Healthcare Business Start-Up & Licensure
Opening a healthcare business in Texas requires the entity, the license, the certification and the operating infrastructure to arrive in the right order. We plan that sequence, prepare the applications, build the documentation the state and CMS will ask to see, and stay with you through the initial survey.
What is included
- Provider-type feasibility review: which license and certification path actually fits the services you intend to deliver
- Entity and ownership structuring coordination with your attorney and accountant
- State licensure application preparation and submission
- Medicare certification path — CMS-855A or CMS-855B as applicable — and Medicaid enrollment through TMHP
- Governing body, administrator and supervisory structure documentation
- Complete policy and procedure manual matched to your service lines
- Personnel file structure, job descriptions, competency and credentialing files
- Initial survey preparation, including a mock survey before the state or accreditor arrives
How the engagement runs
- Scoping call — we establish the service lines, sites, ownership and target open date.
- Path selection — we map the licensure and certification route and the dependency order, because several applications cannot be filed until an earlier one clears.
- Documentation build — policies, procedures, forms, personnel and governance records.
- Filing — applications prepared, reviewed with you and submitted, with tracking of every deficiency notice and request for additional information.
- Survey readiness — mock survey, remediation, and support during the actual survey.
Who this is for
New agencies and clinics, existing organizations adding a licensed service line or a new location, and out-of-state operators entering Texas for the first time.
Frequently asked questions
How long does it take to open a licensed healthcare agency in Texas?
It depends heavily on provider type and on how clean the application is when it is filed. The controlling variables are the state licensure review queue, whether an initial survey is required before certification, and how quickly deficiency notices are answered. We give a realistic range for your specific provider type during scoping rather than a generic number.
Can we bill Medicare from the day we open?
No. Medicare certification is a separate process from state licensure, and the effective billing date is tied to the certification, not to your opening. Planning the cash-flow gap between opening and first Medicare payment is part of the engagement.
Do you set up the corporate entity as well?
We coordinate with your attorney and accountant on structure because ownership disclosure requirements flow directly into the enrollment applications, but the entity formation itself is legal work and we do not practise law.
Related
Start this engagement
Tell us your provider type, your timeline and what has already been filed or attempted. That is usually enough for a scoped answer.