1. Program Definition and Services 

Home Health Services in Massachusetts provide skilled nursing care and other therapeutic services to patients in their homes. Services include: 

• Skilled nursing services 

• Physical therapy 

• Occupational therapy 

• Speech/language pathology 

• Medical social services 

• Home health aide services 

• Medical supplies and equipment 

2. Regulations 

Home Health Services are governed by: 

• 130 CMR 403.000: Home Health Agency 

• Chapter 111, Section 51K of the Massachusetts General Laws 

3. Licensing or Certification 

Home health agencies must obtain a license from the Department of Public Health. The license is valid for 3 years. 

4. Responsible State Agency 

The Department of Public Health is responsible for licensing and regulating home health agencies. 

5. Application Process 

Providers can apply for a license through the Department of Public Health. Medicare-certified agencies may be deemed to meet initial licensure requirements. 

6. Required Documentation 

Applicants must provide: 

• Proof of Medicare certification (if applicable) 

• Documentation of compliance with state and federal regulations 

• Staff qualifications and training records 

• Policies and procedures manual 

7. Timeline for Approval 

The timeline for approval is not specified in the available information. 

8. Pre-Application Process 

There is no formal pre-application process mentioned. 

9. Pre-Application Training 

No specific pre-application training is mentioned. However, staff must meet qualification requirements set by regulations. 

10. Additional Notes 

• Home health agencies must provide at least skilled nursing services and one other therapeutic service. 

• The Department may impose fines of up to $10,000 for operating without a license or violating regulations. 

• As of March 6, 2025, Massachusetts continues to regulate home health agencies to ensure quality care for patients in their homes.