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INDUSTRY SOLUTIONS

Funding for Home Health & Home Care Agencies

You pay caregivers every week. Medicare, Medicaid, and insurers pay in 30, 60, sometimes 90 days. That gap, not your profit, is what keeps you up at night. We give home health and home care agencies fast, flexible working capital so you can make payroll while the reimbursement catches up.

Soft credit pull, won't affect your score. No obligation.

Funding Amounts

$10,000 – $500,000

Approval Speed

4 – 8 hours

Credit

All credit profiles considered

Use

Payroll, growth, compliance & more

THE CHALLENGE

Profitable on Paper, Short on Friday

Home health and home care can look healthy on the profit-and-loss statement and still leave an owner scrambling to cover payroll. The reason isn't profitability, it's timing: you pay your people now and collect from the payers later, on a cycle you don't control. In the Federal Reserve's 2025 Small Business Credit Survey, more than half of healthcare firms that sought financing did so just to cover operating expenses. Here's where the cash gets stuck in an agency.

Payroll is due weekly. Reimbursement comes in months.

Caregivers and nurses are paid weekly or biweekly, and payroll is by far your largest cost. But Medicare, Medicaid, managed-care plans, and the VA pay on their own schedule, often 30 to 60 days, and Medicaid's prompt-pay rule still allows up to 90 days to pay 99 percent of clean claims. On the private-pay side it's no faster: families can be slow, and long-term-care insurers usually reimburse only after care is delivered and invoiced. The healthy target for days to collect runs 45 to 60 days, which means you're financing weeks of payroll out of your own pocket before the money lands.

The rules changed the timing, and not in your favor

If you bill Medicare, you used to get a cash advance at the start of a patient's care. Under PDGM, that upfront payment was cut to 20 percent in 2020, then to zero in 2021, and replaced by a one-time Notice of Admission in 2022. For agencies that relied on that early cash to float payroll, a structural cushion simply disappeared, and nothing replaced it. The work still has to be delivered, documented, and billed before a dollar comes back.

Denials and managed care can freeze cash you've already earned

A denied or under-documented claim isn't just lost revenue, it's delayed payroll capacity. Prior authorization is now near-universal in managed care, and a single missing detail can hold up a claim for weeks of rework. When a state moves its Medicaid population to managed care, payments can stall for months during the transition. The money is earned. You just can't reach it when payroll is due.

Caregivers are hard to find and harder to keep

Turnover in this workforce runs near the highest of any industry, with caregiver turnover hovering around 75 percent in recent benchmarks, and home health and personal care aides earning a median of about $34,900 a year (Bureau of Labor Statistics, 2024) in a market where wages keep climbing. Holding a team together takes sign-on bonuses, raises, and constant recruiting, immediate cash outlays, while turning down cases for lack of staff means turning down revenue.

Growth eats cash before it pays you back

Winning new clients means paying caregivers, onboarding, and supervising now, then waiting out the collections lag before the new census funds itself. With median net margins in the single digits, there's little cushion to absorb that gap, or a denial, a tax bill, or an insurance renewal landing the same week. The pressure is real: in a 2025 KFF survey, 41 states reported permanent closures of home care providers in the prior year.

The standard options each miss the mark here. An SBA loan takes 30 to 90 days and usually wants a year or more of history and collateral. Traditional medical-AR factoring only helps once a claim is billed and complete, and the payroll you're covering is due before the claim is even filed. Our working capital sits exactly in that space: funded in days, repaid on the schedule your reimbursements actually follow.

How Home Health & Home Care Agencies Use Our Funding

Make Payroll on Time

Bridge weekly and biweekly caregiver and nurse payroll while Medicare, Medicaid, managed-care plans, and insurers take 30 to 90 days to pay.

Recruit & Retain Caregivers

Fund sign-on bonuses, raises, and recruiting to fight turnover, so you stop turning down cases for lack of staff.

Fund Census Growth

Take on new clients and referrals without waiting for collections to catch up to the new payroll, onboarding, and supervision it takes to serve them.

Bridge Denials & Slow Claims

Keep operating while denied or under-documented claims are reworked and resubmitted, and while an MCO transition or pre-payment review holds up cash.

Acquisitions & De Novo Offices

Fund a book of business, a partner buy-in, or a new location on the deal's timeline, including the licensing and payer-enrollment ramp before revenue starts.

Compliance & Technology

Pay for EVV, EHR, and scheduling systems, bonding, liability insurance, and licensing and accreditation, without pulling cash away from payroll.

One Application. We Match You to the Funding That Fits.

Most agencies we fund use working capital they can put toward anything. You don't need to know which product you want, apply once and we'll match you to what you qualify for.

Working Capital

Flexible funding for payroll, recruiting, growth, or compliance. This is where most agencies start, especially when payroll is due before a claim clears.

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Medical AR & Invoice Factoring

Advance the cash tied up in your billed Medicare, Medicaid, and insurance claims, turning a 30 to 90 day receivable into cash now. It's not new debt, just your earned revenue, sooner.

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Business Line of Credit

Revolving cash you draw on when collections lag or a cost lands early, then repay as reimbursements arrive. Interest applies only to what you draw.

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Business & SBA Loans

Lump-sum capital for an acquisition, a de novo office, or a larger project, when you want a longer, structured term.

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Equipment & Technology Financing

Finance vehicles, medical and office equipment, and the EVV, EHR, and scheduling technology your agency runs on, with terms that spread the cost.

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Revenue-Based Financing

Funding with repayment that flexes with your collections, easing off when reimbursements are slow instead of holding a fixed payment.

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Why Home Health & Home Care Agencies Choose Us

We've funded agencies on both sides of the business, Medicare and Medicaid certified home health and private-duty home care, from solo owners to growing multi-office operations. As consolidators and private-equity-backed groups buy up agencies, the edge they hold over independents is capital, the ability to fund payroll, recruiting, and acquisitions without flinching.

Fast, flexible funding helps level that field. Behind every cash-flow gap is a payroll you've promised your caregivers, and clients who depend on you to show up.

See What You Qualify For
  • We understand the gap between payroll and reimbursement
  • Funding for payroll, recruiting, growth, or compliance
  • Factoring to turn billed Medicare, Medicaid, and insurance claims into cash
  • Approval in 4 – 8 hours, not the 30 to 90 days a bank takes
  • Soft credit pull that won't affect your score
  • All credit profiles considered

Simple Requirements to Get Started

If your agency has been operating for at least 6 months and generates $10,000 or more in monthly revenue, you're likely a fit.

6+ Months

In Business

$10K+

Monthly Revenue

All Credit

Profiles Welcome

Check If You Qualify

See What You Qualify For

It takes less than 30 seconds. Soft credit pull, won't affect your score.

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Home Health & Home Care Funding FAQs

What can a home health or home care agency use the funding for?

Anything the agency needs. Owners use Monera funding to make payroll, fund caregiver recruiting and retention, take on census growth, bridge denied or slow-paying claims, finance acquisitions and de novo offices, and pay for EVV, technology, bonding, and insurance. You don't have to choose a product up front, you apply once and we match you to the funding you qualify for.

How much can an agency borrow?

Funding generally ranges from $10,000 to $500,000. The amount you qualify for depends mostly on your monthly revenue and how long you've been in business, not on a single credit score.

Can it help me make payroll while I wait on Medicare or Medicaid?

Yes, this is the single most common reason agencies come to us. You pay caregivers weekly or biweekly, but Medicare, Medicaid, managed-care plans, and insurers can take 30 to 90 days to pay, and Medicaid's own prompt-pay rule allows up to 90 days to pay 99 percent of clean claims. Working capital or AR factoring bridges that gap so payroll is never at the mercy of a payer's timeline.

Do you advance money against my Medicare, Medicaid, or insurance claims?

Yes. Medical AR factoring advances the cash tied up in your billed claims, turning a 30 to 90 day receivable into cash now. It isn't new debt, it's your earned revenue, sooner. It works best for claims that are already billed and complete. For the costs that come before billing, like payroll, recruiting, or a de novo office, working capital is usually the better fit.

Are you a billing or collections company?

No. We don't file or collect your claims, and we don't manage your revenue cycle. We provide the working capital so you can make payroll and keep operating while your own billing process, or your billing partner, collects from the payers. Our funding sits alongside your billing, it doesn't replace it.

Will taking funding disrupt my Medicare or Medicaid payments?

For working capital, no. It's funding to your business that you repay on agreed terms, and you keep your payer relationships and your payment flow. If you decide to factor specific billed claims, we'll walk you through exactly how it's set up before anything changes, so there are no surprises.

Can it cover caregiver sign-on bonuses and raises?

Yes. Caregiver turnover is the biggest operational drain in this industry, and retention costs money now, sign-on bonuses, raises, and recruiting all hit before the new revenue does. Working capital lets you compete for staff without waiting on a slow reimbursement cycle.

Can you fund an acquisition, a buy-in, or a new office?

Yes. Buying a book of business, buying into a partnership, or launching a de novo office all move faster than a bank or SBA process, and they often need capital before the first claim is ever paid. We can move quickly and provide working capital for day-one payroll and the licensing and payer-enrollment ramp.

Do you fund both Medicare-certified home health and private-pay home care?

Yes. We fund skilled, Medicare and Medicaid certified home health as well as private-duty, non-medical home care. The payer mix and the timing differ, government claims, managed-care plans, VA, private-pay families, and long-term-care insurance, but the core problem, payroll due before the money arrives, is the same.

Will applying affect my credit score?

No. Checking what you qualify for uses a soft credit pull that won't affect your score, and there's no obligation to move forward.

How fast can I get funded?

Approval typically comes within 4 to 8 hours, with funds following shortly after. That speed is the main reason owners choose us over a bank or an SBA loan, where the same request can take 30 to 90 days, far too slow when payroll is due before a claim clears.

Do I need good credit or a long track record?

All credit profiles are considered. Most agencies we fund have been operating for at least 6 months and generate $10,000 or more in monthly revenue. Your revenue and day-to-day performance matter more than a perfect credit score.

Specialized Funding

Other Business Types We Fund

We build dedicated funding guides for specific business types. Explore others below, or see the full Healthcare & Medical overview.

Ready to Grow Your Business?

Apply today and get a decision within 4 to 8 hours.

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