Oregon · Checked October 22, 2026
Your license is the In-Home Care Agency License, issued by Oregon Health Authority.
| Item | Oregon |
|---|---|
| License / registration | In-Home Care Agency License |
| Issued by | Oregon Health Authority — official page |
| Application / initial fee | $2,000 — Initial fee is set by classification in ORS 443.315(4)(a): Limited $2,000; Basic $2,250; Intermediate $2,500; Comprehensive $3,000 — plus $1,250 for each subunit. The $2,000 shown is the Limited classification, the entry point for personal care without medication or nursing services. License is annual (1 year). Older pages quoting a flat $1,500 initial / $750 renewal predate the classification fee schedule. |
| Renewal | $1,000 |
| Surety bond | No state bond minimum found in the published rules |
| Liability insurance | State sets no minimum |
| Timeline | State does not publish a processing time in ORS 443.315; OHA must conduct an on-site inspection of each agency prior to services being rendered and at least once every 3 years thereafter (ORS 443.315(7)) |
| Administrator | The agency must maintain administrative and professional oversight to ensure quality of services and that caregiver training requirements (ORS 443.011 / OAR 333-536-0070) are met by everyone it employs or contracts with (ORS 443.315(2)). Owners, administrators and direct-care staff must pass criminal background checks through the DHS Background Check Unit. |
| State extras | +$1,250 initial / +$1,000 renewal for each subunit; $350 change-of-ownership fee (+$350 per subunit); background check unit fees for owners/administrators/staff. |
| Service | Under this license |
|---|---|
| Companionship & supervision | Covered |
| Homemaker help | Covered |
| Hands-on personal care | Covered |
| Live-in / 24-hour care | Not covered by this license |
| Transportation | Covered |
| Skilled nursing or therapy | Covered — same license |
What you may do is set by your classification (OAR 333-536-0007 / 333-536-0045): personal care tasks are the base service; housekeeping and supportive services (housekeeping, laundry, shopping/errands, transportation, arranging medical appointments) may also be provided. Medication assistance requires at least Basic, medication administration/set-up Intermediate or above, and nursing services require the Comprehensive classification — a Limited agency may not provide them.
There is no separate Oregon home health license for the nursing an in-home care agency provides: nursing services sit inside this same license at the Comprehensive classification (OAR 333-536-0080: agency must be classified comprehensive and employ an RN; clients' conditions must be stable and predictable). A separately licensed Home Health Agency under ORS 443.005-443.095 / OAR 333-027 is the distinct Medicare-style home health lane (its own fees, e.g. $1,600 initial / $850 renewal in OAR 333-027-0025).
Enroll as a Medicaid In-Home Care Agency with the Oregon Department of Human Services (Aging and People with Disabilities) under OAR 411-033 in addition to the OHA license; services are delivered against the case manager's assessment and person-centered service plan
EVV is required for Medicaid-funded personal care services in Oregon. Verify the current ODHS EVV system/service list before billing.
The state fee above is one line of the real total. Run the true-cost calculator with Oregon selected — it adds the bond premium, insurance class, screening and the payroll runway your first hires create.
This page is information, not legal advice. Confirm before you file: the agency — not this page — decides your application.
The free checkers give you the verdict and the number. The Kit gives you the working papers: your state's application packet walked through in filing order, the policies-and-procedures binder spec (what your binder must contain — never a boilerplate binder), the administrator self-audit, the insurance & bond spec sheet, the Medicaid gate map, the franchise-vs-independent 10-year worksheets, and the payroll-runway planner.
$49 one-time payment
Included in the $49 HomeCareLicenseCheck Kit
