South Carolina · Checked October 22, 2026

Home care agency license in South Carolina

Your license is the In-Home Care Provider License, issued by South Carolina Department of Public Health (SCDPH, formerly DHEC).

Run the verdict checker for South Carolina

ItemSouth Carolina
License / registrationIn-Home Care Provider License
Issued bySouth Carolina Department of Public Health (SCDPH, formerly DHEC) — official page
Application / initial fee$1,000 — Regulation 60-122 §103.I: 'The initial license fee shall be one thousand dollars ($1,000).'
Renewal$800
Surety bondNo state bond minimum found in the published rules
Liability insuranceLiability insurance (or surety bond in lieu) of at least $100,000 per occurrence / $300,000 aggregate, plus indemnity coverage for client injuries/losses and workers' compensation per S.C. Code §42-5-10 et seq. (Reg. 60-122 §§103.F, 302)
TimelineNot published in Regulation 60-122
AdministratorEach provider must designate an administrator responsible for overall management and operation (Reg. 60-122 §401); the regulation states no education or experience minimum for that administrator. Applicants/signers must pass a SLED name-based criminal record check and a 5-panel drug test before licensure (§§103.G-H).
State extrasSLED criminal record checks and 5-panel drug tests for licensee signers and every caregiver; random drug testing program; commercially zoned (or zoning-lettered) in-state primary office required (§103.D). Note: Reg. 60-122 was amended effective May 22, 2026 (State Register Doc. 5407, scrivener correction June 2026) — fees above are from the current DPH-posted regulation text.

What the South Carolina license covers — service by service

ServiceUnder this license
Companionship & supervisionNot covered by this license
Homemaker helpCovered
Hands-on personal careCovered
Live-in / 24-hour careNot covered by this license
TransportationNot covered by this license
Skilled nursing or therapyHome health license + a gate (see below)

'In-home care' is ADL/personal (not medical) care only: walking, bed transfers, bathing, dressing, feeding, toileting, special diets, supervising self-administered medication (S.C. Code §44-70-20; Reg. 60-122 §102.J). Excluded from the definition: home health agencies/hospices, an individual or agency providing ONLY house cleaning, direct-hire individuals employed by the client/family, and uncompensated church care. Skilled care/therapy is expressly outside in-home care.

The skilled door in South Carolina

Home health agencies are licensed separately under S.C. Code Title 44, Chapter 69, and §44-69-75 requires a Certificate of Need before home health licensure.

Gate on record: Con

Certificate of Need gate applies to the skilled home health lane only (§44-69-75), not to the In-Home Care Provider license.

Medicaid in South Carolina: a second gate

SC Healthy Connections Medicaid HCBS waivers (Community Long Term Care) — licensed in-home care provider enrolls as a Medicaid waiver provider

State EVV page not captured in this pass; marked null.

Your opening number for South Carolina

The state fee above is one line of the real total. Run the true-cost calculator with South Carolina selected — it adds the bond premium, insurance class, screening and the payroll runway your first hires create.

Sources

This page is information, not legal advice. Confirm before you file: the agency — not this page — decides your application.

The paperwork, in filing order

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

See what's in the Kit

Included in the $49 HomeCareLicenseCheck Kit