Business In A Box Home Care

The Home Care Business Forms List below includes all the forms and tools available to download for each Membership Level.

Basic Membership

Forms available in PDF format:

  1. Caregiver Recruiting Flyer
  2. Ad Example – Print Ad
  3. Applicant Reference Check Forms
  4. W-4 Form
  5. Employment Eligibility Verification
  6. Employee File Checklist
  7. Home Safety Checklist
  8. Client Handbook / Manual

Silver/Gold Membership

Diablo 3 offline google drive. Forms and Tools available in Microsoft Word, Excel, and PDF formats allowing customization to fit your individual agency needs:

    1. Home Care Business Plan Template
    2. Caregiver Recruiting Flyer
    3. Caregiver Employment Application
    4. Applicant Reference Check Form
    5. Employee File Checklist
    6. Interview Questions
    7. Interview Assessment Form
    8. Employment Eligibility Verification
    9. W4 Form
    10. Caregiver Employment Contract
    11. Employee Performance Evaluation Form
    12. Wage Calculation Table
    13. Employee Feedback Survey
    14. Services & Pricing List
    15. Home Care Agency Brochure Example
    16. Marketing Print Ad Example
    17. Prospect Inquiry Form (PIF)
    18. Client Assessment Form
    19. Home Care Services Contract
    20. Client Plan of Care Form
    21. Home Safety Checklist
    22. Client Welcome Letter
    23. Client Service Survey
    24. Holiday Service Letter
    25. Documentation Log Form
    26. Client Follow Up Visit Checklist
    27. Client Visit Evaluation Form
    28. Powerpoint Presentation – Senior Care Options
    29. Powerpoint Presentation – The Sandwich Generation of Care
    30. Client Handbook / Manual
    31. Break Even Projections Worksheet
    32. 4 Year Financial Projections

What's Included: Treat yourself to a spa night at home with Heart N Soul's Spa in a Box! This all-natural, organic bath and body care box curates a set of 5-7 handmade products like body butters, creams, lotions, bath bombs, scrubs, lip balms, and more to ship straight to your door every month. Each box contains a retail value of at least $80.

FAQ: The business in a box 2.0 is a startup kit with all the documents, marketing materials etc. You need to start your home care service. There are also some training videos. Business In A Box Contractor's License Package If you’re a seasoned Handy Man or a new Contractor, Liberty is here to help you take on the new clients with your very own contracting business. And that starts with our “Just” The Contractor’s License Service. This manual will teach you everything you need to know about the starting and operating a home care business. You learn about how to conduct the feasibility study, create a business plan, and how to source for funds for your startup business.

** We also offer Policies and Procedures Manuals which is available to all members for an additional charge.

Ready to start your Home Health Care Agency but don’t want to go at it alone?

Liberty’s Business In-a-Box Package (“B.I.B”) is just the service you need and want! Liberty’s BIB package takes the stress out of obtaining and filing all the required State Home Health Care License Application(s), policies and procedures by completing 99% of the work on your Agency’s behalf. No need to concern yourself with State applications, numerous overbearing check lists, deadlines, inadequate policies or worrying about your Agency’s license application being rejected

  • “Guaranteed License Approval” or your money back (in writing)
  • License within 5–6 months (excluding national holidays)
  • Owner “One on One” Home Care Agency Consultation
  • New Agency Name Research and Conflict Verification (State wide)
  • Employer Identification Enrollment
  • State Incorporation of Your New Home Care Agency (Inc. or LLC.)
  • Receive two (2) One (1) hour “Asked & Answered” Sessions
  • Prepared State Compliant Home Care Agency Patient Policies
  • Prepared State Compliant Home Care Agency Consumer Policies
  • Prepared State Compliant Home Care Agency Employee Policies
  • Prepare and fileHome Care Agency License Application.
  • “Guaranteed License Approval” or your money back (in writing)
  • License within 5–6 months (excluding national holidays)
  • Owner “One on One” Home Care Agency Consultation
  • New Agency Name Research and Conflict Verification (State wide)
  • Employer Identification Enrollment
  • State Incorporation of Your New Home Care Agency (Inc. or LLC.)
  • Receive two (2) One (1) hour “Asked & Answered” Sessions
  • Prepared State Compliant Home Care Agency Patient Policies
  • Prepared State Compliant Home Care Agency Consumer Policies
  • Prepared State Compliant Home Care Agency Employee Policies
  • Prepare and fileHome Care Agency License Application.
Opening

To help you run your Agency you will receive a digital copy (via email) of the following State Agency Compliant License Policies:

  • Agency Employee Hiring Requirements (Pennsylvania Specific)
  • Customized Agency ADA, Sexual Harassment Policy
  • New Hire Competency Test (§ 611.55. Competency Requirements)
  • Customized Agency Employee Application
  • Customized Agency Employee Handbook (City and State Compliant)
  • Customized Agency Employee Job Description
  • Customized Agency Employee Time Sheet
  • Customized Agency Employee Rights and Duties
  • Customized Agency Employee Profile Contact Form
  • Step by Step Guide on Doing a New Patient In-Take
  • New Patient In-Take Forms
  • New Patient Plan of Care Guide and Forms
  • Customized New Patient Welcome Package
  • Customized New Patient Admission Check List
  • Customized New Patient Agreement for Non-Medical Services
  • Customized Patient ADL Form

AGENCY ENROLLMENT WITH PACKAGE:

  • Liberty will enroll your new Agency into the Home and Community Based Services (HCBS),
  • Liberty will enroll your new Agency into Pennsylvania PROMISe, and
  • Liberty will enroll your new Agency into Pennsylvania OLTL Medicaid Waiver Program.

Medicaid Enrollment Included With MCO Enrollment (Optional)

If your Agency is a Medicaid approved Provider, as of January 1, 2019; to continue to serve and bill Medicaid patients in the State of Pennsylvania you will be required to enroll with the Managed Care Organizations. To ensure your new Agency is in compliance with the States Medicaid requirements; you will receive a digital copy (via email) of the following State OLTL Waiver Policies.

Home Health Care Business

  • ADA Compliance Policy
  • HIPPA Compliance Policy
  • Non-discrimination Policy
  • Employee SSN Verification Policy
  • Staff Training Policy
  • Regulation Compliance Policy
  • Limited English Proficiency (LEP) Policy
  • Participant Complaint Management Policy
  • Employee Screening Policy (LEIE, EPLS & Medicheck)
  • Criminal History Background Check Policy
  • Critical Incident Management Policy, and
  • Quality Management Policy

To help you reach your Agency goals, included in Liberty “Business-In-a-Box” Packages are three (3) On the Job Training Workshops (“OJT”).

Start Elderly Home Care Business

TRAINING I. – Day to Day Operation.
TRAINING II. – Home Care Agency Marketing.
TRAINING III. – Home Care Billing.
ASKED & ANSWERED SESSIONS – (In office, via the phone or Skype).
ASKED & ANSWERED SESSIONS – (In office, via the phone or Skype).