From application to approval, we handle your OSDH licensing — then hand you the platform to run your agency from day one. Most consultancies disappear when your license arrives. We keep going.
Home Care Agency License or Sitter/Companion Service Agency License
Timeline
45–120 days
State Fee
$1,000
Want to open a non-medical home care agency in Oklahoma? You need a Home Care Agency License or Sitter/Companion Service Agency License from the Oklahoma State Department of Health. Plan on 45–120 days for provisional approval plus an on-site survey. State filing fees total $1,000 and are paid directly to OSDH.
Home Care Agency License or Sitter/Companion Service Agency License
Certificate of Need
Not Required
Non-medical home care agencies do not require a CON in Oklahoma.
Medicaid Program
ADvantage Waiver Program (SoonerCare)
Plus the Private-Pay + ADvantage Strategy for qualifying providers.
Home Care License Type in Oklahoma
Oklahoma regulates home-based care under several license categories. Most new founders start with a Home Care Agency License or Sitter/Companion Service Agency License for non-medical care, then add skilled services later if they choose.
NON-MEDICAL
Home Care Agency License or Sitter/Companion Service Agency License
Oklahoma has TWO license types for non-medical home care — choose based on your service scope.
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:
$1,000 Initial Application Fee ($500 renewal)
Timeline:
45-120 Days for provisional approval
Regulator:
Oklahoma State Department of Health
How to Get Licensed in Oklahoma
Oklahoma licensing follows a structured 8-step process through OSDH. Our specialists handle all 8 steps in the Launch and Signature packages; in the Licensing Kit, you handle the submission yourself with our expert guidance.
45–120 days from start to provisional approval
1
FOUNDATION
2
INSURANCE
3
POLICIES
4
APPLICATION
5
SURVEY
1
Choose Your License Type
FOUNDATION
Decide between Home Care Agency License (personal care/ADLs) and Sitter/Companion Service Agency License (companionship only). This determines your training requirements, staffing needs, and scope of services.
2
Register Your Business
INSURANCE
Register your LLC or corporation with the Oklahoma Secretary of State. Obtain an EIN from the IRS. Register for state tax accounts.
3
Complete Administrator Training and OHCAPA Exam
POLICIES
Complete an approved administrator training program. Pass the Oklahoma Home Care Administrator Professional Assessment (OHCAPA) — a 90-minute timed exam. You have three attempts; retrain if all three fail. Results provided immediately for online testers. Registry listing within ~10 days.
4
Secure Insurance
INSURANCE
Obtain general liability ($1M/$3M), professional liability, and workers' compensation insurance.
5
Develop Policies and Procedures
POLICIES
Create a comprehensive manual covering care delivery, emergency protocols, personnel policies, client rights, service agreements (must disclose fees), HIPAA compliance, and quality assurance per OAC Title 310 Chapter 662.
6
Complete Background Checks and Staff Training
POLICIES
Conduct OSBI criminal background checks on all staff. For Home Care Agency license: aides must complete a 75-hour training program and be listed on the Oklahoma Home Health Aide Registry. Provide ongoing supervision as required by OSDH.
7
Submit Application to OSDH
APPLICATION
Submit the Home Care Agency or Sitter/Companion Service Agency application to the OSDH Home Services Division. Include the $1,000 application fee, insurance documentation, administrator credentials, and all supporting materials.
8
Pass Initial On-Site Survey
SURVEY
OSDH conducts an initial on-site survey/inspection to verify compliance with Title 63 §1-1960 and OAC 310:662. Address any deficiencies. License is issued upon passing the survey.
Why Oklahoma 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 Oklahoma Agency Licensed
Pick the level of support that matches how hands-on you want to be. Oklahoma state fees ($1,000 to OSDH) are passed through at cost.
Oklahoma 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 Oklahoma consultancies don't offer.
Oklahoma Licensing Workspace
Track your application, documents, and deadlines in one dashboard. Your Atlas specialist works in the same view you do.
Custom Oklahoma 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 Oklahoma?
Oklahoma has two license types: Home Care Agency License (for personal care/ADL assistance — requires 75-hour aide training and HHA Registry) and Sitter/Companion Service Agency License (for companionship, light housekeeping, meal prep — no hands-on personal care). Choose based on your service scope. Both require OSDH application, administrator credentials, and initial survey.
How much does an Oklahoma home care license cost?
Initial application fee is $1,000 with $500 annual renewals. Branch offices incur additional fees. Total startup costs typically range from $30,000 to $55,000 — lower than neighboring Texas.
How long does licensing take in Oklahoma?
45-120 days including application review and the required initial on-site survey. The administrator must pass the OHCAPA exam before the application is complete.
What is the OHCAPA exam?
The Oklahoma Home Care Administrator Professional Assessment is a 90-minute timed written exam required for all home care agency administrators. Candidates get three attempts after completing an approved training program. Retrain after three failures. Results are immediate for online testers, and registry listing takes about 10 days.
What training do caregivers need in Oklahoma?
For Home Care Agency licensees: aides must complete a 75-hour training program and be listed on the Oklahoma Home Health Aide Registry. For Sitter/Companion agencies: training requirements are lighter but orientation and background checks are still required.
Is Oklahoma a good market for home care?
Yes. Oklahoma has 642,000 adults 65+, a $680 million market, and lower startup costs than neighboring states. Average billing rates ($30-$33/hr) with low caregiver wages ($17.89/hr) give strong margins. The growing ADvantage Waiver program adds Medicaid revenue opportunity.
What's the difference between the two license types?
Home Care Agency License: allows hands-on personal care (bathing, dressing, transfers) — requires 75-hour aide training and HHA Registry. Sitter/Companion Service Agency License: companionship, light housekeeping, meal prep, transportation — no hands-on ADL care. Choosing the wrong type is a common and costly mistake.
Oklahoma Home Care Licensing: What You Need to Know
Oklahoma has TWO license types for non-medical home care — choose based on your service scope. The Home Care Agency License covers personal care (ADL assistance, bathing, dressing) and requires aides on the Home Health Aide Registry. The Sitter/Companion Service Agency License covers companionship, light housekeeping, and meal prep without hands-on personal care. Both are governed by Oklahoma Statute Title 63 §1-1960 et seq. and OAC Title 310 Chapter 662. Applications go to the OSDH Home Services Division. An initial on-site survey is required before license issuance. Branch offices require separate fees.
The Home Care Agency License or Sitter/Companion Service Agency License
Home Care Agency License (personal care, ADLs) vs Sitter/Companion Service Agency License (companionship only). Choosing the wrong type for your services is one of the most common mistakes new agencies make in Oklahoma. Oklahoma requires a qualified administrator who passes the Oklahoma Home Care Administrator Professional Assessment (OHCAPA) — a 90-minute timed written exam. Three attempts allowed; retrain after three failures. Listed on the OK Home Care Administrator Registry. Oklahoma also requires required administrator certification (typical cost Exam fee varies).
Certificate of Need (CON) in Oklahoma
Oklahoma does not require a Certificate of Need (CON) for non-medical home care. You can move directly into the licensing process without a separate market-need review.
Medicaid Participation — ADvantage Waiver Program (SoonerCare)
Oklahoma's primary Medicaid home and community-based waiver program for seniors and adults with disabilities. Covers personal care, homemaker services, and related supports. Growing program with increasing enrollment — a key revenue stream for Oklahoma agencies.
The OSDH On-Site Survey
Initial Survey Before License Issuance. OSDH conducts an on-site survey/inspection before issuing the license. Prepare your policies, staff files, and physical office before scheduling the survey.
Common Reasons Oklahoma 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 Oklahoma Strategy Call
15 minutes with a home care specialist. We'll map out Oklahoma licensing for you, your timeline, and your best next step — even if you don't hire us.
Which Oklahoma license type fits your business model (Home Care Agency License or Sitter/Companion Service Agency License)
Your realistic timeline and budget
Whether ADvantage Waiver Program (SoonerCare) enrollment makes sense for your plan
No pressure. No obligation. Oklahoma-specific guidance either way.
Your Future Oklahoma Clients Are Already Looking for Care.
Every week you spend piecing this together alone is a week you're not serving your first Oklahoma client. Let's get your agency licensed, launched, and visible — with people on your side who know OSDH.
