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New Jersey home care policies & procedures, built to N.J.S.A. 34:8-45.1 and N.J.A.C. 13:45B-13
New Jersey requires a written policy and procedure manual to license a non-medical home care agency. We build yours to N.J.S.A. 34:8-45.1 and N.J.A.C. 13:45B-13, delivered in 3 business days, fully refundable.
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A business document, not legal advice.
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How home care licensing works in New Jersey
New Jersey regulates private-pay non-medical home care as a Health Care Service Firm registration with the Division of Consumer Affairs, not the Department of Health, under N.J.S.A. 34:8-45.1 and N.J.A.C. 13:45B-13. Registration is $500 a year with a $10,000 surety bond and a $1 million liability insurance certificate, and operating before you register costs $500 per day. The distinctive New Jersey requirement: every registered firm, including companion-only and 100% private-pay firms, must obtain accreditation from a state-recognized body (CAHC, ACHC, CHAP, The Joint Commission, NIHCA or NAHC) within 12 months of registration, and the accreditor’s survey is built around a written policy manual with administrative, personnel and clinical sections. That manual is the artifact this product delivers, mapped to both the N.J.A.C. citations and the accreditation standard structure.
Your written policy & procedure manual sits inside a larger licensing process. Here is the path the New Jersey Division of Consumer Affairs, Regulated Business Section expects, and where your manual fits.
- 1Form the New Jersey business entity; formation documents go in the application, and each officer, director, principal and 10%+ owner must certify their criminal-conviction history (N.J.A.C. 13:45B-13.3(a)).
- 2Line up the financial prerequisites: a $10,000 surety bond (waivable if you document $100,000+ net worth with CPA-verified financials, N.J.A.C. 13:45B-13.3(a)3) and a $1 million general/professional liability insurance certificate (per the Division’s application checklist).
- 3Designate your health care practitioner supervisor, a New Jersey-licensed RN or physician, and include a copy of their license (per the Division’s application checklist).
- 4Apply through the Division of Consumer Affairs Regulated Business online portal with the $500 registration fee. Do not recruit staff or offer services before the registration issues: unregistered operation carries a $500-per-day penalty (N.J.S.A. 34:8-45.1(e)) and pre-registration operation is itself a prohibited practice (N.J.A.C. 13:45B-13.6(a)1).
- 5Within 12 months of registering, obtain accreditation from a recognized body (N.J.S.A. 34:8-45.1(c)); CAHC, ACHC, CHAP, The Joint Commission, NIHCA and NAHC are on the Division’s current list. The accreditation survey reviews your written policy manual, personnel files and clinical records, so the manual needs to exist well before the surveyor does.
- 6Renew annually with evidence of accreditation (N.J.A.C. 13:45B-13.5(b)-(c)) and, starting July 1, 2026, an annual financial statement (N.J.A.C. 13:45B-13.5A); report any loss of accreditation in writing within 10 days (13:45B-13.5(d)). The Division has moved registration expirations to September 30, so calendar renewal before October 1 and verify the current date at renewal time.
Timeline: Registration itself is application-driven with no published deadline; the binding clock is accreditation, which must be obtained within 12 months of registering, and accreditors’ document review plus on-site survey commonly consumes a large share of that year. Start the policy manual before you register, not after.
The policies New Jersey requires in your manual
These are the specific written policies the New Jersey Division of Consumer Affairs, Regulated Business Section reviews, each tied to the rule that requires it. Your manual is organized to cover every one in New Jersey-specific language, not a generic national template.
The accreditation policy manual itself: administrative, personnel and clinical sections with roughly 35 named policies (intake, admission, plan of care, case monitoring, companion service, infection control, exposure control, performance improvement, grievance, discharge and more), each with implementation dates and annual review
N.J.S.A. 34:8-45.1(c) via the recognized accreditors’ standards (e.g. CAHC Standards I-V)
Uncertified/companion caregiver disclosure packet, given at least 24 hours before service: written non-certification notice, letterhead training statement, work-authorization certification, and employment-history verification or two character references, with signed waivers retained 2 years
N.J.A.C. 13:45B-13.8
Consumer Guide to Homemaker-Home Health Aides delivered to each client at least 24 hours pre-service, with any written waiver retained 2 years
N.J.A.C. 13:45B-13.7(b)-(d)
Photo ID tags for aides and licensed staff showing name and credential level while providing care
N.J.A.C. 13:45B-13.7(a)
RN delegation and direction of certified homemaker-home health aide tasks, including medication-administration delegation documentation and per-administration records
N.J.A.C. 13:37-14.3 (applied to HCSFs via N.J.S.A. 34:8-45.1(c))
Aide credentialing: CHHA certification through the Board of Nursing with the individual criminal-history record check that certification carries
N.J.A.C. 13:37-14.9
Prohibited-practices compliance: no operating before registration, no charging caregivers fees, no restraining a caregiver’s future employment, no strike-replacement staffing
N.J.A.C. 13:45B-13.6(a)
Ownership, management and conviction-history records: notice of material changes within 30 days, and certification of any new conviction within 30 days
N.J.A.C. 13:45B-13.3(b)-(d)
Accreditation maintenance: evidence at every renewal and 10-day written notice if accreditation is lost
N.J.A.C. 13:45B-13.5(b)-(d)
Annual financial statement filed with renewal (first due July 1, 2026); CPA audit or report tiers apply only above $250,000 in NJ Medicaid PCA revenue or $1M+ gross income
N.J.A.C. 13:45B-13.5A (57 N.J.R. 1160(a), eff. June 2, 2025)
RN in-home case-monitoring evaluations at least once every 60 days for personal-care clients (COVID-era waiver terminated effective February 16, 2026)
Division of Consumer Affairs HCSF notice; accreditor case-monitoring standards
Informational summary of what New Jersey regulations require, not legal advice. Citations are provided so you can verify each against the source; confirm current requirements with the New Jersey Division of Consumer Affairs, Regulated Business Section.
See what you actually get
A finished, formatted manual organized to the rule, not a checklist or a generic template. A page from your New Jersey manual:
Contents: required policies
N.J.S.A. 34:8-45.1(c) via the recognized accreditors’ standards (e.g. CAHC Standards I-V) The accreditation policy manual itself: administrative, personnel and clinical sections with roughly 35 named policies (intake, admission, plan of care, case monitoring, companion service, infection control, exposure control, performance improvement, grievance, discharge and more), each with implementation dates and annual review
N.J.A.C. 13:45B-13.8 Uncertified/companion caregiver disclosure packet, given at least 24 hours before service: written non-certification notice, letterhead training statement, work-authorization certification, and employment-history verification or two character references, with signed waivers retained 2 years
N.J.A.C. 13:45B-13.7(b)-(d) Consumer Guide to Homemaker-Home Health Aides delivered to each client at least 24 hours pre-service, with any written waiver retained 2 years
N.J.A.C. 13:45B-13.7(a) Photo ID tags for aides and licensed staff showing name and credential level while providing care
Key New Jersey facts to know before you apply
Consumer Affairs, not the Health Department
Skilled home health agencies and hospices are licensed by DOH and expressly excluded from HCSF registration. A private-pay non-medical agency registers with the Division of Consumer Affairs under the employment-and-personnel-services law, which is why half the guides you find describe the wrong agency.
Accreditation is mandatory for everyone
N.J.S.A. 34:8-45.1(c) requires every registered firm to be accredited within 12 months, and the Division confirmed in its 2025 rulemaking that this applies to all firms, not just Medicaid participants. Any page claiming a private-pay exemption is describing a bill that never passed.
The manual is the accreditation artifact
The recognized accreditors survey against a written three-part policy manual with dozens of named policies, and they do not supply one; CAHC reviews and red-lines the manual you bring. New Jersey’s own Best Practices guidance describes what policies must contain but is explicitly advisory and contains no adoptable language.
Companion vs personal care staffing line
Companion services (no hands-on ADL care) may use uncertified staff with the 24-hour written disclosure packet under N.J.A.C. 13:45B-13.8. Personal care requires Board of Nursing certified homemaker-home health aides working under RN delegation, and you must designate an RN or physician supervisor at application.
Real startup costs beyond the fee
$500 annual registration per primary location, a $10,000 bond (waivable at $100,000+ net worth), a $1 million liability certificate, and accreditation fees within year one. Operating before registration costs $500 per day.
New annual financial statement
Effective June 2, 2025 rules, every firm files an annual financial statement with renewal beginning July 1, 2026. Full CPA audits only kick in above $250,000 of NJ Medicaid personal-care revenue or $10 million gross income, so a startup files the statement, not an audit.
A New Jersey manual, not a national template
Free templates and national sample manuals miss the New Jersey-specific language and citations reviewers look for. Every manual we build is organized to N.J.S.A. 34:8-45.1 and N.J.A.C. 13:45B-13 and the New Jersey Division of Consumer Affairs, Regulated Business Section application, and delivered as editable Word + PDF you can brand with your agency name.
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A fraction of the start-up consultant’s price.
Start-up consultants charge $1,000–$4,000 to assemble these documents by hand, and instant template shops are instant because they sell everyone the same generic document. Every manual is made to order: built from your agency details, organized to your state's rules, and delivered within 3 business days, with a full refund anytime before delivery. Founding pricing is limited to the first 25 agencies; after that the State P&P Manual is $199.
Delivered within 3 business days, with a full refund anytime before delivery. This is a self-prepared operational document you adopt for your own agency, not legal advice, and not a guarantee of license approval.
New Jersey home care licensing FAQ
Sources
- www.njconsumeraffairs.gov/hcservice
- pub.njleg.gov/bills/2018/AL19/48_.PDF
- www.njconsumeraffairs.gov/Adoptions/diroffado_06022025.pdf
- www.njconsumeraffairs.gov/hcservice/Documents/Health-Care-Service-Firms-Accrediting-Organizations.pdf
- www.law.cornell.edu/regulations/new-jersey/N-J-A-C-13-45B-13-3
New Jersey requirements last reviewed 2026-06-30. Regulations change, so verify current requirements with the New Jersey Division of Consumer Affairs, Regulated Business Section before relying on them.
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