State guide
Pennsylvania Home Care Compliance
All six compliance areas for Pennsylvania home care agencies, each cited to official sources.
Last reviewed: July 24, 2026
Pennsylvania at a glance Pennsylvania licenses non-medical operators as home care agencies or home care registries under 28 Pa. Code Chapter 611, and skilled operators as home health care agencies under Chapter 601 — both through the DOH Division of Home Health, with inspections tied to initial licensure and renewals. Pennsylvania's minimum wage remains stuck at the federal $7.25, but agencies should not relax: the PA Minimum Wage Act gives home care agency workers overtime rights the FLSA exemptions can't touch (Bayada), bans half-time fluctuating-workweek overtime (Chevalier), and Philadelphia, Pittsburgh, and Allegheny County each mandate paid sick leave.
Requirements by category
Health Benefits & ACA → Pennsylvania runs the Pennie exchange, expanded Medicaid, and has a 9-month mini-COBRA for 2-19 employee groups - but no auto-IRA, PFL, or… PennieYesNo Occupational Health → Pennsylvania's home care agency/registry rule (28 Pa. Code 611.56) requires TB screening per CDC guidelines before consumer contact… RequiredFrom 1st employee Caregiver Training → Pennsylvania's home care agency/registry rule (28 Pa. Code Chapter 611) imposes no fixed training-hour minimum for direct care workers —… 75 (federal, Medicare-certified…None (competency exam or…Annual competency review; no… Wage & Hour → Pennsylvania's minimum wage remains stuck at the federal $7.25, but agencies should not relax: the PA Minimum Wage Act gives home care… $7.251.5x >40 (state law, no agency…None statewide… Licensure & Survey Readiness → Pennsylvania licenses non-medical operators as home care agencies or home care registries under 28 Pa. Code Chapter 611, and skilled… PA Dept. of Health28 Pa. Code chs. 611, 601Home care agency/registry; Home… Background Checks → Pennsylvania's Older Adults Protective Services Act requires a PA State Police check for every home care and home health direct care hire,… ConditionalNurse aide registry; ChildLine…
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Reviewed quarterly by Vitable Health.