State guide
Tennessee Home Care Compliance
All six compliance areas for Tennessee home care agencies, each cited to official sources.
Last reviewed: July 24, 2026
Tennessee at a glance Tennessee split oversight in 2022: the independent Health Facilities Commission now licenses home health agencies (which also require a Certificate of Need), while non-medical Personal Support Services Agencies are licensed by the Department of Mental Health and Substance Abuse Services. Tennessee has no state minimum wage, overtime, or paid sick leave law; the federal $7.25 and FLSA overtime govern home care agencies, and local wage/benefit mandates are preempted.
Requirements by category
Health Benefits & ACA → Tennessee uses HealthCare.gov, is a non-expansion state, and has no state benefits mandates. HealthCare.govNoNo Occupational Health → Tennessee's home health licensing rules (Health Facilities Commission ch. 0720-27) require proof of adequate medical screenings to exclude… Health statement5+ employees (construction: 1+) Caregiver Training → Tennessee licenses home care organizations providing home health services (rules historically at chapter 1200-08-26, now under the Health… 75 incl. 16 practicalNone (orientation/competency)12 hrs/yr (HHA only) Wage & Hour → Tennessee has no state minimum wage, overtime, or paid sick leave law; the federal $7.25 and FLSA overtime govern home care agencies, and… $7.25 (federal)FLSA onlyNone Licensure & Survey Readiness → Tennessee split oversight in 2022: the independent Health Facilities Commission now licenses home health agencies (which also require a… TN Health Facilities Commission…Tenn. Code Ann. § 68-11-201;…Personal support services… Background Checks → Tennessee gives home care organizations a choice: TBI/FBI fingerprint checks or a professional background screening covering the… ConditionalTN Abuse Registry; sex offender;…
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Reviewed quarterly by Vitable Health.