Exhibit 10.1


                       FIRST AMENDMENT TO CREDIT AGREEMENT
                       -----------------------------------


         THIS FIRST  AMENDMENT TO CREDIT  AGREEMENT is dated and effective as of
March 6, 2008 (the "First Amendment"),  by and among LHC GROUP, INC., a Delaware
corporation (the "Borrower"),  and CAPITAL ONE, NATIONAL ASSOCIATION, a national
banking association,  as Administrative Agent (the "Agent") for the Lenders, and
the LENDERS that are signatory parties hereto.

                                R E C I T A L S:

         1. The Borrower, the Agent, and Capital One, National Association, as a
Lender,  have entered into a Credit Agreement dated as of February 20, 2008 (the
"Agreement"), pursuant to which the Lender established a Line of Credit in favor
of the Borrower.

         2. First  Tennessee  Bank,  N.A.  desires to join in the Agreement as a
Lender extending  Revolving Loans to Borrower in a maximum  aggregate  principal
amount of up to $12,500,000.00.

         3. In addition, the Borrower, the Agent, and the Lenders have agreed to
amend certain provisions of the Agreement as set forth below.

         NOW,  THEREFORE,  the parties hereto,  in  consideration  of the mutual
covenants  hereinafter  set forth and intending to be legally  bound hereby,  do
hereby amend the Agreement and agree as follows:

         A. Defined  Terms.  Capitalized  terms used herein which are defined in
the  Agreement  (or used in the  Agreement),  are used herein with such  defined
meanings or usage, except as may be expressly set forth in this First Amendment.

         B. Revision to Defined Terms.  The  definition of the term  "Eurodollar
Margin" contained in Section 1.1 of the Agreement is hereby deleted and restated
as follows:

            "Eurodollar  Margin" shall mean with respect to each Eurodollar Loan
            under the Line of Credit:

                  (i) 1.75% per annum if the Leverage Ratio is less than 1.00 to
            1.0;

                  (ii) 2.00% per annum if the Leverage  Ratio is greater than or
            equal to 1.00 to 1.0 but less than 1.50 to 1.0;

                  (iii) 2.25% per annum if the Leverage Ratio is greater than or
            equal to 1.50 to 1.0 but less than 2.00 to 1.0; or

                  (iv) 2.50% per annum if the Leverage  Ratio is greater than or
            equal to 2.00 to 1.0. The  Eurodollar  Margin shall be determined by
            the Agent  from  time to time,  based on the  Leverage  Ratio as set
            forth in the Compliance  Certificate most recently  delivered by the
            Borrower  pursuant  to  Section  12.1(c).   Any  adjustment  to  the
            Eurodollar Margin shall be effective (a) in the case of a Compliance
            Certificate   delivered  in  connection  with  quarterly   financial
            statements of the Borrower delivered pursuant to Section 12.1(b), as
            of the  date  60  days  following  the  end of the  last  day of the
            applicable  fiscal quarter covered by such  Compliance  Certificate,
            and  (b)  in the  case  of a  Compliance  Certificate  delivered  in
            connection  with  annual   financial   statements  of  the  Borrower
            delivered  pursuant  to  Section  12.1(a),  as of the  date  90 days
            following  the end of the last  day of the  applicable  fiscal  year
            covered by such  Compliance  Certificate.  If the Borrower  fails to
            deliver a Compliance  Certificate  pursuant to Section 12.1(c),  the
            Eurodollar  Margin shall equal the percentage  corresponding to item
            (iv) of this  definition  until  the  date  of the  delivery  of the
            required  Compliance  Certificate.   As  of  the  date  hereof,  and
            thereafter until changed as provided above, the Eurodollar Margin is
            determined based on item (i) of this definition.


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<PAGE>

         C. Joinder by First  Tennessee  Bank,  N.A. First  Tennessee Bank, N.A.
hereby joins in the Agreement, as amended by this First Amendment, as a Lender.

         D.  Increase of Line of Credit  Loan  Commitment.  The  parties  hereto
understand and acknowledge  that (i) the Line of Credit Loan Commitment has been
increased from  $25,000,000.00 to a total maximum aggregate  principal amount of
$37,500,000.00,   (ii)  the   Revolving   Note  in  the   principal   amount  of
$12,500,000.00  to be  executed by  Borrower  pursuant to this First  Amendment,
payable  to the order of First  Tennessee  Bank,  N.A.,  is  issued by  Borrower
pursuant to Section 2.4 of the Agreement  and is one of the  Revolving  Notes as
such term is defined in the  Agreement,  and (iii) said  increase of the Line of
Credit Loan Commitment  constitutes a partial fulfillment of Borrower's exercise
of the Accordion Option.

         E.  Representations;  No  Default.  On and as of the date of this First
Amendment,  and  after  giving  effect to this  First  Amendment,  the  Borrower
confirms,  reaffirms,  and restates the representations and warranties set forth
in the Agreement and the Loan  Documents;  provided,  that each reference to the
Agreement  herein  shall be deemed to include the  Agreement  as amended by this
First Amendment.

         F. Payment of Expenses.  The  Borrower  agrees to pay or reimburse  the
Agent for all legal fees and expenses of counsel to the Agent in connection with
the transactions contemplated by this First Amendment.

         G. AMENDMENTS. THE AGREEMENT AND THE FIRST AMENDMENT ARE CREDIT OR LOAN
AGREEMENTS AS DESCRIBED IN LA. R.S. 6:ss.1121, ET SEQ. THE AGREEMENT, AS AMENDED
BY THIS  FIRST  AMENDMENT,  AND THE OTHER  LOAN  DOCUMENTS  SET FORTH THE ENTIRE
AGREEMENT OF THE PARTIES WITH RESPECT TO THE SUBJECT MATTER HEREOF AND SUPERSEDE
ALL PRIOR WRITTEN AND ORAL UNDERSTANDINGS AMONG THE BORROWER, THE AGENT, AND THE
LENDERS,  WITH  RESPECT  TO THE  MATTERS  HEREIN  AND  THEREIN  SET  FORTH.  THE
AGREEMENT,  AS AMENDED BY THIS FIRST  AMENDMENT,  CANNOT BE  MODIFIED OR AMENDED
EXCEPT BY A WRITING SIGNED AND DELIVERED AS PROVIDED IN THE AGREEMENT.


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         H. Waiver of Defenses.  In consideration  of the Lender's  execution of
this First Amendment,  the Borrower hereby  irrevocably waive any and all claims
and/or defenses to payment on any  indebtedness  arising under the Agreement and
owed by any of them to the Lenders that may exist as of the date of execution of
this First Amendment.

         I. Governing Law: Counterparts.  This First Amendment shall be governed
by and  construed in accordance  with the laws of the State of  Louisiana.  This
First  Amendment  may be  executed in any number of  counterparts,  all of which
counterparts, when taken together, shall constitute one and the same instrument.

         J.  Continued  Effect.   Except  as  expressly   modified  herein,  the
Agreement, as amended by this First Amendment,  shall continue in full force and
effect.  The Agreement,  as amended by this First Amendment,  is hereby ratified
and confirmed by the parties hereto.

         K.  Resolutions/Consents.  The Borrower  hereby  certifies to the Agent
that all  resolutions and consents of the Borrower  previously  delivered to the
Agent in connection with the Agreement remain in effect.



           (The remainder of this page was intentionally left blank.)


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         IN WITNESS WHEREOF, the parties hereto have caused this First Amendment
to be executed by their respective officers thereunto duly authorized, as of the
date first above written.


                                  Borrower:

                                  LHC GROUP, INC.
                                  a Delaware corporation

                                  By:
                                     -------------------------------------------
                                  Name:  Keith G. Myers
                                  Title: Chairman and Chief Executive Officer


                                  Agent:

                                  CAPITAL ONE, NATIONAL ASSOCIATION



                                  By:
                                     -------------------------------------------
                                  Name:
                                       -----------------------------------------
                                  Title:
                                        ----------------------------------------


                                  Lenders:

                                  CAPITAL ONE, NATIONAL ASSOCIATION

Line of Credit                    By:
                                     -------------------------------------------
Loan Commitment:  $25,000,000.00     Name:
                                          --------------------------------------
Commitment Percentage  66.667%       Title:
                                           -------------------------------------


                                  FIRST TENNESSEE BANK, N.A.

Line of Credit                    By:
                                     -------------------------------------------

Loan Commitment:  $12,500,000.00     Name:
                                          --------------------------------------
Commitment Percentage  33.333%       Title:
                                           -------------------------------------


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                                     CONSENT
                                     -------

         Each of the  undersigned  Guarantors  hereby  consents to the foregoing
First Amendment to Credit  Agreement as of March 6, 2008 by and among LHC Group,
Inc.,  Capital One,  National  Association,  as  Administrative  Agent,  and the
Lenders.
         Dated as of March 6, 2008.



HOME CARE PLUS, INC.

By:  ____________________________
Name:  Keith G. Myers
Title:    President

DIABETES SELF MANAGEMENT CENTER, INC.

By:  ____________________________
Name:  Keith G. Myers
Title:    President

ABLE HOME HEALTH, INC.

By:  ____________________________
Name:  Keith G. Myers
Title:    President

ABLE HOME HEALTH, INC.

By:  ____________________________
Name:  Keith G. Myers
Title:    President



                  [Signatures Continue on the Following Pages]


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ACADIAN HOME HEALTH CARE SERVICES, L.L.C.
AHCG MANAGEMENT, LLC
ALABAMA HEALTH CARE GROUP, LLC
HOME NURSING CARE, L.L.C.
HOMECARE MANAGEMENT GROUP, LLC
LHC GROUP PHARMACEUTICAL SERVICES, L.L.C.
LHCG-II, L.L.C.
LHCG VI, LLC
LHCG VII, L.L.C.
LHCG IX, L.L.C.
LHCG XI, LLC
LOUISIANA EXTENDED CARE HOSPITAL OF ARCADIA, LLC
LOUISIANA EXTENDED CARE HOSPITAL OF WEST MONROE, LLC
LOUISIANA HEALTH CARE GROUP, L.L.C.
LOUISIANA HOMECARE OF HAMMOND, LLC
LOUISIANA HOMECARE OF NEW ORLEANS, L.L.C.
LOUISIANA HOSPICE AND PALLIATIVE CARE, L.L.C.
LOUISIANA PHYSICAL THERAPY, L.L.C.
MHCG OF JACKSON, LLC
MISSISSIPPI HEALTH CARE GROUP, L.L.C.
MISSISSIPPI HOMECARE, L.L.C.
MISSISSIPPI HOMECARE OF NATCHEZ, LLC
NORTH CAROLINA HEALTH CARE GROUP, LLC
OAK SHADOWS OF JENNINGS, L.L.C.
OAK ARBOR OF JENNINGS, LLC
OAK ARBOR OF SUNSET, LLC
OKLAHOMA HEALTH CARE GROUP, LLC
PICAYUNE HOMECARE, L.L.C.
ST. JAMES HOMECARE, L.L.C.
TEXAS HEALTH CARE GROUP, L.L.C.
TEXAS HEALTH CARE GROUP HOLDINGS, L.L.C.
TEXAS HEALTH CARE GROUP OF LONGVIEW, L.L.C.
TEXAS HEALTH CARE GROUP OF TEXARKANA, L.L.C.
WEST VIRGINIA HEALTH CARE GROUP, LLC

By:  LHC Group, Inc., as manager

By:  ____________________________
Name:  Keith G. Myers
Title: Chairman and Chief Executive Officer



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LHCG X, L.L.C.
LHCG XIV, L.L.C.
GEORGIA HEALTH CARE GROUP, L.L.C.
TENNESSEE HEALTH CARE GROUP, LLC
LHC HEALTH CARE GROUP OF FLORIDA, LLC
MISSOURI HEALTH CARE GROUP, LLC
KENTUCKY HEALTH CARE GROUP, LLC
LHC HOMECARE-LIFELINE, LLC
LHC HOMECARE, LLC
LHC REAL ESTATE I, LLC
SOUTH CAROLINA HEALTH CARE GROUP, LLC
VIRGINIA HEALTH CARE GROUP, LLC
PALMETTO EXPRESS, L.L.C.
LEAF RIVER HOME HEALTH CARE, LLC

By:  LHC Group, Inc., as manager

By:  ____________________________
Name:  Keith G. Myers
Title:  Chairman and Chief Executive Officer

ARKANSAS HEALTH CARE GROUP, LLC
MENA MEDICAL CENTER HOME HEALTH, L.L.C.
MENA MEDICAL CENTER HOSPICE, L.L.C.
DALLAS COUNTY MEDICAL CENTER HOMECARE, L.L.C.
EUREKA SPRINGS HOSPITAL HOME CARE, LLC
EUREKA SPRINGS HOSPITAL HOSPICE, LLC
ARKANSAS HOMECARE OF FORREST CITY, LLC
PATIENT'S CHOICE HOSPICE, LLC

By:  AHCG Management, LLC, their manager

By:  LHC Group, Inc., its manager

By:  ____________________________
Name:  Keith G. Myers
Title:  Chairman and Chief Executive Officer



                  [Signatures Continue on the Following Pages]


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ACADIAN PREMIERE REGIONAL NURSING, LLC
HOMECARE MANAGEMENT GROUP, LLC

By:  Louisiana Health Care Group, L.L.C., its member
By:  LHC Group, Inc., its manager

By:  ____________________________
Name:  Keith G. Myers
Title:  Chairman and Chief Executive Officer


ROANE HOMECARE, LLC
WETZEL COUNTY HOMECARE, LLC

By:  West Virginia Health Care Group, LLC, its manager
By:  LHC Group, Inc., its manager

By:  ____________________________
Name:  Keith G. Myers
Title:  Chairman and Chief Executive Officer

ARKANSAS HOMECARE OF FULTON, LLC

By:  Arkansas Health Care Group, LLC, its member

By:  AHCG Management, LLC, as manager
By:  LHC Group, Inc., its manager

By:  ____________________________
Name:  Keith G. Myers
Title:  Chairman and Chief Executive Officer

FLOYD HOMECARE, LLC

By:  Georgia Health Care Group, L.L.C., its member
By:  LHC Group, Inc., its manager

By:  ____________________________
Name:  Keith G. Myers
Title:  Chairman and Chief Executive Officer


                  [Signatures Continue on the Following Pages]


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LIFELINE HOME HEALTH CARE OF UNION CITY, LLC

By:  Tennessee Health Care Group, LLC, its member
By:  LHC Group, Inc., its manager

By:  ____________________________
Name:  Keith G. Myers
Title:  Chairman and Chief Executive Officer

LIFELINE OF WEST TENNESSEE, LLC
LIFELINE HOME HEALTH CARE OF SPRINGFIELD, LLC

By:  Tennessee Health Care Group, LLC, their member
By:  LHC Group, Inc., its manager

By:  ____________________________
Name:  Keith G. Myers
Title:  Chairman and Chief Executive Officer

LIFELINE HOME HEALTH CARE OF LAKELAND, LLC
LIFELINE HOME HEALTH CARE OF MARATHON, LLC
LIFELINE HOME HEALTH CARE OF PORT CHARLOTTE, LLC
LHC HOMECARE, LLC
LIFELINE HOME HEALTH CARE OF SEBRING, LLC
LIFELINE HOME HEALTH CARE OF ST. PETERSBURG, LLC

By:  LHC Health Care Group of Florida, LLC, its manager
By:  LHC Group, Inc., its manager

By:  ____________________________
Name:  Keith G. Myers
Title:  Chairman and Chief Executive Officer

MISSOURI HOMECARE, LLC
SOUTHWEST MISSOURI HOMECARE, LLC

By:  Missouri Health Care Group, L.L.C., as member
By:  LHC Group, Inc., its manager

By:  ____________________________
Name:  Keith G. Myers
Title:  Chairman and Chief Executive Officer


                  [Signatures Continue on the Following Pages]


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LIFELINE HOME HEALTH CARE OF BOWLING GREEN, LLC
LIFELINE HOME HEALTH CARE OF LEXINGTON, LLC
LIFELINE HOME HEALTH CARE OF RUSSELLVILLE, LLC
LIFELINE HOME HEALTH CARE OF SOMERSET, LLC
LIFELINE PRIVATE DUTY SERVICES OF KENTUCKY, LLC

By:  LHC HomeCare-Lifeline, LLC, its manager
By:  LHC Group, Inc., its manager

By:  ____________________________
Name:  Keith G. Myers
Title:  Chairman and Chief Executive Officer

LIFELINE HOME HEALTH CARE OF FULTON, LLC
LIFELINE HOME HEALTH CARE OF HOPKINSVILLE, LLC

By:  Kentucky Health Care Group, LLC, its member
By:  LHC Group, Inc., its manager

By:  ____________________________
Name:  Keith G. Myers
Title:  Chairman and Chief Executive Officer

LHC HOMECARE, LLC

By:  North Carolina Health Care Group, L.L.C., its member and manager
By:  LHC Group, Inc., its manager

By:  ____________________________
Name:  Keith G. Myers
Title:  Chairman and Chief Executive Officer


LHC HOMECARE, LLC

By:   Oklahoma Health Care Group, L.L.C., its member and manager
By:  LHC Group, Inc., its manager

By:  ____________________________
Name:  Keith G. Myers
Title:  Chairman and Chief Executive Officer

                  [Signatures Continue on the Following Pages]


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SOUTH CAROLINA HOMECARE, LLC

By:  South Carolina Health Care Group, L.L.C., its member and manager
By:  LHC Group, Inc., its manager

By:  ____________________________
Name:  Keith G. Myers
Title:  Chairman and Chief Executive Officer

VIRGINIA  HOMECARE, LLC

By:  Virginia Health Care Group, L.L.C., its member and manager
By:  LHC Group, Inc., its manager

By:  ____________________________
Name:  Keith G. Myers
Title:  Chairman and Chief Executive Officer


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