50-State Regulatory Atlas Arizona
State licensing summary
Arizona: healthcare licensing and regulation
Arizona: one license, branches listed or approved; no certificate of need; compact member. Regulator: Arizona Department of Health Services.
Educational summary, last reviewed October 17, 2026. Not legal advice — confirm with the state licensing agency or counsel.
11 findings: 9 verified, 2 provisional. How findings are sourced and labelled.
At a glance
- License
- State license requiredVerified
- Regulator
- Arizona Department of Health Services
- Branch offices
- One license, branches listed or approvedVerified
- Certificate of need
- No certificate of needVerified
- Service area
- Regions are declared in the application.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
VerifiedYes. The Department of Health Services licenses home health agencies (A.R.S. § 36-425.01; A.A.C. R9-10 Article 12) for up to two years.
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.
Source: A.R.S. § 36-425.01
Branch offices
VerifiedThe application lists each proposed branch office and the region served by the administrative office and by each branch.
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
VerifiedRegions are declared in the application. No distance cap is stated.
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.
The department may license without a state survey an agency that is Medicare-certified, has held an Arizona license for at least a year and meets licensure requirements (A.R.S. §36-425.01).
In practice: The state usually keeps its complaint authority.
Source: A.R.S. §36-425.01
Home infusion nursing
Home infusion nursing
ProvisionalA home health agency is one “primarily engaged in providing skilled nursing services and other therapeutic services”. Whether a nursing-only infusion agency fits that definition is a question for the state. 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
Arizona 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
Hospices newly enrolling in Medicare in Arizona, changing ownership or reactivating are placed in CMS’s provisional period of enhanced oversight, in effect here since July 13, 2023. This is separate from CMS’s expanded prepayment review of existing hospices in the same states.
Source: CMS Medical Review: Hospice
VA Community Care Network region
VerifiedArizona is in Community Care Network Region 4, administered by TriWest. 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
A Medicare-certified agency licensed in Arizona for at least a year can be relicensed without a state survey. Branches are listed in one application rather than licensed separately.
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
- AZ Care Check ProvisionalArizona Department of Health Services, Licensing Services
Licensed providers with licensing history, inspection results, deficiencies, complaints and enforcement.
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
- Arizona Association for Home Care (AAHC)home health, hospice
Offers advocacy, a members-only regulatory center, OASIS training, webinars including hospice topics, a career center and a vendor directory.
- Home Care Association of America (HCAOA), Arizona 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.