*** Full INITIAL APPLICATION/ACCREDITATION ... $ 3499.99+tax

(2 easy payment plan)

Including:  ** Employee Chart Forms/Update                  ($1500.00 down payment)

                    ** Policy and Procedures Big Manual

                    ** Patient’s chart Forms/Clinical Forms

                    ** Minimum Standards/Chapter 400 (up to date)

                    ** Infection Control Manual

                    ** Direct Discipline (Contract)/FULL Patient Handbooks (including HIPAA)

                    ** Fill Application/review/provide CLIA Lab - Application/Budget CPA

                          recommendation/Review Resume

                    ** Emergency Management Plan/Biomedical Waste Protocol

                    ** Multiple Logs, interdisciplinary forms/HIPAA Manual

                    ** Full Board Information/Bloodborne Pathogens Manual

                    ** Full NCR Forms needed (carbonless)/Sign Up Package sample

This service reflects the author’s own opinions about Home Health Care services. Although the information and Policies are from sources deemed very reliable, they are not guaranteed. PN System © owner disclaims any personal liability for loss incurred as a result of the applications of any information offered in this application process, or in the use of our services. If expert, professional, medical, clinical assistance is required, the services of a component professional person should be sought. Your Director of Nursing, MUST review/approve the Policies/procedures/forms, also you and your Agency guarantee to comply with all Federal/Local/State laws to use our services/software.

What do you Need to start:

        * Corporation (Articles of Incorporation, Bylaws) (To create your Company,

         call to Lazarus Corporate Filing Service, at 305.552.5973)

Call CHAP and ask for the Initial Application to start your Accreditation process at Community Health Accreditation Program - 1-800-656-9656 or (202) 862-3413 or visit their web site at www.chapinc.org

        * 2 Registered Nurses (RN) (Administrator, Director of Nursing, Alternate

            Administrator) (License Number)

        * Office rented, LEASE/Rent Agreement, Phone/fax

        * Tax ID evidence letter from IRS

        * Fingerprint Card from AHCA (Owners & Administrators)

                             (by calling at 850.410.3400)

        * Bank Account opened (about $ 40000.00 - 50000.00)

        * Certificate of Incorporation registered with the Secretary of State.

        * Evidence of General/Professional Liability Insurance "PER CLAIM"

            ($ 250.000 minimum)     (Edna: 305.270.2220, or CNA:1-800-247-1500)

        * All Business Licenses: ZONING letter, Certificate of Use, Occupational

            License and Fire Reports.

        * Signed by Certified Public Accountant, proof of Financial ability to operate

           (7 Tables) (we recommend Robert Vega, CPA, 305.283.1964)

        * NPI Registration

        * Administrator/qualified alternate RESUME

              The Administrator/Alternate must be a:

·        licensed physician, physician assistant, or registered nurse licensed to practice in this state or

·        an individual having at least 1 year of supervisory or administrative experience in

·        home health care or a

·        hospital or ambulatory surgical center or a

·        Assisted Living Facility or a Nursing Home

        * Resume of Director of Nursing (DON)

              . The Director of Nursing must be:

·        registered nurse and direct employee of the agency who is a graduate of an approved school of nursing and is licensed in this state

·        who has at least 1 year of supervisory experience as a registered nurse

ALSO:

1- Affidavit of Good Moral Character (Administrator and alternate)

    (we will    supply)

2- Affidavit of Compliance with Screening Requirements (we will supply)

3. Confirmation of AIDS/HIV Education (Administrator-Alternate)

For the survey's date:

* Biomedical Waste Contract, call 786.331.8661 (United Medical) or 305.599.9300

* CLIA License (Laboratory)

* Register you Emergency Plan with the County (We will electronic transmit the Plan)

* Posting in your Office's door, Name, phone, and hours of operations, Emergency

   phone number.

* All Employee charts complete (Administrator, Alt. Administrator, DON, Alt. DON, 

   and HHA)

* All Books/Manual complete fill out.

* Alternate DON

REFERENCES:

1st Class Home Health................................ 305-264-2790

E&V Health Care ........................................ 305-597-5883

Unlimited Home Care ................................. 305-649-3817

Home Care 4U ........................................... 786-413-0911

Medsel Home Health Care .......................... 305-245-8218

Care 4U Home Health Agency ..................... 239-233-1503

Centrum Home Health Care ........................ 305-644-2225

Global Home Health Care ............................ 305-266-8558

We can help you with your initial Application process..........including every thing that you need to open your OWN Agency.