What this is
End-to-end support to establish a North Carolina Certified Home Health Agency, regulated by NC DHHS/DHSR, with the Healthcare Planning and Certificate of Need (CON) Section controlling market entry. In North Carolina, skilled home health requires a CON — and if the annual State Medical Facilities Plan shows no need in your area, no CON can be issued. We map this first.
What’s included
- CON feasibility & State Medical Facilities Plan (SMFP) review — we check whether need exists in your service area before anything else.
- Competitive CON application support (base filing fee around $5,000, scaling with projected capital cost up to a $50,000 cap, non-refundable even if denied).
- HHA licence & Medicare certification sequencing once the CON is granted.
- Policies & procedures built to North Carolina standards and the federal Conditions of Participation.
How it works
- Kick-off call and SMFP need check for your area.
- We prepare your CON case, then licence and policies.
- You review; we refine until it is right.
- We guide submission and stay with you through award, licensure and certification.
Indicative timeline: realistically 6–18 months once SMFP timing, competitive review and possible appeals are factored in. North Carolina is also a heightened claim-review state, and new Medicare enrolment is paused nationwide until at least November 2026. Fees and timelines change, so we confirm current figures with DHSR and CMS as part of your project.
Ideal for
Providers pursuing skilled home health in North Carolina who need a realistic CON feasibility read before committing.
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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