gold ball Home Health Agency Home Page
gold ball Applications
gold ball Change Notification
gold ball Complaints
gold ball Contact Us
gold ball Disciplinary Actions
gold ball Duplicate License
gold ball Fees
gold ball Initial License
gold ball Labels and Listings
gold ball License Requirements
gold ball Medicare/Medicaid Certification
gold ball Renewal Licensure
gold ball Regulations
Statutes
gold ball Rosters for Health Care Facilities/Services

Home Health Agency
Initial Licensure

The initial license process occurs in two stages:

The first stage consists of the applicants submission of affirmative evidence of the ability to comply with the operational and physical plant standards contained in PDF File175 Nebraska Administrative Code (NAC) 14, Section 006.

Initial License – The initial license PDF Fileapplication may be submitted to the department on the application form provided or an application constructed by the applicant. The application must include the information contained in PDF File175 NAC 14, Section 003.01B, which is completing the application form and submitting the additional information listed below:

  • List of names and addresses of all persons in control of the service. The list must include all individual owners, partners, limited liability company members, parent companies, and members of boards of directors owning or managing the operations and any other persons with financial interests or investments in the service. In the case of publicly held corporations, the individual owners listed must include any stockholders who own 5% or more of the company’s stock;
  • Copy of the registration as a foreign corporation filed with the Nebraska Secretary of State, if applicant is a foreign corporation; and
  • Required licensure fee specified in PDF File175 NAC 14, Section 004.10.

The second stage consists of the Department’s review upon receipt of the completed application  and may include an onsite inspection. The Department determines whether the applicant meets the standards contained in 175 NAC 14 and the PDF FileHealth Care Facility Licensure Act. 175 NAC 14, Section 003.01.

A Home Health Agency can not operate until the license has been issued.

crl divider

Facilities and Services Home

Licensure Unit Home

Documents in PDF PDF format require the use of Adobe Acrobat Reader
which can be downloaded for free from Adobe Systems, Inc.