United States · 15 states compared

Home care policy requirements by state

Every state we cover expects a home care agency to run on written policies and procedures. They differ on how the rules list them, when the regulator first reads them, the format it asks for and how often you must review them. This table puts them side by side, with each answer cited to the official rule or regulator page.

Built from our rule-verified state datasets. Rules last checked between September 30, 2026 and October 3, 2026; each row shows its own date. How we verify rules. For licenses, fees and surveys, see home care licensing requirements by state.

Quick answer

All 15 states in this table expect written policies, but the rules frame them differently: Illinois, Maryland, Nevada, North Carolina, Tennessee and Virginia list named policy items or topics in the rules; South Carolina asks for a policy for each section of the rule; in Indiana, the regulator’s form lists the policies; the license rules in Ohio name one written policy; Colorado, Georgia, Kansas, New York, Texas and Washington set a general duty, with specific policies named through the rules or listed by the regulator.

On timing, Illinois, Indiana and Maryland ask for policies with the application; Kansas, New York, North Carolina, Tennessee and Washington review them as documents before licensing, sent or uploaded after the application form; Colorado and Nevada check them at a survey before licensing; Texas checks them at the initial survey after the license is issued; Georgia asks for a notarized affidavit that they are in place and checks them at inspections; Ohio and South Carolina ask for one named policy with the application; for Virginia, our sources do not say when the regulator first reviews them. A yearly review that covers the policies is required in Colorado, Maryland, North Carolina, Texas and Virginia; a review at least every two years in South Carolina; Nevada, New York and Washington set a fixed cycle only for certain policies or plans; Illinois and Kansas have policies revised as needed, with no fixed cycle named; for Georgia, Indiana, Ohio and Tennessee, our sources name no review cycle. The table below shows each state’s rule, with a link to the source.

How to read the table

Rule or guidance. Where an answer comes from a regulator’s web page, form, checklist or letter rather than the law or rule, the cell says who says it (for example “KDHE’s guide asks”), and a Regulator guidance label marks cells that rest on guidance alone. Format asks are often guidance, not rule text.
“Our reading” marks an answer that is our interpretation, because the rule does not say it in so many words. Confirm those with the regulator.
“Not covered in our sources” means the official texts we saved do not answer the question. We leave it blank rather than guess.
The last column is about CareRulebook, not the state. It says what our manual for that state includes, such as an index or upload set matched to the regulator’s process. It is not a rule.
Every answer links its source. The small links under each cell go to the rule section or regulator page we quote. Each state’s policies guide has the full list.
Non-medical home care only. Medicaid programs and skilled home health licenses can add their own policies; we mention them only where our sources cover them.

The 15 states compared

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Home care policy requirements in 15 US states. The last column describes CareRulebook’s manual, not a state rule.
State and guide	Written policies the rules require	When the regulator sees them	Format and approval asks	How often to review them	Worth knowing	CareRulebook manual (our product)
Colorado CDPHE, HCA Class B Rules checked October 2, 2026 Policies guide	Policies for running the agency Chapter 26 has the agency develop and adopt policies and procedures for its operation and administration, and names specific ones throughout, such as infection prevention and control. All staff must have access to them and know them. 6 CCR 1011-1 Ch. 26, 7.1(C)(3)6 CCR 1011-1 Ch. 26, 5.13(B)6 CCR 1011-1 Ch. 26, 5.9(A)(2)	At the initial survey CDPHE’s guidance says all required policies must be ready for review at the initial survey, before the license is issued. The fitness review before it can also look at policies. Step 6 6 CCR 1011-1 Ch. 2, 2.7.1(D)	Not covered in our sources	Every year Policies are reviewed annually and revised as needed. Infection prevention and control policies are evaluated at least annually, with changes documented. 6 CCR 1011-1 Ch. 26, 7.1(C)(3)6 CCR 1011-1 Ch. 26, 5.13(B)	Licensed after a zero-deficiency surveyRegulator guidance CDPHE’s guidance says it issues the license after the initial survey is completed with zero deficiencies. CDPHE links example application documents but says not to use them as templates. Step 7, License Issued Initial Application - General Information	Full manual, Word and PDF Covers every written policy Chapter 26 and Chapter 2 require, ready for CDPHE’s initial survey. Build your Colorado manual
Georgia DCH, PHCP Rules checked September 30, 2026 Policies guide	Every policy the rules mandate The governing body determines all policies and procedures. The duties to write specific policies sit in the sections of Chapter 111-8-65, such as client records. 111-8-65-.09(4)(b)111-8-65-.04	Ready before you apply DCH’s checklist says all policies must be in place before you apply and available on request. They are open to review at the initial survey you request during the three-month provisional license, which confirms compliance with the rules, and at unannounced inspections after that. Application Checklist, p. 1 Application Checklist, p. 2 111-8-65-.03(k)Application Checklist, Affidavit of Compliance	A notarized affidavit of complianceRegulator guidance The application includes a notarized Affidavit of Compliance in which the owner attests that the policies the rules require have been developed. Application Checklist, Initial, item 3 Application Checklist, Affidavit of Compliance	Not covered in our sources	Deficient policies can bring sanctionsRegulator guidance DCH’s affidavit says the policies are put into practice as soon as the license is approved, and that deficient policies may lead to sanctions. Application Checklist, Affidavit of Compliance	Full manual, Word and PDF Covers every written policy Chapter 111-8-65 requires, for personal care, companion and sitter, and nursing services. Build your Georgia manual
Illinois IDPH, Home services agency Rules checked October 1, 2026 Policies guide	Seven policy areas, plus more The rule names seven policy areas, plus client acceptance criteria, to file with the application, from complaint resolution to employee training, and the governing body adopts all operating and administrative policies. IDPH’s form asks initial applicants for nine policies. 77 Ill. Adm. Code 245.90(a)(3)(I)77 Ill. Adm. Code 245.90(a)(5), (7), (8)Form 445104, page 8 77 Ill. Adm. Code 245.30(a)(3)	Filed with the application Copies go with the initial application. IDPH’s FAQ says it reviews a new application within 30 days and emails for revisions; the survey comes in the last 30 days of the provisional license. 77 Ill. Adm. Code 245.90(a)(3)(I)FAQ, process to obtain a license 77 Ill. Adm. Code 245.100(a)(3)	On paper, by mailRegulator guidance IDPH’s form says it does not accept electronic submissions: the application and its attachments go by mail. The agency manager signs its affidavit with an original signature. Form 445104, page 1 Form 445104, page 8	As needed; program yearly The governing body revises policies as needed; no fixed cycle is named. The quality improvement program, which has written policies, evaluates the whole program at least once a year. 77 Ill. Adm. Code 245.30(a)(3)77 Ill. Adm. Code 245.240(a)	Manuals on hand at surveys IDPH’s survey checklist lists policy and procedure manuals among the materials to have ready. Refusing to make policies and records available at an inspection is grounds for revocation. Surveillance Nurse Visit Checklist (Home Services)77 Ill. Adm. Code 245.110(c)	Full manual, Word and PDF Covers the policies IDPH asks for with the license application and the rest of Part 245 for home services agencies, with task competency checklists. Build your Illinois manual
Indiana IDOH, PSA license Rules checked October 2, 2026 Policies guide	Nine on IDOH’s formOur reading IDOH’s application form lists nine policies and procedures, each tied to a section of IC 16-27-4, from unstable health conditions to the client rights statement. By our search, the statute itself uses the word policy for only one: telling clients about cost increases. State Form 53391, Section VIII, items 1-9 IC 16-27-4-12(7)	Uploaded with the applicationRegulator guidance Applications and documents go through the IDOH Gateway. IDOH’s form says all documentation, including the policies, must be received and approved before it issues a license. PSA Licensing Program page, Gateway State Form 53391, Section VIII	IDOH’s order, one per sheetRegulator guidance IDOH’s 2022 letter asks for each policy named by its statute heading, on a separate sheet, in the application’s order, under the Secretary of State name. Its form says not to send a handbook or cut and paste IC 16-27-4. Instruction letter, Policy and Procedure Requirements State Form 53391, Section VIII	Not covered in our sources	Not all checked at firstRegulator guidance IDOH’s 2024 document says some required policies, such as TB and training, are not evaluated at initial licensure but must still be in place. IDOH asks applicants not to mix in Medicaid waiver (FSSA) policies. IDOH-HCBC/PSA-1, Procedures and Responsibilities IDOH-HCBC/PSA-1, FAQs, Policy and Procedures State Form 53391, Section VIII	Manual plus IDOH upload set The nine policies and forms IDOH asks for, in IDOH’s order, each on its own page, without the rule text, alongside the full manual. Build your Indiana manual
Kansas KDHE, HHA (supportive care) Rules checked October 2, 2026 Policies guide	Policies the rules require The rule makes the policies and procedures required by K.A.R. 28-51-103, -104, -117 and -118 part of the initial application. By our count, KDHE’s Instruction Guide has 70 numbered items, about 42 of which ask for a policy. K.A.R. 28-51-101(a)(1)(C)Instruction Guide, Important (our count of the numbered items)	Uploaded for a desk reviewRegulator guidance After the fee, you upload the policies to KDHE’s file transfer system. KDHE reviews the packet and issues the license when every required document meets the requirements. Instructions, Initial Applications 2 Instructions, Initial Applications 4	Letterhead, board approval, foldersRegulator guidance KDHE’s guide asks for policies on the agency’s letterhead, clearly approved by the governing board and specific to Kansas, uploaded into its numbered folders and repeated in every section they answer. Instruction Guide, Additional Help Instruction Guide, p. 1 Instruction Guide, Important Instruction Guide, Instructions 3	As needed The governing body adopts, revises and approves policies as needed; no fixed cycle is named. KDHE also asks for a policy on how policies are adopted and revised. K.A.R. 28-51-103(a)(3)KDHE Instruction Guide, Governing Body (2)	No blanks or “Not Applicable”Regulator guidance KDHE says no area may be left blank or say “See Attached” or “Not Applicable”. An uploaded file cannot be opened again, so KDHE recommends gathering every document first. Instruction Guide, Additional Help Instruction Guide, Important	Manual plus KDHE folders A ZIP of your policies and forms arranged in the folders of KDHE’s file transfer system, with a read-me listing what you add. Build your Kansas manual
Maryland OHCQ, RSA Rules checked October 2, 2026 Policies guide	23 items in five groups COMAR 10.07.05.08B lists 23 policy items, as a minimum, in five groups: administration, personnel, patient care, informed consent, and environment and safety. Other sections add more, such as screening and complaints. COMAR 10.07.05.08B(1)COMAR 10.07.05.09A, .10A, .12G, .14C, .15D, .16A	Filed with the application Copies of the .08B policies are part of the application, and OHCQ reviews every application before licensing. COMAR 10.07.05.04A(2)(i)COMAR 10.07.05.04C	Section B: document and pagesRegulator guidance For each of the 23 items, OHCQ’s application asks for the name of the attached document and its page numbers, or N/A where you ask for a waiver. The application must be typed. Application, Section B, Policies and Procedures Application, Instructions	Every year The governing authority meets management at least annually to review and advise on policies, and keeps minutes. COMAR 10.07.05.08A	Waivers for items you do not need OHCQ may waive a .08B policy if you explain in writing why it is inappropriate or unnecessary for your agency, for example enteral and parenteral nutrition at an agency that offers none. COMAR 10.07.05.08B(2)Application, Section B, Waiver of a Specific Policy or Procedure	Manual plus Section B index For each of the 23 items, the policy and its pages in your PDF manual, or N/A with the waiver request text if you chose one. Build your Maryland manual
Nevada HCQC, Personal care agency (PCA) Rules checked October 3, 2026 Policies guide	13 topics at a minimum NAC 449.3974 requires written policies on staff qualifications, duties and conditions of employment covering at least 13 topics, from attendant duties to special populations. HCQC’s workbook ends with a 55-tag checklist of the policies, forms and documents it expects. NAC 449.3974 NAC 449.3974(1)-(13)Workbook (12.2024), final pages	At the prelicensure survey Policies are not on HCQC’s upload list. Once the application is complete, the Division reviews policies and performs a prelicensure survey. Licensing Checklist for Personal Care Services (PCS)NAC 449.0112(1)	Not covered in our sources	As needed; infection plan yearly Policies are reviewed and revised as needed and given to staff whenever they change. The statute has the written infection control plan updated every year. NRS 449B.220(3)(c)NAC 449.3974	Workbook predates R089-24Regulator guidance HCQC’s 12.2024 workbook, still linked as the initial inspection workbook, prints the prohibited services list from before R089-24, including medication. Workbook (12.2024), tag P0164	Manual plus HCQC checklist index All 55 tags of HCQC’s checklist in HCQC’s order, each with the policy and pages in your PDF manual that answer it, as an aid for the prelicensure survey. Build your Nevada manual
New York DOH, LHCSA Rules checked October 3, 2026 State guide	Adopted by the governing authority The governing authority adopts written policies on management, operation and care. DOH’s review tool lists the minimum policies, and there must be a policy for each service requested. 10 NYCRR 766.9(d)Review Tool Part A, pages 4 to 5 Applicant Worksheet, page 1	After PHHPC approval, before openingRegulator guidance DOH says to send the manual only after PHHPC and DOH approve the application. The regional office reviews it, then schedules a pre-opening survey. LHCSA page, note FAQ A, Q3	Binder, index and crosswalkRegulator guidance DOH’s guidance asks for hard copy only, in a hard-covered binder with dividers; an index with each policy’s number, regulation and review dates; a crosswalk to the regulations; Word at 12 point or more; and its applicant worksheet with the manual. Guidance, Submission item 2 Guidance, Submission item 4 Guidance, All submissions should Applicant Worksheet, page 1	QI committee, four times a year A quality improvement committee meets at least four times a year to review the policies on care delivery and recommend changes. The Health Commerce System coverage policy is reviewed at least yearly. 10 NYCRR 766.9(l)(1)10 NYCRR 766.9(o); DAL DHCBS 25-10	DOH directives go in tooRegulator guidance DOH’s guidance says its directives, such as Dear Administrator Letters, must be built into the policies, and the regional office scores each policy against the text of the regulations. Guidance, Background Review Tool Part B, instructions	Free guide only New York guide
North Carolina DHSR, Home care agency Rules checked October 1, 2026 State guide	11 topics, plus more The governing body sets written policies on 11 topics, from scope of services to referral to other agencies; other rules add infection control, personnel, client acceptance and records. DHSR’s checklist lists 32 policy items. 10A NCAC 13J .1001(a)10A NCAC 13J .1001(a)(1)-(11)10A NCAC 13J .1003(a)10A NCAC 13J .1003(d)10A NCAC 13J .1101 10A NCAC 13J .1401(a)Initial Survey Checklist, pp. 1-2	Sent for the initial surveyRegulator guidance After confirming receipt of your application and fee, DHSR emails you to request your policies, procedures and personnel documents. The initial survey is a review of what you send. Requirements for Establishing a Home Care Agency	Not covered in our sources	Every year, in the evaluation The annual evaluation of the total operation includes a policy and administration review, used to revise policies as necessary. Sample client records are reviewed every 90 days. 10A NCAC 13J .1004(b)-(c)10A NCAC 13J .1004(a), (d)	A sample and an assuranceRegulator guidance DHSR treats the policies you submit as a sample of those needed to run the agency, and as an assurance of compliance. A new site adopts the existing site’s policies by letter. FAQ 15 FAQ 14-15 Requirements for Adding an Additional Home Care Site	Full manual, Word and PDF Covers DHSR’s initial survey checklist, mapped to 10A NCAC 13J. Build your North Carolina manual
Ohio ODH, Nonmedical HHS Rules checked September 30, 2026 State guide	One named policy for the license The ODH license rules name one written policy, on criminal records checks, plus any policies related to your services, if applicable. If you seek ODA certification to serve Medicaid waiver clients (such as PASSPORT), ODA’s rules add more, such as an incident documentation policy and conduct standards for staff. OAC 3701-60-03(B)(3)(g)OAC 3701-60-03(B)(3)(d)OAC 173-39-02(A)(7)OAC 173-39-02(B)(8), (C)(1)(c)	One policy with the application A copy of the criminal records check policy goes with the application, with any policies related to your services. OAC 3701-60-03(B)(3)(g)OAC 3701-60-03(B)(3)(d)	Not covered in our sources	Not covered in our sources	Medicaid certification adds policies ODA-certified providers of personal care keep written policies on job descriptions and aide qualification records, and give reviewers access to policies for every unit billed. OAC 173-39-02.11(C)(5)OAC 173-39-02(B)(10)(c)	Free guide only Ohio guide
South Carolina DPH, IHCP Rules checked October 2, 2026 Policies guide	One for each section of the rule Written policies addressing each section of R.60-122 on client care and operations, followed in practice and accessible to staff at all times. The policy section is a Class II standard. R.60-122 §301 R.60-122 §301.A	Drug testing policy with the application The random drug testing policies go with the initial application, and DPH’s form also asks for them with renewals. Our sources do not say how DPH checks the other policies before licensing. R.60-122 §103.F Form 1307, Additional Documents R.60-122 §103.B	Not covered in our sources	At least every two years The provider sets a review period of no more than two years for all policies, and each review is documented and signed by the administrator. R.60-122 §301.B	New since May 22, 2026 The 2026 rewrite replaced the regulation in its entirety. The 2014 rule it replaced had no general written-policy duty. Document No. 5407, Instructions S.C. Code of Regulations, Chapter 60, R.60-122 history (pre-2026 compilation)	Manual plus DPH drug testing policy Your random drug testing policy on its own, with its logs and record forms, to attach to DPH’s application form 1307. Build your South Carolina manual
Tennessee TDMHSAS, PSSA Rules checked October 2, 2026 Policies guide	17 items and 8 personnel topics The agency runs under written policies, including at least the 17 items in 0940-05-38-.06(1), and written personnel policies on at least 8 topics. 0940-05-38-.05(2)0940-05-38-.06(1)0940-05-38-.07(2)	Electronic desk audit TDMHSAS says the initial inspection is an electronic desk audit covering “certain policies and procedures”, which it does not list. Deficiencies must be corrected before a license is issued. Step 5 What does an Initial Inspection cover?0940-05-02-.06(5)(b)	Not covered in our sources	Not covered in our sources	Cited only on rule-based policiesRegulator guidance TDMHSAS says an agency should only be cited for policy rules in its administrative rules. For caregivers who give medication after approved training, it asks for a Medication Safety Policy. Slide 38 Slide 22	Full manual, Word and PDF Covers the 17 policy items and 8 personnel topics in TDMHSAS’s rules, with a crosswalk of both lists for the electronic desk audit. Build your Tennessee manual
Texas HHSC, HCSSA (PAS) Rules checked September 30, 2026 Policies guide	No single list HHSC does not keep a list of required policies. The duties are spread through Chapter 558, from operating hours to infection control. FAQ p. 4 26 TAC §558.210(a)26 TAC §558.285	At the initial survey, after licensing All policies the chapter requires must be ready when the surveyor arrives for the initial survey, which a PAS agency requests after serving its first client. 26 TAC §558.521(d)26 TAC §558.521(a)26 TAC §558.521(b)(1)	Not covered in our sources	Every year, in the QAPI evaluation The QAPI program’s annual evaluation of the total operation is used to correct problems and, if necessary, to revise policies. The emergency preparedness and response plan also gets an internal review at least annually and after each actual emergency. 26 TAC §558.287(a)(1)(B)26 TAC §558.256(j)	Follow what your policy saysRegulator guidance HHSC’s FAQ says that if your policy promises more than the rule, such as a copy of each driver’s license in personnel files, you must do what it says. FAQ p. 13	Full manual, Word and PDF Mapped to 26 TAC Chapter 558. Build your Texas manual
Virginia OLC, HCO Rules checked October 1, 2026 Policies guide	Topics in four groups Policies approved by the governing body cover at least 18 administrative and operational topics, 6 financial, 7 personnel and 4 admission and discharge topics. 12VAC5-381-180 A, C-F	Not stated before licensing Applicants are subject to OLC inspection, and a license is issued on a finding of compliance. Our sources do not say whether OLC reviews policies before the first license. 12VAC5-381-40 C 12VAC5-381-20 B	Approved by the governing body The rule requires written policies approved by the governing body, which reviews and approves them every year. 12VAC5-381-180 A, C-F 12VAC5-381-160 C-D	Every year All policies are reviewed at least annually, with recommended changes going to the governing body for approval. 12VAC5-381-180 B 12VAC5-381-160 C-D	A withdrawn draft would have changed it A draft rewrite would have moved the policy review from every year to every two years. Town Hall shows that proposed stage was withdrawn on April 7, 2022, so the yearly review stands. Stage 9512 Agency Background Document, Substance, Section 180 Town Hall, action 5352, stage 9512 (archived copy)12VAC5-381-180 B	Full manual, Word and PDF Covers every policy topic in 12VAC5-381-180 and the rest of 12VAC5-381. Build your Virginia manual
Washington DOH, In-home services license (home care) Rules checked October 2, 2026 Policies guide	A manual of the required policies The policies the rules require make up a manual that must clearly demonstrate compliance with the chapter. DOH’s surveyors use a 60-tag policy and procedure checklist (DOH 505-141). WAC 246-335-320(2)(g)DOH 505-109 (April 2026), Policies and Procedures DOH 505-141	Approved before licensingRegulator guidance You do not send the manual with the application; DOH’s survey office asks for it later. DOH reviews and approves it before the license, and the initial survey focuses on it. DOH 505-109 (April 2026), Policies and Procedures Survey Program page	No Medicare references The rule bars references to federal Medicare requirements in home care policies. DOH’s checklist has a line for the date the policies were last reviewed and a signature line for the administrator. WAC 246-335-320(2)(g)(i)DOH 505-141, page 1	Kept current; infection control yearly The plan of operation is updated as practice, services and laws change. A documented yearly review of infection control guidance updates training and policies as necessary. WAC 246-335-415(12)WAC 246-335-425(12)(f)	Not the WAC copied outRegulator guidance DOH says policies may not be the WAC or RCW copied word for word. It says applicants may write the policies themselves, buy generic manuals or hire consultants, and asks that documents made with AI tools or templates be reviewed thoroughly before submission. Survey Program page, Policies and procedures DOH 505-109 (April 2026), Policies and Procedures DOH 505-109 (April 2026), Use of Artificial Intelligence	Manual plus DOH review copy Every policy and form with your agency’s details and choices, the rules cited but not quoted, to send when DOH asks for your policies. Build your Washington manual

Colorado

Colorado Department of Public Health and Environment, Health Facilities and Emergency Medical Services Division (CDPHE)

Written policies the rules require: Policies for running the agencyChapter 26 has the agency develop and adopt policies and procedures for its operation and administration, and names specific ones throughout, such as infection prevention and control. All staff must have access to them and know them.6 CCR 1011-1 Ch. 26, 7.1(C)(3)6 CCR 1011-1 Ch. 26, 5.13(B)6 CCR 1011-1 Ch. 26, 5.9(A)(2)
When the regulator sees them: At the initial surveyCDPHE’s guidance says all required policies must be ready for review at the initial survey, before the license is issued. The fitness review before it can also look at policies.Step 6 6 CCR 1011-1 Ch. 2, 2.7.1(D)
Format and approval asks: Not covered in our sources
How often to review them: Every yearPolicies are reviewed annually and revised as needed. Infection prevention and control policies are evaluated at least annually, with changes documented.6 CCR 1011-1 Ch. 26, 7.1(C)(3)6 CCR 1011-1 Ch. 26, 5.13(B)
Worth knowing: Licensed after a zero-deficiency surveyRegulator guidanceCDPHE’s guidance says it issues the license after the initial survey is completed with zero deficiencies. CDPHE links example application documents but says not to use them as templates.Step 7, License Issued Initial Application - General Information
CareRulebook manual (our product): Full manual, Word and PDFCovers every written policy Chapter 26 and Chapter 2 require, ready for CDPHE’s initial survey.

Colorado policies guide Build your Colorado manual Colorado guide

Rules checked October 2, 2026

Georgia

Georgia Department of Community Health, Healthcare Facility Regulation Division (DCH)

Written policies the rules require: Every policy the rules mandateThe governing body determines all policies and procedures. The duties to write specific policies sit in the sections of Chapter 111-8-65, such as client records.111-8-65-.09(4)(b)111-8-65-.04
When the regulator sees them: Ready before you applyDCH’s checklist says all policies must be in place before you apply and available on request. They are open to review at the initial survey you request during the three-month provisional license, which confirms compliance with the rules, and at unannounced inspections after that.Application Checklist, p. 1 Application Checklist, p. 2 111-8-65-.03(k)Application Checklist, Affidavit of Compliance
Format and approval asks: A notarized affidavit of complianceRegulator guidanceThe application includes a notarized Affidavit of Compliance in which the owner attests that the policies the rules require have been developed.Application Checklist, Initial, item 3 Application Checklist, Affidavit of Compliance
How often to review them: Not covered in our sources
Worth knowing: Deficient policies can bring sanctionsRegulator guidanceDCH’s affidavit says the policies are put into practice as soon as the license is approved, and that deficient policies may lead to sanctions.Application Checklist, Affidavit of Compliance
CareRulebook manual (our product): Full manual, Word and PDFCovers every written policy Chapter 111-8-65 requires, for personal care, companion and sitter, and nursing services.

Georgia policies guide Build your Georgia manual Georgia guide

Rules checked September 30, 2026

Illinois

Illinois Department of Public Health, Division of Health Care Facilities and Programs (IDPH)

Written policies the rules require: Seven policy areas, plus moreThe rule names seven policy areas, plus client acceptance criteria, to file with the application, from complaint resolution to employee training, and the governing body adopts all operating and administrative policies. IDPH’s form asks initial applicants for nine policies.77 Ill. Adm. Code 245.90(a)(3)(I)77 Ill. Adm. Code 245.90(a)(5), (7), (8)Form 445104, page 8 77 Ill. Adm. Code 245.30(a)(3)
When the regulator sees them: Filed with the applicationCopies go with the initial application. IDPH’s FAQ says it reviews a new application within 30 days and emails for revisions; the survey comes in the last 30 days of the provisional license.77 Ill. Adm. Code 245.90(a)(3)(I)FAQ, process to obtain a license 77 Ill. Adm. Code 245.100(a)(3)
Format and approval asks: On paper, by mailRegulator guidanceIDPH’s form says it does not accept electronic submissions: the application and its attachments go by mail. The agency manager signs its affidavit with an original signature.Form 445104, page 1 Form 445104, page 8
How often to review them: As needed; program yearlyThe governing body revises policies as needed; no fixed cycle is named. The quality improvement program, which has written policies, evaluates the whole program at least once a year.77 Ill. Adm. Code 245.30(a)(3)77 Ill. Adm. Code 245.240(a)
Worth knowing: Manuals on hand at surveysIDPH’s survey checklist lists policy and procedure manuals among the materials to have ready. Refusing to make policies and records available at an inspection is grounds for revocation.Surveillance Nurse Visit Checklist (Home Services)77 Ill. Adm. Code 245.110(c)
CareRulebook manual (our product): Full manual, Word and PDFCovers the policies IDPH asks for with the license application and the rest of Part 245 for home services agencies, with task competency checklists.

Illinois policies guide Build your Illinois manual Illinois guide

Rules checked October 1, 2026

Indiana

Indiana Department of Health, Division of Home and Community-Based Care (IDOH)

Written policies the rules require: Nine on IDOH’s formOur readingIDOH’s application form lists nine policies and procedures, each tied to a section of IC 16-27-4, from unstable health conditions to the client rights statement. By our search, the statute itself uses the word policy for only one: telling clients about cost increases.State Form 53391, Section VIII, items 1-9 IC 16-27-4-12(7)
When the regulator sees them: Uploaded with the applicationRegulator guidanceApplications and documents go through the IDOH Gateway. IDOH’s form says all documentation, including the policies, must be received and approved before it issues a license.PSA Licensing Program page, Gateway State Form 53391, Section VIII
Format and approval asks: IDOH’s order, one per sheetRegulator guidanceIDOH’s 2022 letter asks for each policy named by its statute heading, on a separate sheet, in the application’s order, under the Secretary of State name. Its form says not to send a handbook or cut and paste IC 16-27-4.Instruction letter, Policy and Procedure Requirements State Form 53391, Section VIII
How often to review them: Not covered in our sources
Worth knowing: Not all checked at firstRegulator guidanceIDOH’s 2024 document says some required policies, such as TB and training, are not evaluated at initial licensure but must still be in place. IDOH asks applicants not to mix in Medicaid waiver (FSSA) policies.IDOH-HCBC/PSA-1, Procedures and Responsibilities IDOH-HCBC/PSA-1, FAQs, Policy and Procedures State Form 53391, Section VIII
CareRulebook manual (our product): Manual plus IDOH upload setThe nine policies and forms IDOH asks for, in IDOH’s order, each on its own page, without the rule text, alongside the full manual.

Indiana policies guide Build your Indiana manual Indiana guide

Rules checked October 2, 2026

Kansas

Kansas Department of Health and Environment, Bureau of Facilities and Licensing (KDHE)

Written policies the rules require: Policies the rules requireThe rule makes the policies and procedures required by K.A.R. 28-51-103, -104, -117 and -118 part of the initial application. By our count, KDHE’s Instruction Guide has 70 numbered items, about 42 of which ask for a policy.K.A.R. 28-51-101(a)(1)(C)Instruction Guide, Important (our count of the numbered items)
When the regulator sees them: Uploaded for a desk reviewRegulator guidanceAfter the fee, you upload the policies to KDHE’s file transfer system. KDHE reviews the packet and issues the license when every required document meets the requirements.Instructions, Initial Applications 2 Instructions, Initial Applications 4
Format and approval asks: Letterhead, board approval, foldersRegulator guidanceKDHE’s guide asks for policies on the agency’s letterhead, clearly approved by the governing board and specific to Kansas, uploaded into its numbered folders and repeated in every section they answer.Instruction Guide, Additional Help Instruction Guide, p. 1 Instruction Guide, Important Instruction Guide, Instructions 3
How often to review them: As neededThe governing body adopts, revises and approves policies as needed; no fixed cycle is named. KDHE also asks for a policy on how policies are adopted and revised.K.A.R. 28-51-103(a)(3)KDHE Instruction Guide, Governing Body (2)
Worth knowing: No blanks or “Not Applicable”Regulator guidanceKDHE says no area may be left blank or say “See Attached” or “Not Applicable”. An uploaded file cannot be opened again, so KDHE recommends gathering every document first.Instruction Guide, Additional Help Instruction Guide, Important
CareRulebook manual (our product): Manual plus KDHE foldersA ZIP of your policies and forms arranged in the folders of KDHE’s file transfer system, with a read-me listing what you add.

Kansas policies guide Build your Kansas manual Kansas guide

Rules checked October 2, 2026

Maryland

Maryland Department of Health, Office of Health Care Quality (OHCQ)

Written policies the rules require: 23 items in five groupsCOMAR 10.07.05.08B lists 23 policy items, as a minimum, in five groups: administration, personnel, patient care, informed consent, and environment and safety. Other sections add more, such as screening and complaints.COMAR 10.07.05.08B(1)COMAR 10.07.05.09A, .10A, .12G, .14C, .15D, .16A
When the regulator sees them: Filed with the applicationCopies of the .08B policies are part of the application, and OHCQ reviews every application before licensing.COMAR 10.07.05.04A(2)(i)COMAR 10.07.05.04C
Format and approval asks: Section B: document and pagesRegulator guidanceFor each of the 23 items, OHCQ’s application asks for the name of the attached document and its page numbers, or N/A where you ask for a waiver. The application must be typed.Application, Section B, Policies and Procedures Application, Instructions
How often to review them: Every yearThe governing authority meets management at least annually to review and advise on policies, and keeps minutes.COMAR 10.07.05.08A
Worth knowing: Waivers for items you do not needOHCQ may waive a .08B policy if you explain in writing why it is inappropriate or unnecessary for your agency, for example enteral and parenteral nutrition at an agency that offers none.COMAR 10.07.05.08B(2)Application, Section B, Waiver of a Specific Policy or Procedure
CareRulebook manual (our product): Manual plus Section B indexFor each of the 23 items, the policy and its pages in your PDF manual, or N/A with the waiver request text if you chose one.

Maryland policies guide Build your Maryland manual Maryland guide

Rules checked October 2, 2026

Nevada

Nevada Health Authority, Health Care Purchasing and Compliance Division, Bureau of Health Care Quality and Compliance (HCQC)

Written policies the rules require: 13 topics at a minimumNAC 449.3974 requires written policies on staff qualifications, duties and conditions of employment covering at least 13 topics, from attendant duties to special populations. HCQC’s workbook ends with a 55-tag checklist of the policies, forms and documents it expects.NAC 449.3974 NAC 449.3974(1)-(13)Workbook (12.2024), final pages
When the regulator sees them: At the prelicensure surveyPolicies are not on HCQC’s upload list. Once the application is complete, the Division reviews policies and performs a prelicensure survey.Licensing Checklist for Personal Care Services (PCS)NAC 449.0112(1)
Format and approval asks: Not covered in our sources
How often to review them: As needed; infection plan yearlyPolicies are reviewed and revised as needed and given to staff whenever they change. The statute has the written infection control plan updated every year.NRS 449B.220(3)(c)NAC 449.3974
Worth knowing: Workbook predates R089-24Regulator guidanceHCQC’s 12.2024 workbook, still linked as the initial inspection workbook, prints the prohibited services list from before R089-24, including medication.Workbook (12.2024), tag P0164
CareRulebook manual (our product): Manual plus HCQC checklist indexAll 55 tags of HCQC’s checklist in HCQC’s order, each with the policy and pages in your PDF manual that answer it, as an aid for the prelicensure survey.

Nevada policies guide Build your Nevada manual Nevada guide

Rules checked October 3, 2026

New York

New York State Department of Health, Division of Home and Community Based Services (with the Public Health and Health Planning Council) (DOH)

Written policies the rules require: Adopted by the governing authorityThe governing authority adopts written policies on management, operation and care. DOH’s review tool lists the minimum policies, and there must be a policy for each service requested.10 NYCRR 766.9(d)Review Tool Part A, pages 4 to 5 Applicant Worksheet, page 1
When the regulator sees them: After PHHPC approval, before openingRegulator guidanceDOH says to send the manual only after PHHPC and DOH approve the application. The regional office reviews it, then schedules a pre-opening survey.LHCSA page, note FAQ A, Q3
Format and approval asks: Binder, index and crosswalkRegulator guidanceDOH’s guidance asks for hard copy only, in a hard-covered binder with dividers; an index with each policy’s number, regulation and review dates; a crosswalk to the regulations; Word at 12 point or more; and its applicant worksheet with the manual.Guidance, Submission item 2 Guidance, Submission item 4 Guidance, All submissions should Applicant Worksheet, page 1
How often to review them: QI committee, four times a yearA quality improvement committee meets at least four times a year to review the policies on care delivery and recommend changes. The Health Commerce System coverage policy is reviewed at least yearly.10 NYCRR 766.9(l)(1)10 NYCRR 766.9(o); DAL DHCBS 25-10
Worth knowing: DOH directives go in tooRegulator guidanceDOH’s guidance says its directives, such as Dear Administrator Letters, must be built into the policies, and the regional office scores each policy against the text of the regulations.Guidance, Background Review Tool Part B, instructions
CareRulebook manual (our product): Free guide only

New York guide

Rules checked October 3, 2026

North Carolina

North Carolina Division of Health Service Regulation, Acute and Home Care Licensure and Certification Section (DHSR)

Written policies the rules require: 11 topics, plus moreThe governing body sets written policies on 11 topics, from scope of services to referral to other agencies; other rules add infection control, personnel, client acceptance and records. DHSR’s checklist lists 32 policy items.10A NCAC 13J .1001(a)10A NCAC 13J .1001(a)(1)-(11)10A NCAC 13J .1003(a)10A NCAC 13J .1003(d)10A NCAC 13J .1101 10A NCAC 13J .1401(a)Initial Survey Checklist, pp. 1-2
When the regulator sees them: Sent for the initial surveyRegulator guidanceAfter confirming receipt of your application and fee, DHSR emails you to request your policies, procedures and personnel documents. The initial survey is a review of what you send.Requirements for Establishing a Home Care Agency
Format and approval asks: Not covered in our sources
How often to review them: Every year, in the evaluationThe annual evaluation of the total operation includes a policy and administration review, used to revise policies as necessary. Sample client records are reviewed every 90 days.10A NCAC 13J .1004(b)-(c)10A NCAC 13J .1004(a), (d)
Worth knowing: A sample and an assuranceRegulator guidanceDHSR treats the policies you submit as a sample of those needed to run the agency, and as an assurance of compliance. A new site adopts the existing site’s policies by letter.FAQ 15 FAQ 14-15 Requirements for Adding an Additional Home Care Site
CareRulebook manual (our product): Full manual, Word and PDFCovers DHSR’s initial survey checklist, mapped to 10A NCAC 13J.

Build your North Carolina manual North Carolina guide

Rules checked October 1, 2026

Ohio

Ohio Department of Health (ODH)

Written policies the rules require: One named policy for the licenseThe ODH license rules name one written policy, on criminal records checks, plus any policies related to your services, if applicable. If you seek ODA certification to serve Medicaid waiver clients (such as PASSPORT), ODA’s rules add more, such as an incident documentation policy and conduct standards for staff.OAC 3701-60-03(B)(3)(g)OAC 3701-60-03(B)(3)(d)OAC 173-39-02(A)(7)OAC 173-39-02(B)(8), (C)(1)(c)
When the regulator sees them: One policy with the applicationA copy of the criminal records check policy goes with the application, with any policies related to your services.OAC 3701-60-03(B)(3)(g)OAC 3701-60-03(B)(3)(d)
Format and approval asks: Not covered in our sources
How often to review them: Not covered in our sources
Worth knowing: Medicaid certification adds policiesODA-certified providers of personal care keep written policies on job descriptions and aide qualification records, and give reviewers access to policies for every unit billed.OAC 173-39-02.11(C)(5)OAC 173-39-02(B)(10)(c)
CareRulebook manual (our product): Free guide only

Ohio guide

Rules checked September 30, 2026

South Carolina

South Carolina Department of Public Health, Healthcare Quality, Bureau of Health Facilities Licensing (DPH)

Written policies the rules require: One for each section of the ruleWritten policies addressing each section of R.60-122 on client care and operations, followed in practice and accessible to staff at all times. The policy section is a Class II standard.R.60-122 §301 R.60-122 §301.A
When the regulator sees them: Drug testing policy with the applicationThe random drug testing policies go with the initial application, and DPH’s form also asks for them with renewals. Our sources do not say how DPH checks the other policies before licensing.R.60-122 §103.F Form 1307, Additional Documents R.60-122 §103.B
Format and approval asks: Not covered in our sources
How often to review them: At least every two yearsThe provider sets a review period of no more than two years for all policies, and each review is documented and signed by the administrator.R.60-122 §301.B
Worth knowing: New since May 22, 2026The 2026 rewrite replaced the regulation in its entirety. The 2014 rule it replaced had no general written-policy duty.Document No. 5407, Instructions S.C. Code of Regulations, Chapter 60, R.60-122 history (pre-2026 compilation)
CareRulebook manual (our product): Manual plus DPH drug testing policyYour random drug testing policy on its own, with its logs and record forms, to attach to DPH’s application form 1307.

South Carolina policies guide Build your South Carolina manual South Carolina guide

Rules checked October 2, 2026

Tennessee

Tennessee Department of Mental Health and Substance Abuse Services, Office of Licensure (TDMHSAS)

Written policies the rules require: 17 items and 8 personnel topicsThe agency runs under written policies, including at least the 17 items in 0940-05-38-.06(1), and written personnel policies on at least 8 topics.0940-05-38-.05(2)0940-05-38-.06(1)0940-05-38-.07(2)
When the regulator sees them: Electronic desk auditTDMHSAS says the initial inspection is an electronic desk audit covering “certain policies and procedures”, which it does not list. Deficiencies must be corrected before a license is issued.Step 5 What does an Initial Inspection cover?0940-05-02-.06(5)(b)
Format and approval asks: Not covered in our sources
How often to review them: Not covered in our sources
Worth knowing: Cited only on rule-based policiesRegulator guidanceTDMHSAS says an agency should only be cited for policy rules in its administrative rules. For caregivers who give medication after approved training, it asks for a Medication Safety Policy.Slide 38 Slide 22
CareRulebook manual (our product): Full manual, Word and PDFCovers the 17 policy items and 8 personnel topics in TDMHSAS’s rules, with a crosswalk of both lists for the electronic desk audit.

Tennessee policies guide Build your Tennessee manual Tennessee guide

Rules checked October 2, 2026

Texas

Texas Health and Human Services Commission (HHSC)

Written policies the rules require: No single listHHSC does not keep a list of required policies. The duties are spread through Chapter 558, from operating hours to infection control.FAQ p. 4 26 TAC §558.210(a)26 TAC §558.285
When the regulator sees them: At the initial survey, after licensingAll policies the chapter requires must be ready when the surveyor arrives for the initial survey, which a PAS agency requests after serving its first client.26 TAC §558.521(d)26 TAC §558.521(a)26 TAC §558.521(b)(1)
Format and approval asks: Not covered in our sources
How often to review them: Every year, in the QAPI evaluationThe QAPI program’s annual evaluation of the total operation is used to correct problems and, if necessary, to revise policies. The emergency preparedness and response plan also gets an internal review at least annually and after each actual emergency.26 TAC §558.287(a)(1)(B)26 TAC §558.256(j)
Worth knowing: Follow what your policy saysRegulator guidanceHHSC’s FAQ says that if your policy promises more than the rule, such as a copy of each driver’s license in personnel files, you must do what it says.FAQ p. 13
CareRulebook manual (our product): Full manual, Word and PDFMapped to 26 TAC Chapter 558.

Texas policies guide Build your Texas manual Texas guide

Rules checked September 30, 2026

Virginia

Virginia Department of Health, Office of Licensure and Certification (OLC)

Written policies the rules require: Topics in four groupsPolicies approved by the governing body cover at least 18 administrative and operational topics, 6 financial, 7 personnel and 4 admission and discharge topics.12VAC5-381-180 A, C-F
When the regulator sees them: Not stated before licensingApplicants are subject to OLC inspection, and a license is issued on a finding of compliance. Our sources do not say whether OLC reviews policies before the first license.12VAC5-381-40 C 12VAC5-381-20 B
Format and approval asks: Approved by the governing bodyThe rule requires written policies approved by the governing body, which reviews and approves them every year.12VAC5-381-180 A, C-F 12VAC5-381-160 C-D
How often to review them: Every yearAll policies are reviewed at least annually, with recommended changes going to the governing body for approval.12VAC5-381-180 B 12VAC5-381-160 C-D
Worth knowing: A withdrawn draft would have changed itA draft rewrite would have moved the policy review from every year to every two years. Town Hall shows that proposed stage was withdrawn on April 7, 2022, so the yearly review stands.Stage 9512 Agency Background Document, Substance, Section 180 Town Hall, action 5352, stage 9512 (archived copy)12VAC5-381-180 B
CareRulebook manual (our product): Full manual, Word and PDFCovers every policy topic in 12VAC5-381-180 and the rest of 12VAC5-381.

Virginia policies guide Build your Virginia manual Virginia guide

Rules checked October 1, 2026

Washington

Washington State Department of Health, in-home services program (DOH)

Written policies the rules require: A manual of the required policiesThe policies the rules require make up a manual that must clearly demonstrate compliance with the chapter. DOH’s surveyors use a 60-tag policy and procedure checklist (DOH 505-141).WAC 246-335-320(2)(g)DOH 505-109 (April 2026), Policies and Procedures DOH 505-141
When the regulator sees them: Approved before licensingRegulator guidanceYou do not send the manual with the application; DOH’s survey office asks for it later. DOH reviews and approves it before the license, and the initial survey focuses on it.DOH 505-109 (April 2026), Policies and Procedures Survey Program page
Format and approval asks: No Medicare referencesThe rule bars references to federal Medicare requirements in home care policies. DOH’s checklist has a line for the date the policies were last reviewed and a signature line for the administrator.WAC 246-335-320(2)(g)(i)DOH 505-141, page 1
How often to review them: Kept current; infection control yearlyThe plan of operation is updated as practice, services and laws change. A documented yearly review of infection control guidance updates training and policies as necessary.WAC 246-335-415(12)WAC 246-335-425(12)(f)
Worth knowing: Not the WAC copied outRegulator guidanceDOH says policies may not be the WAC or RCW copied word for word. It says applicants may write the policies themselves, buy generic manuals or hire consultants, and asks that documents made with AI tools or templates be reviewed thoroughly before submission.Survey Program page, Policies and procedures DOH 505-109 (April 2026), Policies and Procedures DOH 505-109 (April 2026), Use of Artificial Intelligence
CareRulebook manual (our product): Manual plus DOH review copyEvery policy and form with your agency’s details and choices, the rules cited but not quoted, to send when DOH asks for your policies.

Washington policies guide Build your Washington manual Washington guide

Rules checked October 2, 2026

The last column describes CareRulebook’s manual for each state, not a state requirement.

Policy guides by state

Each policies guide lists one state’s required policies item by item, with every rule quoted and linked; where we have no policies guide, the state guide covers them.

Colorado policies and procedures
Home Care Agency license, Class B (personal care services only), CDPHE
Colorado policy manual →
Georgia policies and procedures
Private home care provider (PHCP) license, DCH
Georgia policy manual →
Illinois policies and procedures
Home services agency license, IDPH
Illinois policy manual →
Indiana policies and procedures
Personal services agency (PSA) license, IDOH
Indiana policy manual →
Kansas policies and procedures
Home Health Agency (HHA) license, Non-Medical Supportive Care Services, KDHE
Kansas policy manual →
Maryland policies and procedures
Residential Service Agency (RSA) license (home health aide service), OHCQ
Maryland policy manual →
Nevada policies and procedures
License to operate an agency to provide personal care services in the home (personal care agency), HCQC
Nevada policy manual →
South Carolina policies and procedures
In-Home Care Provider (IHCP) license, DPH
South Carolina policy manual →
Tennessee policies and procedures
Personal Support Services Agency (PSSA) license, TDMHSAS
Tennessee policy manual →
Texas policies and procedures
Home and Community Support Services Agency (HCSSA) license, Personal Assistance Services (PAS) category, HHSC
Texas policy manual →
Virginia policies and procedures
Home care organization (HCO) license, OLC
Virginia policy manual →
Washington policies and procedures
In-home services agency license, home care service category, DOH
Washington policy manual →
How to start a home care agency in New York
Licensed Home Care Services Agency (LHCSA) license, after Public Health and Health Planning Council approval, DOH
How to start a home care agency in North Carolina
Home care agency license (in-home aide services), DHSR
North Carolina policy manual →
How to start a home care agency in Ohio
Nonmedical home health services license, ODH

Frequently asked questions

Which written policies does a home care agency need?

Every one of the 15 states in this table expects a licensed home care agency to have written policies and procedures, but the rules frame them differently. Illinois, Maryland, Nevada, North Carolina, Tennessee and Virginia list named policy items or topics in the rules; South Carolina asks for a policy for each section of the rule; in Indiana, the regulator’s form lists the policies; the license rules in Ohio name one written policy; Colorado, Georgia, Kansas, New York, Texas and Washington set a general duty, with specific policies named through the rules or listed by the regulator. State by state: Colorado: Policies for running the agency; Georgia: Every policy the rules mandate; Illinois: Seven policy areas, plus more; Indiana: Nine on IDOH’s form (our reading); Kansas: Policies the rules require; Maryland: 23 items in five groups; Nevada: 13 topics at a minimum; New York: Adopted by the governing authority; North Carolina: 11 topics, plus more; Ohio: One named policy for the license; South Carolina: One for each section of the rule; Tennessee: 17 items and 8 personnel topics; Texas: No single list; Virginia: Topics in four groups; Washington: A manual of the required policies. Each row links the state’s policies guide, which lists them item by item; where we have no policies guide, the row links the state guide.

When does the state review a new agency’s policies?

Illinois, Indiana and Maryland ask for policies with the application; Kansas, New York, North Carolina, Tennessee and Washington review them as documents before licensing, sent or uploaded after the application form; Colorado and Nevada check them at a survey before licensing; Texas checks them at the initial survey after the license is issued; Georgia asks for a notarized affidavit that they are in place and checks them at inspections; Ohio and South Carolina ask for one named policy with the application; for Virginia, our sources do not say when the regulator first reviews them. State by state: Colorado: At the initial survey; Georgia: Ready before you apply; Illinois: Filed with the application; Indiana: Uploaded with the application; Kansas: Uploaded for a desk review; Maryland: Filed with the application; Nevada: At the prelicensure survey; New York: After PHHPC approval, before opening; North Carolina: Sent for the initial survey; Ohio: One policy with the application; South Carolina: Drug testing policy with the application; Tennessee: Electronic desk audit; Texas: At the initial survey, after licensing; Virginia: Not stated before licensing; Washington: Approved before licensing.

How often do home care policies have to be reviewed?

A yearly review that covers the policies is required in Colorado, Maryland, North Carolina, Texas and Virginia; a review at least every two years in South Carolina; Nevada, New York and Washington set a fixed cycle only for certain policies or plans; Illinois and Kansas have policies revised as needed, with no fixed cycle named; for Georgia, Indiana, Ohio and Tennessee, our sources name no review cycle. The fixed cycles: Nevada: As needed; infection plan yearly; New York: QI committee, four times a year; Washington: Kept current; infection control yearly. Whatever the rule, a policy should change when the rules or your services change.

Do I need an index, crosswalk or binder for my policies?

Some regulators ask for a set format: Georgia: A notarized affidavit of compliance; Illinois: On paper, by mail; Indiana: IDOH’s order, one per sheet; Kansas: Letterhead, board approval, folders; Maryland: Section B: document and pages; New York: Binder, index and crosswalk; Virginia: Approved by the governing body; Washington: No Medicare references. In Georgia, Illinois, Indiana, Kansas, Maryland and New York, these asks come from the regulator’s guidance or forms, not the rule text. For Colorado, Nevada, North Carolina, Ohio, South Carolina, Tennessee and Texas, our sources set no particular format.

Can I copy the regulations into my policies, or use a template?

Some regulators in this table say policies must not simply copy the rules. In Washington, DOH says policies may not be the WAC or RCW copied word for word. It says applicants may write the policies themselves, buy generic manuals or hire consultants, and asks that documents made with AI tools or templates be reviewed thoroughly before submission. In Indiana, IDOH’s 2022 letter asks for each policy named by its statute heading, on a separate sheet, in the application’s order, under the Secretary of State name. Its form says not to send a handbook or cut and paste IC 16-27-4. CareRulebook’s manuals quote the rule under each policy so you can check it, and the policy itself is written as your agency’s procedure. For Washington and Indiana, the extra download (DOH review copy and IDOH upload set) leaves the rule quotes out.

Does the CareRulebook manual include the index or upload set my state asks for?

For Indiana, Kansas, Maryland, Nevada, South Carolina and Washington, the manual comes with an extra download matched to the regulator’s process (Indiana: IDOH upload set; Kansas: KDHE folders; Maryland: Section B index; Nevada: HCQC checklist index; South Carolina: DPH drug testing policy; Washington: DOH review copy). For Colorado, Georgia, Illinois, North Carolina, Tennessee, Texas and Virginia, the manual is the full policy set in Word and PDF. For New York and Ohio, we publish a free guide only. This column is about our product, not a state rule.

What do “Our reading”, “Regulator guidance” and “Not covered in our sources” mean?

“Our reading” marks an answer that is our interpretation, because the rule does not say it in so many words; confirm it with the regulator. “Regulator guidance” marks an answer that rests only on a regulator’s web page, form, checklist or letter, not on the law or rule text. “Not covered in our sources” means the official texts we saved and verified for that state do not answer the question; it does not mean the answer is no.

How current is this table?

Each row shows the date we last checked that state’s rules against the official text (between September 30, 2026 and October 3, 2026). The table is built from the same datasets as our state guides, so a correction in a state’s data updates its row here. We log every correction on our corrections page.

Sources

The official texts behind each row. The full list for each state, with every quote, is on its guide.

Colorado · checked October 2, 2026

Georgia · checked September 30, 2026

Illinois · checked October 1, 2026

Indiana · checked October 2, 2026

Kansas · checked October 2, 2026

Maryland · checked October 2, 2026

Nevada · checked October 3, 2026

New York · checked October 3, 2026

North Carolina · checked October 1, 2026

Ohio · checked September 30, 2026

South Carolina · checked October 2, 2026

Tennessee · checked October 2, 2026

Texas · checked September 30, 2026

Virginia · checked October 1, 2026

Washington · checked October 2, 2026

Keep reading

Home care licensing requirements by state

The license, companion-only care, state fees, policy checks, surveys and nurse rules side by side.

Home care license cost by state

Each state’s fees side by side: renewals, late fees, bonds, background checks and a two-year total.

Background check requirements by state

The caregiver check, timing, registries, disqualifying offenses and re-checks side by side.

Home care administrator requirements by state

Who can run the agency: the role, qualifications, alternates, nurse rules, yearly training and change notices.

All US state guides

Every state we cover, with its license, regulator and the state’s fee.

Trust

How we verify rules

Every quote is checked against the official text, dated, and linked.