Nonmedical Home Care Agency
Chapter 180 of the Acts of 2026 establishes a statewide home care licensing framework. It covers specified home care business models, while excluding certain other programs and providers.
Agencies should prepare their staffing, screening, training, service agreements, insurance, complaint processes, and operational policies around the applicable requirements.
Current Rollout Status
As of October 15, 2026, the law has been enacted and implementation is phased. Do not assume the final application, fees, or mandatory licensing date are available. Confirm current EOHHS instructions before filing.
A private certification or an employment-agency registration does not replace the new home care license. Temporary licensing provisions apply to qualifying agencies under the law.
Home Health Agency (HHA)
Skilled home health is distinct from nonmedical home care. M.G.L. c. 111, § 51K provides an HHA licensing framework, while published DPH guidance has described a different licensing position. Confirm current implementation directly with DPH before opening or marketing.
Medicare certification and MassHealth enrollment are separate processes. Do not treat the new nonmedical home care framework as authorization for skilled home health.
Hospice Program
Hospice programs are licensed by DPH under 105 CMR 141.00. Their interdisciplinary care, clinical services, records, personnel, and inspection requirements differ from ordinary home care.
Referral and Placement Models
Department of Labor Standards employment or placement-agency requirements may apply to a business that refers or places workers. Review who employs the workers, who pays them, and who contracts with the consumer.
Official resources
Reviewed October 15, 2026. Confirm current requirements with the applicable authority.