Home care regulations by state
We watch the home care rules in 17 states: the licence and program types, the rule each one follows, and every change a person approves.
17 states36 licence and program types3 updates released
Home care: who regulates you, state by state
The state offices whose rules and notices we watch for home care, and what each one is to you.
California
- Also sets rules for you
- CDSS Community Care Licensing Division (CCLD)
- Publishes new rules
- California Regulatory Notice Register (Office of Administrative Law)
Georgia
- Licenses and inspects you
- Dept of Community Health - Healthcare Facility Regulation
Illinois
- Licenses and inspects you
- Illinois Dept of Public Health - Health Care Regulation
- Also sets rules for you
- Illinois Dept on Aging - Community Care Program
- Publishes new rules
- Illinois Register / JCAR
Indiana
- Licenses and inspects you
- Indiana Department of Health (IDOH) - Consumer Services and Health Care Regulation, Division of Home and Community-Based Care / Acute and Continuing Care
- Also sets rules for you
- FSSA DDARS Bureau of Better Aging (BBA, formerly Division of Aging)
- Publishes new rules
- Indiana Register and Indiana Administrative Code (Legislative Services Agency)
Iowa
- Pays you through Medicaid
- Iowa HHS - Iowa Medicaid (HCBS waivers, Habilitation and LTSS provider oversight)
- Publishes new rules
- Iowa Administrative Bulletin and Iowa Administrative Code (Legislative Services Agency)
Maryland
- Licenses and inspects you
- Office of Health Care Quality (OHCQ)
- Publishes new rules
- Maryland Register (Division of State Documents)
Missouri
- Licenses and inspects you
- Missouri DHSS - Division of Senior and Disability Services (DSDS), HCBS
- Pays you through Medicaid
- MO HealthNet Division (DSS) and Missouri Medicaid Audit & Compliance (MMAC)
- Publishes new rules
- Missouri Secretary of State - Administrative Rules Division (Missouri Register and Code of State Regulations)
New Jersey
- Licenses and inspects you
- NJ Division of Consumer Affairs - Regulated Business Section (Health Care Service Firms)
- Pays you through Medicaid
- NJ DHS - Division of Medical Assistance and Health Services (DMAHS, NJ FamilyCare)
- Publishes new rules
- New Jersey Register - Office of Administrative Law (OAL)
New York
- Licenses and inspects you
- New York State Department of Health (DOH) - Division of Home & Community Based Services, Office of Aging and Long Term Care
- Also sets rules for you
- NYS Office for the Aging (NYSOFA)
- Publishes new rules
- NY Department of State - Division of Administrative Rules (NYS Register)
North Carolina
- Licenses and inspects you
- NC DHHS Division of Health Service Regulation - Acute and Home Care Licensure and Certification Section
- Pays you through Medicaid
- NC Medicaid (NC DHHS Division of Health Benefits)
- Publishes new rules
- North Carolina Register - Office of Administrative Hearings (OAH) Rules Division
Ohio
- Pays you through Medicaid
- Ohio Department of Medicaid (ODM)
- Also sets rules for you
- Ohio Department of Aging (ODA)
Oregon
- Licenses and inspects you
- Oregon Health Authority - Public Health Division, Health Care Regulation and Quality Improvement (HCRQI) / Health Facility Licensing and Certification (HFLC)
- Pays you through Medicaid
- Oregon Department of Human Services - Aging and People with Disabilities (APD)
- Publishes new rules
- Oregon Secretary of State - Archives Division, Administrative Rules (Oregon Bulletin and OARD)
Pennsylvania
- Licenses and inspects you
- PA Department of Health - Division of Home Health
- Pays you through Medicaid
- PA DHS - Office of Long-Term Living (OLTL) HCBS / Community HealthChoices
- Publishes new rules
- Pennsylvania Bulletin (Legislative Reference Bureau, pacodeandbulletin.gov)
Rhode Island
- Licenses and inspects you
- RIDOH Center for Health Facilities Regulation
- Also sets rules for you
- RI Office of Healthy Aging (OHA)
- Publishes new rules
- RI Department of State - Rhode Island Code of Regulations (RICR) rule filings
South Carolina
- Licenses and inspects you
- SC Department of Public Health - Bureau of Healthcare Quality
- Pays you through Medicaid
- SC Department of Health and Human Services (SCDHHS, SC Medicaid)
- Publishes new rules
- South Carolina State Register and Code of Regulations (Legislative Council)
Texas
- Licenses and inspects you
- HHSC Long-term Care Regulation (LTCR)
- Publishes new rules
- Texas Register and Texas Administrative Code (Texas Secretary of State)
Virginia
- Licenses and inspects you
- Virginia Department of Health - Office of Licensure and Certification (OLC)
- Publishes new rules
- Virginia Regulatory Town Hall
Home care rules in the states we watch
The licence and program types we track, with the rule each follows.
| State | What we watch | Rule |
|---|---|---|
| California | Home Care Aide (registered) Home Care Organization (HCO) |
Health & Safety Code Division 2 Chapter 13 (Home Care Services Act) |
| Georgia | Rules And Regulations For Private Home Care Providers | 111-8-65 |
| Illinois | Advocacy: Home Care Ombudsman Program Home Services Agencies Home Services/Home Nursing Placement In-Home Care |
77 Ill. Adm. Code 245 |
| Indiana | Home and Community Based Services provider (aging / health and wellness / PathWays waivers) Personal Services Agency (PSA) |
455 IAC 2 IC 16-27-4 |
| Iowa | HCBS Elderly Waiver service provider (incl. CDAC agency, homemaker) | 441 IAC 77.38 |
| Maryland | Residential Service Agencies | COMAR 10.07.05 |
| Missouri | Consumer-Directed Services (CDS) Vendor In-Home Services Provider (Agency Model) MO HealthNet Personal Care Program |
13 CSR 70-91.010 19 CSR 15-7.021 19 CSR 15-8 |
| New Jersey | Health Care Service Firm Medicaid Home Care Services (Personal Care Assistant, home health) |
N.J.A.C. 10:60 N.J.A.C. 13:45B-13 |
| New York | Expanded In-home Services for the Elderly Program (EISEP) Licensed Home Care Services Agency (LHCSA) |
10 NYCRR Part 766 |
| North Carolina | Home Care Agency (home health, nursing, in-home aide, companion/sitter/respite) Medicaid State Plan Personal Care Services (PCS) |
10A NCAC 13J |
| Ohio | Ohio Home Care Waiver PASSPORT HCBS Waiver Personal Care |
OAC 173-39-02.11 OAC 5160-31 OAC 5160-46 |
| Oregon | Agency with Choice (APD) In-Home Care Agency In-Home Care Agency Providing Medicaid In-Home Services State Plan Personal Care Services |
OAR 333-536 OAR 411-033 OAR 411-034 |
| Pennsylvania | Home Care Agency Home Care Registry Long-term Living Home and Community-based Services |
28 Pa. Code Chapter 611 55 Pa. Code Chapter 52 |
| Rhode Island | Home and Community Care Services to the Elderly Program (At HOME Cost Share) Home Care Provider |
216-RICR-40-10-17 218-RICR-40-00-4 |
| South Carolina | In-Home Care Provider Medicaid HCBS personal care / attendant care provider |
S.C. Code Regs. 60-122 (formerly 61-122) |
| Texas | Primary Home Care (PHC) | |
| Virginia | Home care organization | 12VAC5-381 |
Each citation links to the official state text it was checked against.
Released updates3 so far · newest 23 Oct
Released for subscribers. Headline public on 22 Nov
Released for subscribers. Headline public on 21 Nov
Released for subscribers. Headline public on 19 Nov
Newest firstHeadlines go public 30 days after subscribers get them.
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