StateLicense NameReq Out of State Online VerificationReq PharmaciesNotes
AK No License Required No - No
AL Home Medical Equipment Services Provider A: Effective June 1, 2014, all new suppliers with a principal place of business outside this state shall maintain at least one physical location within the state of Alabama, each of which shall be licensed. Effective September 1, 2014, all currently licensed out-of-state suppliers must demonstrate compliance with the new location requirement. (Added: 04/25/2014) (8RKRWY6471) Y No A: Effective June 1, 2014, all new suppliers with a principal place of business outside this state shall maintain at least one physical location within the state of Alabama, each of which shall be licensed. Effective September 1, 2014, all currently licensed out-of-state suppliers must demonstrate compliance with the new location requirement. (Added: 04/25/2014)
D: The licensure requirements of this chapter do not apply to the following entities or practitioners: (1) Home health agencies certified by the State of Alabama to participate in the Medicare and Medicaid programs. (2) Hospital based home medical equipment services, whether or not the services are provided through a separate corporation or other business entity. (3) Health care practitioners legally eligible to order or prescribe home medical equipment, or who use home medical equipment to treat patients in locations other than the patient's residence, including, but not limited to, physicians, nurses, physical therapists, respiratory therapists, speech therapists, occupational therapists, optometrists, chiropractors, and podiatrists, except for those practitioners, other than a licensed physician practicing medicine, who provide home medical equipment services in a patient's residence. (4) Manufacturers and wholesale distributors, when not selling directly to the patient. (5) Retail community pharmacies, including providers of home infusion therapy services. (6) Hospice programs, except programs which provide home medical equipment services, including delivery to a patient's residence. (7) Skilled nursing facilities, except facilities which provide home medical equipment services, including delivery to a patient's residence. (8) Governmental agencies, including fire districts which provide emergency medical services and contractors to governmental agencies whose business deals only with the contracted agency. (9) Mail order companies, as defined by rule of the board (See note H).
AR Supplier of Medical Equipment, Legend Devices, Medical Gas Permit Yes Y No B: “Supplier of Medical Equipment, Legend Devices, or Medical Gas” permit, with expiration date, issued by the AR Board of Pharmacy, at 501-682-0190. Not required by health care professionals licensed in AR who practice within the scope of their profession to prescribe and/or dispense those devices (i.e. Physicians, Physical or Occupational Therapists, Respiratory Therapists), or if only selling orthotic/prosthetic items, canes, crutches, walkers, commodes, or manual wheelchairs.
AS No License Required No - No
AZ No License Required No - No
CA No License Required No - No
CO No License Required No - No
CT Wholesaler of Drugs, Medical Devices and Cosmetics Registration Yes Y No
DC No License Required No - No
DE No License Required No - No
FL No License Required No - No
GA No License Required No - No
GU No License Required No - No
HI Durable Medical Equipment Supplier License Yes Y No F: Suppliers holding a Pharmacy Miscellaneous Permit (out of state pharmacy license) are not required to obtain a Durable Medical Equipment Supplier License.10/27/2017 WC
IA No License Required No - No
ID Durable Medical Equipment Outlet Registration Yes Y No A: If an out of state supplier, you must obtain the Out of State Mail Order Pharmacy License or register as a DME provider with the Idaho Board of Pharmacy.
IL Home Medical Equipment and Services Provider License Yes Y Yes C: The following home medical equipment services providers are exempt from licensure unless those practices, services, or activities include providing home medical equipment and services through a separate legal entity: (1) a person licensed or registered in this State by any other law engaging in the profession or occupation for which he or she is licensed or registered; (2) a home medical services provider entity that is accredited under home care standards by a recognized accrediting body; (3) hospitals, excluding hospital-owned and hospital-related providers of home medical equipment and services; (4) health care practitioners who lawfully prescribe, order, or use home medical equipment and services to treat their own patients (exemption is lost if dispensing equipment prescribed by other providers), including but not limited to physicians, nurses, physical therapists, respiratory therapists, occupational therapists, speech-language pathologists, optometrists, chiropractors, and podiatric physicians; (5) nursing homes; and (6) dentists.
IN Home Medical Equipment Service Provider Yes Y No B: The Home Medical Equipment Service Provider license does not apply to the following: (1) A hospital licensed under IC 16-21-2 that: (A) provides home medical equipment services only as an integral part of patient care; and (B) does not provide home medical equipment services through a separate business entity; (2) A practitioner (i.e. Physician, Dentist, Podiatrist, Optometrist) who does not sell, lease, or rent home medical equipment; (3) A provider that: (A) provides home medical equipment services within the scope of the licensed provider's professional practice; (B) is otherwise licensed by the state; and (C) receives annual continuing education that is documented by the provider or the licensing entity; (4) A pharmacist licensed in Indiana or a pharmacy that holds a permit issued under IC 25-26. If an out of state supplier, the supplier is not required to have a physical representative in the state. However, the supplier must be available twenty-four (24) hours a day to provide home medical equipment emergency maintenance per IC 25-26-21-6 regulation.
KS No License Required No - No
KY Home Medical Equipment License Yes Y No C: Exemptions to the HME license include: Unless home medical equipment and services are provided through a separate legal entity, nothing in KRS 315.510 to 315.524 or any administrative regulations promulgated thereunder shall be construed as preventing or restricting the practices, services, or activities of the following: (a) A person licensed or registered in this state under any other law who is engaging in the profession or occupation for which he or she is licensed or registered; (b) Health care practitioners who lawfully prescribe or order home medical equipment and services, or who use home medical equipment and services to treat their patients; (d) Hospitals that provide home medical equipment and services only as an integral part of patient care; (f) Pharmacies that are engaged in the sale, lease, or rental of home medical equipment and services [Pharmacies that provide home medical equipment to patients as a separate business entity from the pharmacy must have home medical equipment license]; [pharmacies located outside of KY must hold a KY out-of-state pharmacy permit] (g) An employee of a person licensed under KRS 315.510 to 315.524; (j) Government agencies, including fire districts which provide emergency medical services. (k) An out-of-state manufacturer or provider of a sole source type of equipment that is not available through a provider in Kentucky or one of its reciprocal states.
LA No License Required No - No
MA No License Required No - No
MD Residential Service Agency License D: The “Residential Service Agency” (RSA) license is required regardless of supplier type or pharmacy (in-state and out-of-state) if delivering DME, Orthotics, or Prosthetics to individuals in a private residence. This license is not needed if the business engages in mail order only via a common mail carrier. Additionally, the RSA license requirement does not apply to Maryland licensed home health agencies, hospitals, or individuals practicing in a health occupation for which the individual is authorized to practice under Health Occupations Article, Annotated Code of Maryland including Physicians, Podiatrists, Optometrists, Chiropractors, and Dentists. (8LMM280126) Y Yes C: “Residential service agency” means: (i) Any individual, partnership, firm, association, corporation, or other business entity of any kind that is engaged in a nongovernmental business of employing or contracting with individuals to provide at least one home health care service for compensation to an unrelated sick or disabled individual in the residence of that individual; or (ii) An agency that employs or contracts with individuals directly for hire as home health care providers. A branch office of the agency may operate under the same license that is issued to the agency (One license issued to multiple locations); however, each location must be listed on the branch letter provided with the RSA license from the Office of Health Care Quality (OHCQ). Effective July 1, 2018, the Residential Service Agency License is a non-expiring license.
D: The “Residential Service Agency” (RSA) license is required regardless of supplier type or pharmacy (in-state and out-of-state) if delivering DME, Orthotics, or Prosthetics to individuals in a private residence. This license is not needed if the business engages in mail order only via a common mail carrier. Additionally, the RSA license requirement does not apply to Maryland licensed home health agencies, hospitals, or individuals practicing in a health occupation for which the individual is authorized to practice under Health Occupations Article, Annotated Code of Maryland including Physicians, Podiatrists, Optometrists, Chiropractors, and Dentists.
E: “Home medical equipment services” means the delivery, installation, maintenance, or replacement of, or instruction in the use of, medical equipment used by a sick or disabled individual to allow the individual to be maintained in a noninstitutional environment.(9-1) “Medical equipment” means technologically sophisticated medical devices including but not limited to: (a) Oxygen and oxygen delivery systems; (b) Ventilators; (c) Respiratory disease management devices; (d) Electronic and computer-driven wheelchairs and seating systems; (e) Apnea monitors; (f) Transcutaneous electrical nerve stimulator (T.E.N.S.) units; (g) Low air loss cutaneous pressure management devices; (h) Sequential compression devices; (i) Neonatal home phototherapy devices; (j) Feeding pumps; and (k) Electrically powered hospital beds.
ME No License Required No - No
MI Wholesale Distributor License Yes Y No B: Wholesale Distributor license: Required for items which are considered to be Rx-only by FDA. The Wholesale Distributor license does not apply to dentists, licensed doctor of medicine, licensed doctor of osteopathic medicine and surgery, licensed doctor of podiatric medicine and surgery, or licensed optometrist if item falls within the scope of their practice and dispensed to their own patients.
MN No License Required No - No
MO No License Required No - No
MP No License Required No - No
MS No License Required No - No
MT No License Required No - No
NC Device and Medical Equipment Dispensing Permit Yes Y No B: Each place, whether located in this State or out-of-state, that delivers medical equipment to the user of the equipment in this State shall register annually with the Board and obtain a medical equipment permit. A business that has a current pharmacy permit or a current device permit does not have to register and obtain a medical equipment permit. The address on the permit must match the location. “Medical equipment" means any of the following items that are intended for use by the consumer in the consumer's place of residence: (1) A device; (2) Ambulation assistance equipment; (3) Mobility equipment. (4) Rehabilitation seating; (5) Oxygen and respiratory care equipment; (6) Rehabilitation environmental control equipment; (7) Diagnostic equipment; (8) A bed prescribed by a physician to treat or alleviate a medical condition; The term "medical equipment" does not include (i) medical equipment used or dispensed in the normal course of treating patients by or on behalf of home care agencies, hospitals, and nursing facilities licensed under Chapter 131E of the General Statutes or hospitals or agencies licensed under Article 2 of Chapter 122C of the General Statutes; (ii) medical equipment used or dispensed by professionals licensed under Chapters 90 or 93D of the General Statutes, provided the professional is practicing within the scope of that professional's practice act; (iii) upper and lower extremity prosthetics and related orthotics; or (iv) canes, crutches, walkers, and bathtub grab bars. (Updated 01/19/2016 WC)
ND Durable Medical Equipment Retailer License Yes Y No A: Effective August 1, 2013 suppliers (in-state and out-of-state) providing any devices pursuant to a prescription, directly to a consumer, must either hold a pharmacy license, or the new Durable Medical Equipment Retailer license or Medical Gas Retailer license if selling or delivering medical gas and related oxygen equipment, and employ or contract with a North Dakota licensed individual specifically authorized by their practice to prescribe or dispense those devices (i.e. Physicians, Physician Assistants, Pharmacists, Licensed Nurses (LPN and RN), Physical Therapists, Respiratory Therapists). Additionally, suppliers providing custom orthotics, prosthetics, and diabetic footwear must employ or contract with an individual who holds a national certification through the American Board of Certification (ABC) or the Board of Certification (BOC) to provide these items.
NE No License Required No - No
NH No License Required No - No
NJ No License Required No - No
NM No License Required No - No
NV Medical Devices, Equipment & Gases License Yes Y No D: The Medical Devices, Equipment & Gases License is required of any business engaged as a medical products provider that wishes to sell, lease or otherwise provide medical devices, equipment, supplies, and gases to a consumer in this state. Additionally, suppliers providing custom orthotics or prosthetics must be approved by the Board and submit evidence that the supplier has employed or contracted with an individual who holds a national certification through the American Board of Certification (ABC) or the Board of Certification (BOC) to provide these items. The license requirement does not apply to NV licensed Pharmacies, Hospitals, or Health Professionals (i.e. Physicians, Dentists, Podiatrists, Physical Therapists, Occupational Therapist, Registered Nurses or Respiratory Therapists) who sell, lease or otherwise provide medical devices, and gases within the scope of their license or registration in a health care facility other than the facility of the medical equipment provider to a consumer for use by that consumer pursuant to the order of a practitioner.
NY No License Required No - No
OH No License Required No - No
OK No License Required No - No
OR No License Required No - No
PA Drug & Device Registration, Category of Devices No Y No A: The Drug & Device Registration is required for medical device retailers located in Pennsylvania that are physically receiving, storing and handling, shipping medical devices/equipment, DME, or surgical supplies at the Pennsylvania storefront, warehouse, etc. The Drug & Device Registration does not apply to in state licensed healthcare facilities, pharmacies, and physicians/practitioners dispensing devices directly to their own patients within their respective scope of practice or license; out of state medical device retailers nor practitioners (i.e., physicians) /pharmacies supplying their own patients.
PR No License Required No - No
RI No License Required No - No
SC No License Required No - No
SD No License Required No - No
TN No License Required No - No
TX No License Required No - No
UT No License Required No - No
VA No License Required No - No
VI No License Required No - No
VT No License Required No - No
WA No License Required No - No
WI No License Required No - No
WV No License Required No - No
WY No License Required No - No