From application to approval, we handle your DHHS licensing — then hand you the platform to run your agency from day one. Most consultancies disappear when your license arrives. We keep going.
Want to open a non-medical home care agency in New Hampshire? You need a Home Care Agency License from the New Hampshire Department of Health and Human Services. Plan on 30–90 days for provisional approval plus an on-site survey. State filing fees total $550 and are paid directly to DHHS.
New Hampshire Department of Health and Human Services
License Types
1 Categories
Home Care Agency License
Certificate of Need
Not Required
Non-medical home care agencies do not require a CON in New Hampshire.
Medicaid Program
Choices for Independence (CFI)
Plus the Private-Pay Advantage for qualifying providers.
Home Care License Type in New Hampshire
New Hampshire regulates home-based care under several license categories. Most new founders start with a Home Care Agency License for non-medical care, then add skilled services later if they choose.
NON-MEDICAL
Home Care Agency License
New Hampshire requires a Home Care Service Provider Agency (HCSPA) License for agencies providing personal care, companionship, and homemaker services.
Personal care and daily living assistance
Companionship and homemaker services
Medication reminders (not administration)
Transportation and errand assistance
Respite care for family caregivers
State fee:
$550 HCSPA License Fee (approx.)
Timeline:
30-90 Days for provisional approval
Regulator:
New Hampshire Department of Health and Human Services
How to Get Licensed in New Hampshire
New Hampshire licensing follows a structured 7-step process through DHHS. Our specialists handle all 7 steps in the Launch and Signature packages; in the Licensing Kit, you handle the submission yourself with our expert guidance.
30–90 days from start to provisional approval
1
FOUNDATION
2
INSURANCE
3
POLICIES
4
APPLICATION
5
SURVEY
6
OPERATIONS
7
PROCESS
1
Register Your Business
FOUNDATION
Register your LLC with the New Hampshire Secretary of State. Obtain an EIN from the IRS. An LLC is recommended for liability protection.
2
Secure Insurance
INSURANCE
Obtain general liability ($1M per occurrence / $3M aggregate), professional liability, and workers' compensation insurance. Consider a surety bond ($10,000+) if you'll handle client funds.
3
Develop Policies and Procedures
POLICIES
Create a comprehensive policy manual covering client rights (Home Care Clients' Bill of Rights), HIPAA compliance, emergency preparedness, personnel management, training protocols, and quality assurance as required by DHHS.
4
Submit HCSPA License Application
APPLICATION
Apply for the Home Care Service Provider Agency license through NH DHHS Health Facilities Administration. Submit policy manuals, insurance documentation, and the application fee (~$550 payable to "State of New Hampshire, Treasurer").
5
Pass Licensing Survey/Inspection
SURVEY
DHHS conducts a licensing survey or inspection which may include clinical and life safety code reviews to verify compliance with RSA 151 and He-P 822.
6
Hire and Train Staff
OPERATIONS
Recruit caregivers, conduct required background checks, and provide training. New Hampshire may require up to 75 hours of instruction for caregivers.
7
Build Referral Network and Launch
PROCESS
Establish relationships with local hospitals, physicians, Area Agencies on Aging, and community organizations. Start with private-pay clients while building volume.
Why New Hampshire Founders Choose HomeCareAtlas
The biggest difference between us and traditional consultancies isn't the license — it's what happens after the license arrives.
Traditional Consultant
HomeCareAtlas
Pricing
Gated, sales-call only
Published online, no surprises
Policies & Procedures
Generic templates
Built around your state and your service model
Application Filing
You assemble the packet
Done-for-you in Launch and Signature
Survey Day
You're on your own
On-call phone support during your state visit
After License Arrives
Relationship ends
Platform, dashboard, and directory listing go live
Caregiver Onboarding
Not included
Digital onboarding ready for hire #1
Compliance Tracking
You build a spreadsheet
Live compliance dashboard included
Directory Presence
None
Listed on Carezano the day you open
Three Ways to Get Your New Hampshire Agency Licensed
Pick the level of support that matches how hands-on you want to be. New Hampshire state fees ($550 to DHHS) are passed through at cost.
Atlas Licensing Kit
Get licensed without mistakes
$995+ state fees
For self-directed founders who want expert guidance and will file the application themselves.
Licensing
New Hampshire licensing roadmap
Annotated application guide
Custom P&P manual (state-ready)
Prep tools
Office setup checklist
Bond & insurance sourcing
Admin interview prep
Survey prep guide
Expert support
2 × 60-min strategy calls
Application red-line review
60 days email support
Platform
3 months free Atlas SaaS
Free Carezano directory listing
Upgrade to Launch for
Done-for-you filing
Medicaid enrollment
Website & launch kit
Live survey prep
Most Popular
Atlas Launch
Licensed & ready for first client
$2,995+ state fees
For founders ready to be fully licensed, operational, and taking their first client on day one.
Everything in Licensing Kit, plus:
Application prepared & filed
P&P custom-built for your model
Background check coordination
Surety bond assistance
Site review prep
Live admin interview prep
Survey & enrollment
Live survey prep session
Survey-day on-call support
Medicaid enrollment guidance
Waiver enrollment guidance
50% off plan-of-correction support
Launch setup
Atlas Edge
Branded website landing page
Google Business Profile setup
Caregiver recruitment kit
HR / employee handbook
Intake + care plan templates
Scheduling templates
Support & platform
90 days Slack/email support
6 months free Atlas SaaS
Priority Carezano placement
Licensing approval guarantee
Upgrade to Signature for
Business formation (LLC, EIN)
Full brand + multi-page site
Go-to-market system
Founder-level attention
Atlas Signature
White-glove launch & full setup
$5,995+ state fees
For founders who want direct access, white-glove execution, and long-term support with minimal lift.
Everything in Launch, plus:
LLC formation + EIN
Registered agent (1st year)
Operating agreement
Full brand + web
Logo + branding kit
Business cards + marketing materials
Multi-page website
Domain + professional email
Go-to-market system
First-month marketing plan
Curated referral source list for your area
Discharge planner scripts
Private pay contracts
LTC insurance setup
Premium support
Signature Only
Weekly calls (first 60 days)
Direct phone/text access
Founder-level attention
Extended support
6 months compliance support
12 months free Atlas SaaS
Premium directory placement
First-year renewal included
1 free plan of correction
What are state fees?Hide state fee details
New Hampshire charges a state application fee, paid directly to the state licensing body. We don't mark it up.
Every tier includes free time on Home Care Atlas — the operating system for your new agency. This is the part other New Hampshire consultancies don't offer.
New Hampshire Licensing Workspace
Track your application, documents, and deadlines in one dashboard. Your Atlas specialist works in the same view you do.
Custom New Hampshire P&P Manual
Written around your state's rules, your service model, and your agency — not a generic national template. Survey-ready before you file.
Business Formation
LLC, EIN, NPI, surety bond, and insurance — all tracked and handled in Launch and Signature packages.
Compliance Dashboard
From caregiver #1 onward, every certification, background check, and required document is tracked with automatic expiration alerts.
Caregiver Onboarding
I-9, W-4, direct deposit, and required background-check verifications — all collected digitally.
Carezano Directory Listing
Listed on our public directory the day you open. Local families find you, referral partners find you, you're visible from day one.
Common Questions Before You Book
What license do I need for home care in New Hampshire?
New Hampshire requires a Home Care Service Provider Agency (HCSPA) License from the DHHS Health Facilities Administration under He-P 822 and RSA 151:2-b.
How much does a New Hampshire home care license cost?
The application fee is approximately $550. Total startup costs typically range from $40,000 to $75,000 including insurance, staffing, and working capital.
How long does licensing take in New Hampshire?
30-90 days from complete application, which is faster than most neighboring states. The process includes a DHHS survey/inspection.
How many hours of training do caregivers need?
New Hampshire may require up to 75 hours of instruction for caregivers. This is more than many states, so budget time and resources for training before staff can work independently.
Is New Hampshire a good market for home care?
Yes. New Hampshire has one of the highest senior percentages nationally (21%), no income tax, no sales tax, median household income of ~$88K, and billing rates of $33-$45/hr. Southern NH benefits from Boston metro spillover. The combination of affluent demographics and growing senior population makes it a strong market.
Do I need a Certificate of Need?
No. New Hampshire does not require a CON for home care agencies. This open-market approach makes entry easier than CON states.
How does the Boston market affect New Hampshire?
Southern NH (Manchester, Nashua, Salem) is part of the Boston-Cambridge-Nashua MSA. Many residents work in Massachusetts but live in NH for the tax advantage. This creates Boston-level demand and pricing in southern NH, but also means Massachusetts-based agencies may compete in your market.
New Hampshire Home Care Licensing: What You Need to Know
New Hampshire requires a Home Care Service Provider Agency (HCSPA) License for agencies providing personal care, companionship, and homemaker services. The governing regulations are He-P 822 and RSA 151:2-b. Applications are submitted to the DHHS Health Facilities Administration. The licensing process includes a survey/inspection to verify compliance. No Certificate of Need (CON) is required. The process is relatively fast (30-90 days) compared to neighboring states. Agencies must also comply with He-P 820 for individual home care provider standards and uphold the Home Care Clients' Bill of Rights.
The Home Care Agency License
Agencies providing non-medical home care must obtain a HCSPA License under He-P 822 and RSA 151:2-b from the DHHS Health Facilities Administration. New Hampshire has one of the faster licensing timelines in the region — 30-90 days from complete application to license. Much faster than neighboring Massachusetts or Connecticut. New Hampshire has no state income tax and no sales tax. This is a major advantage for agency profitability and attracts affluent retirees to the state. New Hampshire also requires required administrator certification (typical cost N/A).
Certificate of Need (CON) in New Hampshire
No Certificate of Need Required. New Hampshire does not require a CON for home care agencies. This open-market approach makes it easier to enter compared to CON states.
Medicaid Participation — Choices for Independence (CFI)
New Hampshire's Medicaid home and community-based services program for seniors and adults with disabilities. CFI covers personal care, homemaker services, and related supports. Provider enrollment through NH DHHS is required to serve Medicaid-eligible clients.
The DHHS On-Site Survey
HCSPA License (He-P 822; RSA 151:2-b). New Hampshire requires agencies providing home care services to obtain a HCSPA License. Applications go through the DHHS Health Facilities Administration with a survey/inspection for compliance.
Common Reasons New Hampshire Applications Are Rejected or Delayed
Generic P&P manuals that don't reflect state-specific regulations
Incomplete administrator documentation
Insurance or surety bond policies that don't meet state minimums
Missing or inadequate quality assurance program documentation
Physical office that doesn't meet site-review standards
Caregiver background checks that miss required state databases
Every one of these is preventable with proper preparation. It's the biggest reason founders choose done-for-you packages over DIY — the cost of a rejection in lost time is almost always higher than the cost of doing it right the first time.
Book a Free New Hampshire Strategy Call
30 minutes with a home care specialist. We'll map out New Hampshire licensing for your specific situation, your timeline, and your best path forward — even if you don't hire us.
Which New Hampshire license type fits your business model (Home Care Agency License)
Your realistic timeline and budget
Whether Choices for Independence (CFI) enrollment makes sense for your plan
Common New Hampshire-specific mistakes to avoid
If you'd like, which Atlas package is right for you
No pressure. No obligation. New Hampshire-specific guidance either way.
Your Future New Hampshire Clients Are Already Looking for Care.
Every week you spend piecing this together alone is a week you're not serving your first New Hampshire client. Let's get your agency licensed, launched, and visible — with people on your side who know DHHS.
