State licensing guides

Home care licensing guides for every state

Quick answer: every state regulates home care differently. Some license it through the health department, New Jersey registers it through Consumer Affairs, and Ohio and Arizona have no general license for private-pay non-medical care but strict rules for Medicaid providers. Pick your state below for the agency, the rule, and the steps in order.
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Choose your state

Each guide is written for one state's rules

No template guides. Each one names the regulator, the statute, the license or registration you need, the state-specific trap first-time owners fall into, and the Medicaid route for growth.

AL

Alabama

No state license for nonmedical home care, but E&D Waiver contracting through ADSS, nurse supervision, background checks and EVV decide when Medicaid clients start. Home health needs a SHPDA Certificate of Need; hospice needs a CON and an ADPH license.

Read the guide
AK

Alaska

No state license for private pay nonmedical care, but Medicaid personal care needs SDS certification, Alaska Medicaid enrollment, trained PCAs and Background Check Program clearances. Home health and hospice are licensed under AS 47.32.

Read the guide
AZ

Arizona

No state license for nonmedical home care, but AHCCCS registration, ALTCS health plan contracts, DCW testing and background checks decide when Medicaid clients start. Home health and hospice are licensed by ADHS.

Read the guide
AR

Arkansas

Private pay agencies need no state license, but their caregivers need 40 hours of training. Medicaid personal care needs an ADH private care agency license. Home health and hospice need a Permit of Approval first.

Read the guide
CA

California

Nonmedical home care needs a CDSS Home Care Organization license, and every caregiver must clear the Home Care Aide Registry before meeting a client. Home health and hospice are licensed by CDPH, and new hospice licenses are on hold.

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CO

Colorado

CDPHE licenses home care agencies: Class B for personal care, including companionship, and Class A for skilled care. Community First Choice personal care needs that license plus a CDPHE survey and HCPF enrollment.

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CT

Connecticut

Nonmedical agencies register with the Department of Consumer Protection as Homemaker-Companion Agencies, and paid caregiver training starts January 1, 2027. Home health and hospice are licensed by the Department of Public Health.

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DE

Delaware

Nonmedical home care needs a Personal Assistance Services Agency license from DHCQ, with a 90 day initial license and a survey while you serve clients. DSHP Plus Medicaid runs through three managed care plans.

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DC

District of Columbia

Even nonmedical home care needs a DC Health license: a Home Support Agency under 22-B DCMR Chapter 99, with certified home health aides, an RN and a DC office. Skilled home care and hospice add a Certificate of Need, and DC Medicaid personal care requires a Medicare certified home care agency.

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FL

Florida

Companion and homemaker services need an AHCA registration, but hands on personal care needs a home health agency license with CPA compiled projections. Medicaid clients come through SMMC Long-Term Care plans, and hospice needs a Certificate of Need.

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GA

Georgia

Nonmedical home care needs a Private Home Care Provider license from DCH, with an RN on the application even for companion care. CCSP and SOURCE take a year of licensed history and open once a year. Home health needs a Certificate of Need.

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HI

Hawaii

Hawaii licenses nonmedical home care agencies through the Department of Health's Office of Health Care Assurance, and the license must come before the first client. Home health also needs a Certificate of Need, and every agency carries Hawaii's employer costs.

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ID

Idaho

No state license for nonmedical home care, and no state home health license since July 1, 2025. Medicaid Personal Assistance Agency enrollment, QA training, RN supervision and fingerprint checks decide when Medicaid clients start.

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IL

Illinois

Nonmedical home care needs an IDPH home services agency license before the first client. Caregiver training, fingerprint checks and the Health Care Worker Registry come next, and the Community Care Program asks for years of operating history.

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IN

Indiana

Nonmedical home care needs an IDOH personal services agency license. Medicaid waiver work runs through FSSA certification and PathWays health plans, and new waiver providers are paused by a moratorium that began August 1, 2026.

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IA

Iowa

No state license for nonmedical home care or home health agencies, but Iowa Medicaid enrollment, IA Health Link plan contracts and Iowa Code 135C.33 record checks decide when waiver clients start. Hospice licensing by DIAL is voluntary.

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KS

Kansas

Even companion and personal care agencies need a KDHE home health agency license in Kansas. KanCare HCBS attendant care needs the Skilled Services level, KMAP enrollment and health plan contracts.

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KY

Kentucky

Nonmedical agencies must be certified as personal services agencies by the CHFS Office of Inspector General before serving anyone. Home health and hospice need an OIG license and a Certificate of Need.

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LA

Louisiana

Hands on personal care needs an LDH HCBS provider license with the Personal Care Attendant module, and Facility Need Review approval comes first. Home health faces a state licensing moratorium; hospice also needs Facility Need Review.

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ME

Maine

Since July 1, 2024, Maine has licensed personal care agencies under 22 M.R.S. § 1717 and 10-144 CMR Chapter 129. A Maine office site, MBCC background checks and PSS training come before MaineCare clients.

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MD

Maryland

Personal care needs a Residential Service Agency license from OHCQ, with a registered nurse and certified caregivers. Medicaid personal assistance runs through Community First Choice, and home health and hospice need a Certificate of Need first.

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MA

Massachusetts

A new state law requires every nonmedical home care agency to hold an EOHHS license once rules are adopted. Until then, ASAP contracts, MassHealth plans, DPH registry checks and EVV decide when public clients start.

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MI

Michigan

No state license for nonmedical home care or home health, but MDHHS Home Help agency approval, CHAMPS enrollment, criminal history screening and EVV decide when Medicaid clients start. Hospices are licensed by LARA.

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MN

Minnesota

Even nonmedical help with bathing or dressing needs an MDH basic home care license. You start on a temporary license, serve clients, then pass a survey. DHS has frozen several Medicaid services to new providers.

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MS

Mississippi

No state license for nonmedical home care, but the Medicaid E&D Waiver requires a year in business, a six month old office and DOM approval. New home health agencies are blocked by a Certificate of Need moratorium, and new hospice licenses are frozen.

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MO

Missouri

No state license for nonmedical home care, but MO HealthNet clients require an MMAC In-Home Services participation agreement that MMAC estimates takes about nine months. Home health is licensed and hospice is certified by DHSS.

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MT

Montana

No state license for nonmedical home care, but Montana Medicaid enrollment for Community First Choice, a nurse supervisor, attendant training and EVV decide when Medicaid clients start. Home health and hospice are licensed by the DPHHS Licensure Bureau.

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NE

Nebraska

No state license for nonmedical home care, but Neb. Rev. Stat. 71-6501 to 71-6504 set strict worker and background check rules, and AD Waiver enrollment runs through a DHHS referral and Maximus. Home health and hospice are licensed by DHHS.

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NV

Nevada

Nonmedical home care needs a personal care agency license from HCQC under NRS Chapter 449B, with a surety bond and NABS fingerprinting. New home health and hospice licenses are paused while the state reviews fraud.

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NH

New Hampshire

New Hampshire licenses nonmedical home care agencies under He-P 822, after a newspaper notice, four local approvals and an onsite DHHS inspection. Home health and hospice have their own DHHS licenses.

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NJ

New Jersey

Nonmedical firms register as Health Care Service Firms with the Division of Consumer Affairs and must be accredited within 12 months. Aides are Board of Nursing CHHAs. Home health needs a Certificate of Need and an NJDOH license.

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NM

New Mexico

No state license for home care that is not medically directed, but Medicaid PCS agency certification, Turquoise Care health plan contracts, caregiver screening and EVV decide when Medicaid clients start. Home health and hospice are licensed by the Health Care Authority.

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NY

New York

Personal care needs a Licensed Home Care Services Agency (LHCSA) license, a Certificate of Need filing with a public need test, a financial review and a PHHPC vote. Home health (CHHA) and hospice go through their own need reviews.

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NC

North Carolina

DHSR licenses every home care agency, including companion and sitter care, and first time owners need approved training before a license is issued. NC Medicaid PCS and CAP/DA add NCTracks enrollment, health plans and EVV.

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ND

North Dakota

No state license for nonmedical home care, but public pay clients require agency Qualified Service Provider enrollment with HHS, and new QSP agencies are paused in Burleigh and Cass counties. Home health and hospice are licensed by the HHS Health Facilities Unit.

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OH

Ohio

Ohio requires an ODH license for nonmedical home health services, with a $20,000 surety bond for new agencies. PASSPORT and MyCare clients add Department of Aging certification, plan contracts, aide training and EVV.

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OK

Oklahoma

OSDH licenses every home care agency, including personal care and companion or sitter services, and the agency cannot be licensed without a certified home care administrator. ADvantage (Medicaid) adds OHCA and ADvantage Administration certification.

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OR

Oregon

OHA licenses nonmedical in-home care agencies in four classifications, and only Comprehensive agencies can enroll for Medicaid with ODHS. Home health and hospice hold separate OHA licenses, and new hospice licenses are paused.

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PA

Pennsylvania

Nonmedical home care agencies and registries need a Department of Health license under 28 Pa. Code Chapter 611 before the first client. Medicaid clients come through OLTL enrollment and Community HealthChoices plan contracts.

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RI

Rhode Island

RIDOH licenses home care and home nursing care providers, and every new agency needs a certificate of need first, filed on a fixed calendar. Accreditation within two years, RN supervised nursing assistants and EOHHS rules shape the rest.

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SC

South Carolina

Nonmedical home care needs a DPH in-home care provider license, with drug tests for owners and caregivers. Community Choices Medicaid adds an SCDHHS contract and a nurse supervisor. Home health needs a Certificate of Need first.

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SD

South Dakota

No state license for nonmedical home care (HB 1138 was vetoed in 2026), but Medicaid clients come only through an LTSS contract and South Dakota Medicaid enrollment. Home health and in home hospice have no state license; Medicare certification is the door.

Read the guide
TN

Tennessee

Nonmedical agencies need a Personal Support Services Agency license from TDMHSAS, or from DDA when most clients have an intellectual or developmental disability. Home health and hospice need a Certificate of Need and an HFC license.

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TX

Texas

One HCSSA license from HHSC covers personal care, home health and hospice, each as a category. You are licensed first, then must admit a client and request your initial survey within six months.

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UT

Utah

Nonmedical home care needs a Personal Care Agency license from the DHHS Office of Licensing under R432-725, with DACS background screening for owners and staff. Home health and hospice have their own licenses.

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VT

Vermont

No state license for nonmedical home care, but DAIL Choices for Care certification, Vermont Medicaid enrollment, background checks and EVV decide when Medicaid clients start. New home health and hospice agencies are blocked by a Certificate of Need moratorium through January 1, 2030.

Read the guide
VA

Virginia

Personal care agencies need a VDH home care organization license under 12VAC5-381; companion only agencies are exempt. Medicaid clients come through DMAS enrollment and Cardinal Care health plan contracts.

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WA

Washington

Washington licenses nonmedical home care. The Department of Health issues one In-Home Services Agency license with home care, home health or hospice categories, and every agency caregiver needs state training and Home Care Aide certification.

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WV

West Virginia

No state license for nonmedical home care, but Medicaid Personal Care needs a Health Care Authority Certificate of Need, Bureau of Senior Services certification and BMS enrollment. Home health and hospice need a Certificate of Need too.

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WI

Wisconsin

No state license for private pay nonmedical care, but Medicaid personal care needs DQA certification under DHS 105.17, a survey after serving five clients and ForwardHealth enrollment. Home health and hospice are licensed by DQA.

Read the guide
WY

Wyoming

No state license for nonmedical home care, but Community Choices Waiver certification, Medicaid enrollment, background screening and EVV decide when Medicaid clients start. Home health and hospice are licensed by the WDH Aging Division.

Read the guide
Side by side

How the states compare

State

Regulator for non-medical home care

Credential

Key rule

Medicaid route

Alabama

None for private pay; Alabama Medicaid Agency and ADSS for waiver providers

No non-medical license

Ala. Admin. Code r. 560-X-36 (E&D Waiver); Ala. Code § 22-21-260 et seq. (CON for home health)

Elderly and Disabled Waiver (ADSS), ACT Waiver, Integrated Care Network (Alabama Select Network)

Alaska

None for private pay; SDS certifies Medicaid personal care agencies

No non-medical license; SDS Personal Care Services provider certification

AS 47.05.300-.390 (background checks); 7 AAC 125

Alaska Medicaid PCS, Community First Choice (7 AAC 127), HCBS waivers (7 AAC 130)

Arizona

None for private-pay; AHCCCS for Medicaid

AHCCCS registration + ALTCS plan contracts

AHCCCS DCW standards; A.A.C. R9-10 (skilled)

ALTCS health plans

Arkansas

Arkansas Department of Health, Health Facility Services

Private care agency license (Medicaid personal care); no license for private-pay-only agencies

Ark. Code § 20-10-2301 et seq.; 20 CAR Part 49 (Rules for Private Care Agencies)

State Plan Personal Care and ARChoices in Homecare (DHS DAABHS); PASSE networks

California

CDSS Community Care Licensing, Home Care Services Branch

Home Care Organization (HCO) license, 2-year term

Home Care Services Consumer Protection Act, H&S Code § 1796.10 et seq.

Medi-Cal managed care (CalAIM Community Supports), HCBA waiver, MSSP; IHSS is consumer-directed

Colorado

CDPHE Health Facilities and EMS Division

Home care agency license, Class B (personal care) or Class A (skilled)

C.R.S. § 25-27.5-101 et seq.; 6 CCR 1011-1, Chapter 26

Health First Colorado (HCPF): Community First Choice, HCBS waivers, IHSS

Connecticut

Department of Consumer Protection (DCP)

Homemaker-Companion Agency registration

Conn. Gen. Stat. §§ 20-670 to 20-682; Regs. § 20-670-1 et seq.

CHCPE (DSS); GT Independence credentialing; DSS portal enrollment

Delaware

DHSS Division of Health Care Quality (DHCQ)

Personal Assistance Services Agency (PASA) license

16 Del. C. § 122(3)(x); 16 DE Admin. Code 3345

DMMA; DSHP Plus LTSS via AmeriHealth Caritas DE, Delaware First Health, Highmark Health Options

District of Columbia

DC Health, Health Regulation and Licensing Administration (HRLA)

Home Support Agency license (non-medical); Home Care Agency license (skilled)

D.C. Code § 44-501 et seq.; 22-B DCMR Ch. 99 and Ch. 39

DHCF State Plan PCA and EPD Waiver

Florida

Agency for Health Care Administration (AHCA)

Homemaker and companion registration (no hands-on care); home health agency license for personal care

§§ 400.462 to 400.518, F.S.; Rule Ch. 59A-8, F.A.C.

Statewide Medicaid Managed Care (SMMC) Long-Term Care plans

Georgia

DCH Healthcare Facility Regulation

Private Home Care Provider license

O.C.G.A. 31-7-300; Rule 111-8-65

CCSP and SOURCE waivers

Hawaii

HDOH Office of Health Care Assurance

Home Care Agency license

HRS Ch. 321; HAR Title 11

Med-QUEST plans; Kupuna Care

Idaho

None for private pay; DHW Division of Medicaid (Bureau of Long Term Care) for Medicaid

No non-medical license; Medicaid Personal Assistance Agency (PAA) agreements

Idaho Code §§ 39-5603, 39-5604; IDAPA 16.03.10.300-309

State Plan PCS and A&D Waiver via idmedicaid.com; duals via Molina and UnitedHealthcare

Illinois

Department of Public Health

Home Services Agency license

210 ILCS 55; 77 Ill. Adm. Code 245

Department on Aging Community Care Program

Indiana

Indiana Department of Health (IDOH)

Personal services agency (PSA) license

IC 16-27-4; IC 16-27-2 (criminal history checks)

FSSA HCBS certification + IHCP; PathWays for Aging (Anthem, Humana, UnitedHealthcare); Health and Wellness Waiver

Iowa

None for non-medical care; Iowa HHS (Medicaid) sets waiver provider standards

No non-medical license

Iowa Code ch. 249A (§ 249A.29); 441 IAC Ch. 77

HCBS Elderly Waiver via IA Health Link (Iowa Total Care, Molina, Wellpoint)

Kansas

Kansas Department of Health and Environment (KDHE)

Home health agency license, Non-Medical Supportive Care Services level

K.S.A. 65-5101 to 65-5117; K.A.R. 28-51

KanCare managed care; KDADS-administered HCBS waivers (Skilled Services license covers HCBS)

Kentucky

Cabinet for Health and Family Services, Office of Inspector General (OIG)

Personal services agency certification

KRS 216.710 to 216.716; 906 KAR 1:180

DMS 1915(c) waivers (Michelle P., HCB); provider eligibility varies by waiver

Louisiana

Louisiana Department of Health, Health Standards Section (HSS)

HCBS provider license (Personal Care Attendant module), after Facility Need Review approval

La. R.S. 40:2120.2-40:2120.7; LAC 48:I Chapter 50 (licensing) and Chapter 125 (FNR, § 12523)

Louisiana Medicaid enrollment for OAAS Long-Term Personal Care Services (LT-PCS) and Community Choices Waiver

Maine

Maine DHHS, Division of Licensing and Certification

Personal Care Agency license (provisional, full, conditional)

22 M.R.S. § 1717; 10-144 CMR Chapter 129 (Personal Care Agency Licensing Rule, adopted August 2024)

MaineCare Section 19 waiver and Section 96 personal care via OADS; Assessing Services Agency (Maximus)

Maryland

Maryland Department of Health, Office of Health Care Quality (OHCQ)

Residential Service Agency (RSA) license (3-year term); none for household or family support services only

Health-General Article, Title 19, Subtitle 4A; COMAR 10.07.05

ePREP enrollment; Community First Choice personal assistance (COMAR 10.09.84) and related programs

Massachusetts

Executive Office of Health and Human Services (EOHHS), with AGE and DPH; licensing regulations not yet adopted

Home care agency license under Chapter 180 of the Acts of 2026 (temporary, then full); no license required until EOHHS sets the date

Chapter 180 of the Acts of 2026 (An Act to Improve Massachusetts Home Care); 651 CMR 3.00 (Home Care Program); 651 CMR 16.00 (Home Care Worker Registry)

ASAP provider contracts (Home Care Program) and MassHealth enrollment (130 CMR 630 waivers, 130 CMR 403 home health)

Michigan

None for non-medical; MDHHS approves Home Help agencies

No non-medical license (MDHHS Home Help agency approval for Medicaid)

Social Welfare Act (1939 PA 280), MCL 400.111e; MDHHS ASM 135/136

Home Help (MDHHS fee-for-service); MI Choice Waiver via waiver agencies; MI Coordinated Health plans

Minnesota

Minnesota Department of Health (MDH) Home Care Program

Basic or comprehensive home care license (temporary license first)

Minn. Stat. §§ 144A.43 to 144A.4799; Minn. Stat. ch. 245C background studies

DHS / MHCP enrollment; Elderly Waiver via MSHO and MSC+ plans; CFSS (new enrollment frozen to Jan 27, 2027)

Mississippi

None for non-medical; Division of Medicaid approves waiver providers; MSDH licenses home health

No non-medical license (DOM E&D Waiver provider approval for Medicaid)

23 Miss. Admin. Code Part 208, Rule 1.3; Miss. Code Ann. § 41-71-1 et seq. and § 41-7-171 et seq. (home health, CON)

Elderly and Disabled (E&D) Waiver through the DOM Office of Long-Term Care

Missouri

None for non-medical; MMAC contracts in-home services providers; DHSS licenses home health

No non-medical license (MMAC in-home services provider agreement for Medicaid)

19 CSR 15-7.021 and 13 CSR 70-91.010; §§ 197.400 to 197.478, RSMo, and 19 CSR 30-26 (home health)

MO HealthNet fee-for-service HCBS authorized by DSDS (State Plan personal care, Aged and Disabled Waiver)

Montana

None for non-medical; DPHHS enrolls CFC/PAS providers; DPHHS OIG Licensure Bureau licenses home health

No non-medical license (Montana Medicaid CFC/PAS enrollment, provider type 12)

MCA 53-6-145; ARM 37.40.1001 to 37.40.1030 and 37.40.1110 to 37.40.1135

Community First Choice and Personal Assistance Services (state plan); Big Sky Waiver

Nebraska

None for non-medical; DHHS Licensure Unit for home health

No non-medical license

Neb. Rev. Stat. §§ 71-6501 to 71-6504; 175 NAC 14 (home health)

DHHS MLTC enrollment; Aged and Disabled Waiver (fee-for-service, outside Heritage Health)

Nevada

Health Care Quality and Compliance (Nevada Health Authority)

Agency to provide personal care services in the home license

NRS Chapter 449B (AB 519, 2025); NAC 449.396 to 449.3982

Nevada Medicaid: Personal Care Services (MSM 3500), Frail Elderly and Physical Disabilities waivers (fee-for-service)

New Hampshire

NH DHHS, Health Facilities Administration

Home Care Service Provider Agency (HCSPA) license: personal care or homemaker classification

RSA 151; He-P 822 (He-P 809 for home health)

NH Medicaid: Choices for Independence (CFI) waiver, He-E 801

New Jersey

Division of Consumer Affairs

Health Care Service Firm registration + accreditation

N.J.A.C. 13:45B

NJ FamilyCare MLTSS plans

New Mexico

New Mexico Health Care Authority (home health only)

No non-medical license; home health agency license for medically directed care

Public Health Act § 24-1-5 NMSA 1978; 8.370.22 NMAC; screening under 8.370.5 NMAC

HCA Medical Assistance Division: PCS agency certification, Community Benefit (8.308.12 NMAC), Turquoise Care MCOs

New York

NYSDOH Bureau of Home Care Licensure and Certification; PHHPC approves applications

Licensed Home Care Services Agency (LHCSA) license

Public Health Law Article 36 (§ 3605); 10 NYCRR Part 765 (§ 765-1.16 need methodology) and Part 766

eMedNY enrollment plus MLTC and Medicaid managed care plan contracts (LHCSA contract caps under PHL § 4403-f); CDPAP via statewide FI PPL

North Carolina

NCDHHS Division of Health Service Regulation (Acute and Home Care Section)

Home care agency license (per site, by service category)

G.S. 131E-135 to 131E-142; 10A NCAC 13J

NC Medicaid via NCTracks: PCS (Policy 3L), CAP/DA (Policy 3K-2), Standard and Tailored Plans

North Dakota

ND HHS Adult and Aging Services (QSP enrollment); HHS Health Facilities Unit for home health

No non-medical license; agency QSP enrollment for public pay; home health agency license for skilled care

N.D. Cent. Code ch. 50-06.2; N.D. Admin. Code ch. 75-03-23 (home health: N.D. Cent. Code ch. 23-17.3; N.D. Admin. Code ch. 33-03-10.1)

QSP enrollment: SPED, Expanded SPED, Medicaid HCBS waiver, Medicaid State Plan Personal Care (fee-for-service via MMIS)

Ohio

ODA / ODM (Medicaid); ODH (skilled)

Program certification; no general private-pay license

OAC 173-39; OAC 5160-45; ORC 3740

PASSPORT; Ohio Home Care Waiver

Oklahoma

Oklahoma State Department of Health (OSDH), Home Services Division

Home care agency license; sitter or companion service license

Home Care Act, 63 O.S. § 1-1960 et seq.; OAC 310:662

OHCA SoonerCare contract plus ADvantage waiver certification (Oklahoma Human Services)

Oregon

Oregon Health Authority (OHA), Public Health Division, In-Home Care program

In-home care agency license (Limited, Basic, Intermediate or Comprehensive)

ORS 443.305 to 443.350; OAR 333-536

ODHS Aging and People with Disabilities enrollment under OAR 411-033 (Comprehensive license required)

Pennsylvania

Department of Health

Home Care Agency or Registry license

28 Pa. Code Ch. 611

OLTL; Community HealthChoices

Rhode Island

Rhode Island Department of Health (RIDOH), with Health Services Council CON review

Home care provider license (non-medical and aide services); home nursing care provider license (skilled)

R.I. Gen. Laws ch. 23-17 and ch. 23-15; 216-RICR-40-10-17

EOHHS authorization for Medicaid home care (personal care by CNAs, homemaker); prior authorization per member

South Carolina

South Carolina Department of Public Health (DPH), formerly DHEC

In-home care provider license

S.C. Code § 44-70-10 et seq.; Regulation 61-122 (renumbered 60-122)

SCDHHS Community Long Term Care contract (Community Choices waiver)

South Dakota

None for private pay; DHS LTSS for Medicaid in-home services

No non-medical license; LTSS Purchase of Services Agreement for Medicaid

No licensing statute (HB 1138 vetoed 2026); ARSD 67:16:24 (Medicaid personal care)

State plan personal care (500 hrs/yr) and HOPE Waiver via LTSS, fee-for-service

Tennessee

TDMHSAS Office of Licensure (DDA for IDD-focused agencies)

Personal Support Services Agency (PSSA) license

Tenn. Code Ann. § 33-2-403; Tenn. Comp. R. & Regs. 0940-05-38

TennCare CHOICES via BlueCare, UnitedHealthcare, Wellpoint; ECF CHOICES

Texas

Texas Health and Human Services Commission (HHSC)

HCSSA license, Personal Assistance Services (PAS) category

Health & Safety Code Ch. 142; 26 TAC Ch. 558

HHSC PHC/CAS/Family Care contract; STAR+PLUS MCOs; EVV

Utah

DHHS Division of Licensing and Background Checks (DLBC)

Personal Care Agency license

Utah Code Title 26B, Ch. 2, Part 2; Utah Admin. Code R432-725

Utah Medicaid (PRISM): personal care, Aging Waiver via AAAs, New Choices Waiver

Vermont

None for private pay; DAIL Adult Services Division for Choices for Care

No non-medical license; Choices for Care Home Care Provider certification

Home Care Provider Certification Requirements (Oct 2024); HCAR 7.102; home health: 33 V.S.A. ch. 63, 18 V.S.A. § 9434

Choices for Care (Global Commitment to Health 1115 waiver), Vermont Medicaid enrollment

Virginia

VDH Office of Licensure and Certification

Home Care Organization license

12VAC5-381

DMAS; Cardinal Care plans

Washington

Department of Health

In-Home Services Agency license (home care category)

RCW 70.127; WAC 246-335

DSHS ALTSA via Area Agencies on Aging

West Virginia

None for private pay; WV Health Care Authority (CON) and BMS operating agencies for Medicaid

No non-medical license; CON plus Personal Care provider certification; ADW agency certification

W. Va. Code § 16-2D-8; HCA In-Home Personal Care Services CON Standards (2023); BMS Provider Manual Ch. 517 and 501

BMS Medicaid Personal Care and Aged and Disabled Waiver (Traditional and Personal Options)

Wisconsin

DHS Division of Quality Assurance (DQA)

Personal care agency (PCA) certification for Medicaid; no general non-medical license; DHS 133 home health license

Wis. Stat. § 49.45(42); Wis. Admin. Code §§ DHS 105.17, 107.112; Caregiver Law § 50.065 and ch. DHS 12

ForwardHealth certification; Family Care / Family Care Partnership MCOs; IRIS

Wyoming

None for non-medical; WDH Healthcare Licensing and Surveys for home health

No non-medical license; Community Choices Waiver provider certification; home health agency license

W.S. 35-2-901 through 35-2-914 (home health fee $150, W.S. 35-2-904); WDH home health rules

Wyoming Medicaid Community Choices Waiver (WDH Division of Healthcare Financing)

Orientation only. Each guide covers current requirements in detail; verify with the agency before filing.

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