State guide
New York Home Care Compliance
All six compliance areas for New York home care agencies, each cited to official sources.
Last reviewed: July 24, 2026
New York at a glance New York licenses non-medical/private-duty agencies as LHCSAs under Public Health Law Article 36 with establishment approval by the PHHPC and a public-need methodology; the 2018-2020 application moratorium has expired but new-county access remains tightly gated. New York is the most regulated home care wage market in the country: on top of the $17.00/$16.00 regional minimum wage, home care aides have their own higher minimum ($19.65 downstate / $18.65 upstate in 2026), plus the 13-hour rule for 24-hour shifts, Wage Parity benefits on Medicaid cases, weekly pay for manual workers, and pay transparency.
Requirements by category
Health Benefits & ACA → New York combines NY State of Health with the Essential Plan (cut to 200% FPL on July 1, 2026), mandatory DBL + Paid Family Leave, the NY… NY State of HealthYesNo Occupational Health → New York's home care personnel rule (10 NYCRR 766.11) requires a pre-employment individual TB risk assessment, symptom evaluation, and… RequiredFrom 1st employee Caregiver Training → New York sets statewide training standards through DOH-approved programs: 40 hours for personal care aides (PCAs) and 75 hours for home… 754012 hrs/yr HHA; 6 hrs/yr PCA Wage & Hour → New York is the most regulated home care wage market in the country: on top of the $17.00/$16.00 regional minimum wage, home care aides… $17.00/$16.00 ($19.65/$18.65 for…1.5x >40 (live-in >44)Yes (40–56 hrs/yr) Licensure & Survey Readiness → New York licenses non-medical/private-duty agencies as LHCSAs under Public Health Law Article 36 with establishment approval by the PHHPC… NYS DOH / PHHPCPHL art. 36, § 3605; 10 NYCRR 766LHCSA; CHHA (certified) Background Checks → New York's Criminal History Record Check (CHRC) program requires fingerprint-based checks for unlicensed direct care staff of certified… YesHome Care Worker Registry; nurse…
☆ Rules change. We watch them for you.
Get one short email when New York's home care requirements change. No spam, unsubscribe anytime.
Reviewed quarterly by Vitable Health.