Anyone started an unskilled, private pay home health agency/service/business? - page 2

Hello all, I have been reading a lot on these boards lately about nurses wanting to start their own home health agencies. I am an LVN, and am interested in starting a home care agency that offers unskilled services (personal... Read More

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    I am currently residing in TN and have found similiar information regarding differences in home health and home care. Although, the rules and regulations seem too much for me to delve into for providing home health at this time I am having a very hard time determining whether or not I need to get a business license to perform non-medical in home care. If anyone has any clarification on this please let me know!

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    On the ground, ISTM that it all depends on the state you're in. Trying to navigate California's website is truly daunting; If TN's website is anything like that, best wishes to you

    I think the best way always is to get your information from real people, which is what you're trying to do here.

    The regs, on the whole, just cannnot keep up with the fast-changing world, but when you're in business, you have to be involved in that world, (or be in a legal gray area).

    (For this sort of discussion - which I think could be the most important service a site like this offers), I would like to see more ability on AllNurses, to talk about state-specific regulation.
    This site is great, & I would like to suggest a growth opportunity in having business startup discussions divided by state (I know there is a "California nurses" site, but few specific threads on business startups, and the Byzantine world of regulations around nursing businesses might generate very productive discussions. Just a thought
    Race Mom likes this.
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    Merced I completely agree.
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    OP,

    I see a real need for this service, but I wasn't clear on one thing.

    Are you thinking of doing this yourself (as in one woman show) or are you planning on hiring others to work for you?"

    I think the rules are different if you're going it alone versus hiring others to work for you. See Merced's post. All states are in a flux about these type of things because they're all in budget shortfalls. Look for a small business bureau in your town. Maybe they can answer your questions.

    People without an LPN license are doing it right now, but I don't know about their training beyond CNA. My neighbor is looking for someone as an individual for her mother, but not from an agency because of the higher fees they ask for. I've seen flyers for these "sitters" in the library. They offer the same things you mentioned. Try to avoid billing M&M, ask for direct pay for fee services up front. Just be careful to stay out of the skilled care arena. A business license will make more people comfortable about hiring you versus those putting up flyers.
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    Hi Rodoon:

    (and thanks everyone for your input). I would not like to do this as a "one woman show," and yes, I am more interested in possibly running a home CARE agency, NOT a home health agency. Just clearing that up, as I wasn't so clear I know. So to do this, I would just obtain a business license, obviously have a business plan, the appropriate knowledge, and hire people/caregivers, scout clients in need of such services? I'd like to do background checks of course, have appropriate insurance, be very CLEAR about the services offered...UNskilled. What else? a rental space for office/training purposes? And how would I accept pay? check/visa/cash? obviously I'd need to claim all of this for tax purposes....anything else I'm missing???
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    Also think about all the things related to being an employer ... your hiring process, payroll, withholding taxes and submitting them to the state and IRS, compliance with all employment laws, etc.
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    Is there anyone in Maryland, with an idea of what to do to open an home healthcare nursing agency. I mean the steps, costs and resources and so on. Thanks


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