Licensed Home Care Services Agencies (LHCSAs)

NOTE: Policy and Procedure Manuals must be submitted AFTER the LHCSA application has been approved by the Public Health and Health Planning Council (PHHPC) and Department of Health.

• Guidance for Developing Policies and Procedures for a Licensed Home Care Services Agency (LHCSA)
  • Dear Administrator Letters and Directives (Listed on Attachment A)
• LHCSA Applicant Worksheet
• Tools Used by DOH for Reviewing a Policy and Procedure:
  • LHCSA P&P Review Tool Part A
  • LHCSA P&P Review Tool Part B

LHCSA Administrative Licensure Amendments

The new Administrative Licensure Amendment process for Licensed Home Care Services Agencies (LHCSAs) has been finalized and will go into effect February 15, 2022. Please refer to the Dear Administrator Letter and the links below for additional information. Given the Department’s focus on the COVID-19 pandemic, guidance and revised applications for the licensure of LHCSAs will be delayed until further notice. If you have any questions, please email homecareapplications@health.ny.gov.

• Dear Administrator Letter DHCBS 22-02 (PDF)
• Procedure for LHCSA Administrative Amendment (PDF)
• Attachment A – Administrative Amendment Checklist (PDF)
• Attachment B – Regional Office Contact Information (PDF)

Form Required for Transfer of Ownership Interest (90/120 day) Notice Submissions

• Schedule 1 (PDF)
• Guidance (DOC)