I run an agency
Operating a home care agency in California means tracking rules from CDSS (licensing), DIR (wages and overtime), CDPH (skilled home health), and DHCS (Medi-Cal EVV). This living tracker links each major rule area to its official source so you can re-check when policies update.
Since 2016, non-medical Home Care Organizations must be licensed by CDSS and caregivers must register on the Home Care Aide Registry with background checks. The act created the Home Care Services Branch and public transparency requirements.
Agencies must pay at least the state or local minimum wage where work is performed. Bay Area cities update local minimums on fixed dates - track effective dates on our sourced minimum-wage table and the California DIR.
Personal attendants must receive overtime for hours over 9 in a day or 45 in a week (Labor Code §1454). Live-in rules, meal/rest periods, and day-of-rest requirements come from Wage Order 15 and the Domestic Worker Bill of Rights.
When CDSS updates Home Care Services rules, forms, or fees, it publishes Provider Information Notices. Operators should subscribe to or periodically check PINs for changes to licensing, registry, and compliance requirements.
Medicare-certified home health agencies follow federal Conditions of Participation and are licensed by CDPH, not CDSS. Billing, plan-of-care, and aide scope rules differ from non-medical private-duty home care.
California Medi-Cal personal care services require electronic visit verification under federal 21st Century Cures Act rules. Agencies serving Medi-Cal beneficiaries must comply with state EVV requirements and approved systems.
Regulations change through legislation, agency rulemaking, and local ordinances. This tracker points to official sources - confirm current text with the linked CDSS, DIR, CDPH, and DHCS pages before relying on it for compliance decisions.
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Questions about California home care regulations (living tracker) or anything else on the hub - we answer from 8969 verified pages and link you to the official source.
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