas.gov/providers/long-term-care-providers/home-community-support-services-agencies-hcssa) (the publisher's own terms; quoted for reporting and comment)
- [Medicare.gov: Find Healthcare Providers: Compare Care Near You \| Medicare](https://www.medicare.gov/care-compare/) (the publisher's own terms; quoted for reporting and comment)
- [New York State DOH: Guidance Documents for LHCSA Applicants](https://www.health.ny.gov/facilities/home_care/guidance_docs_for_lhcs_applicants.htm) (the publisher's own terms; quoted for reporting and comment)
- [California CDPH: HHA Initial Application Packet](https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/AppPacket/HHA-Initial.aspx) (the publisher's own terms; quoted for reporting and comment)
- [New York State DOH: search](https://www.health.ny.gov/facilities/home_care/lhcsa/) (the publisher's own terms; quoted for reporting and comment)
- [Florida Senate: Chapter 400 Section 471](https://www.flsenate.gov/Laws/Statutes/2013/0400.471) (the publisher's own terms; quoted for reporting and comment)
- [New York State DOH: New York State Department of Health: Lhcsa](https://profiles.health.ny.gov/home_care/pages/lhcsa) (the publisher's own terms; quoted for reporting and comment)

## Cite or embed

- The Home Care Agency Licensing carries 9 published figures read from 4 sources' own pages, from 5 to 120 day, read 12 October 2026.
- 4 of the 11 named sources read in full publish a figure; 7 publish none, read 12 October 2026.
- Home Care Agency Licensing, rule federal-oasis-transmission: median 30 day across 1 source, read 12 October 2026.
- Home Care Agency Licensing, rule federal-recertification-window: median 5 day across 1 source, read 12 October 2026.
- Home Care Agency Licensing, rule federal-post-discharge-visit: median 48 hour across 1 source, read 12 October 2026.
- Home Care Agency Licensing, rule federal-plan-of-care-review: median 60 day across 1 source, read 12 October 2026.
- Home Care Agency Licensing, rule federal-aide-training-hours: median 75 hour across 1 source, read 12 October 2026.
- Home Care Agency Licensing, rule federal-skilled-professional-visit: median 14 day across 1 source, read 12 October 2026.
- Home Care Agency Licensing, rule federal-rn-supervisory-visit: median 60 day across 1 source, read 12 October 2026.
- Home Care Agency Licensing, rule ny-ownership-transfer-notice: median 120 day across 1 source, read 12 October 2026.
- Home Care Agency Licensing, rule fl-financial-ability-test: median 15 percent across 1 source, read 12 October 2026.
- Home Care Agency Licensing, rule fl-accreditation-proof-window: median 120 day across 1 source, read 12 October 2026.
- Home Care Agency Licensing, rule fl-liability-insurance-minimum: median 250,000 USD across 1 source, read 12 October 2026.
- Home Care Agency Licensing, rule fl-application-fee: median 2,000 USD across 1 source, read 12 October 2026.
- Home Care Agency Licensing, rule fl-unlicensed-facility-notice: median 72 hour across 1 source, read 12 October 2026.
- Home Care Agency Licensing, rule fl-inactivity-revocation: median 60 day across 1 source, read 12 October 2026.
- Home Care Agency Licensing, rule ny-late-registration-penalty: median 500 USD across 1 source, read 12 October 2026.
- Home Care Agency Licensing, rule ny-violation-report-window: median 10 day across 1 source, read 12 October 2026.
- Home Care Agency Licensing, rule fl-contingency-funding: median 1 month across 1 source, read 12 October 2026.
- Home Care Agency Licensing, rule fl-financial-statements: median 2 year across 1 source, read 12 October 2026.

Cite as: "Retainvia Home Care Agency Licensing", updated 2026-10-18, https://retainvia.com/datasets/home-care-agency-licensing/.

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