How to Start a Non-Medical Home Health Aid Business

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To stay in their own home for many people who need assisted living means help with transportation, shopping, preparing meals and perhaps dressing or toileting. These necessary, but non-medical services can add up to more than $150,000 a year from a full medical care agency. Providing non-medical home health aid is a growing need. Even though in some cases it may not be covered by Medicare, home help that is caretaking based rather than medical is an affordable and desperately needed business today. One person can start this business on their own, but all caregivers will need days off.

Get the experience you need to start your own non-medical home health aid business. If you have no experience caring for others in their home, get a job in the field first. Be sure you know the difference between home care and medical home health care. Medical home health care targets those who are recovering from injuries or illness and need licensed nurses or therapists. Non-medical will cover basic living support.

Research your state’s regulations on home care. The health industry constantly changes and so do the rules. Obtain all licenses or permits required. Hire a business lawyer to help make sure you conform to all local requirements.

Form a business plan. A well-written business plan will help you obtain financing, explain the demand for home health services in your area and keep your company focus in line. Acknowledge your strengths and weaknesses in the home health field and any new trends you intend to pursue. Include how the people you have hired around you will help in taking advantages of opportunities. Describe how you will match and excel the local competition.

Hire and train staff. First, hire people who already have the training, licenses and experience to help you get going. These key employees can help you hire other aides and have insights to get your business up and running within quality guidelines. Put a training system in place for new employees that include ongoing classes. Usually, even non-medical services will require employees to have CPR and first-aid certifications in most states.


  • Offer a “Patients’ Bill of Rights” that describes both the responsibilities and rights of your business as well as the client under your care.


  • Most states require home health businesses to run a criminal background check on all its staff. Regulations vary, so call your local department of public health to find out how to comply with the laws in your state.



About the Author

Rhonda Abrons is a writer/producer in Austin, Texas. For more than 25 years her journalism work has been published in many newspapers including the "Austin-American Statesman" and the "Boston Globe."

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