Somebody mentioned that hospitals can now admit patients at home, and your first thought was the obvious one: does ours do that?
It is a harder question to answer than it should be, and the reason is worth understanding before you start calling.
How do you find hospital at home near me? There is no hospital at home programs list written for families. Medicare publishes the hospitals approved for Acute Hospital Care at Home on its QualityNet site, and it is a regulator’s record, not a directory. It gives you a hospital name, a health system and an approval date. No phone number, no city, and no indication of whether the program is actually running. As of October 19, 2026 it names 358 approved hospitals across 134 health systems in 37 states, and a large share of those have never treated a single patient at home. The only reliable method is to ask a hospital directly.
The short version
- One official list exists, on Medicare’s QualityNet site. It is accurate about approvals and silent about everything else.
- Approved is not the same as running. Only about a third of approved hospitals have ever admitted anyone at home.
- Eleven hospitals handle roughly half of all hospital-at-home admissions in the country.
- Programs closed in 2026 and several are still listed as approved. The list lags reality by months.
- You cannot sign up in advance. It starts in an emergency department or on a ward, never from your kitchen.
- The sentence that works: “Does this hospital have a CMS-approved Acute Hospital Care at Home program, and can my mother be evaluated for it?”
The only official list, and what it will not tell you
Medicare maintains the list at qualitynet.cms.gov, under Acute Hospital Care at Home, in the Resources tab. It has three columns: health system, hospital, and the date that hospital was approved. That is all.
What it does not have is everything a family needs. There is no city or address, so a hospital name you don’t recognize tells you nothing about whether it is near you. There is no phone number. There is no program name, so you will not see the brand the hospital actually markets. And critically, there is no flag for whether the program is open, paused or closed.
The state labels are also unreliable. Some hospitals carry a state in brackets and some don’t, and at least one large group of Massachusetts hospitals is filed under a system labelled New York. If you are counting hospitals in your state, count carefully.
For what it is worth, the approved hospitals concentrate heavily. Florida and North Carolina lead with roughly 31 and 30 approved hospitals; Pennsylvania has about 19 and New Jersey 16. New York’s count on the list looks higher than it is, because of the Massachusetts hospitals filed under it. Eight states have exactly one, and thirteen states have none at all.
Why “approved” and “running” are different things
This is the part that will save you a wasted afternoon. Getting approved costs a hospital an application. Running a program costs it nurses, paramedics, a 24-hour command center, a courier network and a pharmacy workflow. Many hospitals did the first and never did the second.
Medicare’s own advisory commission found that in 2022, only about 37 percent of approved hospitals discharged even one patient from a home program, and the busiest 26 hospitals accounted for 71 percent of all volume. A 2026 analysis put it more bluntly: eleven hospitals handle about half of all admissions nationally, and two-thirds of approved hospitals have never enrolled a patient.
Then there is the direction of travel. 2026 has been a year of contraction — for money, not safety.
| Program | What happened in 2026 | Still on Medicare’s list? |
|---|---|---|
| Mass General Brigham (MA) | Cut the nation’s largest program by more than half on 23 October, after losing about $30 million a year | Yes — all four hospitals |
| Cone Health (NC) | Announced on 14 October it is winding the program down | Yes — and a second hospital was added in January |
| Health First (FL) | Ended the program on 16 September amid wider job cuts | No — removed |
| Covenant Health (TN) | Discontinued in April | No — removed |
Two of those four are still listed as approved weeks after announcing they are stopping. That is not a criticism of Medicare — the list does what it was built to do, which is record regulatory approvals. It just means you cannot treat it as a shopping directory.
How to actually find hospital at home near me
You cannot apply for this, and you cannot arrange it ahead of time. Federal rules require that the patient be in an emergency department or already admitted, and that a physician evaluate her in person before anything moves home. Most programs find their own candidates by reviewing admitted patients each morning.
Searching for hospital at home near me will not turn up a directory, because none exists. So the practical route is to ask, in the moment, in these words:
“Does this hospital have a CMS-approved Acute Hospital Care at Home program, and can my mother be evaluated for it?”
Ask the emergency department physician, the hospitalist, or the case manager — whoever is making the admission decision. Several programs explicitly invite this. NewYork-Presbyterian tells patients and families they can ask their care team; Duke’s brochure opens by telling people to ask their emergency department doctor whether they qualify.
If you want to know before an emergency — which is the sensible time to find out — call the hospital’s main number and ask for case management or care coordination, and use the same sentence. Ask whether the program is currently admitting, because “we have one” and “it is running this week” are different answers.
Make sure it is really hospital at home
The names do not help. Hospitals market these programs under their own brands — Hospital From Home, Home Hospital, Advanced Care at Home, Hospitalization at Home — and behind the brand the nurses, paramedics and monitoring equipment often belong to a contractor. That is normal and not a warning sign.
What is worth checking is whether the thing being offered is an inpatient admission at all. Cleveland Clinic’s own chief medical officer has warned that many programs labelled hospital at home are really discharging patients and providing post-acute care instead. The test is one question:
“Will she still be formally admitted to the hospital?”
If yes, it is hospital at home: Medicare Part A, the same deductible, daily physician care. If no — if she is being discharged and someone will visit — then what is on offer is home health, a transitional care program, or something else. Those are reasonable things, but they are not the same thing, and the cost and the level of care are different. Worth reading: does Medicare pay for home care, and how to choose a home health agency if that is where you land.
If your hospital does not have one
Three honest answers here.
First, a transfer purely to get into a hospital-at-home program is possible in principle and rarely practical. She would need to be accepted by the second hospital, meet its clinical criteria, live within its distance limit and have the right insurance — and all of that has to happen while she is acutely ill. No source we could find documents families doing this successfully.
Second, if there is a participating hospital near you and a choice about where to go in a non-emergency admission, that is a reasonable thing to raise with her doctor in advance.
Third — and this is the one that helps most families — the alternative is not nothing. If she is admitted the ordinary way and you are worried about what happens next, the pages on a discharge that comes too soon and when Medicare stops paying for rehab cover the ground where families most often lose time.
Before you call: know what you are deciding
Finding a program is the easy half. The harder half is whether to accept it, which turns almost entirely on who covers the hours between visits. That is worked through in full on should you say yes to hospital at home, and if you want the plain explanation of how the program works first, start with what hospital at home is. For what the week itself looks like once a program says yes, see what to expect day by day; for the evidence on safety and what falls to the family, is hospital at home safe. New Jersey families can go straight to the sixteen approved hospitals in this state.
Know what help she needs before the phone call
Whether she is a candidate turns on what she can do between visits. The care needs checklist walks the same fourteen questions the screening nurse will ask — six activities of daily living, six instrumental ones, and the safety flags.
Take the care needs checklist →Free, and it runs in your browser.
Know someone who needs this?
Pass it along — it’s free, and it might save a family an afternoon of phone calls.
Questions families ask
How do I find a hospital at home program near me?
Ask the hospital directly — there is no consumer directory. Medicare publishes a list of approved hospitals on its QualityNet site, but it has no addresses, no phone numbers and no indication of whether a program is active. Call the hospital’s case management department, or ask the emergency department doctor or hospitalist at the time of admission.
Is there a list of hospital at home programs?
Yes, but only one, and it is a regulatory list rather than a directory. Medicare’s QualityNet site publishes approved facilities for Acute Hospital Care at Home with three columns: health system, hospital and approval date. As of 19 October 2026 it listed 358 approved hospitals across 134 health systems in 37 states.
Why would a hospital be on the Medicare list but not offer the program?
Because approval and operation are separate things. Getting approved requires an application; running a program requires nurses, paramedics, a 24-hour command center and a delivery network. Only about a third of approved hospitals have ever admitted a patient at home, and several hospitals that closed programs in 2026 still appear on the list.
Can I sign up for hospital at home in advance?
No. Federal rules require that the patient already be in an emergency department or admitted to the hospital, and that a physician evaluate her in person before care moves home. You can, however, call ahead to find out whether a hospital runs a program, which is worth knowing before an emergency.
Can my parent transfer to another hospital to get hospital at home?
It is possible in principle but rarely practical. She would have to be accepted by the second hospital, meet its clinical and distance criteria and have accepted insurance, all while acutely ill. If there is a participating hospital nearby and an admission is planned rather than urgent, raising it with her doctor beforehand is the more realistic route.
How do I know the program being offered is really hospital at home?
Ask whether she will still be formally admitted to the hospital. If the answer is yes, it is hospital at home, billed under Medicare Part A with daily physician care. If she is being discharged and someone will visit instead, it is home health or a transitional care program — useful, but a different service with different coverage.
Changelog
- 1 November 2026 — Published. Hospital counts read directly from Medicare’s QualityNet approved list dated 19 October 2026; 2026 closures checked against the same list.
This page is reviewed every six months, and the hospital count is checked quarterly. When it changes, this list will say so.
Sources
- CMS QualityNet, Approved Facilities/Systems for Acute Hospital Care at Home — list dated 19 October 2026, read 1 November 2026: 358 approved CCNs, 134 health systems, 37 states, with per-state counts tallied from that list.
- CMS, Federal Register notice CMS-10950 (20 April 2026) — requirement that admission originate in an emergency department or inpatient bed following in-person physician evaluation.
- MedPAC, Report to the Congress, June 2024, Chapter 6 — share of approved hospitals with any discharges, and concentration of volume.
- Penn Leonard Davis Institute commentary (April 2026) and JAMA Network Open (May 2026) — proportion of approved hospitals that have never enrolled a patient, and concentration among eleven hospitals.
- Boston Globe (23 October 2026) — Mass General Brigham program reduction. Becker’s Hospital Review and trade coverage (September–October 2026) — Cone Health, Health First and Covenant Health program closures.
- Becker’s Hospital Review (16 January 2025) — Cleveland Clinic on programs labelled hospital at home that deliver post-acute care.
- Program pages for NewYork-Presbyterian and Duke Health, read 29 October 2026 — guidance that families may ask their care team.
Last verified: 1 November 2026 · Next review: May 2027
This page is educational and is not medical, legal or insurance advice. Mark Duda is not a physician, a nurse, or an attorney. Program availability changes without notice — always confirm directly with the hospital. See our disclaimers.