State guide
Maryland Home Care Compliance
All six compliance areas for Maryland home care agencies, each cited to official sources.
Last reviewed: July 24, 2026
Maryland at a glance Maryland licenses non-medical and private-duty care as Residential Service Agencies (RSAs) through OHCQ, while Medicare-style home health agencies are separately licensed with CON. Maryland's minimum wage is $15.00 for all employers (since January 1, 2024, no indexing), with state overtime over 40 hours, paid sick leave under the Healthy Working Families Act, and wage-range transparency in job postings.
Requirements by category
Health Benefits & ACA → Maryland runs Maryland Health Connection, expanded Medicaid, mandates MarylandSaves, and delayed its FAMLI paid leave program -… Maryland Health ConnectionYesNo Occupational Health → Maryland has a detailed TB rule: home health agency personnel must be certified TB-free within 10 days of starting service under COMAR… RequiredFrom 1st employee Caregiver Training → Maryland licenses non-Medicare home care companies as Residential Service Agencies (RSAs) under COMAR 10.07.05. Hands-on aide care… CNA 100 hrs (state)CNA 100 hrs (RSA aides)12 hrs/yr (federal, if certified) Wage & Hour → Maryland's minimum wage is $15.00 for all employers (since January 1, 2024, no indexing), with state overtime over 40 hours, paid sick… $15.001.5x >40Yes (40 hrs; paid if 15+) Licensure & Survey Readiness → Maryland licenses non-medical and private-duty care as Residential Service Agencies (RSAs) through OHCQ, while Medicare-style home health… MD OHCQMd. Health-Gen. § 19-4A; COMAR…Residential Service Agency; Home… Background Checks → Maryland residential service agencies (RSAs) must screen employees through either a CJIS state-and-federal fingerprint check or a private… ConditionalMBON CNA registry; sex offender
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Reviewed quarterly by Vitable Health.