How to Start a Home Care Agency

1. Choose your service model

• PCA / personal care, homemaker, companion services
• Home health (skilled nursing, therapies)
• Waiver / HCBS services (depends on state program)
• Private pay only or Medicaid and managed care

2. Licensing and enrollment

Many states require a home care or home health license. Some waiver programs also require specific provider enrollment and policies.

• Determine if a home care / home health license is required
• Complete applications, fees, and inspections
• Enroll as a Medicaid or waiver provider as applicable
• Create policies and procedures that meet state standards

3. Staffing and training

States and payors often have minimum training, background check, and supervision requirements.

• Complete background checks and registry checks as required
• Provide orientation and ongoing training
• Maintain clear staff files and competency records
• Document supervision and quality assurance activities

4. Operations, EVV, and billing

Many Medicaid and waiver programs require Electronic Visit Verification (EVV) and clean billing files.

• Implement scheduling and visit tracking processes
• Use EVV where required by state or payor
• Capture documentation needed to support claims
• Export billing files to clearinghouses or payors

How Softiya can help

Softiya is designed for PCA, home care, and HCBS providers that need EVV, scheduling, notes, and billing in one platform. You can start small and grow into multiple programs and states.

• Intakes, care plans, and visit scheduling
• EVV-ready visit tracking and documentation
• Staff files, training records, and HR workflows
• Billing exports for Medicaid and payors