Home Health Agency Launch Roadmap
State-specific compliance overview for opening a facility in California.
Nurse Practitioner Practice Authority & Collaboration Agreement
NP practice authority varies by state: FULL (independent practice), REDUCED (collaborative agreement required), or RESTRICTED (physician supervision required). Whether an NP can own and run the clinic without a physician depends on this tier.
Confirm your state's NP practice tier, and where required, execute and file a written collaboration/supervision agreement with a physician before the NP evaluates patients or prescribes.
Medicare Home Health Certification (Conditions of Participation)
Home health agencies billing Medicare must meet the CMS Home Health Conditions of Participation and pass a certification survey.
Enroll via CMS-855A, meet the Home Health Conditions of Participation, and pass the state/accreditation survey.
California Strict CPOM — Physician-Owned PC Required
California strictly enforces the Corporate Practice of Medicine: only a licensed physician may own a medical professional corporation; lay ownership requires an MSO/MSA structure.
Form a physician-owned Professional Corporation and, if a non-clinician is involved, a separate MSO bound by a fair-market-value Management Services Agreement (no fee-splitting).
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