Agency Compliance Guide
Understanding the rigorous compliance standards and regulatory requirements that every agency in our network must meet to ensure the highest quality of patient care.
Why Compliance Matters
Home health agency compliance is critical for patient safety, quality care delivery, and legal protection. Our vetting process ensures that every agency in our network maintains the highest standards of regulatory compliance, giving you confidence when making patient referrals.
We continuously monitor and verify that our partner agencies meet all federal, state, and local requirements, maintaining active licenses, certifications, and accreditations.
Key Compliance Areas We Verify
Licensing & Certification
- Active state home health agency license
- Medicare/Medicaid certification (if applicable)
- Professional liability insurance
- Workers' compensation coverage
Staff Qualifications
- Licensed clinical staff (RNs, LPNs, PTs, OTs, SLPs)
- Background checks and drug screening
- Continuing education requirements
- Competency assessments
Quality & Safety Standards
- HIPAA compliance and privacy protocols
- Infection control procedures
- Emergency preparedness plans
- Quality assurance programs
Regulatory Compliance
- CMS Conditions of Participation (CoPs)
- State-specific regulations
- OSHA workplace safety standards
- Accreditation standards (ACHC, CHAP, Joint Commission)
Our Comprehensive Vetting Process
Initial Documentation Review
We verify all licenses, certifications, insurance policies, and accreditations are current and in good standing. This includes checking with state licensing boards and regulatory agencies.
Policy & Procedure Audit
Our compliance team reviews agency policies and procedures to ensure they meet or exceed regulatory requirements, including patient care protocols, safety procedures, and quality assurance programs.
Staff Credential Verification
We confirm that all clinical staff hold active, unrestricted licenses and have completed required background checks, drug screenings, and competency assessments.
Ongoing Monitoring
Compliance is not a one-time check. We continuously monitor agencies for license renewals, survey results, complaint histories, and any regulatory actions to ensure ongoing compliance.
Annual Recertification
Every agency undergoes an annual recertification process where we re-verify all compliance requirements and review any changes in operations, services, or regulatory status.
Compliance Red Flags We Screen For
Our vetting process specifically looks for warning signs that could indicate compliance issues or quality concerns:
Expired or Suspended Licenses
Any lapse in licensing or certification status
Regulatory Violations
History of citations, deficiencies, or enforcement actions
Inadequate Insurance Coverage
Insufficient liability or workers' compensation insurance
Unlicensed Staff
Clinical staff without proper credentials or licenses
Poor Survey Results
Consistent deficiencies in state or federal surveys
Complaint History
Pattern of unresolved patient or staff complaints