The Accreditation Process

The Process: Step-by-Step

Step One: Choose a level

The agency determines the level of accreditation it would like to attain.

  • Level I: General Accreditation

    • Agencies complete and submit a self study
    • Review of 10% of cases (up to 35)
    • Phone and email interviews with staff
  • Level II: Enhanced Accreditation

    • All aspects of Level I
    • On-site interviews and evaluation

Step Two: Application

The agency completes the application and submits it to NAHC. Once the application is accepted, NAHC sends the agency the online survey for completion.

Once the agency has submitted their completed application with all attachments it will be referred to scheduling. The agency will be notified within 90 days.

Step Three: Review

The agency completes the survey; attaches supporting documents, including caseload and personnel records; and submits it all to NAHC for review.

The reviewer assesses the submitted survey and arranges for telephonic interviews of key managers and staff.

The reviewer provides the agency with findings based on the available facts and allows the agency to respond.

Final Step: Findings & Accreditation

A final report of findings and recommendations is presented to the Review Findings Committee with a suggestion for accreditation or follow-up.

Over time, a subset of accredited agencies will be randomly selected for unannounced on-site visits.

All agencies are required to have a written competency test for direct service providers. An additional hands-on demonstation is required for Level II.


The completed application to the Accreditation Program must include a non-refundable application fee. This initial fee equals roughly 50 percent of the final yearly fee and excludes the surveyors’ site-visitation costs for individual’s who choose Level II Accreditation including travel, lodging, and food. Once an organization is accepted into the program, Home Care University (HCU) will apply $500.00 of the application fee toward the first year’s accreditation fee. Should the organization withdraw their application after it is accepted and the fee has been paid, $500.00 of that fee is non refundable.

This fee is due beginning on the date of accreditation and will be billed every year for three years. To remain in good standing with HCU, organizations must pay their fees each year and comply with the established standards and procedures of the Accreditation Program.

The annual accreditation fee is based on an organization’s GROSS revenue for the prior calendar year, based on the following table:

Level I Fees

Total Revenue Level I
NAHC & PDHCA Members
Level I
Over $3,000,000





$1,000,000 - $3,000,000





Under $1,000,000





Level II Fees

Total Revenue Level II
NAHC & PDHCA Members1
Level II
Over $3,000,000





$1,000,000 - $3,000,000





Under $1,000,000





1 The in-person visits will entail travel and other expenses that lead to variable added costs.
Breakdown of travel and other expenses

The daily surveyor rate is $1500. Visits for accreditation average about two (2) days.

If, at the surveyor's sole discretion, the Agency is deemed unprepared the surveyor may cease the survey. There is a $2200 termination fee in this event.

More about HCU Accreditation

It is essential to establish standards that provide a framework on which to build a quality private duty organization. This framework, based on standards, will ultimately contribute to consumer protection for those served by the private duty home care organizations. This is exactly what is happening within many states right now: the need to put some type of standards in place with possible regulation by the state legislation.

The accreditation process requires an organization to undertake a comprehensive self examination of all aspects of the business. This is accomplished through a self study which serves as a detailed check list for compliance with the standards.

With rapid growth and new business opportunities in private pay home care services, the basic values of home care's rich heritage must be upheld from the business plan to the daily operations of service delivery to the clients and families. These values include caring, ethics in business, lifelong learning, leadership through service, and promotion of health and independence and peaceful death.

Qualifications for Applicants

Agencies operating under any auspice can apply for accreditation provided they meet the following criteria:

  • The agency provides home care aide services.
  • The agency directly employs and pays home care aides.
  • The agency has been in operation for a minimum of one year and handled at least 25 cases.
Start Application

Need Help?

Contact us via email or phone.