A home health agency is a person or any legal entity which provides skilled nursing care or a minimum of one other therapeutic service which includes physical therapy, speech pathology, occupational therapy, respiratory care services, home health aide services, social work services, intravenous therapy or dialysis services to a person in their permanent or temporary residence, other than a hospital or nursing home.
Initial Licensure Requirements – read Title 175 NAC 14-003.01
Please see the Inspections section of this page for initial inspection information.
Renewal Licensure Requirements – read Title 175 NAC 14-003.02
Fees: The licensee must pay fees for licensure and services as set forth at 175 NAC 14-004.10.
Forms: The initial application form may be completed online but must be printed, signed, and mailed to our office. We require an original signature on all applications.
Brochure: Medicare Home Health Agency Hotline Brochure (double-side print this trifold form) must be provided by HHA staff to all Medicare patients at time of admission to the HHA.
Notifications: An applicant or licensee must notify the Department in writing, by mail, email, or fax.
Additional General Requirements:
Forms: The following form may be completed online but must be printed, signed, and mailed to our office.Change or Correction Request Form
The Department inspects the home health agency prior to and following licensure to determine compliance with 175 NAC 14-006 – Standards of Operations, Care and Treatment. The home health agency may not operate without an active license issued by the Department. Inspection requirements are at 175 NAC 14-005.
Initial Licensure Inspections:
An onsite inspection is scheduled with the applicant after the Department has received a complete initial licensure application as required at 175 NAC 14-003.01A and 14-003.01B, and a written notification from the applicant with the date the applicant will be ready for the inspection. Unless the applicant requests a later date, the Department has 30 working days to conduct this initial onsite inspection after a complete application is received by the Department.
Prior to submitting an initial license application or requesting the initial onsite licensing inspection, the applicant should be ready to operate, but not operating. The agency's owner, Administrator and back-up Administrator must be prepared to demonstrate during the Department's onsite inspection how the agency will comply with the requirements at 175 NAC 14-006. Compliance is demonstrated through the use of agency-specific organizational charts, job descriptions, policies, procedures, forms, and similar items prior to the applicant being issued a license by the Department.
Following initial licensure, the Department may conduct unannounced onsite inspections at any time the Department deems necessary to determine compliance with 175 NAC 14-006.
Inspection Results: See 175 NAC 14-005.
Certification means: The service is in compliance with the federal requirements 42 CFR Part 484.1-484.55 and is eligible to receive payment under the Medicare program. The service must have a Home Health Agency (HHA) state license issued by the Department prior to being certified in the Medicare/Medicaid program.
Any HHA seeking Medicare certification is required to meet the Medicare Conditions of Participation (CoP) prior to certification. This includes compliance with the OASIS (Outcome and Assessment Information Set) collection and transmission requirements. New HHAs must demonstrate that they can transmit OASIS data prior to the initial certification survey. Transmission must also occur upon receipt of the CMS Certification Number. CMS advises HHAs to save copies of their validation reports. The following are links to OASIS and OASIS-related web sites.
Medicare Initial Provider Enrollment Application Packet: (402) 471-4967
MDS/OASIS Automation Coordinator
Dawn Sybrant, DHHS Program Specialist DHHS Medicaid and Long Term Care Phone (402) 471-9678, Fax (402) 471-9092 E-mail: email@example.com
MDS/OASIS Education Coordinator
Division of Public Health, Licensure Unit Phone (402) 471-4967 Fax (402) 742-2308 E-mail: dhhs.OutpatientAndInHomeCareServices@nebraska.gov