50-State Regulatory Atlas Indiana
State licensing summary
Indiana: healthcare licensing and regulation
Indiana: state license; branch rule not confirmed; no certificate of need; compact member. Regulator: Indiana Department of Health.
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
- Indiana Department of Health
- Branch offices
- State license; branch rule not confirmedProvisional
- Certificate of need
- No certificate of needVerified
- Service area
- A mileage or drive-time limit appliesVerified
- In-state office
- Required: an in-state office or licensed parentVerified
- Medicare certification
- Separate federal step, only for agencies that bill MedicareVerified
Home health licensing
State license
VerifiedYes. The Department of Health licenses home health agencies for one year; licenses cannot be transferred (410 IAC 17-10-1).
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: 410 IAC 17-9-5410 IAC 17-10-1
Certificate of need
VerifiedNo.
In practice: No certificate of need step for home health.
Source: 410 IAC 17-9-5410 IAC 17-10-1
Branch offices
ProvisionalA branch is part of the parent and shares administration, supervision and services. Whether a branch is separately licensed: Confirm with the state agency
In practice: Track each office’s authority on its own where the state licenses offices separately, and with the parent where it lists them.
Source: 410 IAC 17-9-5410 IAC 17-10-1
Service area
VerifiedA branch must be within 120 minutes’ driving time of the parent agency.
In practice: Check the patient’s address against the approved service area before accepting a referral.
Source: 410 IAC 17-9-5410 IAC 17-10-1
Out-of-state agencies
VerifiedAn out-of-state parent providing care in Indiana must be licensed, authorized by the Indiana Secretary of State and have a branch office in Indiana.
In practice: A license in one state does not authorize care in another; the patient’s state decides.
Source: 410 IAC 17-9-5410 IAC 17-10-1
Home infusion nursing
Home infusion nursing
ProvisionalConfirm with the state agency Not established in this review.
In practice: Confirm the license category before staffing infusion visits in this state.
Source: 410 IAC 17-9-5410 IAC 17-10-1
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.
Since July 1, 2023, agencies providing or procuring temporary employment in health care facilities register annually with the Indiana Department of Health, with a $150 fee, ownership information and a schedule of the fees they expect to charge (IC 16-52).
In practice: No rate cap was found.
Source: IDOH: Temporary healthcare staffing agency registryIDOH registration guidance (2024)
State coverage for healthcare staffing is partial; more states are being reviewed.
Medicare, hospice and VA programs in this state
Indiana 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
Indiana 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
VerifiedIndiana is in Community Care Network Region 2, 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
Annual term; a drive-time limit instead of nesting; out-of-state parents need an Indiana branch.
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
- IDOH QAMIS directories VerifiedIndiana Department of Health, Consumer Services & Healthcare Regulation
Static directories of home health agencies, hospices and personal services agencies with license number and expiry.
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
- Indiana Association for Home & Hospice Care (IAHHC)home health, hospice
Works on home care and hospice through leadership, collaboration, advocacy and education, with an annual conference and a member directory.
- Indiana Hospice and Palliative Care Organization (IHPCO)hospice, palliative care
Indiana’s hospice and palliative care organization, listed in the Alliance’s Assembly of State Associations.
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.