State guide
Alabama Home Care Compliance
All six compliance areas for Alabama home care agencies, each cited to official sources.
Last reviewed: July 24, 2026
Alabama at a glance Alabama has no state license for home health agencies — oversight runs through SHPDA Certificate of Need review and Medicare certification, with ADPH as the survey agency; private-pay non-medical companion and personal care agencies are also unlicensed. Alabama has no state minimum wage, overtime, or sick leave law, so home care agencies follow federal FLSA rules: $7.25 minimum wage and overtime over 40 hours. State law also preempts cities from setting their own minimum wages.
Requirements by category
Health Benefits & ACA → Alabama uses HealthCare.gov, has not expanded Medicaid (creating a coverage gap for the lowest-wage caregivers), and imposes no state… HealthCare.govNoNo Occupational Health → Alabama does not license home health agencies at the state level (Certificate of Need review plus federal Medicare/Medicaid certification… No specific rule5+ employees Caregiver Training → Alabama issues no state home health agency license — agencies operate through Medicare/Medicaid certification (surveyed by ADPH) plus a… 75 (federal)None (no state licensure)12 hrs/yr (federal, HHA) Wage & Hour → Alabama has no state minimum wage, overtime, or sick leave law, so home care agencies follow federal FLSA rules: $7.25 minimum wage and… $7.25 (federal)FLSA onlyNone Licensure & Survey Readiness → Alabama has no state license for home health agencies — oversight runs through SHPDA Certificate of Need review and Medicare… ADPH (survey) / SHPDA (CON)Ala. Code § 22-21-260 et seq.…None — CON + Medicare… Background Checks → Alabama is one of the few states with no statutory criminal background check mandate for home health agency employees; the state's… NoNurse aide registry; sex…
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Reviewed quarterly by Vitable Health.