MASSACHUSETTS
Selling a home care or behavioral health business in Massachusetts
Massachusetts is moving non-medical home care agencies under a state license for the first time after a law signed in August 2026, and it expanded Health Policy Commission review in April 2025 to cover private equity and MSO transactions. Substance use treatment programs need 90 days' notice before a transfer of ownership.
Home care
Selling a home care agency in Massachusetts
- Non-medical home care licensing
- New statewide license created by a law signed in August 2026; effective once regulations are final
- Licensing authority
- Executive Office of Health and Human Services, with Aging & Independence and DPH
- Ownership disclosure
- Anyone with a 5%+ ownership interest
- Transaction review
- Health Policy Commission material change notice, expanded April 8, 2025 to PE and MSO deals
Read the Massachusetts home care guide →
Behavioral health
Selling a behavioral health practice in Massachusetts
- Substance use treatment
- Licensed by DPH Bureau of Substance Addiction Services under 105 CMR 164
- Transfer of ownership
- Majority interest or change of control; Notice of Intent 90 days ahead
- Behavior analysts
- Licensed applied behavior analysts (law signed January 2013)
- Medicaid ABA
- MassHealth covers medically necessary ABA under 21 with autism
Read the Massachusetts behavioral health guide →
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