How long does initial licensing take in Washington?
Timelines vary by application volume and category. DOH facility reviews include a preliminary on-site survey and document review. DSHS Residential Care Services advises submitting applications at least 90 days before opening, though licensing often takes several months. Our consultations help you pre-schedule required policies, staffing, and training to plan your survey early.
Is a Certificate of Need required for my service?
Yes, for certain services. In Washington, a Certificate of Need (CN) evaluation is required for hospitals, ambulatory surgery centers, hospice agencies, new home health agencies, hospice care centers, and some renal treatment centers. We help ensure your CN application meets DOH requirements through scoping, feasibility, and documentation support.
What staff training and background checks are required?
Background checks are mandatory for administrators and employees at all locations. Caregivers hired on or before December 31, 2027, have 365 days from hire to obtain Home Care Aide certification, though the 120-day training deadline still applies. Long-term care workers must complete 75 hours of DSHS-approved basic training. Our kits include competency checklists and training matrices that meet state requirements.
How do I enroll for Medicaid billing under Apple Health?
Most agencies register with the Health Care Authority through the ProviderOne portal. After selecting your provider type, you’ll complete the online application and sign a Core Provider Agreement. You can sign contracts with managed care plans and, if you'd like, set up clearinghouse EDI after you've been given a ProviderOne ID. Our team provides enrollment quality assurance and detailed reviews.
What should I expect at the survey or inspection?
DOH and DSHS conduct an initial survey to verify policies, staff credentials, infection control, emergency readiness, and patient or resident records. Unannounced surveys occur periodically. We prepare you with mock survey tools, tracer worksheets, corrective action templates, and document binders aligned with Washington standards—so you can respond confidently at the door.
