Home Care & Hospice

Special Notice for the 2023 HCO Renewal Period

Va. Code § 32.1-162.9 is amended effective July 1, 2022, to move HCO licenses from an annual renewal cycle to a triennial renewal cycle.

  • If you renew an HCO license ON OR AFTER July 1, 2022:
    • A $1500 licensure renewal fee must be included with the complete and accurate renewal application; once the renewal application is approved, you will then be issued a triennial license that expires July 31, 2025.
  • If you renew an HCO license BEFORE July 1, 2022:
    • A $500 licensure renewal fee must be included with the complete and accurate renewal application; once the renewal application is approved, you will then be issued an annual license that expires July 31, 2023.

Because the statutory change takes place in the middle of the renewal period, the late fee that would normally be assessed for applications filed fewer than 30 calendar days before an HCO license’s expiration is waived for this renewal period.

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 Organization Renewal Application

Notice to Home Care Organization Applicants

Due to the impact of COVID-19 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 & Hospice Unit

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.