State guide
North Carolina Home Care Compliance
All six compliance areas for North Carolina home care agencies, each cited to official sources.
Last reviewed: July 24, 2026
North Carolina at a glance North Carolina licenses home care agencies (in-home aide, nursing, companion services) through DHSR; Medicare-certified home health requires a Certificate of Need. North Carolina's minimum wage matches the federal $7.25, state overtime mirrors the FLSA, and there is no paid sick leave law; local wage mandates for private employers are preempted.
Requirements by category
Health Benefits & ACA → North Carolina uses HealthCare.gov and became the 40th expansion state on December 1, 2023; it has no state benefits mandates. HealthCare.govYesNo Occupational Health → North Carolina's home care agency licensing rules explicitly require baseline TB skin testing for hands-on care employees before… Required3+ employees Caregiver Training → North Carolina licenses home care agencies under 10A NCAC 13J (DHSR). In-home aides must either be listed on the NC Nurse Aide I Registry… 75 (federal) + NA registry listingNA I listing or RN-verified…12 hrs/yr (HHA, federal) Wage & Hour → North Carolina's minimum wage matches the federal $7.25, state overtime mirrors the FLSA, and there is no paid sick leave law; local wage… $7.251.5x >40 (mirrors FLSA)None Licensure & Survey Readiness → North Carolina licenses home care agencies (in-home aide, nursing, companion services) through DHSR; Medicare-certified home health… NC DHSRN.C.G.S. § 131E-135; 10A NCAC 13JHome care agency; Home health… Background Checks → North Carolina home care agencies must obtain criminal history checks for unlicensed staff — state check for long-term residents, national… ConditionalHealth Care Personnel Registry;…
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Reviewed quarterly by Vitable Health.