Header

Main Content

Article

Home Health Agency (HHA) Licensing and Certification Program

Program Overview

Welcome to the homepage for the Indiana State Department of Health Home Health Agency Licensing and Certification Program. The Indiana State Department of Health licenses agencies that provide: 

  • nursing services;
  • physical therapy;
  • occupational therapy;
  • speech therapy;
  • medical social worker;
  • home health aide;
  • other therapeutic services

to the patient at the patient's temporary or permanent residence.  The Indiana State Department of Health inspects state licensed home health agencies for quality of care to citizens of Indiana and to ensure compliance with state law and rules.  The Indiana State Department of Health also monitors agencies, on behalf of the Centers for Medicare and Medicaid Services, for quality of care for all citizens in need of those services and to ensure compliance with federal regulations.

Announcements / Current News

TB Rule Policy Change

Acute Care Advisory Letter: AC-2019-01-HHA

Effective: December 1, 2019

Posted: November 22, 2019

Policy:  To allow agencies to maintain control and prevention of Tuberculosis in the least restrictive and most cost effective manner, the ISDH is issuing a blanket waiver exempting agencies from current regulatory requirements and instituting an alternative method to achieve the intended outcome of 410 IAC 17-12-1(i). To be exempt from 410 IAC 17-12-1(i), the agency must formally adopt a nationally recognized standard; implement and follow the standard as written. Should an agency fail to meet the exemption requirement, a deficient practice citation will be written at 410 IAC 17-12-1(i). The full advisory letter may be accessed here: AC-2019-01-HHA


Subject:  Register for An iQIES Account

 

CMS is developing an enhancement to the current assessment submission & processing and reporting systems, referred to as ASAP and CASPER, collectively known as QIES. The enhanced system is referred to as iQIES, the Internet Quality Improvement Evaluation System and will be delivered in a phased approach. The process that providers follow for submitting patient assessments will not change but the enhanced system is now Internet facing and will allow providers to submit assessments and view associated reports in one place. The first release rolled out in March to Long-Term Care Hospitals. Inpatient Rehabilitation Facilities went live with iQIES on Oct 1.  Home Health agencies will be migrating January 1, 2020.

 

For iQIES access instructions and important information, please refer to the following link: https://qtso.cms.gov/news-and-updates/register-iqies-account-action-required. The information on this webpage includes suggested onboarding dates, but HHAs can onboard at any time. We recommend onboarding early to ensure a smooth transition.  Information regarding the process for onboarding is also posted on the HHA QRP webpages. Targeted communications regarding iQIES access and general iQIES info for HHAs will continue to be distributed in coming months. If you have any general iQIES questions, please contact: iQIES_Broadcast@cms.hhs.gov.

 

About the Home Health Program

Program Organization Chart

Program Telephone Guide

Survey Area Map

Contact the Program

Indiana State Department of Health
Division of Acute Care
2 North Meridian Street, 4A
Indianapolis, IN 46204
(317) 233-7474 (Acute Care Receptionist)
(317) 233-1325 (ISDH Main Switchboard)
Map

Director of Home Health & Hospice
Kelly Hemmelgarn
khemmelgarn@isdh.in.gov
(317) 233-7541
(317) 233-7302  [Administrative Assistant]
See Telephone Guide for additional phone contact information

Home Health Hotline
1-800-227-6334

Report a Complaint or Incident to the ISDH

Report a complaint regarding a health care facility
Individuals can call or email to make complaints about care provided at any licensed or certified Indiana health care providers or suppliers.

Report an incident regarding a health care facility
The Incident Report Form is for health care facilities to notify the Indiana State Department of Health of a reportable incident pursuant to the ISDH Reportable Unusual Occurrence Policy.  The Incident Report Form is also for health care facility staff (nursing homes, intermediate care facilities, and hospice agencies) to report a reasonable suspicion of a crime against a resident pursuant to Federal regulations.  This form is not to be used to file a complaint.

Consumer Information

Centers for Medicare and Medicaid Services

Your Medicare Rights and Responsibilities

Advance Directives Resource Center

Out of Hospital Do Not Resuscitate Declaration and Order

Consumer Reports

Home Health Agency Consumer Reports

Home Health Compare (Medicare)

Agency Changes

Select a topic below for instructions on how to submit the change to the department.  Please notify the department of changes as they occur at the agency.

Branch Information

Select a topic below for information related to Branch questions.

Applications: Applying for Initial Licensure or Change of Ownership

Review all applicable information PRIOR to submission of application to the Department.

Initial Application

To apply for an initial license to operate a home health agency complete the “APPLICATION FOR LICENSE TO OPERATE A HOME HEALTH AGENCY” (SF 4008) and submit with $250.00 licensure fee and other required information to the Indiana State Department of Health.

Forms to be completed and returned with the application:

FOR STATE LICENSE AND STATE LICENSE SEEKING MEDICAID:

FOR MEDICARE:

Medicare Forms:

Change of Ownership Application

To apply for a Change of Ownership for an existing agency complete the “Application for License to Operate a Home Health Agency” (State Form 4008) and submit with the $250.00 licensure fee, applicable purchase agreement, and other required information to the Indiana State Department of Health.

For CHOW involving a Medicare CCN please complete the following forms:

Medicare Forms:

Laws / Rules

General Information

Licensure Renewals

To renew the agency’s license to operate a home health agency complete the renewal application and submit with the $250.00 licensure fee to the Indiana State Department of Health.  In accordance with 410 IAC 17-11-3 an application for renewal of license shall be filed with the department at least sixty (60) days prior, but not sooner than ninety (90) days before, the expiration date of the current license.

If there are changes that occurred at your agency make sure all changes are made on the renewal application.  Include all applicable information with the application.  The application must be approved and licensure fee received PRIOR to issuance of license.

Submit the $250.00 licensure renewal fee with your renewal application (SF 48851).  Make sure check or money order payable to the Indiana State Department of Health.  Submit application and $250.00 renewal fee to:

Indiana State Department of Health
2 North Meridian Street
Attention: Cashier's Office
Indianapolis, IN 46204

Survey Reporting System (SRS)

Directories

Directory of Home Health Agencies Located in City/County

Directory of Home Health Agencies Serving County

Employment Opportunities

Learn more about Employment Opportunities with the Indiana State Department of Health

Forms

Application for License to Operate a Home Health Agency (State Form 4008) Submit all documentation requested on application.

Branch Questionnaire for a Home Health Agency

Fiscal Intermediaries Information and Forms

Home Health Aide Registry Application

Home Health Aide Registration Renewal Application

Renewal Application for License to Operate a Home Health Agency

Laws and Regulations

Federal Laws and Regulations

42 CFR 484

Appendix B  State Operations Manual

Code of Federal Regulations (CFR) Homepage

State Laws and Rules

Home Health Agency Statute

Home Health Agency Rules

Indiana Law and Rules Homepage

Indiana Register

OASIS

Home Health Quality Reporting Program

OASIS Data Sets

OASIS User Manuals

Spotlights and Announcements

Home Health Quality Reporting Training

For HH QRP and OASIS Guidance related questions email homehealthqualityquestions@cms.hhs.gov.

For Technical Help related to Data Submission & Certification and Survey Provider Enhancement Reports (CASPER): Quality Improvement and Evaluation System (QIES) Technical Support Office (QTSO) Help Desk Contact:

Phone: 1-800-339-9313
Email: help@qtso.com
Website: https://qtso.cms.gov

Links

Professional Organizations

Indiana Association for Home and Hospice Care

Accreditation Organizations

Accreditation Commission for Health Care, Inc. (ACHC)

Community Health Accreditation Program (CHAP)

Joint Commission on Accreditation of Hospital Organizations

Quality Improvement Organizations

Quality Improvement Organization Information

A Quality Improvement Organization (QIO) is a group of health quality experts, clinicians, and consumers organized to improve the care delivered to people with Medicare.  QIOs work under the direction of the Centers for Medicare and Medicaid Services (CMS) to assist Medicare providers with quality improvement and to review quality concerns for the protection of beneficiaries of the Medicare Trust Fund. 

State Government

Indiana Public Access Counselor

Indiana Secretary of State

Office of Medicaid Policy and Planning (FSSA)

Federal Government

Agency for Healthcare Research and Quality (AHRQ)

Americans with Disabilities Act (ADA)

Centers for Disease Control and Prevention (CDC)

Centers for Medicare and Medicaid Services (CMS)

National Government Services

National Patient Safety Foundation

Office of Civil Rights

U.S. Small Business Administration

Program Information and Policies

Home Health Care Agency Employee Drug Testing effective July 1, 2017

Registry changes effective January 14, 2008
Information on the registry for home health aides, certified nurse aides, and qualified medication aides.