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The 46-item Indiana Home Health Agency Compliance Checklist covers every major survey category — with the specific regulation citation for each item. Know exactly where your gaps are in 10 minutes.

46 items across 7 CMS and Indiana regulatory categories
Every item includes its specific regulation citation
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What's inside

46 items. 7 categories.
Every regulation cited.

Here's a preview of what the checklist covers. The full version — with checkboxes, citations, and space for notes — is delivered to your inbox.

1 — Licensure & Certification 5 items
Current Indiana HHA license on file and posted
410 IAC 17
Medicare/Medicaid certification current
42 CFR §484
All clinical staff licenses current, copies on file
IC 25-23
NPI number registered and current
45 CFR §162
Medicare surety bond on file
42 CFR §484.70

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2 — Personnel Files 10 items
Background check documentation on file for all staff
IC 12-15-24
Indiana Healthcare Worker Registry checked at hire
IC 16-27-2
Annual bloodborne pathogen training documented
29 CFR 1910.1030
HIPAA training at hire and annually documented
45 CFR §164
Competency evaluation completed before patient contact
42 CFR §484.80

5 more items in this category

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3 — Patient Clinical Records 8 items
OASIS assessments completed and submitted on time
42 CFR §484.55
Plan of care updated with every significant change
42 CFR §484.60
Physician signatures on all orders — no outstanding
42 CFR §484.60
Advance directives documented in patient record
IC 16-36-4

4 more items in this category

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4 — Policies & Procedures 7 items
OSHA Safety Plan reviewed within last 12 months
29 CFR 1910
Infection Control Policy current with review date visible
42 CFR §484.70
Emergency Preparedness Plan tested annually — documented
42 CFR §484.102
HIPAA Privacy & Security Policy current
45 CFR §164

3 more items in this category

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5 — Safety & OSHA 6 items
OSHA 300 log current and accurate
29 CFR 1904
OSHA 300A posted Feb 1–Apr 30 annually
29 CFR 1903.2
HazCom written program and SDS binder current
29 CFR 1910.1200

3 more items in this category

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6 — Quality Assurance (QAPI) 5 items
QAPI meeting minutes on file — minimum quarterly
42 CFR §484.65
Hospitalization and fall rate data tracked
HHVBP/OASIS
Adverse event review documented in QAPI minutes
42 CFR §484.65

2 more items in this category

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7 — Financial & Billing Compliance 4 items
Anti-kickback statute compliance policy on file
42 USC §1320a-7b
Stark Law compliance procedures documented
42 CFR §411
ABN forms used appropriately and on file
42 CFR §401.305

1 more item in this category

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CompliSuite provides compliance documentation services and is not a law firm. This checklist is for informational purposes only and does not constitute legal advice.