Home Care and 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.


Home Care Organization License Application

Starting up a Home Care Agency?
Please refer to the application above and review the HCO Licensure Regulations and HCO Initial Licensure Checklist


patient reading brochureDuring the COVID-19 public health emergency declared by Governor Northam, Home Care Organizations 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 home care organizations (HCOs) and hospice programs. The unit also conducts the federal certification surveys for Medicare and Medicaid, and investigates any complaints received against these providers.

Home health is defined as any public or private organization, whether operated for profit or not for profit, that provides, at the residence of a patient or individual in the Commonwealth of Virginia, 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 patients who have or are at risk of injury, illness, or a disabling condition and require short-term or long-term interventions
  2. Personal care services, including assistance in personal care to include activities of daily living provided in an individual's residence on a visit or hourly basis to individuals who have or are at risk of an illness, injury or disabling condition
  3. Pharmaceutical services, including services provided in a patient'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

Hospice is defined as 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 shall be available twenty-four hours a day, seven days a week.

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