Home Care & Hospice

NOTICE to Home Care Organization Applicants

Due to the impact of the COVID-19 public health emergency on agency operations, the estimated timeframe for initial licensure inspections is currently greater than six months from the date an application packet has been deemed complete by this office and the applicant has notified this office it is ready for the initial licensure inspection.

Update for HCOs

The Office of Licensure and Certification is not collecting audit opinion letters or operating agreements as part of this year's renewal process. All regulatory requirements remain in effect unless your HCO has been granted a variance in writing.

Home Care & Hospice Unit

During the COVID-19 public health emergency declared by Governor Northam, home care organizations (HCOs) may use telephonic or virtual visits for personal care service nursing visits, provided that client needs are met and that the manner in which the visits were conducted is documented.

The Home Care and Hospice Unit, within the Division of Acute Care Services, is responsible for the state licensure and inspection of HCOs and hospice programs. The unit also conducts the federal certification surveys for Medicare and Medicaid, and investigates any complaints received against these providers.

For Medicare Provider Enrollment applications and inquiries please contact:
CGS Administrators, Home Care (877- 299-4500) or Hospice (866-539-5592)

Hospice is a coordinated program of home and inpatient care provided directly or through an agreement under the direction of an identifiable hospice administration providing palliative and supportive medical and other health services to terminally ill patients and their families. A hospice utilizes a medically directed interdisciplinary team. A hospice program of care provides care to meet the physical, psychological, social, spiritual and other special needs which are experienced during the final stages of illness, and during dying and bereavement. Hospice care must be available twenty-four hours a day, seven days a week.

Are you planning to open a Hospice?
Review the Hospice Licensure Regulations before filing an Hospice License Application.

An HCO is any public or private organization, whether operated for profit or not for profit, that provides at a person's Virginia residence one or more of the following services:

  1. Home health services, including services provided by or under the direct supervision of any health care professional under a medical plan of care in a patient's residence on a visit or hourly basis,  to a person who has or is at risk of injury, illness, or a disabling condition and requires short-term or long-term interventions
  2. Personal care services, including assistance in personal care to include activities of daily living provided in a person's residence on a visit or hourly basis to a person who has or are at risk of an illness, injury or disabling condition
  3. Pharmaceutical services, including services provided in a person's residence, which include the dispensing and administration of a drug or drugs, and parenteral nutritional support, associated patient instruction, and such other services as identified by the Board of Health by regulation

Are you planning to open an HCO?
Review the HCO Licensure Regulations before filing an HCO License Application. Umbrella and excess liability insurance may be used to meet the minimum insurance requirements.