States We Support

Fixed-price, fully online licensing support in the ten states we serve, plus federal compliance (HIPAA, Medicare & Medicaid, accreditation, supplements). Choose your state below.

10
States Served
20
Licensing Packages
100%
Virtual Delivery

Healthcare licensing changes at every state line: 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 your state licensing.
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 how we can support your organization regardless of location.

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