Home Health, Home Care & Hospice

Agency ownership, licensing, workforce, and service agreements shaped around your care model.

Home Health, Home Care & Hospice

Agency ownership, licensing, workforce, and service agreements shaped around your care model.

Home Health, Home Care & Hospice

Agency ownership, licensing, workforce, and service agreements shaped around your care model.

Before you buy the agency, understand the path forward.

The seller has a license, a team and an established operation. You still need to understand what changes at closing: ownership approvals, payer arrangements, management personnel and responsibility for earlier conduct.

We put those questions beside the purchase terms. The goal is a decision grounded in the operation you are acquiring and the conditions that could affect your plan for it.

Before you buy the agency, understand the path forward.

The seller has a license, a team and an established operation. You still need to understand what changes at closing: ownership approvals, payer arrangements, management personnel and responsibility for earlier conduct.

We put those questions beside the purchase terms. The goal is a decision grounded in the operation you are acquiring and the conditions that could affect your plan for it.

Before you buy the agency, understand the path forward.

The seller has a license, a team and an established operation. You still need to understand what changes at closing: ownership approvals, payer arrangements, management personnel and responsibility for earlier conduct.

We put those questions beside the purchase terms. The goal is a decision grounded in the operation you are acquiring and the conditions that could affect your plan for it.

Three care models. Three starting points.

The licensing and enrollment updates below reflect agency guidance checked October 1, 2026.

Three care models. Three starting points.

The licensing and enrollment updates below reflect agency guidance checked October 1, 2026.

Three care models. Three starting points.

The licensing and enrollment updates below reflect agency guidance checked October 1, 2026.

Agencies and applications

California Department of Public Health (CDPH) licensure, including HS 200 and ownership or management disclosures. Medicare certification and enrollment involve the Centers for Medicare & Medicaid Services (CMS) separately. CDPH application packet · CMS home health resources.

Current expansion constraints

California's moratorium on new HHA licenses and branch additions requires a threshold review of the proposed project and any available exception. We assess that before treating an application as a routine opening step. CDPH AFL 26-28.

Operations and survey response

Clinician agreements, service arrangements, record responsibilities, survey deficiencies and plans of correction. For Medicare participation, the applicable Conditions of Participation belong in that review. CMS HHA survey framework.

Regulator and applications

California Department of Social Services (CDSS), Home Care Services Branch. Representative submissions include the HCS 200 license application and HCS 215 applicant information. CDSS HCO application process.

Aides and business responsibilities

Home Care Aide registration, background-clearance questions, training documentation and organizational disclosures are separate from the agency's service agreement. CDSS current HCS forms.

Workforce and service terms

Caregiver employment, scheduling, travel time, overtime, service scope and cancellations. We review what the organization promises and how the work is assigned and recorded.

Regulator and operating changes

CDPH licensing, ownership changes and geographic service-area questions. We assess the state licensure moratorium and change-of-ownership restrictions against the proposed transaction. CDPH hospice licensing guidance.

Current operating rules

CDPH's emergency hospice regulations took effect June 22, 2026 and apply to existing as well as new agencies. We address the legal implications for management roles, service-area commitments, contracts and policies. CDPH emergency-regulation guidance.

Care relationships

Medical-director, pharmacy, equipment, facility and other service agreements. We clarify responsibilities, information sharing, payment and transitions among the organizations involved.

Operating a residential facility as well? See Long-Term Care & Senior Living.

Licensing and Medicare need separate answers.

CMS announced nationwide six-month moratoria on new Medicare enrollment for home health agencies and hospices in May 2026. Those federal restrictions are separate from California's licensing rules. We review the current restrictions, transaction structure and exceptions before relying on an enrollment or closing timetable. CMS announcement and current resources.

An existing agency, a proposed branch and a new business can present different questions. We identify the path relevant to your plan rather than assuming one approval resolves the others.

Licensing and Medicare need separate answers.

CMS announced nationwide six-month moratoria on new Medicare enrollment for home health agencies and hospices in May 2026. Those federal restrictions are separate from California's licensing rules. We review the current restrictions, transaction structure and exceptions before relying on an enrollment or closing timetable. CMS announcement and current resources.

An existing agency, a proposed branch and a new business can present different questions. We identify the path relevant to your plan rather than assuming one approval resolves the others.

Licensing and Medicare need separate answers.

CMS announced nationwide six-month moratoria on new Medicare enrollment for home health agencies and hospices in May 2026. Those federal restrictions are separate from California's licensing rules. We review the current restrictions, transaction structure and exceptions before relying on an enrollment or closing timetable. CMS announcement and current resources.

An existing agency, a proposed branch and a new business can present different questions. We identify the path relevant to your plan rather than assuming one approval resolves the others.

Meet the people doing the work.

Meet the people doing the work.

Meet the people doing the work.

FAQ

FAQ

FAQ

Yes. We assess the transaction and current rules, including whether an exception or restriction affects it. That assessment does not presume an approval or a closing date.

Yes. An employment agreement, wage claim or scheduling-policy review can be a defined fixed-fee matter. We agree on the work before it begins.

Your introduction to Cove

Start with a conversation about what you need.

If you decide to move forward, we’ll agree on the work and its fixed fee before we begin.

Have a particular matter in mind? Tell us about it.

Share what you’re working through or working toward.

Send relevant documents ahead of time so we can come prepared.

Your introduction to Cove

Start with a conversation about what you need.

If you decide to move forward, we’ll agree on the work and its fixed fee before we begin.

Have a particular matter in mind? Tell us about it.

Share what you’re working through or working toward.

Send relevant documents ahead of time so we can come prepared.

Your introduction to Cove

Start with a conversation about what you need.

If you decide to move forward, we’ll agree on the work and its fixed fee before we begin.

Have a particular matter in mind? Tell us about it.

Share what you’re working through or working toward.

Send relevant documents ahead of time so we can come prepared.