Home care agency application: Fill out & sign online

Here's how it works

01. Edit your home care agency application online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send home care application form via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out California Home Health Agency License Application with DocHub

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the California Home Health Agency License Application in our platform.
Begin by filling out the applicant's formal name consistently across all sections. Ensure that this name matches the documentation you will submit.
Complete the sections regarding ownership and management structure. If applicable, attach an organization chart showing ownership percentages and roles.
Provide detailed information about your facility, including its address and type of services offered. Make sure to specify if you are applying for a branch office or a change of ownership.
Fill in financial resource details, including projected expenses for the first three months of operation. Attach necessary financial documents as specified in the checklist.
Review each section carefully to ensure no items are left blank. Use 'N/A' where applicable and sign all forms using blue ink as required.

Start your application process today with our editor for free!

See more california home health agency license application versions

We've got more versions of the california home health agency license application form. Select the right california home health agency license application version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2013	4.9 Satisfied (36 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Contact us

How much is a home health care license in California?

Application Fees Application TypeTime BaseFee Amount Home Care Organization License 2 Years $5,603 Home Care Aide Registration 2 Years $35 Change in Location (HCO) $100 Change in Corporation $200

How to become a home health agency in California?

What Are the Requirements to Start a Home Health Agency in California? Formulate a Business Plan. Set Up Your Business Entity. Get a Federal Employer Identification Number (EIN) Register Your Business with the State of California. Achieve Medicare and Medicaid Certifications. Make Financial Preparations.

How long does it take to get a home health license?

The time it takes for your home health care license to be approved depends on your state and how many applications are currently being processed. It can take anywhere from under three months to as long as 18 months.

What is the difference between a home care agency and a home health agency?

Home health provides clinical care to help the patient recover, and home care helps with day-to-day caregiving and tasks. Some agencies provide both home health care and home care.

california home health agency license application

Home Health agency license California California home health agency license lookup What licenses do I need to start a home health care business in California non-medical home care license california How to start a home health agency in California How to get a home care license in California how to start a non-medical home care business in california Home Care Organization California