Home Health Services in California


1. Program Definition and Services 

Home Health Services provide skilled medical care to patients in their homes. Services include: 

  • Skilled nursing care 
  • Physical, occupational, and speech therapy 
  • Medical social services 
  • Home health aide services for personal care 
  • Patient and caregiver education
  • Medication management 
  • Wound care 

 

2. Regulations 

The primary regulations governing Home Health Services in California are: 

  • California Health and Safety Code, Chapter 8 
  • California Code of Regulations, Title 22, Section 51337 

 

3. Licensing or Certification 

Home Health Agencies must be licensed by the California Department of Public Health (CDPH) and certified to provide Medicare and Medi-Cal reimbursable services. 

 

4. Responsible State Agency 

Multiple agencies oversee Home Health Services in California: 

  • California Department of Public Health (CDPH) 
  • California Department of Health Care Services (DHCS) 

 

5. Application Process 

The application process involves: 

  • Submitting a license application to CDPH 
  • Undergoing an initial survey 
  • Obtaining Medicare certification if desired 

 

6. Required Documentation 

Required documentation includes: 

  • Completed application forms 
  • Detailed program policies and procedures 
  • Staff qualifications and training records 
  • Proof of compliance with state regulations 

 

7. Timeline for Approval 

The timeline for approval is not specified. However, it may take several months due to the comprehensive nature of the licensing process. 

 

8. Pre-Application Process 

Prospective providers should: 

  • Review licensing requirements 
  • Develop comprehensive policies and procedures 
  • Secure appropriate staffing and resources 

 

9. Pre-Application Training 

No specific pre-application training is mentioned. However, the administrator and staff must meet certain qualifications and training requirements. 

 

10. Additional Notes 

  • Home health services must be prescribed by a physician and reviewed every 60 days. 
  • Services are designed for patients who are homebound and require intermittent skilled care. 
  • As of February 2025, there is an increased focus on ensuring access to home- and community-based services in California.