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50-State Regulatory Atlas Data and maps Accreditation in place of survey

Medicare · Map layer

States that accept accreditation in place of a home health licensure survey (2026)

4 states accept accreditation in place of a routine licensure survey and 4 accept it for part of licensure (6 verified in all); 43 are not confirmed.

Educational summary, last reviewed October 17, 2026. Not legal advice — confirm with the state licensing agency or counsel.

States that accept accreditation in place of a home health licensure survey (2026)
  • Accepted in place of routine survey 4
  • Accepted for part of licensure 4
  • Not confirmed 43
Question
Does the state accept accreditation or Medicare certification in place of its routine licensure survey?
Service category
Home health
Jurisdictions
50 states and DC
Population
Accredited or Medicare-certified home health agencies
Effective
Varies by state; see each finding
As of
2026-10-17
Last verified
October 17, 2026
Methodology
“Yes” where the state rule exempts accredited agencies from routine licensure surveys; “conditional” where accreditation or certification satisfies part of licensure (the application, or licensure after the first license). States usually keep complaint authority. Every other state is “not confirmed”.

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Every state

StateAnswerValueVerification
AlabamaUnresolvedNot confirmed
AlaskaUnresolvedNot confirmed
ArizonaConditionalThe 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 liceVerified
ArkansasUnresolvedNot confirmed
CaliforniaUnresolvedNot confirmed
ColoradoUnresolvedNot confirmed
ConnecticutUnresolvedNot confirmed
DelawareUnresolvedNot confirmed
District of ColumbiaUnresolvedNot confirmed
FloridaUnresolvedNot confirmed
GeorgiaUnresolvedNot confirmed
HawaiiUnresolvedNot confirmed
IdahoUnresolvedNot confirmed
IllinoisUnresolvedNot confirmed
IndianaUnresolvedNot confirmed
IowaUnresolvedNot confirmed
KansasUnresolvedNot confirmed
KentuckyUnresolvedNot confirmed
LouisianaUnresolvedNot confirmed
MaineUnresolvedNot confirmed
MarylandUnresolvedNot confirmed
MassachusettsConditionalA Medicare- or Medicaid-certified agency is deemed to meet the initial licensure application (M.G.L.Provisional
MichiganUnresolvedNot confirmed
MinnesotaUnresolvedNot confirmed
MississippiUnresolvedNot confirmed
MissouriUnresolvedNot confirmed
MontanaUnresolvedNot confirmed
NebraskaUnresolvedNot confirmed
NevadaUnresolvedNot confirmed
New HampshireUnresolvedNot confirmed
New JerseyUnresolvedNot confirmed
New MexicoUnresolvedNot confirmed
New YorkUnresolvedNot confirmed
North CarolinaUnresolvedNot confirmed
North DakotaUnresolvedNot confirmed
OhioConditionalACHC, CHAP or Joint Commission accreditation, or Medicare certification, satisfies the skilled home health license application, and renewal may align Verified
OklahomaYesA certified or accredited agency “shall not be subject to routine licensure inspections”; the Department may still inspect at any time, including on cVerified
OregonYesThe state inspects before licensure and every three years, and “may accept a certification or accreditation from a federal agency or an accrediting boProvisional
PennsylvaniaUnresolvedNot confirmed
Rhode IslandUnresolvedNot confirmed
South CarolinaUnresolvedNot confirmed
South DakotaUnresolvedNot confirmed
TennesseeUnresolvedNot confirmed
TexasYesAn agency accredited for its services and license category by an HHSC-approved organization (The Joint Commission, CHAP, ACHC) is exempt from additionVerified
UtahUnresolvedNot confirmed
VermontUnresolvedNot confirmed
VirginiaConditionalAfter initial licensure, an organization located in Virginia that is Medicare- or Medicaid-certified or accredited by a CMS-recognized accreditor is eVerified
WashingtonYesA Medicare-certified or listed-accredited agency “is not subject to a state licensure survey”Verified
West VirginiaUnresolvedNot confirmed
WisconsinUnresolvedNot confirmed
WyomingUnresolvedNot confirmed

Answer and verification are separate: “Unresolved” or “Not confirmed” means the research could not settle the question, never “no”. Editorial policy.

Published by Paloma Health Technologies Research Desk · Editorial leadership: Nick, RN, BSN · Last source verification: October 17, 2026 · View editorial methodology · Report a correction

Last reviewed: Oct 17, 2026Official source linksBuilt for all 50 statesEditorial policy