50-State Regulatory Atlas Data and maps State home health license
Licensing · Map layer
States that issue a home health agency license (2026)
43 jurisdictions issue a home health agency license; 6 issue none (4 verified, 2 provisional or disputed), and 2 are not confirmed.
Educational summary, last reviewed October 17, 2026. Not legal advice — confirm with the state licensing agency or counsel.
- State license issued 43
- No state agency license 6
- Not confirmed 2
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Every state
| State | Answer | Value | Verification |
|---|---|---|---|
| Alabama | No | Alabama does not issue a state home health agency license. | Provisional |
| Alaska | Yes | Yes. | Verified |
| Arizona | Yes | Yes. | Verified |
| Arkansas | Yes | Yes. | Verified |
| California | Yes | Yes. | Verified |
| Colorado | Yes | Yes. | Verified |
| Connecticut | Yes | Yes. | Provisional |
| Delaware | Yes | Yes. | Verified |
| District of Columbia | Yes | Yes. | Verified |
| Florida | Yes | Yes. | Verified |
| Georgia | Yes | Yes. | Verified |
| Hawaii | Yes | Yes. | Verified |
| Idaho | No | No. | Verified |
| Illinois | Yes | Yes. | Verified |
| Indiana | Yes | Yes. | Verified |
| Iowa | No | Sources conflict: one says Iowa has no state home health license and relies on Medicare certification; a 2025 news report describes an agency “not lic | Disputed |
| Kansas | Yes | Yes. | Verified |
| Kentucky | Yes | Yes. | Verified |
| Louisiana | Yes | Yes. | Verified |
| Maine | Yes | Yes. | Verified |
| Maryland | Yes | Yes. | Verified |
| Massachusetts | Unresolved | A licensure statute exists (M.G.L. | Provisional |
| Michigan | No | No. | Verified |
| Minnesota | Yes | Yes. | Verified |
| Mississippi | Yes | Yes, state licensure plus a certificate of need. | Provisional |
| Missouri | Yes | Yes. | Verified |
| Montana | Yes | Yes. | Verified |
| Nebraska | Yes | Yes. | Verified |
| Nevada | Yes | Yes, as an “agency to provide nursing in the home” | Verified |
| New Hampshire | Yes | Yes, a home health care provider license (RSA 151:2-b; He-P 809). | Verified |
| New Jersey | Yes | Yes. | Verified |
| New Mexico | Yes | Yes. | Verified |
| New York | Yes | Yes, under Public Health Law Article 36: Certified Home Health Agencies (Medicare-type, with public-need review) and Licensed Home Care Services Agenc | Verified |
| North Carolina | Yes | Yes, one “home care agency” | Verified |
| North Dakota | Yes | Yes (NDCC 23-17.3; NDAC 33-03-10.1, amended October 1, 2025). | Verified |
| Ohio | Yes | Yes, since 2022 (ORC ch. | Verified |
| Oklahoma | Yes | Yes, one “home care agency” | Provisional |
| Oregon | Yes | Yes. | Verified |
| Pennsylvania | Yes | Yes. | Verified |
| Rhode Island | Yes | Yes, two licenses: Home Nursing Care Provider and Home Care Provider (216-RICR-40-10-17). | Verified |
| South Carolina | Yes | Yes, under the Licensure of Home Health Agencies Act (S.C. | Verified |
| South Dakota | No | No. | Verified |
| Tennessee | Yes | Yes. | Verified |
| Texas | Yes | Yes. | Verified |
| Utah | Yes | Yes. | Verified |
| Vermont | No | No conventional agency license. | Verified |
| Virginia | Yes | Yes. | Verified |
| Washington | Yes | Yes, an in-home services agency license (RCW 70.127; WAC 246-335) with home care, home health, hospice and hospice care center categories. | Verified |
| West Virginia | Unresolved | State licensing by the Office of Health Facility Licensure and Certification is reported only by secondary sources. | Provisional |
| Wisconsin | Yes | Yes (DHS 133). | Verified |
| Wyoming | Yes | Yes (W.S. | Verified |