San Diego Home Health Agency for Sale | 36-Month Exempt, Medicare Certified
BUYER REQUIREMENTS – PLEASE READ FIRST: This is a CASH-ONLY transaction. Buyers must bring an abundance of hands-on home health operating experience and cash equivalent to the purchase price already set aside from currently available funds. Financed offers, and buyers without substantial home health experience, cannot be considered.
Nearly all of the value here is the licensed Medicare provider number
This is a licensure and platform acquisition in the San Diego market. The agency is established, staffed and ready to bill, and it sits outside the 36-month rule at a moment when new Medicare home health enrollment is frozen nationwide.
Key Highlights
- Established 2022, fully staffed
- ACHC accredited, state certified
- Medicare and Medicaid accepted
- 36-month rule and moratorium EXEMPT
- Clean and ready to bill immediately
- New contract with United Healthcare
- Census: 19
- Asking price: $400,000
Service Area
San Diego, Imperial, Riverside, San Bernardino, Orange and Los Angeles counties, California. That is six Southern California counties from a single licensed agency, covering one of the largest and densest patient populations in the country.
Why the 36-Month Exemption Matters Right Now
On May 13, 2026, CMS imposed a nationwide moratorium on new Medicare enrollment for home health agencies (CMS-6101-N). During that window no new home health agency, branch, or practice location can enroll in Medicare anywhere in the country.
Separately, the 36-month rule blocks re-enrollment where a change in majority ownership falls within 36 months of initial Medicare enrollment. An agency still inside that window cannot transfer its provider number to a buyer in the normal course.
This agency is past both. It was established in 2022 and has cleared the 36-month window, so the licensed provider number can transfer through a standard change of ownership. With new enrollment frozen, acquiring an already-enrolled California agency is one of the few remaining routes to an operating Medicare home health provider number in this market. Buyer counsel should run the analysis independently.
What the Buyer Is Acquiring
Value sits in the Medicare and Medicaid certification, the cleared 36-month status, ACHC accreditation, the California license and its six-county reach, the standing United Healthcare contract, and a staffed agency that can bill from day one.
- Suited to: an established home health or healthcare operator with the staffing and referral relationships to load volume onto a ready-to-bill platform, or an operator wanting Southern California density ahead of any moratorium extension.
- Poor fit for: a buyer acquiring current cash flow, or a first-time owner looking to buy a job.
Terms
- Asking price: $400,000
- California home health licenses convey through a change of ownership approval process rather than by assignment. Buyers should budget regulatory timeline accordingly
Next Step
Reply with your operating background and proof of funds. Qualified parties receive the NDA the same day and data room access as materials are staged.
– CASH BUYERS ONLY –
– An abundance of hands-on home health operating experience is required –
Cash equivalent to purchase price set aside to invest from currently available funds required.
Reference #8686544117
Nothing in this summary constitutes legal, tax or investment advice. Figures and dates are seller reported or drawn from public CMS records and are subject to buyer verification.
