Vermont home care license requirements
Bottom line: No state license identified — None found (home health designation applies to home health only).
- License required?
- No state license identified
- License / pathway
- None found (home health designation applies to home health only)
- Fees (initial / renewal)
- Not confirmed in official sources — check with the state agency
Note: The guide's 50-state summary lists no state license found, while the detailed entry below says whether a license is required is not confirmed in official sources (the guide’s UNVERIFIED grade). Treat this as unresolved and confirm with the state before you serve clients.
From the 50-state summary. Fees shown as stated in the state entry; see each entry for conditions, conflicts, and sources.
Vermont requirements, item by item
Bracketed numbers link to the official sources at the bottom of this page.
Not confirmed in official sources — check with the state agency We could not confirm this item on an official state source during our review, so we did not estimate it.
| Item | What the guide found |
|---|---|
| License required? | Not confirmed in official sources — check with the state agency — Vermont's home health rules require designation for home health agencies. Under the rule effective July 1, 2026, designated services are limited to skilled home health and hospice; Choices for Care personal-care, companion and homemaker services are no longer designated services. The rules do not establish a separate license for standalone non-medical agencies. (Updated after the October 15, 2026 guide.) [1] |
| License type / name | Not confirmed in official sources — check with the state agency — No separate non-medical agency license type is established in the cited facts. The documented credential is a home health agency designation (certificate of designation), which should not be assumed to apply to a standalone non-medical agency. [1] |
| Licensing agency | For home health agency designation, the agency is the Department of Disabilities, Aging and Independent Living, Division of Licensing and Protection. The cited facts do not confirm the regulator for a standalone non-medical agency. [1][2] |
| Agency website | https://dlp.vermont.gov/survey-cert/facility-regs (listed for the Department’s home health agency rules; applicability to standalone non-medical agencies is unconfirmed). [2] |
| Initial application / license fee | Not confirmed in official sources — check with the state agency |
| Renewal fee | Not confirmed in official sources — check with the state agency |
| Renewal cycle | Not confirmed in official sources — check with the state agency — For a home health agency designation, designation or re-designation remains effective for four years unless suspended or revoked. The cycle for a standalone non-medical agency is not established. [1] |
| Typical approval timeline | No official timeline published — check with the agency — For home health agency designation, a renewal application is due at least 60 calendar days before the current designation expires; no initial processing time is stated. No timeline is established for a standalone non-medical agency. [1] |
| Administrator qualifications | Not confirmed in official sources — check with the state agency — For the home health agency designation pathway, applicants must obtain a Certificate of Need and obtain and maintain federal CMS home health agency certification before applying for state designation. These qualifications are not established for standalone non-medical agencies. [1] |
| Caregiver background checks | Not confirmed in official sources — check with the state agency — The home health agency rules require background checks for employees, independent contractors, and volunteers providing direct care. Applicability to standalone non-medical agencies is not established. [1] |
| Caregiver training hours | Not confirmed in official sources — check with the state agency — No training-hour count is specified. The home health agency rules require agencies to assure unlicensed caregivers’ competency and train them for specific tasks and patients; applicability to standalone non-medical agencies is not established. [1] |
| Registry checks | Not confirmed in official sources — check with the state agency |
| General liability insurance | Not confirmed in official sources — check with the state agency — The home health agency rules require general liability insurance coverage. Applicability to standalone non-medical agencies is not established. [1] |
| Workers' compensation | Not confirmed in official sources — check with the state agency |
| Bonding (surety / dishonesty) | Not confirmed in official sources — check with the state agency |
| Rule changes 2025–2026 | Proposed rule 25P021, posted June 18, 2025, was adopted (adopted filing with the Secretary of State on April 3, 2026) and took effect July 1, 2026. It removes Choices for Care personal care, respite, companionship and homemaker services from the definition of designated services; designated services are now limited to skilled home health and hospice. (Updated after the October 15, 2026 guide.) [1] |
Source notes and conflicts
The 2019 home health agency rules identify certain Choices for Care personal-care, respite, companion, and homemaker services as designated services. A June 18, 2025 final-proposed rule would remove those services from the definition. The sources the guide reviewed did not show whether the proposal had been adopted. Updated after the October 15, 2026 guide: DAIL’s adopted home health rule, effective July 1, 2026, limits designated services to skilled home health and hospice and says they do not include any other service provided by a home health agency. [1]
Sources
- Home Health Agency Regulations (DAIL, adopted rule effective July 1, 2026)
https://dail.vermont.gov/sites/dail/files/documents/Home-Health-Regulations.pdf
Updated after the October 15, 2026 guide; the guide cited an earlier version of these rules that is no longer online. - Vermont Secretary of State Rules Service
https://secure.vermont.gov/SOS/rules/display.php?r=1013
Limits: fees and forms change often. Agencies sometimes post conflicting figures (a statute vs. an older form); those conflicts are shown, not resolved by guessing. Confirm the current fee with the agency before filing. This guide is a research reference, not legal advice.
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