NAICS 621610

Home Health Care Services

Updated July 2026 — federal spending and agency data cross-checked against SAM.gov and USAspending.gov.

In-home medical care, nursing services, therapy, and health support for patients.

Federal Spending

$40B+ annually (VA, HHS, CMS)

Top Agencies

VA, CMS, HHS

Market Outlook

Explosive growth (+10% annually) as aging veteran population grows and VA expands at-home care. Telehealth = new opportunities.

13 CFR § 121.201SBA Size Standard

Small Business Threshold: $19.0M

Calculated on a 5-year average annual receipts (gross). Businesses with average revenue or headcount at or below this ceiling may qualify as small businesses for prime federal solicitations assigned NAICS 621610, subject to affiliation and program rules.

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Common Federal Contracts

1

Veteran home health services

2

Telehealth and remote patient monitoring

3

Senior care and rehabilitation services

4

Behavioral health and counseling

Contractor Competitive Advantage

Home health is one of the fastest-growing federal markets. VA's caregiver program = billions in spending. Requires licenses but not large capital.

Relevant Certifications

VOSB

WOSB

8(a)

SDVOSB

Top Procuring Agencies

VA

Major buyer in this sector

CMS

Major buyer in this sector

HHS

Major buyer in this sector

Medicare

Major buyer in this sector

Medicaid

Major buyer in this sector

How to Win in This Sector

  1. 1. Verify Your NAICS: Make sure this NAICS code matches your primary business activity. You can only claim set-asides for your primary NAICS.
  2. 2. Apply for Certifications: Most contracts in this sector allow 8(a), WOSB, HUBZone, or SDVOSB certifications. These give you advantages in bidding.
  3. 3. Target Top Agencies: Identify the top 3 agencies hiring in this sector and research their procurement needs.
  4. 4. Assess Your Advantage: Review the competitive advantages above and determine how your firm differentiates.
  5. 5. Build Relationships: Attend industry days, connect with contracting officers, and respond to RFIs (Requests for Information).
Frequently Asked Questions

Everything You Need to Know Before Bidding

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NAICS 621610 covers Home Health Care Services: In-home medical care, nursing services, therapy, and health support for patients. Federal agencies spend $40B+ annually (VA, HHS, CMS) annually on contracts in this category.

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