About the Missouri home health agency license
End-to-end support for a Missouri home health agency license, issued by DHSS through the Bureau of Home Care and Rehabilitative Standards (19 CSR 30-26.010; RSMo 197.400 to 197.478). A Missouri home health agency must offer two or more home health services on an intermittent basis. One of them must be skilled nursing.
What’s included in your Missouri home health agency package
- Home Health Agency license application plus the State Disclosure of Ownership and Control Interest Statement and Secretary of State registration.
- Certificate of Need check: Missouri’s CON law excludes home health services (RSMo 197.305). A new agency can apply to DHSS for its license without CON approval, and we confirm this for your service mix before you file.
- Policies & procedures built to Missouri standards and the federal Conditions of Participation (which the state rule incorporates), covering FCSR staff screening and the dementia training Missouri requires.
- Survey & accreditation-deeming guidance: DHSS may accept CHAP/ACHC/Joint Commission surveys in lieu of state renewal surveys.
How it works
- Kick-off call to confirm your structure, services and service area.
- We prepare your Missouri home health application and policies.
- You review; we refine until it is right.
- We guide submission and stay with you through survey and approval.
Indicative timeline: a Missouri home health agency license typically takes three to six months from a complete application, depending on DHSS survey scheduling and how quickly any deficiencies are resolved. Medicare certification usually adds two to four months, and the state license fee is $600 (RSMo 197.410).
New Medicare enrollment is paused nationwide until at least November 2026, so we prepare you to enroll the moment it reopens. Fees and timelines change, so we confirm current figures with DHSS and CMS as part of your project.
See our Missouri licensing guide and Missouri license cost breakdown for the full process and state fees.
Ideal for
Skilled providers who want their Missouri home health agency license file and survey readiness right the first time.
Why choose Cura
Published pricing, set before any work begins. Delivered entirely online. Trained under one of the world’s most exacting healthcare regulators.
Our promise
If we are not the right fit for your situation, we will tell you, and point you to who is.
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