States We Support

Fixed-price, fully online licensing support in the ten states we serve, plus federal compliance (HIPAA, Medicare & Medicaid, accreditation, supplements). Home care license rules differ by state, so choose yours below to see the regulator, license types and ownership rules.

10 + DC
States Covered
21
Licensing Packages
100%
Virtual Delivery

Home care license rules change at every state line, and so do the rules for home health and hospice: different regulators, license types, fees, and timelines. We’ve mapped them for the ten states where we deliver fixed-price, fully online licensing support. Choose your state to see how we can help.

HIPAA, Medicare and Medicaid certification, accreditation prep and supplement compliance are all available alongside a state home care license or any other license we prepare.
CA West

California

California Dept of Public Health (CDPH)

Home Health AgencyHome Care OrganizationHospice
  • The biggest US market, and the hardest to enter.
  • We run your full CDPH application from start to approval.
  • Covers home health agencies and non-medical home care.
Who can own and run it
  • You do not need to be a nurse to own the agency.
  • Non-medical home care is licensed by Social Services, not CDPH.
  • Skilled nursing needs a CDPH license and a registered nurse director.
  • Owners, 5% part-owners and administrators need fingerprint background checks.
2 licensing packages Get Started in California
FL Southeast

Florida

Agency for Health Care Administration (AHCA)

Home Health AgencyHome Care / CompanionHospice
  • More elderly residents than any other large state.
  • We prepare your AHCA application end to end.
  • Includes the Florida emergency plan and accreditation advice.
Who can own and run it
  • You do not need to be a nurse to own a Florida home care agency.
  • Your Administrator must be a doctor, PA, nurse, or have 1 year of supervisory care experience.
  • Skilled nursing agencies must employ a Florida licensed RN as Director of Nursing.
  • Owners, 5% shareholders and administrators need Level 2 fingerprint background checks.
2 licensing packages Get Started in Florida
GA Southeast

Georgia

Dept of Community Health (DCH), HFRD

Private Home Care ProviderHome Health (CON)Hospice (CON)
  • Strong demand and a low cost of entry.
  • We prepare your Private Home Care Provider application with DCH.
  • We map the Certificate of Need route for home health and hospice.
Who can own and run it
  • You do not need to be a nurse to own a Georgia home care agency.
  • Your Administrator needs no degree, license or set years of experience.
  • Offer nursing services and you must employ a Georgia registered nurse to supervise.
  • Owners holding 10% or more, administrators and managers need fingerprint background checks.
2 licensing packages Get Started in Georgia
LA South

Louisiana

Louisiana Dept of Health (LDH)

Personal Care ServicesHome Health AgencyHospice
  • An under-served market for Personal Care Services.
  • We prepare your LDH application.
  • We check any licensing moratorium before you commit.
Who can own and run it
  • You do not need to be a nurse to own a Louisiana home care agency.
  • You must appoint an Administrator who lives in Louisiana and has relevant experience.
  • A nurse qualifies for that role, but a degree plus experience works too.
  • All owners and the Administrator must pass a State Police background check.
2 licensing packages Get Started in Louisiana
MI Midwest

Michigan

Dept of Licensing & Regulatory Affairs (LARA) + CMS

Medicare-Certified Home HealthHospiceHomes for the Aged
  • Michigan has no separate state home health license.
  • Your route is federal Medicare certification instead.
  • We map the pathway and prepare every document.
Who can own and run it
  • You do not need to be a nurse to own the agency.
  • Michigan issues no state license. Approval comes through Medicare certification.
  • Your Administrator needs a clinical license, or a degree plus supervisory healthcare experience.
  • A licensed clinician must oversee care. Owners holding 5% or more are fingerprinted.
1 licensing package Get Started in Michigan
MO Midwest

Missouri

Dept of Health & Senior Services (DHSS)

In-Home Services ProviderHome Health AgencyHospice
  • High demand at one of the lowest entry costs in the country.
  • We prepare your In-Home Services Provider application with DHSS.
  • We build policies that match current state rules.
Who can own and run it
  • You do not need to be a nurse to own a Missouri home care agency.
  • You must employ or contract a Missouri licensed registered nurse to oversee care.
  • Skilled home health also needs an administrator: a nurse, doctor, or degree holder with management experience.
  • All owners must be named on the application. Staff need background checks before hire.
2 licensing packages Get Started in Missouri
NC Southeast

North Carolina

NC Division of Health Service Regulation (DHSR)

Home Care AgencyHome Health (CON)Hospice (CON)
  • A large market with very few specialist consultants.
  • We prepare your DHSR Home Care Agency application.
  • We map the CON route for home health and hospice.
Who can own and run it
  • You do not need to be a nurse to own a North Carolina home care agency.
  • First time owners must complete state approved training before the license is granted.
  • Your Agency Director needs management experience, a relevant degree, or a clinical license.
  • A registered nurse must supervise hands-on care. Staff entering homes need background checks.
2 licensing packages Get Started in North Carolina
OH Midwest

Ohio

Ohio Dept of Health (ODH) + CMS

Medicare-Certified Home HealthHospice
  • Ohio does not license non-medical home care.
  • No license still means real compliance duties.
  • Home health runs through Medicare certification, which we prepare.
Who can own and run it
  • You do not need to be a nurse to own the agency.
  • Appoint an Administrator: a doctor, registered nurse, or degree holder with one year of supervisory experience.
  • Your clinical lead must be a registered nurse or other licensed clinician.
  • Owners are fingerprinted as part of the approval process.
1 licensing package Get Started in Ohio
PA Northeast

Pennsylvania

Pennsylvania Dept of Health (DOH)

Home Care Agency / RegistryHome Health AgencyHospice
  • A large, established market with a clear route in.
  • We prepare your Home Care Agency registration with DOH.
  • We guide you through to approval.
Who can own and run it
  • You do not need to be a nurse to own a Pennsylvania home care agency.
  • For non-medical home care, the state sets no qualifications for the manager.
  • Skilled home health needs a qualified Administrator plus a supervising doctor or registered nurse.
  • Owners need a criminal record check. Recent out of state owners need FBI fingerprints.
2 licensing packages Get Started in Pennsylvania
TX South

Texas

Texas Health & Human Services Commission (HHSC), via TULIP

Personal Assistance ServicesLicensed Home HealthLicensed & Certified HHHospice
  • The largest home care market in the country.
  • Three-year license and a fast 45-day review.
  • We prepare your HCSSA application and walk you through TULIP.
Who can own and run it
  • You do not need to be a nurse to own a Texas home care agency.
  • You must name an Administrator. A high school diploma plus two years of management experience can qualify.
  • Licensed home health and hospice also need a Texas registered nurse as supervising nurse.
  • Owners and administrators face background checks. Some convictions block you permanently.
4 licensing packages Get Started in Texas
DC Federal District

Washington, DC

DC Health: Health Regulation & Licensing Administration (HRLA)

Home Care AgencyHome HealthHospice
  • Licensed by DC Health under the DC Licensure Act.
  • We prepare your Home Care Agency application end to end.
  • We get you ready for the on-site survey HRLA requires.
Who can own and run it
  • You do not need to be a nurse or doctor to own a home care agency.
  • You must appoint a Director: a doctor, a registered nurse, or someone with one year of health management experience.
  • Registered nurses must deliver and supervise the hands-on care.
  • Your Director needs a background check, a health certificate and three reference letters.
1 licensing package Get Started in Washington, DC

Ready to Get Started?

Don’t see your state listed? We’re continuously expanding our services. Contact us to discuss a home care license in another state, or how else we can support your organization.

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