Updated Policy and Procedure for LHCSA Administrative Approval of Licensure Amendments
The Situation Report | August 18, 2025
The Center for Home and Community-Based Services of the Department of Health (DOH) has issued a dear administrator letter updating and streamlining its procedure for the processing of Administrative Licensure Amendments requested by Licensed Home Care Service Agencies (LHCSAs).
This letter supersedes DAL 22-02, provides a new submission process and email address for all Administrative Licensure Amendment requests, and Attachment B provides the planning areas for all of the regional planning areas.
Effective immediately, all requests for Administrative Licensure Amendments to a LHCSA license will be handled by the Bureau of Home and Community Based Services Licensure Unit.
Specifically, Administrative Licensure Amendments include:
A. Deleting or Adding a Service
B. Deleting or Adding a County
C. Adding an Additional Site
D. Closing a Site/License Surrender
E. Change of Address of Agency and/or Operator
F. Change of Legal Entity (Corporate) Name, Change of Assumed Name (d/b/a) or New Assumed Name (d/b/a)
G. License Reprint
In accordance with this new policy, DOH will only approve expansion requests to add a county when there are fewer than five LHCSAs actively serving patients in the requested county. Actively serving patients means that the LHCSA has a plan of care in place for at least one (1) patient who is receiving services in their home. Lastly, please note that the DOH reserves the right to seek additional information from the operating entity in order to render a determination on an Administrative Licensure Amendment request.
Questions regarding this correspondence should be forwarded to