Home Care Agency Dear Administrator Letters (DALs)
2026
- DHCBS 26-03: Provisions of the Hospice Benefit in Assisted Living Programs (PDF)
- DHCBS 26-02: Updated Policy and Procedure for LHCSA Administrative Approval of Licensure Amendments (PDF)
- DHCBS 26-02: Procedure for LHCSA Administrative Amendment (PDF)
- DHCBS 26-02: Attachment A – Administrative Amendment Checklist (PDF)
- DHCBS 26-02: Attachment B – Regional Office Contact Information (PDF)
- DHCBS 26-01: Expanded In-Home Services for the Elderly in Licensed Home Care Services Agencies (PDF)
2025
- DHCBS 25-14: Statewide Health Information Network – New York Participation by Regulated Facilities (PDF)
- DRS 25-07: Recertification Requirements for Certified Nurse Aides (PDF)
- DHCBS 25-13: 2024 Licensed Home Care Services Agency Statistical Report and 2024 Assisted Living Program Licensed Home Care Services Agency Statistical Report (PDF)
- DHCBS 25-11: Transportation Assistance Levels (PDF)
- DHCBS 25-10: Updated Health Commerce System Requirements (PDF)
- DHCBS 25-09: Licensed Home Care Services Agencies (LHCSA) Weekly HERDS Data Reporting Change (PDF)
- DRS #25-08: Personal Care Aide Training Program Application Update (PDF)
- DHCBS 25-06: Dually Certified Aide Certificates (PDF)
- DHCBS 25-04: Changes to Medical Orders for Life-Sustaining Treatment (MOLST) Form (DOH-5003) (PDF)
- DHCBS 25-03: Updated Policy and Procedure for LHCSA Administrative Approval of Licensure Amendments (PDF)
- DHCBS 25-02: Consumer Directed Personal Assistance Services Program Transition Single Fiscal Intermediary (PDF)
- DRS 25-02: Cultural Competency Requirements for Home Health Aide, Personal Care Aide, and Certified Nurse Aide Training Programs (PDF)
- DHCBS 25-01: 2023 CHHA/LTHHCP Statistical Report 2023 Hospice Cost and Utilization Report (PDF)
2024
- 24-08: LHCSA Statistical Report (PDF)
- 24-07: Cybersecurity Incident Reporting (PDF)
- 24-05: Conservation Strategies Following Closure of Baxter Plant (PDF)
- 24-04: Affirming Care for Older LGBTQIA+ Individuals Online Training Module for Direct Support Caregivers (PDF)
- 24-02: COVID-19 Vaccine for the 2024-2025 Season (PDF)
- 24-03: Updated Telehealth in Home Health Care and Hospice (PDF)
- 24-10: Nursing Home Transition and Diversion (NHTD) Waiver Settlement (PDF)
- 24-01: Closure Procedures For a Local Health Department’s Licensed Home Care Services Agency (PDF)
2023
- 23-27: Telehealth in Adult Day Health Care, Home Health Care, Hospice, and Adult Care Facilities (PDF)
- 23-09: Healthcare Worker Vaccine Mandate Guidance (PDF)
- 23-04: 2022 LHCSA Statistical Report and 2022 ALP LHCSA Statistical Report (PDF)
- 23-03: 2022 CHHA/LTHHCP Statistical Report and 2022 Hospice Cost and Utilization Report (PDF)
- 23-01: NYSDOH Guidance for use of Face Masks and Face Coverings in Healthcare Facilities (PDF)
2022
- 22-16: 2021 LHCSA Statistical Report and 2021 ALP LHCSA Statistical Report (PDF)
- 22-15: Notification of Hospice Non-Covered Items, Services, and Drugs (PDF)
- 22-14: Licensed Home Care Services Application Changes (PDF)
- 22-13: COVID-19 Screening of Home Care and Hospice Personnel (PDF)
- 22-12: Biannual HERDS LHCSA Patient by County Survey (PDF)
- 22-11: Health Commerce System (HCS) Roles (PDF)
- 22-10: Verification of Employment Requirement (PDF)
- 22-09: Updated Personal Care Aide Training Program Documents Available (PDF)
- 22-08: Posting of Home Health Aide and Personal Care Aide Training Programs to DOH Website, Training Program Updates and Reminders (PDF)
- 22-07: Verification of Training and Certificate Validity for Personal Care Aides, Home Health Aides, Advanced Home Health Aides (PDF)
- 22-06: Hospice Residences and Inpatient Bed Use (PDF)
- 22-05: CHHA/LTHHCP Statistical Report and Hospice Cost and Utilization Report (PDF)
- 22-04: Vaccine Booster Requirement (PDF)
- 22-03: Hospice Personnel Entry to Nursing Homes (PDF)
- 22-02: Procedure for LHCSA Administrative Licensure Amendments (PDF)
- 22-01: COVID-19 Healthcare Worker Booster Requirement (PDF)
2021
- 21-15: 2020 LHCSA Statistical Report and 2020 ALP LHCSA Statistical Report (PDF)
- 21-14: Nurse Practitioner (NP) and Physician Assistant (PA) Expansion of Abilities (PDF)
- 21-13: Religious Exemption Update (PDF)
- 21-12: TB Testing Update (PDF)
- 21-11: State Regulatory Waivers Relating to Home Care and Hospice Agencies (PDF)
- 21-10: 2019 CHHA/LTHHCP Statistical Report / 2019 Hospice Cost and Utilization Report (PDF)
- 21-09: In-Service Requirements for Personal Care Aides and Home Health Aides (PDF)
- 21-08: Submitting False or Inaccurate Information or Omitting Material Information (PDF)
- 21-07: Home Care Agency Updates: Recruitment Offices and Remote Operations (PDF)
- 21-05: TB Testing Clarification (PDF)
- 21-03: Frequently Asked Questions Regarding Annual TB Testing (PDF)
- 21-02: In-Service Requirements for Personal Care Aides and Home Health Aides (PDF)
- 21-01: Personal Care Aide Training Program and Home Health Aide Training Program End Date Extension (PDF)
2020
- 20-11: Home Care and Hospice Guidance Pertaining to Regulatory Requirements (PDF)
- 20-12: 2019 LHCSA Statistical Report and 2019 ALP LHCSA Statistical Report (PDF)
- 20-10: Home Care and Hospice Guidance Pertaining to In-Service, Orientation, and Supervision Requirements (PDF)
- 20-09: Personal Care Aide and Home Health Aide Training Program Hybrid Training Approval Process for Department of Health Approved Training Programs (PDF)
- 20-05: PCA-HHA-AHHA Training Documentation Verification (PDF)
- 20-04: Providing Training Outside of Licensed Service Area (PDF)
- 20-02: Medication Administration in Adult Care Facilities (ACFs) for Residents Receiving Hospice Services Who Can No Longer Participate or Receive Assistance with the Self-Administration of Medication from ACF Staff (PDF)
- DAL 20-04 DHCBS 20-01 NH 20-01 - CHRC Requirements and Best Practices (PDF)
2019
- 19-13: 2018 CHHA/LTHHCP Statistical Report and 2018 Hospice Cost and Utilization Report (PDF)
- 19-10: 2018 LHCSA Statistical Report and 2018 ALP LHCSA Statistical Report (PDF)
- 19-05: Emergency Response Drill (PDF)
- 19-02: Advanced Home Health Aide Agency Requirements (PDF)
- 19-01: Requirements to Operate an Advanced Home Health Aide Training Program (PDF)
2018
- 18-01: Criminal History Record Check Requirements for Hospice (PDF)
- 18-02: 2017 LHCSA Statistical Report (PDF)
- 18-03: LHCSA Regulatory Requirements (PDF)
- 18-05: 2017 CHHA/LTHHCP Statistical Report; 2017 Hospice Cost and Utilization Report (PDF)
2017
- 17-01: InService Requirements for HHAs and PCAs (PDF)
- 17-02: 2016 LHCSA Statistical Report (PDF)
- 17-03: Guidance on Face to Face Encounter Requirments (PDF)
- 17-04: Emergency Response Drill (PDF)
- 17-05: 2016 CHHA.LTHHCP Stat Peport and Hospice Cost Report (PDF)
- 17-06: OASIS C2 Guidance Material (PDF)
- 17-07: RMI Post Acute Care (PDF)
- 17-09: Guidance for Assisted Living Programs to Comply with the Home and Community Based Settings (HCBS) Final Rule (PDF)
2016
- 16-01: Health Commerce System Requirements (PDF)
- 16-02: TAL Classifications (PDF)
- Attachment (PDF)
- 16-03: Emergency Response Drill (PDF)
- 16-04: Hospice Regulatory Changes (PDF)
- Attachment (PDF)
- 16-05: Regulatory Changes for Home Care Agencies (PDF)
- 16-06: 2015 LHCSA Statistical Report (PDF)
- Attachment 1 (PDF)
- Attachment 2 (PDF)
- 16-07: Q&A RE LTHHCP (PDF)
- 16-08: HCS Contact Information (PDF)
- 16-09: Regulatory Requirements for LHCSAs with NFP (PDF)
- 16-10: 2015 CHHA.LTHHCP Stat Report and Hospice Cost Report (PDF)
- 16-11: Emergency Preparedness Requirements (PDF)
- 16-13: Hospice Nursing Contract Exemption (PDF)
- 16-14: Implementation of OASIS C2 (PDF)
- 16-15: 2016 Assisted Living Program Home and Community Based Settings Rule Self-Assessment (PDF)
