Guide to Becoming a Home Health Service Provider in Maryland 


1. Program Definition and Services 

Home Health Services in Maryland provide skilled medical care to individuals in their homes. Services include: 

  • Skilled nursing care 
  • Physical therapy 
  • Occupational therapy 
  • Speech therapy 
  • Medical social services 
  • Home health aide services 

 

2. Regulations 

Home Health Services are governed by COMAR 10.07.10 (Home Health Agencies)  

 

3. Licensing or Certification 

Providers must obtain a Home Health Agency (HHA) license from the Office of Health Care Quality (OHCQ)  

 

4. Responsible State Agency 

The Maryland Department of Health's Office of Health Care Quality (OHCQ) oversees licensing for Home Health Agencies 

 

5. Application Process 

Obtain a Certificate of Need (CON) or exemption from the Maryland Health Care Commission (MHCC)  

Submit a completed application to OHCQ through their website 

Undergo an on-site licensure survey conducted by OHCQ 

 

6. Required Documentation 

Certificate of Need or exemption documentation from MHCC 

List of Professional Advisory Group members 

Civil Rights Information Request 

Proof of accreditation or application for accreditation 

Policies and procedures as outlined in COMAR 10.07.10.04 

General liability insurance declaration page 

Letter of Good Standing from Maryland Department of Assessments and Taxation 

 

7. Timeline for Approval 

The specific timeline is not provided in the available results. Contact OHCQ for detailed information. 

 

8. Pre-Application Process 

Obtain a Certificate of Need or exemption from MHCC before applying for licensure 

 

9. Pre-Application Training 

While specific pre-application training is not mentioned, providers must ensure staff meet federal and state requirements for home health services 

 

10. Additional Notes 

  • No fee is required to apply for a license 
  • Providers must meet Medicare Conditions of Participation for certification 
  • Workers' Compensation insurance is required for licensure 
  • Services must be prescribed by a physician and carried out by licensed professionals 

 

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