Guides
Guides to agency regulation
Chaptered reference guides to the rules agencies operate under: what each line of business is, who regulates it, the federal rules, payment, how states differ, how to start and common pitfalls. State-by-state facts are in the 50-State Regulatory Atlas.
Educational summary, last reviewed October 17, 2026. Not legal advice — confirm with the state licensing agency or counsel.
Medicare home health
A reference guide to Medicare home health: who qualifies, the Conditions of Participation, certification and enrollment (including the 2026 nationwide moratorium), PDGM payment, how states differ, how to start and common pitfalls.
Read the guideService-line guideState home health licensing
A national reference to state licensing of home health agencies: four branch-office models with counts, certificate of need, service-area limits, out-of-state agencies, nurse versus agency licensure, accreditation in place of state survey and how to start.
Read the guideService-line guideThe Medicare home infusion therapy benefit
A reference guide to the Medicare Part B home infusion therapy (HIT) services benefit: who may be a qualified supplier, which drugs qualify, how the visit-day payment works, accreditation and enrollment, how it relates to home health, and the April 1, 2027 change.
Read the guideStartup guideStarting a home infusion nursing agency
A startup guide for a pharmacy-contracted home infusion nursing agency: forming the business, which state license applies (home health, home care, nurse registry or an infusion-specific license), pharmacy contracts, nurse licensure, optional Medicare home infusion therapy enrollment, and readiness.
Read the guideService-line guideHome infusion
A reference guide to home infusion in the United States: the four business models (infusion pharmacy, pharmacy-contracted nursing agency, Medicare home infusion therapy supplier, ambulatory infusion suite), who licenses each, the federal rules, how Medicare, Part D and commercial payers pay, and how states differ.
Read the guideService-line guideMedicare hospice
A reference guide to Medicare hospice: eligibility and certification, the Conditions of Participation, surveys and accreditation, enrollment (including the 2026 nationwide moratorium and enhanced oversight), FY 2027 payment, certificate of need and how to start.
Read the guideService-line guideAmbulatory infusion suites and infusion centers
A reference guide to office-based and freestanding infusion: how physician-office infusion centers, pharmacy-run infusion suites and hospital outpatient departments are regulated and paid, the supervision rules, state licensing, accreditation and site-of-care programs.
Read the guideService-line guideVA community care for home-based agencies
A reference guide to VA community care for home-based agencies: 38 CFR 17.4000–17.4040, Veteran eligibility by pathway, the Community Care Network and its 2027 re-procurement, Veterans Care Agreements, SEOCs, payment and claims filing by program.
Read the guideService-line guidePrivate duty nursing and personal care
A reference guide to private duty nursing, personal care and non-medical home care: how they differ from Medicare home health, state licensing patterns, Medicaid PDN and EPSDT, HCBS waivers, the 80% direct-care compensation rule, EVV and home care overtime.
Read the guideService-line guideHealthcare staffing
A guide to regulating nurse staffing agencies, nurse registries and healthcare recruiters in the United States: state licensing and registration, rate caps, non-compete and conversion-fee bans, worker classification, federal screening and the Nurse Licensure Compact, with each finding cited..
Read the guideAbout these guides. Published and maintained by Paloma Health Technologies; see the editorial policy.