Home Health & Hospice

Crossing state lines: What are the rules?

Homecare Insider, June 18, 2012

When a home health agency provides services across state lines, each respective state agency must be aware of and approve the action. Applicable state licensure, personnel licensure, and other state requirements must be met in the states that are being served. Agencies must be certified in all states in which they provide services.

The states involved must have a written reciprocal agreement permitting the agency to provide services; it must indicate that both states are aware of their respective responsibilities for assessing the agency’s compliance with the Conditions of Participation in their state. If no reciprocal agreement exists, the agency must establish a separate parent agency or subunit in the state in which it wishes to provide services.