The short answer Utah licenses home health agencies and non-medical Personal Care Agencies through the DHHS Division of Licensing and Background Checks under the R432 health facility rules.
What Utah requires
Utah
Licensing agency. The Utah DHHS Division of Licensing and Background Checks (Office of Licensing) licenses home health agencies (Utah Admin. Code R432-700, the Home Health Agency Rule) and Personal Care Agencies under R432-725.
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Personal Care Agency license. Non-medical agencies license under the Personal Care Agency Rule (R432-725), which sets administrator qualifications (21+, one year supervisory experience), aide training/competency, nurse or experienced-CNA supervision, and six hours of annual in-service.
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Fees. FY2025 personal care licensing fees totaled roughly $3,200 for a new provider (base ~$744, agency fee ~$1,430, new provider fee ~$1,069), submitted through the Office of Licensing provider portal.
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Surveys and background checks. The Office of Licensing conducts initial and renewal surveys with plan-of-correction requirements, and all owners, administrators, and direct care staff must clear Utah's centralized background check system.
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The federal baseline (applies in every state)
Federal
No federal home care license. There is no federal license for home care or home health agencies. Licensure is a state function: each state (and DC) decides whether and how to license home health agencies and non-medical personal care/companion agencies, so requirements vary dramatically by jurisdiction.
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Medicare certification (42 CFR Part 484). Agencies that bill Medicare for skilled home health must be certified as meeting the Medicare Conditions of Participation at 42 CFR Part 484 (patient rights, comprehensive assessment, QAPI, skilled professional services, home health aide standards, and more), on top of any state license.
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Accreditation with deemed status. Most new Medicare home health agencies obtain certification through a CMS-approved accrediting organization with deeming authority — ACHC, CHAP, or The Joint Commission — whose surveys substitute for the state agency's Medicare certification survey.
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State survey agencies enforce both. State survey agencies (usually the state health department) operate under agreements with CMS to survey Medicare-certified agencies, and most also run the state licensure survey program — initial surveys, renewal/recertification surveys, complaint investigations, and plan-of-correction enforcement per the CMS State Operations Manual.
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