50-State Regulatory Atlas Oregon
State licensing summary
Oregon: healthcare licensing and regulation
Oregon: one license, branches listed or approved; no certificate of need; not a compact state. Regulator: Oregon Health Authority.
Educational summary, last reviewed October 17, 2026. Not legal advice — confirm with the state licensing agency or counsel.
12 findings: 9 verified, 3 provisional. How findings are sourced and labelled.
At a glance
- License
- State license requiredVerified
- Regulator
- Oregon Health Authority
- Branch offices
- One license, branches listed or approvedVerified
- Certificate of need
- No certificate of needVerified
- Service area
- A mileage or drive-time limit appliesVerified
- 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. The Oregon Health Authority licenses home health agencies (OAR 333-027); licenses expire December 31. In-home care 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: OAR 333-027
Certificate of need
VerifiedNo.
In practice: No certificate of need step for home health.
Source: OAR 333-027
Branch offices
VerifiedA branch is overseen by the parent and shares its Medicare certification number and level of care.
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: OAR 333-027
Service area
VerifiedA 60-mile radius. Exceptions are decided case by case, and underserved-area waivers exist.
In practice: Check the patient’s address against the approved service area before accepting a referral.
Source: OAR 333-027
Out-of-state agencies
ProvisionalThe rule does not address out-of-state agencies. Confirm with the state agency
In practice: A license in one state does not authorize care in another; the patient’s state decides.
Source: OAR 333-027
Accreditation in place of a state survey
ProvisionalThe state inspects before licensure and every three years, and “may accept a certification or accreditation from a federal agency or an accrediting body approved by the Division” (OAR 333-027-0036).
In practice: The state usually keeps its complaint authority.
Source: OAR 333-027-0036
Home infusion nursing
Home infusion nursing
ProvisionalThe definition (“coordinated home health services”) does not mention infusion. Confirm with the state agency
In practice: Confirm the license category before staffing infusion visits in this state.
Source: OAR 333-027
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.
Temporary staffing agencies that place nurses with in-home care agencies and facilities hold a Health Licensing Office authorization, renewed every year (ORS 676.695 to 676.725). The Oregon Health Authority sets maximum bill rates (HB 2665, 2023).
In practice: Check the rate-setting page for current maximum rates.
Source: OHA HLO: Temporary staffing agency laws and rulesOHA rate setting
State coverage for healthcare staffing is partial; more states are being reviewed.
Medicare, hospice and VA programs in this state
Oregon 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
Oregon 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
VerifiedOregon is in Community Care Network Region 4, administered by TriWest. 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
A 60-mile radius instead of nesting; surveys every three years with accreditation accepted; records 7 years. Oregon 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
- HFLC home health and hospice lists VerifiedOregon Health Authority, Public Health Division, Health Facility Licensing & Certification
PDF lists of home health agencies and hospices.
- Licensed In-Home Care Agencies ProvisionalOregon Health Authority, Health Facility Licensing & Certification
Licensed in-home care agencies.
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
- Oregon Association for Home Care (OAHC)home health, hospice
Offers advocacy tools, on-demand education, an annual conference, CHAP accreditation services, monthly member calls and a career center.
- Oregon Hospice & Palliative Care Association (OHPCA)hospice, palliative care
Runs networking groups for medical directors, QAPI and regulatory staff and volunteer coordinators, plus a members-only newsletter and free job posting.
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.