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Private duty nursing agency license requirements by state
RN and LPN shift nursing in the home. Whether each state requires a license, who issues it, what it costs, certificate of need, electronic visit verification and the Medicaid rate, with the official source for each.
- States compiled
- 51 of 51
- Require a state license
- 40
- No state license
- 0
- States with a CON program
- 37of states compiled
On this page
By state
Private duty nursing agency requirements in every state
States still being compiled are marked; we only publish a state once its details are confirmed against the official source.
| State | License | Issuing agency | Fee | Renewal | CON program | EVV model | Medicaid rate |
|---|---|---|---|---|---|---|---|
| Alabama | — | Alabama Medicaid Agency | — | — | Yes | open/provider choice | $36.40per hour |
| Alaska | Medicaid enrollment as a private-duty nursing agency plus enrollment as a home health or hospice provider | Alaska Department of Health (Medicaid) | — | — | Yes | hybrid | $20.00per 15 min |
| Arizona | Home health agency license (ADHS) with Medicare certification preferred; independent RNs may also enroll | AHCCCS (Arizona Medicaid); home health agency licensing by ADHS | — | — | No | hybrid | $64.22per hour |
| Arkansas | Class A or Class B home health agency license designated as a provider of extended care services | Arkansas Department of Health (license); Arkansas DHS Division of Medical Services (Medicaid enrollment) | — | — | Yes | hybrid | $28.00per hour |
| California | Home health agency license (CDPH) when delivered through an agency; individual RNs/LVNs may enroll independently | California Department of Health Care Services (Medi-Cal); CDPH licenses home health agencies | — | — | No | hybrid | $47.91per hour |
| Colorado | Class A Home Care Agency license (CDPHE), Medicare-certified or deemed by an accrediting body | Colorado Department of Public Health and Environment (license); Department of Health Care Policy & Financing (Medicaid enrollment) | — | — | No | hybrid | $52.51per hour |
| Connecticut | Home health care agency license (DPH); nurse staffing firms register separately as temporary nursing services agencies | Connecticut Department of Public Health (licensure); Department of Social Services (Medicaid) | — | — | Yes | hybrid | $49.27per hour |
| Delaware | — | Delaware Division of Medicaid and Medical Assistance (DMMA) | — | — | Yes | open/provider choice | $63.67per hour |
| District of Columbia | Home care agency (home health agency) license — DC Health | DC Health, Health Care Facilities Division (license); Department of Health Care Finance (Medicaid) | — | — | Yes | hybrid | $28.00per hour |
| Florida | Home health agency license (AHCA, s. 400.464, F.S.); independent RNs/LPNs licensed under Ch. 464, F.S. may also enroll | Florida Agency for Health Care Administration | — | — | Yes | hybrid | $8.16per 15 min |
| Georgia | Private Home Care Provider (PHCP) license covering nursing services — home health agencies are exempt from PHCP licensure | Georgia Department of Community Health — Healthcare Facility Regulation (license); DCH Medicaid (GAPP enrollment) | — | — | Yes | hybrid | $23.84per 15 min |
| Hawaii | Home health agency license (Hawaii DOH, Office of Health Care Assurance); CON from SHPDA for Medicare/Medicaid participation | Hawaii State Department of Health, Office of Health Care Assurance (license); Med-QUEST Division (Medicaid enrollment) | — | — | Yes | hybrid | $23.51per 15 min |
| Idaho | — | Idaho Department of Health and Welfare (Medicaid) | — | — | No | open/provider choice | $19.56per 15 min |
| Illinois | Home nursing agency license (IDPH) — or a home health agency license | Illinois Department of Public Health (license); HFS / University of Illinois Division of Specialized Care for Children (Medicaid in-home shift nursing) | — | — | Yes | hybrid | $36.75per hour |
| Indiana | Home health agency license (Indiana Department of Health) | Indiana Department of Health (license); FSSA Office of Medicaid Policy and Planning (IHCP enrollment) | — | — | Yes | hybrid | — |
| Iowa | Medicare-certified home health agency | Iowa Department of Health and Human Services (Iowa Medicaid) | — | — | Yes | MCO-chosen | $80.00per hour |
| Kansas | Home health agency license (Kansas Department of Health and Environment) | Kansas Department of Health and Environment | Annual license fee set by KDHE regulation based on undupl… | Every year | No | hybrid | $26.00per hour |
| Kentucky | Private duty nursing agency license (902 KAR 20:370) or home health agency license (902 KAR 20:081) | Kentucky Office of Inspector General (license); Department for Medicaid Services (enrollment, provider type 18) | — | — | Yes | hybrid | $0.78per unit |
| Louisiana | Home health agency license and Medicare certification (LDH Health Standards Section) | Louisiana Department of Health — Health Standards Section (license/certification); Louisiana Medicaid (enrollment) | — | — | Yes | hybrid | $65.46per hour |
| Maine | Home health agency license under DHHS Regulations Governing the Licensing and Functioning of Home Health Care Services; independent RNs may also provide PDN | Maine DHHS, Division of Licensing and Certification (license); Office of MaineCare Services (enrollment) | — | — | Yes | hybrid | $9.06per 15 min |
| Maryland | Residential service agency (RSA) license under COMAR 10.07.05 or home health agency license under COMAR 10.07.10 | Maryland Department of Health — Office of Health Care Quality (license); Maryland Medicaid (enrollment) | — | — | Yes | state-sponsored | $13.71per 15 min |
| Massachusetts | — | MassHealth (Executive Office of Health and Human Services) | — | — | Yes | hybrid | $32.66per 15 min |
| Michigan | — | Michigan Department of Health and Human Services (Medicaid) | — | — | Yes | hybrid | $18.08per 15 min |
| Minnesota | Comprehensive home care provider license (Minn. Stat. ch. 144A) — a 'home care nursing agency' is an MA-enrolled provider licensed under ch. 144A | Minnesota Department of Health (home care license); Minnesota Department of Human Services (Medical Assistance enrollment) | — | — | No | hybrid | $61.73per hour |
| Mississippi | — | Mississippi Division of Medicaid | — | — | Yes | hybrid | $29.33per hour |
| Missouri | — | Missouri Department of Social Services — MO HealthNet Division; Missouri Medicaid Audit and Compliance (enrollment) | — | — | Yes | open/provider choice | $15.20per 15 min |
| Montana | — | Montana Department of Public Health and Human Services (Montana Medicaid) | — | — | Yes | hybrid | $21.86per 15 min |
| Nebraska | Home health agency license (DHHS Division of Public Health) for agencies; individual private-duty nurses need RN/LPN licensure | Nebraska DHHS — Division of Public Health (licensure); Medicaid and Long-Term Care (enrollment) | — | — | Yes | hybrid | $36.82per hour |
| Nevada | Home health agency license (Nevada DPBH) enrolled with Nevada Medicaid as provider type 29 | Nevada Division of Public and Behavioral Health (license); Division of Health Care Financing and Policy (Medicaid) | — | — | Yes | hybrid | $64.00per hour |
| New Hampshire | Home health care provider license (RSA 151:2, I(b); He-P 809) | New Hampshire DHHS — Health Facilities Administration (license); NH Medicaid (enrollment) | — | — | No | hybrid | $75.84per hour |
| New Jersey | Licensed Medicare-certified home health agency (NJDOH), accredited home health care services firm, or hospice agency — approved by DMAHS as a PDN agency | NJ Department of Human Services, Division of Medical Assistance and Health Services (DMAHS) | — | — | Yes | hybrid | $15.75per hour |
| New Mexico | Licensed nursing agency approved by the Medical Assistance Division (or an FQHC); Medicare home health certification not required | New Mexico Health Care Authority — Medical Assistance Division | — | — | No | state-sponsored | $29.76per 15 min |
| New York | Licensed Home Care Services Agency (LHCSA) license and annual DOH registration — or Medicaid enrollment as an independently practicing RN/LPN | New York State Department of Health | — | — | Yes | open/provider choice | $31.21per hour |
| North Carolina | Home care agency license (NC DHSR) plus accreditation by The Joint Commission, CHAP or ACHC | NC DHHS — Division of Health Service Regulation (license); NC Medicaid (enrollment) | — | — | Yes | hybrid | $13.00per 15 min. |
| North Dakota | Licensed private duty nursing agency (license type not named in the Medicaid manual) | North Dakota Health and Human Services (Medicaid) | — | — | No | hybrid | $19.34per 15 min |
| Ohio | — | Ohio Department of Medicaid | — | — | Yes | hybrid | $17.25per 15 min |
| Oklahoma | Home care agency license (Oklahoma State Department of Health) | Oklahoma State Department of Health (license); Oklahoma Health Care Authority (SoonerCare contract) | — | — | Yes | hybrid | $2.23per 15 min |
| Oregon | Agencies: in-home care agency license with comprehensive classification (OAR 333-536) or home health agency license (OAR 333-027); individual RNs/LPNs may enroll directly | Oregon Health Authority (agency licensing and Medicaid enrollment) | — | — | Yes | hybrid | $15.49per 15 min |
| Pennsylvania | Home health agency license (PA Department of Health) with Medicare certification; enrolled under specialty 051 Private Duty Nursing | Pennsylvania Department of Health (license); Department of Human Services (MA enrollment) | — | — | No | hybrid | $50.00per hour |
| Rhode Island | Home nursing care provider license or home care provider license (216-RICR-40-10-17); Medicaid home health providers must also be Medicare-certified | Rhode Island Department of Health (license and CON); Executive Office of Health and Human Services (Medicaid) | — | — | Yes | hybrid | $23.60per 15 min |
| South Carolina | Home health agency license/certification (SC DPH, formerly DHEC) with Medicare certification; for pediatric PDN, CHAP accreditation in core and private duty nursing services plus an approved Pediatric Home Health Certificate of Need | South Carolina Department of Health and Human Services (Medicaid); SC DPH (certification and CON) | — | — | Yes | state-sponsored | $47.00per hour |
| South Dakota | — | South Dakota Department of Social Services (Medicaid) | — | — | No | hybrid | $92.80per hour |
| Tennessee | Home care organization (home health) license from the Health Facilities Commission, with Certificate of Need, and Medicare certification as a home health agency | Tennessee Health Facilities Commission (CON and license); Division of TennCare (Medicaid) | — | — | Yes | MCO-chosen | $13.09per 15 min |
| Texas | Home and Community Support Services Agency (HCSSA) license with the licensed home health (or licensed and certified home health) category; independent RNs/LVNs may also enroll | Texas Health and Human Services Commission (HCSSA license); TMHP (Medicaid enrollment) | — | — | No | hybrid | $10.22per 15 min |
| Utah | Home health agency license (Utah DHHS, R432-700), Medicare/Medicaid-certified | Utah DHHS — licensing (DLBC) and Medicaid (Division of Integrated Healthcare) | — | — | No | open/provider choice | $254.03per hour |
| Vermont | Medicare-certified, Medicaid-enrolled home health agency (Designated Home Health Agencies for the adult High Technology program); RNs/LPNs may also enroll directly | Vermont Agency of Human Services — Department of Vermont Health Access | — | — | Yes | hybrid | $14.86per 15 min |
| Virginia | Home health agency license or certification from the Virginia Department of Health | Virginia Department of Health (license); Department of Medical Assistance Services (enrollment) | — | — | Yes | open/provider choice | $25.86per hour |
| Washington | In-home services agency license (Washington DOH) covering private duty nursing | Washington Department of Health (license); DSHS Developmental Disabilities Administration (contract); Health Care Authority (core provider agreement) | — | — | Yes | open/provider choice | $16.97per 15 min |
| West Virginia | — | West Virginia Department of Human Services — Bureau for Medical Services | — | — | Yes | hybrid | $11.02per 15 min |
| Wisconsin | Home health agency license (Wis. Admin. Code DHS 133) with Medicare certification — or Medicaid enrollment as a nurse in independent practice | Wisconsin Department of Health Services (DQA license; ForwardHealth enrollment) | — | — | Yes | hybrid | $37.76per hour |
| Wyoming | Home health agency license (WDH Healthcare Licensing and Surveys) | Wyoming Department of Health — Healthcare Licensing and Surveys (license); Division of Healthcare Financing (Medicaid) | — | — | No | hybrid | $19.77per 15 min |
Medicaid rate: the waiver nursing (rn) fee-for-service rate, linked to the state's fee schedule. Fees as printed by the licensing agency; where it gives a range or formula, the page for that state has the wording.