50-State Regulatory Atlas New York
State licensing summary
New York: healthcare licensing and regulation
New York: one license, branches listed or approved; certificate of need required; not a compact state. Regulator: New York State Department of Health.
Educational summary, last reviewed October 17, 2026. Not legal advice — confirm with the state licensing agency or counsel.
11 findings: 8 verified, 3 provisional. How findings are sourced and labelled.
At a glance
- License
- State license requiredVerified
- Regulator
- New York State Department of Health
- Branch offices
- One license, branches listed or approvedVerified
- Certificate of need
- Certificate of need requiredVerified
- Service area
- Licenses are county-based.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, under Public Health Law Article 36: Certified Home Health Agencies (Medicare-type, with public-need review) and Licensed Home Care Services Agencies (PHL § 3605). Since April 1, 2020, initial LHCSA applications receive public-need and financial-feasibility review.
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.
Certificate of need
VerifiedYes, as public-need review.
In practice: The certificate of need comes before the license and can limit where the agency may serve.
Branch offices
VerifiedSites and counties are added to a license by administrative amendment.
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
VerifiedLicenses are county-based.
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.
Home infusion nursing
Home infusion nursing
ProvisionalInfusion nursing firms have held Article 36 home care licenses. 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)
VerifiedNot a member of the Nurse Licensure Compact. Nurses caring for patients here need this state’s own license.
In practice: Check each nurse’s license against the patient’s state, not the agency’s.
Staffing agency registration bill
ProvisionalS5462 (2025–26 session) would create a registration framework for staffing agencies; it was pending when last reviewed.
In practice: Pending legislation; recheck before relying on it.
Source: NY Senate S5462
State coverage for healthcare staffing is partial; more states are being reviewed.
Medicare, hospice and VA programs in this state
New York 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 York 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 York 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
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
County-based licensing with need review. New York is not in the Nurse Licensure Compact.
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
- NYS Health Profiles — Home care VerifiedNew York State Department of Health
CHHAs, LHCSAs and long-term home health care programs with overview, quality and inspection tabs, plus an enforcement search.
- NYS Health Profiles — Hospice VerifiedNew York State Department of Health
Hospice profiles with overview, quality and inspection tabs.
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 Association of New York State (HCA)home health
Offers advocacy in Albany and Washington, strategic advisement, data and research, education through its affiliate, and workforce resources.
- New York State Association of Health Care Providers (HCP)home health
Serves licensed home care services agencies and certified home health agencies with advocacy, news alerts, compliance sessions, webinars and an annual conference.
- Hospice and Palliative Care Association of New York State (HPCANYS)hospice, palliative care
Offers policy and advocacy, member education, advance-care-planning training, webinars and an annual conference.
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.