How to start a home health agency in Oklahoma

Oklahoma requires a Home care agency license from Oklahoma State Department of Health, Medical Facilities Service, Home Services Division to operate a home health agency. Fee: $1,000.

License required

Yes

License

Home care agency license

Issuing agency

Oklahoma State Department of Health, Medical Facilities Service, Home Services Division

Fee

$1,000

Fee details

$1,000 nonrefundable initial license and application fee per home care agency; CHOW $500.

Renewal

Every year · $500 annual renewal ($25 per branch); renewals prorated to expire July 31 at $125 per quarter ($6.25 per branch).

Insurance and bonds

Copies of liability insurance and workers' compensation coverage are required attachments.

Survey and inspection

Initial on-site licensure survey once documents are complete. Operating without a license can bring a penalty of up to $10,000.

Medicare certification

For Medicare, submit CMS-1572, CMS-1561, the OCR assurance, CLIA application and CMS-855A; the agency must be licensed and have served at least 10 skilled patients (7 active at survey). Separately, CMS put a 6-month nationwide moratorium on new Medicare enrollment of home health agencies (including new branches and practice locations) into effect on May 13, 2026; it can be extended in 6-month increments, and CMS left any Medicaid/CHIP moratorium to each state.

Regulation

63 O.S. § 1-1960 et seq. (Home Care Act); OAC 310:662

1. Complete ODH Form 757 with required attachments and the $1,000 fee
2. Wait in queue (processed in order received) for the initial licensure survey
3. Be ready for business at the initial on-site survey
4. Use OKSCREEN for employee background screening and fingerprint authorization
5. Receive the license before providing any home care services

Staffing

• Certified home care administrator
• Supervising RN and an alternate supervising RN

Program

SoonerCare (Oklahoma Health Care Authority, OHCA), including SoonerSelect managed care

Enrollment portal

OHCA Provider Portal (ohcaprovider.com) — online provider contracting

Application fee

OAC 317:30-3-19.4 sets the fee at the CMS amount, adjusted for inflation, for provider types listed in OHCA's appendix. Individual physicians and non-physician practitioners are exempt, as are providers who already paid the fee to Medicare or another state's Medicaid/CHIP program. The fee is not refunded if screening leads to denial. Under the federal rule (42 CFR 455.460), institutional providers pay the CMS application fee when they first enroll, re-enroll or revalidate. The fee is $750 for calendar year 2026. Individual physicians and non-physician practitioners do not pay it. A fee already paid to Medicare or to another state's Medicaid program counts.

Fingerprinting

Under OAC 317:30-3-19.4, high-risk screening adds a fingerprint-based criminal background check of the provider and of anyone owning 5% or more. OHCA's enrollment sheet lists DME and home health as high-risk provider types and says providers enrolled with Medicare may be exempt. Limited- or moderate-risk providers move to high risk after a fraud-based payment suspension, an overpayment, or an exclusion.

Site visit

Moderate-risk screening includes pre- and post-enrollment site visits by OHCA Provider Enrollment staff. OHCA lists these moderate-risk types: ambulance services, behavioral health agencies and groups, individual behavioral health providers, hospice, independent diagnostic testing facilities, laboratories, and physical therapy groups and physical therapists. High-risk types also get site visits.

Revalidation

OHCA screens and enrolls providers and revalidates them periodically, as federal rules require. Existing providers handle this through 'renewal contracts' in the OHCA provider portal. Federal rule (42 CFR 455.414) requires the state to revalidate every enrolled provider at least once every 5 years.

Full Oklahoma Medicaid enrollment guide →

CON program

Yes

Program

Certificate of Need (Long-term Care CON Act; Psychiatric and Chemical Dependency Facility CON Act)

Agency

Oklahoma State Department of Health, Health Facility Systems

Services covered

• long-term care facilities as defined in 63 O.S. §1-851.1 (licensed nursing facility beds)
• ICF/IID beds
• psychiatric or chemical dependency facilities, services or units in hospitals or related institutions
• acquisitions of covered health care facilities

Oklahoma certificate of need details →

Model

hybrid

State vendor

Fiserv AuthentiCare (moving to Acumen DCI, expected fall 2026); HHAeXchange for SoonerSelect plans

Services in scope

• personal care
• nursing
• home health
• DDS waiver services
• ADvantage waiver services

Alternate EVV allowed

Yes

Program

https://oklahoma.gov/ohca/individuals/programs/electronic-visit-verification/evv-faqs.html

Oklahoma EVV requirements →

State minimum wage

$7.25 an hour

Effective

2009-07-24

Scheduled increases

No scheduled change found in the official sources reviewed.

HCBS 80/20 rule

Federal baseline: 42 CFR 441.302(k) requires the state to show that each provider spends at least 80% of Medicaid payments for homemaker, home health aide and personal care services under 1915(c) waivers on direct care worker pay and benefits. Compliance starts 2030-07-09 (for managed care, the first rating period starting on or after that date); annual payment-adequacy reporting under 441.311(e) starts 2028-07-09. A state may set a lower share for state-defined small providers and exempt providers facing hardship, each only through a public notice-and-comment process. The eCFR text has not changed since 2024-07-09. No state-published 80/20 implementation step (small-provider criteria, hardship exemption or reporting guidance) was found for this state in the official sources reviewed.

Home health agencies — active organization NPIs (NPPES)

680 (as of Sep 13, 2026)

Medicare-certified home health agencies (CMS Care Compare)

212 (as of May 27, 2026)

Total Medicaid and CHIP enrollment (latest reported month)

992,735 (as of Jun 1, 2026)

All Oklahoma Home health Medicaid rates, ranked →