50-State Regulatory Atlas Alabama
State licensing summary
Alabama: healthcare licensing and regulation
Alabama: no state agency license; certificate of need required; compact member. Regulator: State Health Planning and Development Agency (SHPDA) (certificate of need; Alabama issues no home health license).
Educational summary, last reviewed October 17, 2026. Not legal advice — confirm with the state licensing agency or counsel.
10 findings: 3 provisional, 7 verified. How findings are sourced and labelled.
At a glance
- License
- Confirm with the state agencyProvisional
- Regulator
- State Health Planning and Development Agency (SHPDA)
- Branch offices
- No state agency licenseVerified
- Certificate of need
- Certificate of need requiredVerified
- Service area
- Limited to the areas named in the certificate of need.Verified
- In-state office
- See out-of-state rules below
- Medicare certification
- Separate federal step, only for agencies that bill MedicareVerified
Home health licensing
State license
ProvisionalAlabama does not issue a state home health agency license. Entry is controlled by a certificate of need from the State Health Planning and Development Agency (SHPDA), and Medicare certification. These points come from secondary sources and were not confirmed on a state page. Confirm with the state agency
In practice: Hold the authority the state requires before the first patient is admitted there, and keep its number, category and expiry with the office it covers.
Certificate of need
VerifiedYes. The SHPDA certificate of need is the entry gate, and service may not extend beyond the areas the certificate authorizes.
In practice: The certificate of need comes before the license and can limit where the agency may serve.
Branch offices
VerifiedAn agency may open or move an administrative or branch office without a new certificate of need if the site is inside its existing certificate area and no patient care is given there, with 35 days’ notice to SHPDA.
In practice: Track each office’s authority on its own where the state licenses offices separately, and with the parent where it lists them.
Service area
VerifiedLimited to the areas named in the certificate of need.
In practice: Check the patient’s address against the approved service area before accepting a referral.
Out-of-state agencies
ProvisionalConfirm with the state agency Not established in this review.
In practice: A license in one state does not authorize care in another; the patient’s state decides.
Home infusion nursing
Home infusion nursing
ProvisionalWhether a nursing-only infusion agency that does not bill Medicare home health needs an Alabama certificate of need turns on the state’s definition of a home health agency. Confirm with the state agency
In practice: Confirm the license category before staffing infusion visits in this state.
Staffing and nurse licensure
Nurse licensure (compact)
VerifiedMember of the Nurse Licensure Compact, implemented. A nurse with a multistate license from another compact state may practice here; the agency still needs this state’s own authority to operate.
In practice: Check each nurse’s license against the patient’s state, not the agency’s.
Detailed state rules for staffing agencies in this state are being added.
Medicare, hospice and VA programs in this state
Alabama is not one of the six states in CMS’s Review Choice Demonstration for home health (Illinois, Ohio, Texas, North Carolina, Florida, Oklahoma).
Source: CMS: Review Choice Demonstration for Home Health Services
Alabama is not one of the six states (Arizona, California, Nevada, Texas, Georgia, Ohio) where CMS applies its provisional period of enhanced oversight to newly enrolling hospices.
Source: CMS Medical Review: Hospice
VA Community Care Network region
VerifiedAlabama is in Community Care Network Region 3, administered by Optum. Agencies join by contracting with the regional third-party administrator, not with VA. VA has re-procured the network as CCN Next Generation with two regions, East and West; which administrator serves which region from 2027 was not announced in the sources reviewed.
Time-sensitive. Region assignments change with CCN Next Generation; recheck VA’s announcements during 2027.
Source: VA: Community Care Network
Federal rules that apply in every state
Medicare certification
VerifiedMedicare certification under the home health Conditions of Participation (42 CFR Part 484) is a federal step for agencies that bill Medicare home health. It is separate from the state license. Where a state ties entry to certification, that state’s findings say so.
In practice: A branch serving a portion of the parent’s area is supervised and administered by the parent agency (42 CFR 484.2).
Source: 42 CFR 484.2
For a Medicare-certified agency, “its personnel must be qualified in all States in which they provide services” (State Operations Manual § 2184).
In practice: Nurse licensure follows the patient’s state.
Medicare’s home infusion therapy benefit is a separate Part B supplier benefit, not a home health benefit. It pays an accredited, qualified home infusion therapy supplier for professional services tied to specific parenteral drugs given through a pump that is durable medical equipment (42 CFR Part 486, Subpart I).
In practice: Most pharmacy-dispensed home infusion is not billable under this benefit; nursing for those patients is usually paid by other payers or under contract.
Compared with Texas
Texas licenses each office and has no certificate of need. In Alabama the certificate of need, not a license, is the authority to operate, and it is county-scoped.
Other service lines
State rules for these lines are being added to the guide: Medicare home health, Medicare home infusion therapy benefit, Infusion pharmacy, Hospice, Private duty nursing, Personal care and Medicaid HCBS, VA community care, Infusion suites.
Look up a licensed provider
- Alabama Health Care Facilities Directory VerifiedAlabama Department of Public Health, Bureau of Health Provider Standards
Home health agencies and hospices by type, county and city, with address, phone and administrator.
National lookups
- Medicare Care Compare — Home health
Medicare-certified home health agencies with quality ratings and services offered.
- Medicare Care Compare — Hospice
Medicare-certified hospices with quality measures.
- CMS Provider Data Catalog — Home Health Care Agencies (6jpm-sxkc)
All Medicare-registered home health agencies with CCN, address, ownership, services, certification date and quality measures, as CSV and an unauthenticated API.
- CMS Provider Data Catalog — Hospice – General Information (yc9t-dgbk)
Medicare-certified hospices with CCN, address, county, ownership type and certification date, as CSV and an unauthenticated API.
- CMS QCOR — HHA 2567 Statements of Deficiencies
Federal survey statements of deficiencies for home health agencies, filterable by state, survey type, tag and CCN, with a full-dataset XLSX download.
- CMS QCOR — Hospice 2567s
Federal survey statements of deficiencies for hospices.
- NPPES NPI Registry
National Provider Identifier records with addresses, authorized official and taxonomies, with a public API.
- HHS-OIG List of Excluded Individuals/Entities (LEIE)
Individuals and entities excluded from federal health care programs, with a monthly downloadable database.
- SAM.gov Exclusions
Federal exclusion records across agencies.
- Nursys QuickConfirm
Nurse license status, discipline / board-issued alerts and expiry, free to employers and the public.
Associations
- Alabama Hospice and Palliative Care Organization (AHPCO)hospice, palliative care
Offers membership, educates patients, families and physicians about hospice and palliative care, and runs a county-by-county member-hospice finder.
- Home Care Association of America (HCAOA), Alabama chapterhome care (private duty and personal care)
The state chapter of the national home care association; HCAOA chapters handle state advocacy, networking and legislative tracking.
Official sources
About this guide. Published and maintained by Paloma Health Technologies; Findings are cited to official sources, dated and status-labelled; see the editorial policy. Educational summary, last reviewed October 17, 2026. Not legal advice — confirm with the state licensing agency or counsel.