IN.gov - Skip Navigation

Note: This message is displayed if (1) your browser is not standards-compliant or (2) you have you disabled CSS. Read our Policies for more information.

Amber Alert
Amber Alert - TEST

ISDH Home > Health Facility Licensing > Acute Care/Hospitals > Personal Care Services Agency Licensing Program Personal Care Services Agency Licensing Program

Program Overview

The Indiana State Department of Health licenses agencies that provide (1) attendant care services;  (2) homemaker services that assist with or perform household tasks, including housekeeping, shopping, laundry, meal planning and preparation, and cleaning; and;
(3) companion services that provide fellowship, care, and protection for a client, including transportation, letter writing, mail reading, and escort services;that are provided to a client at the client's residence.

Contact the Program

Indiana State Department of Health
Division of Acute Care
2 North Meridian Street, 4A
Indianapolis, IN 46204
(317) 233-7474 (Acute Care Receptionist)
(317) 233-1325 (ISDH Main Switchboard)
Map

Program Manager
Darlene Earls
dearls@isdh.in.gov
(317) 233-7492
(317) 233-7742  [Secretary]

Report a Complaint or Incident to the ISDH

Report a complaint regarding a health care facility
Individuals can call or email to make complaints about care provided at any licensed or certified Indiana health care providers or suppliers.

Report an incident regarding a health care facility
The Incident Report Form is for health care facilities to notify the Indiana State Department of Health of a reportable incident pursuant to the ISDH Reportable Unusual Occurrence Policy.  The Incident Report Form is also for health care facility staff (nursing homes, intermediate care facilities, and hospice agencies) to report a reasonable suspicion of a crime against a resident pursuant to Federal regulations.  This form is not to be used to file a complaint.

Consumer Information

Centers for Medicare and Medicaid Services

Your Medicare Rights and Responsibilities

Directories

Directory of Personal Services Agencies

Employment Opportunities

Learn more about Employment Opportunities with the Indiana State Department of Health

Forms

Application for License to Operate a Personal Services Agency

Notice: Before you download the initial application for license to operate a personal services agency, please be aware that there is additional documentation and information that must be submitted to ISDH, along with the application.

Please contact the Program Director at 317-233-7492 for questions, or fax a request for a complete initial application packet to 1-317-233-7157.  Include your name and mailing address, when faxing your request.

Centers of Medicare and Medicaid Services Forms

Renewal Application for License to Operate a Personal Services Agency

Laws and Regulations

Federal Laws and Regulations

Code of Federal Regulations (CFR) Homepage

State Laws and Rules

Personal Services Agency Statute

Indiana Law and Rules Homepage

Indiana Register

Limited Criminal History Search

Links

State Government

Indiana Association for Home and Hospice Care

Indiana Public Access Counselor

Indiana Secretary of State

Office of Medicaid Policy and Planning (FSSA)

Federal Government

Agency for Healthcare Research and Quality (AHRQ)

Americans with Disabilities Act (ADA)

Centers for Disease Control and Prevention (CDC)

Centers for Medicare and Medicaid Services (CMS)
 
Health Care Excel (HCE)

National Government Services

National Patient Safety Organization

Office of Civil Rights

U.S. Small Business Administration

Stay Connected

You are leaving the IN.gov website. By clicking OK, you will be taken to a website that is not affiliated with the State of Indiana and may have different privacy and security policies. The State of Indiana is not responsible for, and does not endorse, guarantee, or monitor content, availability, viewpoints, products, or services that are offered or expressed on this non IN.gov portal website.