Home Health Care / Home Care Agency

To start a Home Health Care / In-Home Supportive Care Agency in Jamaica, Queens, New York, you will need three groups of documents:

1️⃣ Business registration documents

2️⃣ Home care license application documents

3️⃣ Operational & compliance documents

Below is the complete list of documents normally required when applying through the New York State Department of Health for a LHCSA (Licensed Home Care Services Agency).

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1. Business Registration Documents

Before applying for the license, you must legally create your company.

Required documents

• Articles of Organization (LLC formation document)

• Business Operating Agreement

• EIN confirmation letter from the Internal Revenue Service

• Business bank account information

• Certificate of Good Standing

• Certificate of Publication (New York requirement for LLCs)

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2. LHCSA License Application Documents

To operate legally you must apply for a LHCSA license through the New York State Department of Health.

Documents required include:

Ownership Documents

• Owner identification (passport or driver license)

• Ownership disclosure forms

• List of shareholders or partners

• Financial disclosure statements

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Financial Documents

You must prove you have enough money to operate.

Required documents:

• Personal financial statement

• Bank statements

• Business financial projection (3–5 years)

• Source of startup funds

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Corporate Documents

• Certificate of incorporation / LLC documents

• Board of directors list (if corporation)

• Organizational chart of the company

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3. Policies & Procedures Manual

This is one of the biggest requirements.

You must submit a complete home care policy manual that includes:

• Patient rights policy

• Infection control policy

• Emergency preparedness plan

• Medication management policy

• Complaint and grievance process

• Staff supervision procedures

This document alone can be 200–400 pages.

Many agencies hire consultants to create it.

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4. Key Staff Documentation

The state requires proof of qualified leadership.

Administrator

Documents needed:

• Resume

• Experience certificates

• Education records

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Director of Nursing (RN)

Documents needed:

• RN license in New York

• Resume

• Work history

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5. Office Documentation

Even though services are in homes, the state requires an office.

You must provide:

• Office lease agreement

• Office floor plan

• Business address verification

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6. Insurance Documents

You must obtain insurance before operating.

Required policies include:

• General liability insurance

• Professional liability insurance

• Workers compensation insurance

• Disability insurance

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7. Compliance & Legal Documents

You will also need:

• HIPAA compliance documents

• Employee handbook

• Background check procedures

• Training policies

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8. Caregiver Documentation

Every caregiver must provide:

• HHA or PCA certification

• Background check clearance

• Health screening records

• TB test results

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9. Medicaid & Insurance Enrollment Documents

If you want Medicaid clients you must enroll with insurance providers like:

• Fidelis Care

• Healthfirst

• Centers Plan for Healthy Living

Documents required:

• W-9 form

• Business license

• Liability insurance proof

• Provider enrollment forms