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 Service Provider Agency (HCSPA) License from the New Hampshire Department of Health and Human Services. Our estimate: 30–90 days for provisional approval plus an on-site survey. State filing fees total $250 and are paid directly to DHHS.
New Hampshire Department of Health and Human Services
License Types
1 Categories
Home Care Service Provider Agency
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 HCSPA License for non-medical care, then add skilled services later if they choose.
NON-MEDICAL
Home Care Service Provider Agency (HCSPA) License
New Hampshire requires a Home Care Service Provider Agency (HCSPA) license.
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:
$250 Annual License Fee ($25 if under 10 clients)
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
Get workers' comp, general liability, and professional liability. New Hampshire's HCSPA rules set no insurance amounts. They have no bond rule. Ask an agent what limits fit your size.
3
Develop Policies and Procedures
POLICIES
Write a policy manual. Cover client rights (Home Care Clients' Bill of Rights, RSA 151:21-b), HIPAA, emergency plans, personnel, training, infection control, and quality improvement as He-P 822 requires.
4
Submit HCSPA License Application
APPLICATION
First, run a notice about your plan in a local newspaper. It must run in 2 issues, at least 10 business days before you apply. Then mail or hand-deliver your packet to DHHS Health Facilities Administration, 129 Pleasant Street, Concord. Under He-P 822.04 you send: the application form, proof of Secretary of State registration, the fee ($250, or $25 if under 10 clients), the administrator's resume, criminal records checks for the owners and administrator, and written approvals from local health, building, zoning, and fire officials.
5
Pass Licensing Inspection
SURVEY
DHHS inspects before it issues a license (He-P 822.05 and 822.09). The inspection checks that you meet RSA 151 and He-P 822. Have criminal records checks ready for all current staff. Fix any problems they find.
6
Hire and Train Staff
OPERATIONS
Recruit caregivers. Run the NH Department of Safety criminal records check and the BEAS registry check before hire. Get a health screening and 2-step TB test. Give orientation. Staff who help with transfers, feeding, bathing, or dressing need at least 8 hours of training (He-P 822.17).
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
A mystery sales process and hard upsells
Clear packages built for your goals
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 ($250 to DHHS) are passed through at cost.
New Hampshire charges a state application fee, paid directly to the state licensing body. We don't mark it up.
Want to see pricing? We share it on your free 15-minute call. Pick a time →
The Platform That Comes With Your License
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?
You need a Home Care Service Provider Agency (HCSPA) license from the DHHS Health Facilities Administration. The rules are in He-P 822 under RSA 151. It covers agencies that employ people to give personal care or homemaker services.
How much does a New Hampshire home care license cost?
The fee is $250 a year for an agency (RSA 151:5). If you serve fewer than 10 clients, it is $25. We estimate total startup costs at $35,000 to $70,000. That includes insurance, staffing, and working capital.
How long does licensing take in New Hampshire?
We estimate 30-90 days from a complete application. DHHS does not publish a set time. DHHS must inspect you before it issues the license (He-P 822.05). A complete packet and a ready office speed this up.
How many hours of training do caregivers need?
New Hampshire does not set a large hour count for non-medical caregivers. Under He-P 822.17, staff who help with transfers, feeding, bathing, or dressing need at least 8 hours of training. All staff need orientation and yearly in-service education. Longer hour rules you may see are for licensed nursing assistants, not HCSPA caregivers.
Is New Hampshire a good market for home care?
Yes. About 23% of people in New Hampshire are 65 or older (Census, 2025). That is one of the highest shares in the U.S. There is no wage tax and no sales tax. Southern NH gets Boston spillover. We estimate billing rates at $30-$45 an hour.
Do I need a Certificate of Need?
No. New Hampshire repealed its Certificate of Need law (RSA 151-C). Home care agencies do not need one.
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. It covers agencies that employ people to give personal care or homemaker services in a client's home. The license is for one of two types: personal care or homemaker (He-P 822.05). The rules are in He-P 822, adopted under RSA 151. You mail or hand-deliver your application to the DHHS Health Facilities Administration. Before you apply, you must run a notice in a local newspaper twice (He-P 822.04). DHHS inspects you before it issues the license (He-P 822.05). The license fee is set by RSA 151:5. It is $250 a year, or $25 if you serve fewer than 10 clients. Licenses last one year. No Certificate of Need (CON) is required. Individuals who work directly for a client (not through an agency) register under He-P 820 instead. Skilled home health agencies are licensed under He-P 809, not He-P 822. All licensed agencies must post and follow the Home Care Clients' Bill of Rights (RSA 151:21-b).
The Home Care Service Provider Agency (HCSPA) License
Agencies providing non-medical home care must get an HCSPA license under He-P 822 from the DHHS Health Facilities Administration. DHHS inspects before it issues the license. The fee is $250 a year for an agency (RSA 151:5). If you serve fewer than 10 clients, it is $25. Licenses expire one year after they are issued. Send your renewal at least 120 days before it expires (He-P 822.06).
Certificate of Need (CON) in New Hampshire
No Certificate of Need Required. New Hampshire repealed its Certificate of Need law (RSA 151-C). Home care agencies do not need one.
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.
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
15 minutes with a home care specialist. We'll map out New Hampshire licensing for you, your timeline, and your best next step — even if you don't hire us.
Which New Hampshire license type fits your business model (Home Care Service Provider Agency)
Your realistic timeline and budget
Whether Choices for Independence (CFI) enrollment makes sense for your plan
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.
