Key home health care requirements by state | Home Health Workforce
Northeast
State
HHA Training Hrs
CNA Required?
State License
EVV Model
Min Wage
Connecticut
75
Yes
DPH License
Provider Choice
$16.35
Delaware
75
Yes
DHSS License
State Mandated
$13.25
Maine
60
Recommended
DHHS License
Open Model
$14.15
Maryland
75
Yes
OHCQ License
State Mandated
$15.00
Massachusetts
75
Yes
DPH License
Provider Choice
$15.00
New Hampshire
75
Yes
DHHS License
Provider Choice
$7.25
New Jersey
76
Yes
DOH License
State Mandated
$15.49
New York
75
Yes
DOH License
State Mandated
$15.00+
Pennsylvania
75
Yes
DOH License
Provider Choice
$7.25
Rhode Island
75
Yes
DOH License
Open Model
$14.00
Vermont
75
Recommended
DAIL License
Provider Choice
$13.67
South
State
HHA Training Hrs
CNA Required?
State License
EVV Model
Min Wage
Alabama
75
Yes
DHR License
Open Model
$7.25
Arkansas
75
Yes
DHS License
State Mandated
$11.00
Florida
75
Yes
AHCA License
Provider Choice
$13.00
Georgia
75
Yes
DCH License
State Mandated
$7.25
Kentucky
75
Yes
CHFS License
MCP Choice
$7.25
Louisiana
75
Yes
DHH License
State Mandated
$7.25
Mississippi
75
Yes
DOH License
Open Model
$7.25
North Carolina
75
Yes
DHSR License
Provider Choice
$7.25
Oklahoma
75
Yes
OSDH License
State Mandated
$7.25
South Carolina
75
Yes
DHEC License
Provider Choice
$7.25
Tennessee
75
Yes
DOH License
MCP Choice
$7.25
Texas
75
Yes
HHSC License
State Mandated
$7.25
Virginia
75
Yes
DMAS License
Provider Choice
$12.41
West Virginia
75
Yes
OHFLAC License
Open Model
$8.75
Midwest
State
HHA Training Hrs
CNA Required?
State License
EVV Model
Min Wage
Illinois
120
Yes
DPH License
State Mandated
$14.00
Indiana
75
Yes
ISDH License
State Mandated
$7.25
Iowa
75
Yes
DIA License
Provider Choice
$7.25
Kansas
75
Yes
KDADS License
Open Model
$7.25
Michigan
75
Yes
LARA License
Provider Choice
$10.56
Minnesota
75
Yes
MDH License
State Mandated
$10.85
Missouri
75
Yes
DHSS License
Provider Choice
$12.30
Nebraska
75
Yes
DHHS License
Open Model
$12.00
North Dakota
75
Yes
DOH License
Provider Choice
$7.25
Ohio
75
Yes
ODH License
State Mandated
$10.45
South Dakota
75
Yes
DOH License
Open Model
$11.20
Wisconsin
75
Yes
DHS License
Provider Choice
$7.25
West
State
HHA Training Hrs
CNA Required?
State License
EVV Model
Min Wage
Alaska
75
Yes
DHSS License
Provider Choice
$11.73
Arizona
75
Yes
ADHS License
MCP Choice
$14.35
California
120
Yes
CDPH License
State Mandated
$16.00
Colorado
75
Yes
CDPHE License
Provider Choice
$14.42
Hawaii
75
Yes
DOH License
Open Model
$14.00
Idaho
75
Yes
DHW License
Provider Choice
$7.25
Montana
75
Yes
DPHHS License
Open Model
$10.30
Nevada
75
Yes
DPBH License
Provider Choice
$12.00
New Mexico
75
Yes
DOH License
State Mandated
$12.00
Oregon
75
Yes
OHA License
Provider Choice
$14.70
Utah
75
Yes
DOH License
Provider Choice
$7.25
Washington
75
Yes
DOH License
State Mandated
$16.28
Wyoming
75
Yes
WDH License
Open Model
$7.25
Multi-State Compliance Checklist
Verify HHA training hour requirements for each operating state
Confirm CNA certification reciprocity between states
Check state-specific EVV vendor requirements and data standards
Review state minimum wage (higher of state or federal applies)
Confirm state agency licensing and renewal timelines
Verify background check requirements (varies by state)
Check Medicaid waiver programs and reimbursement rates
Monitor state-specific labor law updates quarterly
Note: Minimum wages shown are approximate as of early 2026 and may have changed. Training hours shown are federal minimums; states may require more. Always verify current requirements with your state health department.