1. Program Definition and Services Provided
Home health services in Missouri are designed to provide medical care and therapy to individuals in their homes. These services include skilled nursing care, physical therapy, occupational therapy, speech-language pathology, and medical social services. Home health aides may also provide personal care services to support skilled nursing services
2. Regulations
Current regulations governing home health services in Missouri include:
- 19 CSR 30-26.010: Home Health Licensure Rule, which defines the minimum requirements for providing home health services
- 42 CFR 484: Medicare Conditions of Participation for Home Health Agencies, incorporated by reference into Missouri regulations
3. Licensing or Certification
To operate as a home health service provider in Missouri, you must obtain a state license from the Missouri Department of Health and Senior Services. Certification by Medicare is also required for reimbursement
4. Responsible State Agency
The Missouri Department of Health and Senior Services, Bureau of Home Care and Rehabilitative Standards, is responsible for issuing licenses and overseeing home health services.
5. Application Process
The application process involves submitting a completed application for licensure to the Bureau of Home Care and Rehabilitative Standards. This includes providing necessary forms and fees, such as the State Disclosure of Ownership and Control Interest Statement
6. Required Documentation
- Application for Licensure: Completed application form.
- Registration with Secretary of State: Proof of business registration.
- State Disclosure of Ownership and Control Interest Statement: Required for licensure.
- Medicare Certification: Application for Medicare certification (CMS-855A).
- Accreditation: Optional but recommended for deemed status.
7. Timeline for Approval
The approval process typically involves several months, including review of the application, inspections, and verification of compliance with regulations.
8. Pre-Application Process
Applicants should review Missouri regulations and ACHC accreditation standards if choosing accreditation. They must also ensure they meet all eligibility criteria before applying
9. Pre-Application Training
No specific pre-application training is required, but staff must meet licensing standards and ongoing training requirements once licensed.
10. Additional Notes
- Home health agencies must maintain compliance with state and federal regulations, including staffing ratios and patient care standards.
- Agencies may choose to pursue accreditation through organizations like ACHC for deemed status, which can streamline the licensure process
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