CALIFORNIA
Selling a home care or behavioral health business in California
California splits home care between two departments, restricts changes of ownership for newer home health agencies, and since January 1, 2026 requires private equity groups, hedge funds, and MSOs to give the state 90 days' notice before closing many health care transactions. Timelines here are longer than in most states, and buyers plan for it.
Home care
Selling a home care agency in California
- Home health agencies
- Licensed by the California Department of Public Health (CDPH)
- Non-medical home care
- Home care organization (HCO) license, Department of Social Services (CDSS)
- Home health license
- Not transferable (Health and Safety Code § 1728.75)
- Change of ownership trigger
- Transfer of 50%+ of stock, assets, or partnership interests, or of management
Read the California home care guide →
Behavioral health
Selling a behavioral health practice in California
- Substance use treatment
- Licensed or certified by the Department of Health Care Services (DHCS)
- SUD program on a sale
- New DHCS application for a change of ownership
- Medi-Cal ABA
- Behavioral health treatment covered for members under 21 (EPSDT)
- State transaction review
- OHCA 90-day notice for PE, hedge fund, and MSO deals since January 1, 2026
Read the California behavioral health guide →
Confidential inquiry
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