Learn about the state-specific licensure requirements for hospice services.

Hospice Licensure

States vary in their licensure requirements for hospice services. In addition, the Centers for Medicare and Medicaid Services have specific deeming information for hospice.

Click on the states listed below to access resources about state-specific licensure requirements for hospice care. Note that the information below is to the best of CHAP’s knowledge. If you have further questions, please reach out or follow up with your state Department of Health.

State

Hospice License

Hospice Certificate of Need

Alabama

Yes

Yes

Alaska

Yes

No

Arizona

Yes

No

Arkansas

Yes

Yes

California

Yes

No

Colorado

Yes

No

Connecticut

Yes

No

Delaware

Yes

No

District of Columbia

Yes

Yes

Florida

Yes

Yes

Georgia

Yes

No

Hawaii

Yes *

Yes

Idaho

No

No

Illinois

Yes

No

Indiana

Yes

No

Iowa

Voluntary

No

Kansas

No

No

Kentucky

Yes

Yes

Louisiana

Yes

No

Maine

Yes

No

Maryland

Yes

Yes

Massachusetts

Yes

No

Michigan

Yes

No

Minnesota

Yes

No

Mississippi

Yes

No

Missouri

Yes

No

Montana

Yes

No

Nebraska

Yes

No

Nevada

Yes

No

New Hampshire

Yes

No

New Jersey

Yes (Section 8:42C-2.5)

No

New Mexico

Yes

No

New York

Yes

Yes

North Carolina

Yes

Yes

North Dakota

Yes

No

Ohio

Yes

No

Oklahoma

Yes

No

Oregon

Yes

Yes (Inpatient only)

Pennsylvania

Yes

No

Rhode Island

Yes

Yes

South Carolina

Yes

Yes (Inpatient only)

South Dakota

Yes (Inpatient only)

No

Tennessee

Yes

Yes

Texas

Yes

No

Utah

Yes

No

Vermont

No

Yes

Virginia

Yes

No

Washington

Yes

Yes

West Virginia

Yes

Yes

Wisconsin

Yes

No

Wyoming

Yes

No


*Hawaii does not yet have its own hospice code or rules. The new rules are still in process and are not yet online. Hawaii relies on the Medicare Hospice Conditions of Participation.