Homemaker Companion Services
- Frequently Asked Questions
- Florida Statutes
- State Rules/ Survey Standards
- General Information
Homemaker Companion Services
Welcome to the Homemaker Companion Services webpage. Homemaker Companion Services employ individuals to do housekeeping, cook, run errands, and provide companionship to the elderly and adults with disabilities.
Bureau of Health Facility Regulation
(Ask to speak with a homemaker companion specialist)
1. How much does it cost to register?
2. How does an individual register?
3. Where do I get the application form and instructions?
4. Do I need this registration, if I only plan to offer companion services to clients with developmental disabilities under my contract with the Agency for Persons with Disabilities (APD)?
5. How long does it take to become registered?
6. When receiving a letter of items needed for my Homemaker Companion Services Application, how many days do I have to respond to AHCA?
7. After the missing information has been sent back to AHCA, how long does AHCA have to issue my license?
8. What can I name my homemaker companion services organization?
9. Do I need to register a fictitious name for my business?
10. If I am a corporation, LLC or, Partnership do I need to register a fictitious name?
11. Can I operate from my home?
12. How much insurance is required?
13. If my registration has expired, what do I need to do?
14. If my registration expires during AHCA’s review of the application, what should I do?
15. Is there a late fee if my application is not submitted 60 days prior to the expiration date?
16. If I have a Homemaker Companion Service (HCS) registration and recently received my Nurse Registry license (or Home Health Agency License), do I need both?
17. How do I add counties to my registration?
18. What are the rules for setting up a satellite office for HCS?:
19. I want to add a county to my registration and its almost time for renewal, can I wait until I submit my renewal application?
20. When should I submit my renewal application?
21. I am filling out my renewal application; do I need to submit a new fingerprint card?
22. Can I get a temporary registration until my application is approved?
23. Do I have to be a Corporation, LLC or, Partnership to become HCS?
24. How do I file for a change of ownership?
25. If the current registration expires prior to the effective date of the change of ownership, what should I do?
26. If my Federal Employer Identification Number (EIN#) changes and not the ownership percentage(s) is this a change of ownership?
27. What is considered a change of ownership?
28. I plan to move my HCS business to a new location; what do I need to do?
29. I need to change my mailing address only; what do I need to do?
30. I cannot locate my current registration certificate; how do I get a duplicate copy?
31. If the managing employee and financial officer have had a background screening through the Dept. of Children and Families office or Medicaid office within the past five years; do they have to get fingerprinted again?
32. Do the renewal application forms have to be filled out in entirety?
33. I am adding a DBA (doing business as) name to my Corporation's name; where do I list this on my application?
34. Our agency already has a home health agency (or nurse registry) license. Do we also need to get a registration in order to offer homemakers and companions?
35. Do I have to have a website for this business?
36. Do I have to have brochures, flyers or, printed materials for this business?
37. We are a not-for-profit entity, should our voluntary officers and board members be listed on the application?
1. What services can I provide?
2. Can I provide services while I am waiting to receive my registration?
3. Will Medicare and Medicaid reimburse me?
4. Does the Homemaker Companion Services registration include Respite Care?
5. Is a Homemaker Companion Service limited to the elderly?
6. Can a Homemaker Companion "flip a lever or handle" to switch oxygen from indoor tank to a tank which can be taken outside?
7. Can homemakers or companions record blood pressure readings for their clients?
8. As a Homemaker Companion I would like to travel with my clients as well as do chores, cook, etc.; how do I go about getting permission and is it even allowed?
9. I have a Homemaker Companion Service for the elderly; can I provide services for children with this registration?
10. Can my employees help the clients with their medication?
11. Can my employees comb the client's hair and paint nails?
12. Can a homemaker or companion provide assistance with ambulation?
No. A homemaker and a companion is prohibited from providing hands on personal care according to state law. The state law defines personal care as including assistance with walking. “Assistance with ambulation,” is an ongoing action for an elderly or disabled person who needs assistance for all or most of the time, e.g., pushing someone in a wheelchair, or aiding someone walking with or without the use of assistive devices such as walkers, canes or crutches.
13. Can a homemaker companion stabilize a client stabilize the client when walking, as needed, by holding the client’s arm or hand”?
Yes. A homemaker companion may take reactive measures only when needed to prevent falls and injuries to persons who generally need no assistance. Once the person is “stabilized” and able to continue walking there should be no other need to hold the client’s arm or hand.
14. Can we provide staffing services (send homemakers and companions to home health agencies and nurse registries for them to use to serve their clients)?
15. Can we accept clients who also need nursing services and contract with home health agencies or nurse registries to provide the nursing?
16. Can we do standby assistance with bathing or monitor bathing?
No. Refer these clients to a home health agency or a nurse registry.
17. Can we pick up clients from outpatient surgery, take them home and observe them for any complications?
No. Refer these clients to a home health agency or a nurse registry.
1. Do I have to have a nurse?
No. There is no need to have a nurse working for you. A Homemaker Companion Service is prohibited by Florida law from providing any hands-on personal care under the registration issued by AHCA; therefore, no RN is required and/or necessary. Do not accept clients that need personal care. Your business can only provide housekeeping, chores, errands, cooking, and companionship -- that does not include any personal care.
2. Can a Homemaker Companion Service hire certified nursing assistants (CNAs)?
3. Do homemakers or companions have to have the following prior to going in home(s): TB tests, HIV screening, shots, and CPR?
4. I have a level 2 conviction on my record, what do I need to do?
5. The wrong person is listed in www.floridahealthfinder.gov as our managing employee, how do I get this corrected?
6. Can I have contractors or just employees with my registration?
7. Can I have more than one person working with me?
8. Is there a law or a rule that states that I cannot hire 17 or 18 year old employees?
9. Can we provide homemakers and companions to other agencies like home health agencies and nurse registries?
1. How do I file a complaint against a Homemaker Companion Services (HCS) that provides services beyond the scope of its HCS registration?
2. Are Homemaker Companion Services inspected or surveyed?
3. Can a Homemaker Companion Service share an office with other healthcare services pool?
4. Where do I apply for a Federal EIN Number?
5. How can I get my agency listed on a listing for elderly services?
6. What are the procedures for closing a Homemaker and Companion business?
7. After closing a Homemaker Companion Service (HCS) agency, what happens to the client records?
(1) Make arrangements to forward records for each client to one of the following, based upon the client's choice: the client or the client's legal representative, the client's attending physician, or the health care provider where the client currently receives services; or
(2) Cause a notice to be published in the newspaper of greatest general circulation in the county in which the provider was located that advises clients of the discontinuance of the provider operation. The notice must inform clients that they may obtain copies of their records and specify the name, address, and telephone number of the person from whom the copies of records may be obtained. The notice must appear at least once per week for 4 consecutive weeks.
8. Can I use a virtual office space?
No. You must have a physical office located within your geographic service area (the counties appearing on your registration, in which you are approved to offer services). Please note that you may get inspected on an unannounced basis during the weekday if a complaint is received by AHCA. Also, your business name, your street address, and your telephone number will appear at the AHCA web site www.FloridaHealthFinder.gov.
Licensure Application and Related Forms Initial, Renewal and Change of Ownership Registration
HOMEMAKER COMPANION APPLICATION
This application is for organizations that provide homemaker and/or companion services, as required in the state law, section 400.509, Florida Statutes.
An individual who works alone and does not hire or arrange for others to provide homemaker and/or companion services can work on their own without registration and should not apply.
Please double check application for any missed fields, since this could delay the issuance of your license.
Please note: Only fill out Affidavit of Compliance with Background Screening with Requirements if managing employee and/or financial officer already had fingerprints processed within the last five years by an outside agency ( Department of Children and Families, Department of Health, or Agency for Persons with Disabilities).
Renewal Reminder Notices are no longer being sent by certified letter. You will now receive a renewal reminder postcard at least 90 days prior to the expiration of your license. To ensure that you receive timely notice, please visit www.FloridaHealthFinder.gov to verify that your mailing address is accurate. See the Frequently Asked Question on the Apply tab, #29 on this web page for how to make a change of address. Please contact the Home Care Unit by email HQAHOMEHEALTH@ahca.myflorida.com or by phone (850) 412-4403 if you have any questions.
TITLE XXIX, CHAPTER 400, PART III
Florida Statutes for Homemaker Companion Services
State Rules / Survey Standards
Background Screening for Homemaker Companion Services
Applicants must have:
Level 2 background screening by scanned fingerprints for managing employee & financial officer
Already Registered must:
Click on link for more info on screenings, fees, and to find a LiveScan site near you:
Also note -
Renewals and Change of Ownership
IMPORTANT NOTE FOR RENEWALS:
Applications must be received at least 60 days in advance of expiration of registration.
IMPORTANT NOTE FOR CHANGES OF OWNERSHIP:
The registration may not be sold, assigned or otherwise transferred per state law (408.804(2), Florida Statutes). Thus, an application must be submitted for a new registration. Applications must be received from the buyer (transferee)at least 60 days prior tothe actual change of ownership of the business. It must include a letter signed by the seller (transferor) notifying AHCA of the coming sale or transfer to the buyer per 408.807, F.S.