State guide
Delaware Home Care Compliance
All six compliance areas for Delaware home care agencies, each cited to official sources.
Last reviewed: July 24, 2026
Delaware at a glance Delaware licenses skilled home health agencies and non-medical Personal Assistance Services Agencies (PASAs) through the Division of Health Care Quality. Delaware's minimum wage is $15.00 (reached January 1, 2025; no indexing yet), with no state overtime law and no paid sick leave mandate — though paid family/medical leave (Healthy Delaware Families Act) contributions began in 2025.
Requirements by category
Health Benefits & ACA → Delaware uses HealthCare.gov, expanded Medicaid, mandates Delaware EARNS for 5+ employers, and launched Delaware Paid Leave benefits… HealthCare.govYesNo Occupational Health → Delaware's skilled home health agency licensure regulation (16 Del. Admin. Code 3350, Section 5.0) requires CDC-consistent TB testing:… RequiredFrom 1st employee Caregiver Training → Delaware licenses skilled home health agencies (16 Del. Admin. Code 3350), aide-only home health agencies (3351, requiring 75 hours of… 75 (state + federal)Orientation + competency test…12 hrs/yr (HHA); annual… Wage & Hour → Delaware's minimum wage is $15.00 (reached January 1, 2025; no indexing yet), with no state overtime law and no paid sick leave mandate —… $15.00FLSA onlyNone (PFML program instead) Licensure & Survey Readiness → Delaware licenses skilled home health agencies and non-medical Personal Assistance Services Agencies (PASAs) through the Division of… DE Division of Health Care Quality16 Del. C. ch. 11; 16 DE Admin.…Home health agency; Personal… Background Checks → Delaware is among the strictest states: home health and personal assistance services agencies must obtain state and FBI fingerprint… YesAdult Abuse Registry; Child…
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Reviewed quarterly by Vitable Health.