Home Health Agency State Licensing Directory - All 50 States (2026)

How do I get a home health license in my state?

Contact your state's health department using the directory above. Each state has different requirements, but generally you'll need to submit an application, meet facility standards, provide proof of insurance, hire qualified staff, and pass an inspection. Some states also require a Certificate of Need (CON).

What is a Certificate of Need (CON)?

A Certificate of Need is a legal document required in some states (like Alabama, Kentucky, Maryland, and others) before you can open a home health agency. It demonstrates there is a community need for your services. Check your state's specific requirements in the directory above.

What's the difference between home health and home care licensing?

Home health agencies provide skilled medical services (nursing, therapy) and require Medicare certification. Home care agencies provide non-medical assistance (companionship, personal care) and typically have less stringent licensing requirements. Some states regulate both, others only regulate home health.

How long does the home health licensing process take?

Licensing timelines vary by state, typically ranging from 60 days to 6 months. States with CON requirements may take longer (6-12 months). Contact your state agency directly for current processing times. Having complete policies and procedures ready can expedite the process.

Do I need Medicare certification?

Medicare certification is not required but is highly recommended if you want to serve Medicare beneficiaries (which represents a large portion of home health patients). Contact your CMS regional office (listed above) for Medicare certification requirements and applications.

What policies and procedures do I need for licensing?

Most states require comprehensive policies covering patient care, infection control, emergency procedures, personnel management, QAPI (Quality Assurance Performance Improvement), HIPAA compliance, and more. State-specific policy manuals can save months of work.

How much does a home health license cost?

Licensing fees vary widely by state, ranging from $500 to $5,000+ for the initial application. Some states charge annual renewal fees. Additional costs include background checks, facility inspections, insurance, and compliance consulting. Contact your state agency for exact fee schedules.

Can I operate in multiple states?

Yes, but you'll need separate licenses for each state where you operate. Each state has its own licensing requirements, fees, and regulations. Use this directory to contact each state's licensing agency where you plan to provide services.

Still Have Questions?

Our licensing experts can help guide you through your state's specific requirements.