# Cura Compliance Consulting > Helping Healthcare Organizations Stay Compliant and Competitive > Generated by All in One SEO v5.0.5.1, this is an llms.txt file, used by LLMs to index the site. ## Sitemaps - [XML Sitemap](https://curacomplianceconsulting.com/sitemap.xml): Contains all public & indexable URLs for this website. ## Posts - [Home Care Policies and Procedures: The 13 Areas Every Agency Manual Covers](https://curacomplianceconsulting.com/home-care-policies-and-procedures/): What a home care policies and procedures manual must cover: 13 areas, the state rules behind each, and examples from 10 states and DC, with source links. - [How Long Does It Take to Get a Home Care License? (By State)](https://curacomplianceconsulting.com/how-long-to-get-home-care-license/): How long a home care license takes in 10 states and DC: what each regulator publishes, what adds time, and how to keep your own timeline short. With sources. - [ACHC Accreditation Preparation: A Step-by-Step Guide for New Home Health and Hospice Agencies](https://curacomplianceconsulting.com/achc-accreditation-preparation/): ACHC accreditation preparation for new home health and hospice agencies: Medicare prerequisites, the survey step by step, and a readiness checklist. - [Home Care Policy Manual and Staff Sign-Off: How to Prove Your Team Has Read Every Policy](https://curacomplianceconsulting.com/home-care-policy-manual-staff-sign-off/): How home care owners get every staff member to read and acknowledge their policies, keep a dated record on any phone, and show it when a surveyor asks. - [Preparing Your Healthcare Organization for Audits](https://curacomplianceconsulting.com/preparing-your-healthcare-organization-for-audits/): Preparing for healthcare audits? See what surveyors look for, how to keep your documents ready for a survey, and a checklist you can start using this week. - [The Medicare Enrollment Freeze Is Scheduled to End November 13. Will Your Agency Be Ready?](https://curacomplianceconsulting.com/medicare-moratorium-ends-accreditation-timing/): The Medicare enrollment moratorium on new home health agencies and hospices is due to end around November 13, 2026. Why accreditation prep has to start now. - [Texas HCSSA License Categories Explained: PAS, Home Health, Certified Home Health and Hospice](https://curacomplianceconsulting.com/texas-hcssa-license-categories/): Compare the four Texas HCSSA license categories for home care, home health and hospice, plus the $2,625 fee, timelines and Medicare steps. - [Opening a Home Care Agency in Pennsylvania in 2026: The SAIS Portal Rule and the Medicare Clock](https://curacomplianceconsulting.com/pennsylvania-home-care-license-2026/): Pennsylvania home care license rules changed in 2026: SAIS portal only since March 31. Fees, license types, clearances, timelines and the Medicare clock. - [Do You Need to Be a Nurse to Own a Home Care Agency? Here's What States Actually Require](https://curacomplianceconsulting.com/do-you-need-to-be-a-nurse-to-own-a-home-care-agency/): Do you need to be a nurse to own a home care agency? No. In every state we serve, owners need no clinical license. See who you must appoint, state by state. - [Florida Home Care Licensing Explained: AHCA Registration vs. Home Health Agency License](https://curacomplianceconsulting.com/florida-home-care-license-ahca/): Florida home care license guide: how AHCA licensing works, the $50.75 companion registration vs. the $2,005 home health license, and Medicare timing. - [How Much Does It Cost to Start a Home Care Agency? Real State Fees for 2026](https://curacomplianceconsulting.com/cost-to-start-home-care-agency/): Home care startup costs for 2026: real license fees for 10 states and DC, plus what to budget for insurance, setup and policies before you open. - [Licensed Isn't Enough: Why New Home Health and Hospice Agencies Need Accreditation](https://curacomplianceconsulting.com/home-health-hospice-accreditation-achc-chap/): Licensed but still can't bill Medicare? Why new agencies need home health accreditation from ACHC, CHAP or The Joint Commission, and how to prepare early. - [What the 2026 Home Health Final Rule Means for New Agencies](https://curacomplianceconsulting.com/2026-home-health-final-rule-new-agencies/): The 2026 home health final rule cut Medicare payments by about 1.3%, far less than proposed. Here's what it means for new agencies and what to do next. - [Hospice in 2026: The New Face-to-Face Attestation Rule, Explained](https://curacomplianceconsulting.com/2026-hospice-face-to-face-attestation-rule/): The FY 2026 rule changed the hospice face-to-face attestation: it must be signed and dated, and a clinical note can count. A plain-English guide for owners. - [Which States Don't Require a Home Care License? (And the Traps That Catch New Owners)](https://curacomplianceconsulting.com/states-that-dont-require-home-care-license/): Michigan is among the states with no home care license for non-medical care. Here's why that doesn't mean no compliance, and where new owners get caught. - [Fixed-Price Compliance: Why Hiding Prices Hurts US Healthcare Providers](https://curacomplianceconsulting.com/fixed-price-healthcare-compliance/): What does a healthcare compliance consultant cost? Most firms hide it behind a sales call. Here's why that hurts providers, and why our prices are public. - [Medicare Just Froze New Home Health and Hospice Enrollment: Here's What It Means for You](https://curacomplianceconsulting.com/medicare-home-health-hospice-enrollment-moratorium-2026/): The home health and hospice moratorium froze new Medicare enrollment nationwide on May 13, 2026. See what's frozen, what isn't, and how to plan around it. - [The HIPAA Security Rule Is Being Overhauled: What US Healthcare Providers Should Do Now](https://curacomplianceconsulting.com/hipaa-security-rule-update-what-to-do-now/): The HIPAA Security Rule update would make nearly every safeguard mandatory. It isn't final yet. Here's where it stands and how providers can prepare now. - [Launch Private-Pay Care With Confidence](https://curacomplianceconsulting.com/launch-private-pay-care-with-confidence/): New Medicare enrollment for home health and hospice is paused, but private pay home care is open. Here's what to launch now and how to prepare for Medicare. - [Audit-Ready by Design: Build Compliance That Survives Any Survey](https://curacomplianceconsulting.com/audit-ready-by-design/): Home health survey preparation starts on day one, not the week before a surveyor calls. What good records and habits look like, and how to build them. - [State-by-State, Done Right: Navigating Multi-State Licensing Without Wasting Months](https://curacomplianceconsulting.com/state-by-state-licensing-done-right/): Multi-state home care licensing changes at every state line: regulators, license types, fees and timelines. Here's how to expand without losing months. - [Choosing Your Licensing Partner: What Actually Matters](https://curacomplianceconsulting.com/your-licensing-partner/): How to choose a home care licensing consultant: what a good one does differently, the questions to ask before you hire, and why a published price matters. ## Pages - [Home](https://curacomplianceconsulting.com/): Fixed-price help to license a home care, home health or hospice agency in 10 states and DC. Packages from $1,995, fully online. Book a free discovery call. - [States We Support](https://curacomplianceconsulting.com/states-we-support/): Home care license by state: regulators, license types and owner rules for 10 states + DC, with fixed-price, fully online application support from Cura. - [Washington, DC](https://curacomplianceconsulting.com/states-we-support/washington-dc/): DC home care license support: the SHPDA Certificate of Need and the DC Health license, both handled end to end. Fixed price $3,495, fully online. - [Products](https://curacomplianceconsulting.com/products/): Fixed-price home care license packages, plus home health and hospice options, for 10 states + DC. Application and policies prepared end-to-end, all online. - [Cura Core Policy Portal](https://curacomplianceconsulting.com/policy-portal/): State policy manuals for home care, home health and hospice agencies in 11 states, with staff sign-off on any phone and rule-change updates. - [Contact Us](https://curacomplianceconsulting.com/contact-us/): Book a free 30-minute call about licensing a home care, home health or hospice agency in 10 states and DC. Fixed prices, agreed before any work starts. - [About](https://curacomplianceconsulting.com/about/): Meet Cura's home care compliance consultants: fixed-fee licensing, accreditation prep and policies for home care, home health and hospice in 10 states + DC. - [Services](https://curacomplianceconsulting.com/services/): Licensing, accreditation preparation, policies and ongoing support for home care, home health and hospice agencies. Fixed prices, fully virtual. - [Registration and Licensing](https://curacomplianceconsulting.com/registration-and-licensing/): We prepare your home care, home health or hospice license application, policies and follow-up for a fixed price, in 10 states and DC. Fully online. - [Accreditation Support](https://curacomplianceconsulting.com/accreditation-support/): Accreditation preparation for home health, hospice and home care agencies seeking ACHC or CHAP: readiness reviews, mock surveys and follow-up. Fixed price. - [Policies & Procedures](https://curacomplianceconsulting.com/policies-procedures/): Custom policies and procedures for home care, home health and hospice agencies, written to your license and state. Ready-made manuals are in our Policy Portal. - [Ongoing Compliance](https://curacomplianceconsulting.com/ongoing-compliance/): Ongoing support for home health, hospice and home care agencies between surveys: mock surveys, gap analysis, staff training and policy updates. Fixed price. - [Privacy Policy](https://curacomplianceconsulting.com/privacy-policy/): The Cura Compliance Consulting privacy policy: how we collect, use and protect the personal information you share through our website and services. - [Blog](https://curacomplianceconsulting.com/blog/): Plain-English home care compliance blog for home care, home health and hospice owners: state licensing, Medicare, accreditation and HIPAA updates. - [Texas Home Care Policies and Procedures](https://curacomplianceconsulting.com/states-we-support/texas-home-care-policies-and-procedures/): Texas home care policies and procedures: what HHSC expects in your HCSSA manual under 26 TAC Chapter 558, and how Cura writes it for a fixed price. - [Florida Home Care Policies and Procedures](https://curacomplianceconsulting.com/states-we-support/florida-home-care-policies-and-procedures/): Florida home care policies and procedures: the categories AHCA expects in your manual under Chapter 400 and rule 59A-8, and how Cura writes it for you. - [California Home Care Policies and Procedures](https://curacomplianceconsulting.com/states-we-support/california-home-care-policies-and-procedures/): California home care policies and procedures for CDSS home care and CDPH home health licensure: the areas reviewers check and how Cura writes yours. - [Georgia Home Care Policies and Procedures](https://curacomplianceconsulting.com/states-we-support/georgia-home-care-policies-and-procedures/): Georgia home care policies and procedures under DCH Rule 111-8-65: the categories your manual must cover and how Cura writes it for a fixed price. - [North Carolina Home Care Policies and Procedures](https://curacomplianceconsulting.com/states-we-support/north-carolina-home-care-policies-and-procedures/): North Carolina home care policies and procedures under 10A NCAC 13J: what DHSR surveyors check in your manual and how Cura writes it for you. - [Pennsylvania Home Care Policies and Procedures](https://curacomplianceconsulting.com/states-we-support/pennsylvania-home-care-policies-and-procedures/): Pennsylvania home care policies and procedures under 28 Pa Code Chapters 611 and 601: what your manual must cover for Department of Health licensure. - [Louisiana Home Care Policies and Procedures](https://curacomplianceconsulting.com/states-we-support/louisiana-home-care-policies-and-procedures/): Louisiana home care policies and procedures for LDH licensure under LAC 48:I. See the categories your manual must cover and how Cura writes it. - [Missouri Home Care Policies and Procedures](https://curacomplianceconsulting.com/states-we-support/missouri-home-care-policies-and-procedures/): Missouri home care policies and procedures for DHSS home health licensure and MMAC in-home services contracts: what to cover and how Cura writes it. - [Ohio Home Care Policies and Procedures](https://curacomplianceconsulting.com/states-we-support/ohio-home-care-policies-and-procedures/): Ohio home care policies and procedures under ORC Chapter 3740: the categories the Ohio Department of Health expects and how Cura builds your manual. - [Washington, DC Home Care Policies and Procedures](https://curacomplianceconsulting.com/states-we-support/washington-dc-home-care-policies-and-procedures/): Washington, DC home care policies and procedures under DCMR Title 22-B: the categories DC Health reviews in your manual and how Cura writes it for you. - [Michigan Home Care Policies and Procedures](https://curacomplianceconsulting.com/states-we-support/michigan-home-care-policies-and-procedures/): Michigan home care policies and procedures: there is no state license, but Medicare certification and Medicaid enrollment still require a written manual. - [How Much Does a Home Care License Cost in Texas?](https://curacomplianceconsulting.com/states-we-support/home-care-license-cost-texas/): Texas home care license cost: a $2,625 HCSSA fee to HHSC covers a three-year term. See the fee breakdown, startup budget, timeline, and fixed-price help. - [How Much Does a Home Care License Cost in Florida?](https://curacomplianceconsulting.com/states-we-support/home-care-license-cost-florida/): Florida home care license cost runs from $50.75 for an AHCA homemaker and companion registration to $2,005 for a home health agency license. - [Home Care License Cost in California](https://curacomplianceconsulting.com/states-we-support/home-care-license-cost-california/): California home care license cost: $5,603 for an HCO license from CDSS or $2,946 for a CDPH home health license. See the full budget and timeline. - [How Much Does a Home Care License Cost in Georgia?](https://curacomplianceconsulting.com/states-we-support/home-care-license-cost-georgia/): Georgia home care license cost starts with a $300 DCH application fee for a PHCP license. See the full startup budget, timeline, and fixed-price help. - [Home Care License Cost in North Carolina](https://curacomplianceconsulting.com/states-we-support/home-care-license-cost-north-carolina/): North Carolina home care license cost: a $510 DHSR fee, paid again every year. See what else to budget, how long approval takes, and fixed-price help. - [How Much Does a Home Care License Cost in Pennsylvania?](https://curacomplianceconsulting.com/states-we-support/home-care-license-cost-pennsylvania/): Pennsylvania home care license cost: $100 to file a Chapter 611 home care agency license, or $250 for home health. See the full startup budget. - [How Much Does a Home Care License Cost in Louisiana?](https://curacomplianceconsulting.com/states-we-support/home-care-license-cost-louisiana/): Louisiana home care license cost: $600 to LDH, $600 a year to renew, and a $200 Facility Need Review fee. See the full startup budget and timeline. - [How Much Does a Home Care License Cost in Missouri?](https://curacomplianceconsulting.com/states-we-support/home-care-license-cost-missouri/): Missouri home care license cost: a $600 DHSS home health agency license, renewed for $600. See what non-medical agencies pay and how long it takes. - [How Much Does a Home Care License Cost in Ohio?](https://curacomplianceconsulting.com/states-we-support/home-care-license-cost-ohio/): Ohio home care license cost: a $250 ODH home health agency license, or $600 for hospice. See the full startup budget, timeline, and fixed-price help. - [Home Care License Cost in Washington, DC](https://curacomplianceconsulting.com/states-we-support/home-care-license-cost-washington-dc/): DC home care license cost: $600 to DC Health, plus a Certificate of Need filing of at least $5,000 for skilled agencies. See the full budget and timeline. - [Home Care License Cost in Michigan](https://curacomplianceconsulting.com/states-we-support/home-care-license-cost-michigan/): Michigan home care license cost is $0: the state does not license home care agencies. See real startup costs, Medicare certification, and hospice fees. - [California](https://curacomplianceconsulting.com/states-we-support/california/): Get your California home care license with CDSS (HCO) or CDPH (HHA). We handle the application, policies and survey prep online. Fixed price from $3,995. - [Florida](https://curacomplianceconsulting.com/states-we-support/florida/): Florida AHCA license support for home health agencies and nurse registries, plus homemaker companion registration. Fixed price from $2,495, fully online. - [Georgia](https://curacomplianceconsulting.com/states-we-support/georgia/): Georgia home care license (PHCP) prepared and filed with DCH through the GAHLES portal, plus home health CON support. Fixed price from $2,495, fully online. - [Louisiana](https://curacomplianceconsulting.com/states-we-support/louisiana/): Louisiana home care license (HCBS) through LDH, with the Facility Need Review handled for you. Fixed price from $1,995, 100% online. Free discovery call. - [Michigan](https://curacomplianceconsulting.com/states-we-support/michigan/): Open a Michigan home health agency: there is no state license, so Medicare certification through LARA is the route. Fixed price $2,495, fully online. - [Missouri](https://curacomplianceconsulting.com/states-we-support/missouri/): Missouri home health license through DHSS, plus the MMAC contract route for In-Home Services and Medicaid. Fixed price from $1,995, fully online, end to end. - [North Carolina](https://curacomplianceconsulting.com/states-we-support/north-carolina/): NC home care license through DHSR handled end to end, including initial survey prep. Fixed price from $2,495, fully online. Free discovery call. - [Ohio](https://curacomplianceconsulting.com/states-we-support/ohio/): Ohio home health license through ODH prepared and submitted for you, plus the Medicare certification path. Fixed price $2,495, 100% online. - [Pennsylvania](https://curacomplianceconsulting.com/states-we-support/pennsylvania/): PA home care license under Chapter 611: we prepare and submit your SAIS portal application end to end. Fixed price from $2,495. Free discovery call. - [Texas](https://curacomplianceconsulting.com/states-we-support/texas/): Texas home care license (HCSSA) for PAS, home health or hospice, prepared and filed in the HHSC TULIP portal. Fixed price from $2,495, 100% online. ## Products - [Washington, DC Assisted Living Residence License: Fixed-Price Application Support](https://curacomplianceconsulting.com/product/washington-dc-assisted-living-residence-license-fixed-price-application-support/): Washington, DC assisted living license support: DC Health application, policies, resident agreements and ISP forms. No CON needed. Fixed $3,495. - [Washington, DC Home Care Agency License: Fixed-Price Application Support](https://curacomplianceconsulting.com/product/washington-dc-home-care-agency-license-fixed-price-application-support/): Washington, DC home care agency license support: DC Health application, SHPDA Certificate of Need, policies and on-site survey preparation. Fixed $3,495. - [Missouri In-Home Services Provider Contract: Fixed-Price Application Support](https://curacomplianceconsulting.com/product/missouri-in-home-services-provider-license-fixed-price-application-support/): Missouri in-home services provider contract support: MMAC proposal packet and policies, plus guidance on FCSR screening and Medicaid enrollment. Fixed price. - [Missouri Home Health Agency license: Fixed-Price Application Support](https://curacomplianceconsulting.com/product/missouri-home-health-agency-license-fixed-price-application-support/): Missouri home health agency license support: DHSS application, policies and preparation for the state survey, with no CON step. Fixed price, fully online. - [Louisiana Personal Care Services (PCS) license: Fixed-Price Application Support](https://curacomplianceconsulting.com/product/louisiana-personal-care-services-pcs-license-fixed-price-application-support/): Louisiana personal care services license support: Facility Need Review, HCBS license with the PCA module and Medicaid-ready policies. Fixed price, online. - [Louisiana Home Health Agency license: Fixed-Price Application Support](https://curacomplianceconsulting.com/product/louisiana-home-health-agency-license-fixed-price-application-support/): Louisiana home health agency license support via change of ownership (new licenses are barred): LDH application, preparedness addendum, policies. Fixed price. - [Michigan Home Health Launch & Medicare Certification: Fixed-Price Application Support](https://curacomplianceconsulting.com/product/michigan-home-health-launch-medicare-certification-fixed-price-application-support/): Michigan home health Medicare certification support: CMS-855A, accreditation (LARA initial surveys on hold) and full policies. No state HHA license needed. - [Ohio Home Health Launch & Medicare Certification: Fixed-Price Application Support](https://curacomplianceconsulting.com/product/ohio-home-health-launch-medicare-certification-fixed-price-application-support/): Ohio home health agency license and Medicare certification support: ODH application, surety bond, CMS-855A and full policies. Fixed price, fully online. - [Pennsylvania Home Care Agency license: Fixed-Price Application Support](https://curacomplianceconsulting.com/product/pennsylvania-home-care-agency-license-fixed-price-application-support/): Pennsylvania home care agency license support: Agency vs Registry choice, Initial Provider Application portal filing and Chapter 611 policies. Fixed price. - [Pennsylvania Home Health Agency license: Fixed-Price Application Support](https://curacomplianceconsulting.com/product/pennsylvania-home-health-agency-license-fixed-price-application-support/): Pennsylvania home health agency license support: Chapter 601 application, clinical leadership records and Medicare readiness. Fixed price, fully online. - [Georgia Private Home Care Provider (PHCP) license: Fixed-Price Application Support](https://curacomplianceconsulting.com/product/georgia-private-home-care-provider-phcp-license-fixed-price-application-support/): Georgia private home care provider license support: GAHLES application, RN and fingerprint rules, and policies written to Rule 111-8-65. Fixed price, online. - [Georgia Home Health Agency license (Certificate of Need): Fixed-Price Application Support](https://curacomplianceconsulting.com/product/georgia-home-health-agency-license-certificate-of-need-fixed-price-application-support/): Georgia home health agency license support: DCH is not taking new home health CON applications this cycle, so we map CON feasibility first. Fixed price. - [North Carolina Home Care Agency license: Fixed-Price Application Support](https://curacomplianceconsulting.com/product/north-carolina-home-care-agency-license-fixed-price-application-support/): North Carolina home care agency license support: DHSR application, policies written to 10A NCAC 13J and document review preparation, no CON. Fixed price. - [North Carolina Home Health Agency license (Certificate of Need): Fixed-Price Application Support](https://curacomplianceconsulting.com/product/north-carolina-home-health-agency-license-certificate-of-need-fixed-price-application-support/): North Carolina home health agency license support: CON feasibility against the State Medical Facilities Plan, then licensure and Medicare. Fixed price. - [Florida Home Care / Homemaker-Companion license: Fixed-Price Application Support](https://curacomplianceconsulting.com/product/florida-home-care-homemaker-companion-license-fixed-price-application-support/): Florida homemaker companion license support: we prepare your AHCA registration application and policies and guide Level 2 screening. Fixed $2,495, online. - [Florida Home Health Agency license: Fixed-Price Application Support](https://curacomplianceconsulting.com/product/florida-home-health-agency-license-fixed-price-application-support/): Florida home health agency license support: AHCA application, DOH-reviewed CEMP, CPA financials and accreditation planning for a fixed $3,495, fully online. - [California Home Care Organization (HCO) license: Fixed-Price Application Support](https://curacomplianceconsulting.com/product/california-home-care-organization-hco-license-fixed-price-application-support/): California home care organization license support: CDSS application prepared for you to sign and submit, policies included. Fixed price, 100% online. - [California Home Health Agency (HHA) license: Fixed-Price Application Support](https://curacomplianceconsulting.com/product/california-home-health-agency-hha-license-fixed-price-application-support/): California home health agency license support: SB 164 paused new licenses, so we prepare your CDPH unmet-need request first, then the application. Fixed price. - [Texas Personal Assistance Services (PAS) license: Fixed-Price Application Support](https://curacomplianceconsulting.com/product/texas-personal-assistance-services-pas-license-fixed-price-application-support/): Get your Texas personal assistance services license application prepared for you to file with HHSC: fixed price, PAS policies included, 100% online. - [Texas Licensed Home Health Services license: Fixed-Price Application Support](https://curacomplianceconsulting.com/product/texas-licensed-home-health-services-license-fixed-price-application-support/): Texas Licensed Home Health Services license application prepared for you to file with HHSC: skilled care without Medicare billing. Fixed price, fully online. - [Texas Licensed and Certified Home Health Services license: Fixed-Price Application Support](https://curacomplianceconsulting.com/product/texas-licensed-and-certified-home-health-services-license-fixed-price-application-support/): Texas Licensed and Certified Home Health license application prepared for you to file with HHSC, then readied for Medicare once CMS's pause ends. Fixed price. - [Texas Hospice Services license: Fixed-Price Application Support](https://curacomplianceconsulting.com/product/texas-hospice-services-license-fixed-price-application-support/): Texas hospice services license application prepared end to end for you to file with HHSC, then readied for Medicare once CMS's pause ends. Fixed price. ## Categories - [HIPAA Compliance](https://curacomplianceconsulting.com/category/hipaa-compliance/) - [State Regulations](https://curacomplianceconsulting.com/category/state-regulations/) - [Best Practices](https://curacomplianceconsulting.com/category/best-practices/) - [Medicare/Medicaid](https://curacomplianceconsulting.com/category/medicare-medicaid/)