State guide
Iowa Home Care Compliance
All six compliance areas for Iowa home care agencies, each cited to official sources.
Last reviewed: July 24, 2026
Iowa at a glance Iowa is one of the few states with no home care licensure at all — neither non-medical home care nor home health agencies require a state license; Medicare certification is the only survey regime. Iowa applies the federal $7.25 minimum wage with no state overtime or paid sick leave law, and 2017 legislation preempts county minimum wages.
Requirements by category
Health Benefits & ACA → Iowa uses HealthCare.gov, expanded Medicaid, and has no state benefits mandates. HealthCare.govYesNo Occupational Health → Iowa does not license home health or non-medical home care agencies at the state level (Medicare certification only, surveyed by DIAL), so… No specific ruleFrom 1st employee Caregiver Training → Iowa has no state licensure for home health or non-medical home care agencies, so no state-set caregiver training hours apply;… 75 (federal)None (no licensure)12 hrs/yr (federal) Wage & Hour → Iowa applies the federal $7.25 minimum wage with no state overtime or paid sick leave law, and 2017 legislation preempts county minimum… $7.25FLSA onlyNone Licensure & Survey Readiness → Iowa is one of the few states with no home care licensure at all — neither non-medical home care nor home health agencies require a state… IA DIAL (survey agency only)No licensure statuteNone; Medicare certification only Background Checks → Iowa requires state criminal history checks plus child and dependent adult abuse registry checks for home health and in-home care… NoDependent adult abuse registry;…
☆ Rules change. We watch them for you.
Get one short email when Iowa's home care requirements change. No spam, unsubscribe anytime.
Reviewed quarterly by Vitable Health.