How to start a home health agency in Utah

Utah requires a Home health agency license from Utah Department of Health and Human Services, Division of Licensing and Background Checks to operate a home health agency.

License required

Yes

License

Home health agency license

Issuing agency

Utah Department of Health and Human Services, Division of Licensing and Background Checks

Medicare certification

Separately, CMS put a 6-month nationwide moratorium on new Medicare enrollment of home health agencies (including new branches and practice locations) into effect on May 13, 2026; it can be extended in 6-month increments, and CMS left any Medicaid/CHIP moratorium to each state.

Regulation

Utah Admin. Code R432-700; R432-2

1. Apply to DLBC for a health facility license under the general licensing provisions (R432-2)
2. Meet R432-700 home health agency standards
3. Licensing review and inspection

Staffing

• Administrator with at least 1 year managerial or supervisory experience, with a written designee
• Nursing services under a director of nursing services; nursing by or under an RN
• RNs and LPNs licensed by the Utah Department of Commerce

Program

Utah Medicaid (Utah Department of Health and Human Services, DHHS)

Enrollment portal

PRISM Provider Portal

Application fee

Under the federal rule (42 CFR 455.460), institutional providers pay the CMS application fee when they first enroll, re-enroll or revalidate. The fee is $750 for calendar year 2026. Individual physicians and non-physician practitioners do not pay it. A fee already paid to Medicare or to another state's Medicaid program counts. Utah DHHS's enrollment pages do not list a separate state fee.

Fingerprinting

Under federal rules (42 CFR 455.434 and 455.450), the state places provider types in 'limited', 'moderate' or 'high' risk levels. High-risk providers, and anyone who owns 5% or more of one, must submit fingerprints for a criminal background check. Utah DHHS's enrollment pages do not describe a separate state fingerprint process.

Site visit

Under federal rule (42 CFR 455.432), the state must visit moderate- and high-risk providers before and after enrollment. Every enrolled provider must allow unannounced on-site inspections. Utah DHHS's enrollment pages do not describe a separate state site visit process.

Revalidation

Federal rule (42 CFR 455.414) requires the state to revalidate every enrolled provider at least once every 5 years. Utah DHHS's become-a-provider page does not describe a separate state revalidation cycle.

Full Utah Medicaid enrollment guide →

CON program

No

Agency

Utah Department of Health and Human Services, Division of Integrated Healthcare (Medicaid certification of nursing care facilities)

Moratoria

Medicaid reimbursement is limited to nursing care facility programs that were Medicaid-certified as of May 9, 2016, plus programs approved under Utah Code 26B-3-311(5) and (7). The division may not process new Medicaid certification applications or reinstate expired certifications except as §26B-3-311 allows. Since May 4, 2021, new ICF/IID beds may be Medicaid-certified only if the statewide ICF/IID Medicaid bed total does not rise (Utah Code 26B-3-310).

Utah certificate of need details →

Model

open/provider choice

Services in scope

• personal care
• attendant care
• homemaker
• home health
• DSPD waiver services

Alternate EVV allowed

Yes

Program

https://medicaid.utah.gov/evv/

Utah EVV requirements →

State minimum wage

$7.25 an hour

Effective

2009-07-24

Scheduled increases

No scheduled change found in the official sources reviewed.

HCBS 80/20 rule

Federal baseline: 42 CFR 441.302(k) requires the state to show that each provider spends at least 80% of Medicaid payments for homemaker, home health aide and personal care services under 1915(c) waivers on direct care worker pay and benefits. Compliance starts 2030-07-09 (for managed care, the first rating period starting on or after that date); annual payment-adequacy reporting under 441.311(e) starts 2028-07-09. A state may set a lower share for state-defined small providers and exempt providers facing hardship, each only through a public notice-and-comment process. The eCFR text has not changed since 2024-07-09. No state-published 80/20 implementation step (small-provider criteria, hardship exemption or reporting guidance) was found for this state in the official sources reviewed.

Home health agencies — active organization NPIs (NPPES)

370 (as of Sep 13, 2026)

Medicare-certified home health agencies (CMS Care Compare)

82 (as of May 27, 2026)

Total Medicaid and CHIP enrollment (latest reported month)

321,779 (as of Jun 1, 2026)

All Utah Home health Medicaid rates, ranked →