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NY LHCSA Applications are now open!



Finally, the LHCSA applications are open by NYS DOH!

New LHCSA Startup- Important Information

Great News! The NY LHCSA Applications are now open, however based on public need, and specific requirements. The process is now vigorous and will significantly limit the ability to start a new agency in NY. It is based on public need methodology. We emphasize that not everyone should apply. Prior to the moratorium the process was long and complicated however, was not as selective as the new requirements. We encourage our clients and prospective clients to evaluate the requirements realistically before deciding to apply. The choice to apply should be strategically and carefully considered. Emmanuel Consulting Agency Inc will be providing consultations to discuss the new requirements so that you can make an informed decision before starting. Please be advised that since we have clients on our waiting list for this service, we will not be able to answer calls regarding this matter as we expect to receive a high volume in calls. We ask all clients and prospective clients to exercise patience and follow the procedures to setup a consultation via our online booking system. If you would like a consult, please book here

Again, we will not be able to answer calls and or emails on this matter. We thank you in advance for your understanding.

Please remember “non-medical home care agencies in NY, and franchises require a LHCSA license.

Change of Ownership Applications

Applications for licensure based on change of ownership for LHCSAs actively serving at least 25 patients will not be subject to public need review and other requirements “unless the proposed operator seeks to serve patients outside of the agency’s approved counties”.

Assisted Living Program, Nurse Family Partnership, PACE Program

“Will be exempt from the public need methodology if the agency exclusively serves patients within those programs. The agency will be subject to the need methodology if they apply to serve patients outside of the specific program”.

Emmanuel Consulting Agency Inc does not provide legal advice. Please consult an attorney for your legal questions and needs.


Please do not hesitate to contact Emmanuel Consulting Agency.

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