Licensed Home Care Organizations
Licensed Home Care Organizations (HCOs) provide non-medical home care services with state registered staff. HCO services include custodial care, companionship, personal care, and homemaking.
HCOs are governed by the California Department of Social Services (CDSS) and the Home Care Services Consumer Protection Act of 2015 (HCSCPA). All HCO Home Care Aide (HCA) employees are required to be state registered. The CDSS maintains and continually updates this public registry and makes it available to the public so that consumers can verify HCA registration.
Licensed Home Health Agencies
Licensed Home Health Agencies (HHAs) provide medical and non-medical services, including skilled nursing, therapy (physical, speech, and occupational), nutritional guidance, social work, and custodial care. Some HHAs provide care on both a shift basis and a visit basis, while others offer only visits.
HHAs are governed by the California Department of Public Health (CDPH) and the California Health and Safety Code (sections 1725-1742). All HHAs are licensed by the state, and their employees are licensed and/or certified by their respective professional supervisory organizations.
Medicare Certified HHAs*
Medicare Certified Home Health Agencies are HHAs which have met all the Federal standards required for providing care to Medicare clients and accept Medicare payment. Medicare clients must be homebound and require a skilled medical need under physicians' orders.
Licensed Hospice Agencies
Licensed Hospice Agencies provide care and support for an individual facing a life-limiting illness and their family. They provide medical and non-medical care, generally on a visit basis, including comfort care (pain and symptom management) and emotional and spiritual support.
Hospice employees may include physicians, registered nurses, social workers, spiritual counselors, home care aides, and volunteers. Hospice care is paid for by Medicare, MEDI-CAL, and most private insurers.
Licensed Hospice Agencies are governed by the California Department of Public Health (CDPH) and the California Hospice Licensure Act (CA Health and Safety Code sections 1745-1759).