Pennsylvania Licensing Insight

How to Choose the Right Pennsylvania Agency License

Home Care, Home Health, and Hospice are separate Pennsylvania licensing paths. The right choice begins with the services, clients, staffing model, and payment plan for your agency.

Home Care Agency or Registry

Pennsylvania uses the Home Care Agency and Home Care Registry license for non-skilled services. These services may include personal care, assistance with daily activities, companionship, respite, and other approved home care support.

Agency owners must also decide whether their operating model fits an agency, a registry, or both.

Home Health Agency

A Home Health Agency is designed for skilled care. Pennsylvania defines this type of agency around skilled nursing and at least one additional therapeutic service.

State licensure and federal Medicare certification are separate approvals, so the agency's services and payment goals should be planned before applying.

Hospice Agency

Hospice is a separate license for agencies providing coordinated care focused on comfort and quality of life for people with terminal illness.

Its clinical structure, staffing plan, policies, and services must be developed specifically for the hospice model.

Downloadable Resource

Pennsylvania Agency Licensing Guide

Keep the one-page NorthEnd guide for a concise comparison of the licensing paths and planning questions summarized above.

Download the PDF

Licensing Support

Not sure which Pennsylvania path fits your agency?

NorthEnd Consulting helps prospective Pennsylvania agency owners evaluate their planned services and prepare application materials that align with the appropriate licensing path.

Licensing and certification decisions are controlled by the Pennsylvania Department of Health and other applicable agencies. This page provides general planning information; requirements depend on an agency's proposed services and circumstances. NorthEnd Consulting does not guarantee approval or a specific regulatory outcome.