Thanks for the reply. I actually do not want to start a home health business. The process it takes to meet all the state regulations is not worth the headache. Prior to starting my position as a Med Tele RN, I worked as a home health LPN for 6 years so I know firsthand nurses come and go. Far too many home health business fails because of client loss. When there is no coverage for the cases, clients go to the agencies that can meet their needs. No, I know that's not the direction I want to go in. What I would like to do is to work as a visiting nurse with just a small handful of private paying clients. That way I won't have to fill out loads of paper work for insurance reimbursements. It would also cut out having to hire a DON, nurses for case coverage, employees that manage schedules, etc. The only additional "personnel" I would need is the physician for orders (because I can't provide medical care without an order). I have the contact information for AHCA department in Tallahassee, so I'll ask them directly if I were to submit an application for a Home Health agency (after obtaining 1 year RN experience) could I use it as a visiting nurse. Again, thanks for your response.