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Run the Payroll Fee Auditor →Blog · Payroll Management · Home Health
Home Health Agencies: Managing Payroll During Peak Season (2026)
Peak season payroll for home health agencies is the same rules under more volume: overtime after 40 on a regular rate that includes visit-based aide pay, new hire reporting for every seasonal hire inside the state deadline, and youth rules where minors are hired. BEG: $45 per employee per month inside the payroll software you already use, live in 3 to 5 days.
What the data says about home health agency seasonality
No government source states a seasonal employment pattern for home health agencies, so this page does not assert one. What follows is the payroll mechanics of any volume spike, whatever causes it.
Payroll mechanics of a spike
Travel between clients during the workday is hours worked and the agency must pay for it; ordinary travel from home to the first client and home from the last is not. In the fact sheet example, the 30 minutes an aide spends driving from one client's home to the next is paid time.
Every seasonal hire is a full onboarding: W-4, I-9 within three business days, new hire report inside the state deadline, and a pay code from day one. A wave of hires also moves the employer across headcount lines if it persists: the ACA and COBRA tests look at the prior year's average, so a seasonal peak can raise next year's count. Deposits scale with liability; a payroll that reaches $100,000 in accumulated liability on any day owes a next-business-day deposit and moves to the semiweekly schedule.
The rules behind this page, with sources
General information, not legal advice. Every rule below was read on the agency page linked next to it.
- Travel between clients during the workday is hours worked and the agency must pay for it; ordinary travel from home to the first client and home from the last is not. In the fact sheet example, the 30 minutes an aide spends driving from one client's home to the next is paid time. [DOL Fact Sheet #79D]
Read the full guide to off-cycle and peak payroll runs, and the rest of the home health agency payroll library.
Managed Payroll, Handled.
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Frequently Asked Questions
Do seasonal home health agency hires need new hire reports?
Yes, every one, inside the state deadline (20 days federal default, shorter in several states), and rehires after 60 days are reported again.
How does a busy season change overtime at a home health agency?
It does not change the rule, only the volume: time and one half after 40 hours in each workweek on a regular rate that includes visit-based aide pay. Travel between clients during the workday is hours worked and the agency must pay for it; ordinary travel from home to the first client and home from the last is not.
What does managed payroll cost for a home health agency?
$45 per employee per month, all-inclusive, inside the payroll software you already use, with no monthly minimum. Visit-based aide pay, travel time reimbursement and Medicaid billing vs payroll are configured at setup, not billed as add-ons.
Related Resources
Anthony leads payroll solutions at Business Executive Group, a national managed payroll firm serving businesses across industries including Home Health Agencies. BEG manages payroll at $45 PEPM, all-inclusive, with deep expertise in compliance, multi-state filing, and industry-specific payroll requirements. Get instant pricing at beghr.com.
Authoritative source: U.S. Department of Labor: Wage and Hour Division
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