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Private home care agencies are the least expensive to open as they don’t require expensive licensure and certification. They require between $50,000 and $120,000 to get going depending on the scale of the operation and services offered. Nurses and home health aides comprise the majority of the personnel who will be providing services and treatment to your clients.
Like many businesses your home health agency will take time to get off the ground, build clients and make a profit; average is 6 months to a year. Another option is to work with an employment agency near you who can provide, on a contract bases, the home health aides you will need; the staffing will be determined by your workflow. You’ll want to work with an agency that deals exclusively with medical professional as they have the expertise. To complete the process of Medicare accreditation, you must complete a three-day Medicare survey.
Step #11. Set up operations - scheduling, billing, and timekeeping - software
Reliable movers can be hard to find, and you may quickly find your business in demand. Your services may also be useful for residents looking to downsize or trade busy city life for the quieter suburbs or rural areas. If you’ve got a great idea, are not afraid of hard work, and have the drive to succeed, then the Sunshine State might be a great place to launch your small business dream!

Florida CNAs are certified by the Certified Nursing Assistant Registry. Create a business plan and determine the location of your home care business in Florida. In order to receive payment from Medicare and Medicaid, your agency needs to meet the requirements put in place. Certify your agency by completing your state’s home care application for a license.
Start a Home Care Business in Florida
There are different types of businesses available, Sole Proprietorship, Partnership, Corporation, and limited-liability company . Be creative with scheduling to manage ever changing balance of employees with client needs. Turning away clients is harmful for future referrals but at same time risking poor care due to lack of staff is equally damaging to a company's reputation. Compassion is, not surprisingly, another frequently noted qualifier. One Florida employer states they’re looking for workers who will treat the people they care for as if they were their own family members.
Secretary of State Formation, Employer Identification Number, State Tax ID, and a National Provider Identification number will be needed to get your home care business started. You will need a tangible address to start the agency (P.O. Boxes are not acceptable). This is where a little help from a home health care business consultant will come in handy. Professionally written policies and procedures are required, and they must meet all of Florida’s state and federal requirements, as well as the requirements of Medicare and the accrediting body. All administrative resources, such as patient personal papers, admission packets, nursing protocols, forms, and in-service curriculum plans, will include a file system. All home health aides employed by home health agencies and nurse registries must complete an HIV/AIDS training course.
How to Start a Home Health Agency in Florida
Clare Absher is a Registered Nurse with 43 years of experience. Most of her experience is in home health serving as a caregiver, educator, patient advocate, and liaison between families and community resources. She has also worked in acute care, assisted living, and retirement settings.
Depending on what you do, you may only need a skilled or professional trade license from the appropriate licensing body. A consulting firm that specializes in assisting new home health business ventures in the United States. The website offers plenty of resources to help with questions of licensing, certification, staffing issues, and much more.
The coverage you need for your business.
Look to places such as your local senior center, hospital, assisted living facility, etc. This will give you a sense for the senior care industry and whether or not you enjoy working with seniors. This company was very precise with explaining services and made sure I chose the right business insurance coverage, great customer service at purchasing. Streamlined permit process – Small businesses in Florida do not need a separate business license to operate in the state.

“This industry draws people who are driven by compassion and desire to care for their fellow man. It’s a great industry and there is money to be made but you need that drive to help people. If you don’t have that compassion, this is not the business for you,” she says.
Spend time interviewing prospects and checking references to find most competent, compassionate and resourceful caregivers. Write or purchase a policy and procedures manual to address new client admissions, plan of care, scheduling, employee and payroll records, orientation, in-service training, client billing. Establish a business checking account and credit card account and apply for business loans if required to meet start-up costs. Sometimes direct care workers are promoted to administrative roles within their organization. Sometimes Certified Nursing Assistants are hired into Florida home health aide roles.

They are responsible for all client care and have constant contact with patients and their families. The certification process starts with the state in which you will be operating. Our free agency budget tool will allow you to see within minutes how much money you will need to start an agency in 2023. All aspects on operating the business are dictated by the mothership. Don’t think you can deviate from their policies and procedures as they will come down on you hard. You may be able to work with them to get something “different” approved but doing so without approval is at the risk of getting penalized or shut down.
This is a career and lifestyle choice that gets you out and about meeting people and going places. You will be visiting and meeting with folks in their home, medical facilities, conferences, offices and, of course, Zoom meetings. Having a positive experience with this type of volunteering means you likely have the passion to start or open an agency. Conversely, if you did not enjoy the work then you most likely will not be successful – and you won’t be happy. Agency owners need a passion for the industry are always the most successful.
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