50-State Regulatory Atlas Virginia
State licensing summary
Virginia: healthcare licensing and regulation
Virginia: one license, branches listed or approved; no certificate of need; compact member. Regulator: Virginia Department of Health.
Educational summary, last reviewed October 17, 2026. Not legal advice — confirm with the state licensing agency or counsel.
11 findings: 11 verified. How findings are sourced and labelled.
At a glance
- License
- State license requiredVerified
- Regulator
- Virginia Department of Health
- Branch offices
- One license, branches listed or approvedVerified
- Certificate of need
- No certificate of needVerified
- Service area
- Portions of the licensee’s total geographic area.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. The Department of Health licenses home care organizations (Va. Code § 32.1-162.7; 12VAC5-381). After initial licensure, an in-state organization certified for Medicare or Medicaid, or accredited by a CMS-recognized body, is exempt from licensure.
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: 12VAC5-381
Branch offices
VerifiedA licensee may open branch offices serving portions of its area, and each branch address is included on its license.
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
VerifiedPortions of the licensee’s total geographic area.
In practice: Check the patient’s address against the approved service area before accepting a referral.
Out-of-state agencies
VerifiedThe deeming exemption applies only to organizations located in Virginia.
In practice: A license in one state does not authorize care in another; the patient’s state decides.
After initial licensure, an organization located in Virginia that is Medicare- or Medicaid-certified or accredited by a CMS-recognized accreditor is exempt from licensure (Va. Code §32.1-162.8).
In practice: The state usually keeps its complaint authority.
Source: Va. Code §32.1-162.8
Home infusion nursing
Home infusion nursing
VerifiedWritten policies are required for administering home infusion therapy medications, including the plan of care and communication with the prescriber and the client’s provider pharmacy (12VAC5-381-350).
In practice: Confirm the license category before staffing infusion visits in this state.
Source: 12VAC5-38112VAC5-381-350
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
Virginia 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
Virginia 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
VerifiedVirginia 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
Branches are listed on one license, and a certified or accredited agency can become exempt after its first license.
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
- Home Care Organizations and hospice ProvisionalVirginia Department of Health, Office of Licensure and Certification, Division of Acute Care Services
No public lookup found as of Oct 17, 2026.
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
- Virginia Association for Home Care & Hospice (VAHC)home health, hospice, home care (private duty and personal care), Medicaid HCBS
Offers advocacy tools, compliance, claims and OASIS workshops, a personal care aide training program, an agency directory and a job board.
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.