50 states · Checked October 22, 2026
Every state page carries the same five answers: the license (or the honest "none"), the fee, what the license covers, the gates, and the Medicaid route — each checked against that state's licensing authority.
Non-medical home care is not state-licensed here
State fee: No state license · Alabama Department of Public Health (ADPH), Division of Health Care Facilities / Certification; State Health Planning and Development Agency (SHPDA) — Certificate of Need for home health
Non-medical home care is not state-licensed here
State fee: No state license · Alaska Department of Health, Health Facility Licensing and Certification (HFLC) for home health agencies; Senior and Disabilities Services (SDS) for Personal Care Services / Community First Choice provider certification
Non-medical home care is not state-licensed here
State fee: No state license · Arizona Department of Health Services (licenses home health agencies only; no non-medical home care license exists)
Private Care Agency license (Arkansas Code § 20-10-2301 et seq.; Rules for Private Care Agencies in Arkansas, 20 CAR Part 49), issued by the Arkansas Department of Health, Division of Health Facility Services
State fee: Not published · Arkansas Department of Health (ADH), Division of Health Facility Services
Home Care Organization License
State fee: $5,603 · California Department of Social Services, Community Care Licensing Division, Home Care Services Branch
Home Care Agency License — Class B (non-medical)
State fee: $2,200 · Colorado Department of Public Health and Environment (CDPHE), Health Facilities and Emergency Medical Services Division
Homemaker-Companion Agency Certificate of Registration
State fee: $375 · Connecticut Department of Consumer Protection (Commissioner of Consumer Protection)
Personal Assistance Services Agency (PASA) License
State fee: $250 · Delaware Department of Health and Social Services (DHSS), Division of Health Care Quality (DHCQ), Office of Health Facilities Licensing and Certification (OHFLC)
Home Care Agency License (22-B DCMR Ch. 39) — non-medical-only lane: Home Support Agency licence (22-B DCMR Ch. 99, §9900)
State fee: $600 · DC Health (Department of Health), Health Regulation and Licensing Administration (HRLA)
Homemaker and Companion Services Provider Registration (Fla. Stat. §400.509)
State fee: $50 · Florida Agency for Health Care Administration (AHCA)
Private Home Care Provider License
State fee: $800 · Georgia Department of Community Health, Healthcare Facility Regulation Division (HFRD)
Home Care Agency License
State fee: Not published · Hawaii Department of Health, Office of Health Care Assurance (OHCA), State Licensing Section
Non-medical home care is not state-licensed here
State fee: No state license · Idaho Department of Health and Welfare (DHW) — Bureau of Facility Standards for home health licensure; Division of Medicaid / Bureau of Long Term Care (BLTC) for Personal Assistance Agency enrollment
Personal Services Agency License (IDOH program name: Personal Care Services Agency, PSA)
State fee: $250 · Indiana Department of Health (IDOH), Division of Home and Community-Based Care
Non-medical home care is not state-licensed here
State fee: No state license · Iowa Department of Inspections, Appeals, and Licensing (DIAL, formerly DIA) — Health Facilities Division acts as the state survey agency for federal certification; Iowa Department of Health and Human Services (HHS) administers Medicaid HCBS provider enrollment
Home Health Agency License — Non-Medical Supportive Care Services category
State fee: $250 · Kansas Department of Health and Environment (KDHE), Division of Public Health, Bureau of Facilities and Licensing
Non-medical home care is not state-licensed here
State fee: No state license · Cabinet for Health and Family Services, Office of Inspector General (licenses health facilities/services — no non-medical home care category); Department for Medicaid Services (waiver provider certification/enrollment)
Home and Community-Based Services (HCBS) Provider License — Personal Care Attendant (PCA) module
State fee: $600 · Louisiana Department of Health (LDH), Health Standards Section
Personal Care Agency License
State fee: $500 · Maine Department of Health and Human Services, Division of Licensing and Certification (DLC)
Residential Service Agency (RSA) License
State fee: $0 · Maryland Department of Health, Office of Health Care Quality (OHCQ)
Non-medical home care is not state-licensed here
State fee: No state license · Massachusetts Department of Labor Standards (DLS) — employment/placement agencies; Massachusetts Department of Public Health (DPH) — Medicare certification only
Non-medical home care is not state-licensed here
State fee: No state license · None for non-medical home care. Michigan Department of Licensing and Regulatory Affairs (LARA), Bureau of Survey and Certification, acts only as the federal survey agency for Medicare-certified home health; Michigan Department of Health and Human Services (MDHHS) runs the Medicaid Home Help program
Home Care License — Basic (non-medical lane) or Comprehensive
State fee: $2,100 · Minnesota Department of Health (MDH), Health Regulation Division
Non-medical home care is not state-licensed here
State fee: No state license · Mississippi State Department of Health (MSDH), Office of Health Facilities Licensure and Certification (licensure/CON); Division of Medicaid (DOM) for waiver personal care enrollment
Non-medical home care is not state-licensed here
State fee: No state license · Missouri Department of Health and Senior Services (DHSS), Bureau of Home Care and Rehabilitative Standards; Missouri Department of Social Services (DSS) / MO HealthNet MMAC for Medicaid in-home services contracts
Non-medical home care is not state-licensed here
State fee: No state license · Montana Department of Public Health and Human Services (DPHHS), Office of Inspector General, Licensure Bureau (formerly Quality Assurance Division)
Non-medical home care is not state-licensed here
State fee: No state license · Nebraska Department of Health and Human Services (DHHS), Division of Public Health — Health Care Facilities Licensure
Agency to Provide Personal Care Services in the Home license (NRS 449.0021; recodified in NRS Chapter 449B by 2025 legislation, NRS 449B.100 license required)
State fee: $1,374 · Nevada Department of Health and Human Services, Division of Public and Behavioral Health, Bureau of Health Care Quality and Compliance (HCQC)
Home Care Service Provider Agency licence (He-P 822) — RSA 151 licence; skilled lane: Home Health Care Provider licence (He-P 809)
State fee: $250 · New Hampshire Department of Health and Human Services, Health Facilities Administration (Office of Legal and Regulatory Services)
Health Care Service Firm Registration
State fee: $500 · New Jersey Division of Consumer Affairs, Regulated Business Section
Non-medical home care is not state-licensed here
State fee: No state license · New Mexico Health Care Authority (HCA), Division of Health Improvement (DHI) — health facility licensing (successor to Department of Health DHI for licensing)
Licensed Home Care Services Agency (LHCSA) License
State fee: $2,000 · New York State Department of Health
Home Care Agency License
State fee: $510 · North Carolina Department of Health and Human Services, Division of Health Service Regulation (DHSR), Acute and Home Care Licensure and Certification Section
Non-medical home care is not state-licensed here
State fee: No state license · No licensing agency for non-medical home care. QSP enrolment: North Dakota Health and Human Services (HHS), Adults and Aging / Medical Services. Home health licensure: ND Department of Health and Human Services under N.D.C.C. ch. 23-17.3 and N.D. Admin. Code 33-03-10.1
Home Care Agency License (includes personal care and companion/sitter services)
State fee: $1,000 · Oklahoma State Department of Health (OSDH), Medical Facilities Division / Home Services
Home Care Agency License (separate license type: Home Care Registry)
State fee: $100 · Pennsylvania Department of Health, Division of Home Health
Home Care Provider licence (health care facility licence under R.I. Gen. Laws §23-17-4; skilled lane: Home Nursing Care Provider licence)
State fee: Not published · Rhode Island Department of Health (RIDOH), Division of Facilities Regulation / Center for Health Facilities Regulation
In-Home Care Provider License
State fee: $1,000 · South Carolina Department of Public Health (SCDPH, formerly DHEC)
Non-medical home care is not state-licensed here
State fee: No state license · South Dakota Department of Health (DOH), Health Facility Licensure — states expressly that non-medical providers are NOT regulated by DOH; Medicaid personal care: Department of Social Services (DSS), Division of Long Term Services and Supports
Personal Support Services Agency License — issued as a Home Care Organization authorized to provide only Professional Support Services (Health Facilities Commission lane), with a parallel PSSA license from the Dept. of Mental Health and Substance Abuse Services / Dept. of Disability and Aging for their populations
State fee: $1,404 · Tennessee Health Facilities Commission (formerly Board for Licensing Health Care Facilities, Dept. of Health) for professional support services; Tennessee Department of Mental Health and Substance Abuse Services (TDMHSAS) Office of Licensure — and Dept. of Disability and Aging for I/DD — for PSSA licensure under TCA 33-2-403
Home and Community Support Services Agency (HCSSA) License — Personal Assistance Services category
State fee: $2,625 · Texas Health and Human Services Commission (HHSC)
Personal Care Agency license (Utah Administrative Code R432-725)
State fee: $3,244 · Utah Department of Health and Human Services, Division of Licensing and Background Checks (DLBC), Office of Licensing
Non-medical home care is not state-licensed here
State fee: No state license · No licensing agency for non-medical home care. Skilled lane: Department of Disabilities, Aging and Independent Living (DAIL), Division of Licensing and Protection — designation; Green Mountain Care Board — Certificate of Need
Home Care Organization License
State fee: $1,500 · Virginia Department of Health, Office of Licensure and Certification (OLC)
In-Home Services Agency License — Home Care service category
State fee: $5,000 · Washington State Department of Health
Registration of home care agencies with OHFLAC (W. Va. Code §15-2C-7) for non-medical providers not otherwise licensed — no licence name for non-medical home care; skilled lane: Home Health Agency licence
State fee: $0 · West Virginia Office of Health Facility Licensure and Certification (OHFLAC), Department of Health / Office of Inspector General; Certificate of Need: West Virginia Health Care Authority
Non-medical home care is not state-licensed here
State fee: No state license · Wisconsin Department of Health Services (DHS), Division of Quality Assurance (DQA) — for Medicaid PCA certification and for Home Health Agency licensure only
Non-medical home care is not state-licensed here
State fee: No state license · Wyoming Department of Health, Aging Division, Healthcare Licensing and Surveys (HLS)
