50-State Regulatory Atlas New Hampshire
State licensing summary
New Hampshire: healthcare licensing and regulation
New Hampshire: one license, branches listed or approved; certificate of need: confirm with the state agency; compact member. Regulator: New Hampshire Department of Health and Human Services.
Educational summary, last reviewed October 17, 2026. Not legal advice — confirm with the state licensing agency or counsel.
14 findings: 8 verified, 6 provisional. How findings are sourced and labelled.
At a glance
- License
- State license requiredVerified
- Regulator
- New Hampshire Department of Health and Human Services
- Branch offices
- One license, branches listed or approvedVerified
- Certificate of need
- Certificate of need: confirm with the state agencyProvisional
- Service area
- Confirm with the state agencyProvisional
- 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, a home health care provider license (RSA 151:2-b; He-P 809). Non-medical home care service provider agencies are licensed separately.
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: RSA 151:2-b
Certificate of need
ProvisionalConfirm with the state agency Not established in this review.
In practice: Ask the state planning agency whether a certificate of need applies before applying for the license.
Source: He-P 809.07RSA 151:2-b
Branch offices
VerifiedBefore operating a branch the provider notifies the department in writing; the department then reissues the license certificate listing the branches. No care may be given at a drop site.
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: He-P 809.07RSA 151:2-b
Service area
ProvisionalConfirm with the state agency Not established in this review.
In practice: Check the patient’s address against the approved service area before accepting a referral.
Source: He-P 809.07RSA 151:2-b
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.
Source: He-P 809.07RSA 151:2-b
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: He-P 809.07RSA 151:2-b
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
New Hampshire 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
New Hampshire 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
VerifiedNew Hampshire is in Community Care Network Region 1, 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
Nurse entrepreneurship and independent practice
Three separate questions apply in New Hampshire: the nurse’s own license and scope of practice; who must order, prescribe or supervise the clinical service; and whether the business needs an agency, clinic, facility or pharmacy license. Private pay does not mean unregulated. A compact license authorizes the nurse, not the business: nurse licensure here is “Compact member” (finding).
New Hampshire is rated full practice on AANP’s State Practice Environment map (05/2026). AANP defines full practice as state law letting nurse practitioners evaluate patients, diagnose, order and interpret tests, and initiate and manage treatment, including prescribing, under the authority of the state board of nursing.
In practice: AANP’s rating is a national advocacy framework, separate from the Nurse Licensure Compact and from state law itself. Practice authority is set by the state’s nurse practice act and board.
Source: AANP State Practice Environment map (05/2026)AANP: State practice environment
No Board of Nursing guidance specific to IV hydration was found for New Hampshire in the sources searched. General nurse practice, prescribing and pharmacy law still applies; this is not a finding that elective IV is permitted.
Not yet confirmed — check with the New Hampshire board of nursing.
Source: New Hampshire Board of Nursing: RN scope of practice advisories (updated March 9, 2020)
Standing orders for elective IV
Not yet researchedNot yet researched for New Hampshire — confirm with the New Hampshire board of nursing. Nothing is inferred from the absence of a finding.
Home-care license for a nurse-owned business
ProvisionalNew Hampshire’s home health care provider license covers “any organization, business entity … engaged in arranging or providing, directly or through contract arrangement, … nursing services” (RSA 151:2-b). Offices of licensed health professionals are excluded (RSA 151:2(II)(f)), but whether that reaches home-visiting practice is unresolved; individual home care provider registration covers non-nursing services only.
Not yet confirmed — check with the New Hampshire Department of Health and Human Services.
Source: N.H. RSA 151:2-bN.H. RSA 151:2
RN PICC insertion
VerifiedThe New Hampshire Board of Nursing’s RN scope of practice advisories (updated March 9, 2020) list “Informed consent by the nurse performing a PICC line insertion” as within RN scope, which presupposes RN insertion; the answer for “Ultrasound for PICC insertion” could not be read reliably from the posted table. The Board recommends that facilities adding such activities describe the nurses’ education and practice history, define the procedure, keep a written competency plan and review it at least yearly. No PICC-specific conditions are stated.
Corrected 2026-10-18: The advisory list was read: its date (March 9, 2020) is confirmed, and the entry now says only what the list shows (RN informed consent for a PICC the nurse inserts); claims about fluoroscopy-guided home insertion and removal were not found and were removed.
Source: New Hampshire Board of Nursing: RN scope of practice advisories (updated March 9, 2020)
LPN/LVN IV therapy limits
Not yet researchedNot yet researched for New Hampshire — confirm with the New Hampshire board of nursing. Nothing is inferred from the absence of a finding.
Boards and documents cited
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
One license certificate lists every 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
- NH Health Facilities Licensed Under RSA 151 ProvisionalNew Hampshire DHHS, Health Facilities Administration
A PDF list of licensed facilities, including home health care providers (skilled, homemaker, personal care and companion), with license and expiration dates.
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
- Home Care, Hospice & Palliative Care Alliance of New HampshireListed by the National Alliance for Care at Home
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.