Start a Home Care Agency in Your State
Comprehensive state-by-state guides covering licensing requirements, startup costs, timelines, and market opportunities. Find the perfect state to launch your home care business.
50 States Available•Updated March 2026
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Showing 50 states
Alabama
No state license required for non-medical home care
Initial Fee
$0Timeline
N/AMarket Rating
55
Senior Population
1.1 MillionRegional Markets
4 regionsView Full Guide
Alaska
HHA License (Medical) or Unlicensed (Non-Medical Private Pay)
Initial Fee
$1,000Timeline
2-4 MonthsMarket Rating
38
Senior Population
110,000Regional Markets
3 regionsView Full Guide
Arizona
Private-Pay Companion Model, ADHS Home Care Path, or DES HCBS Certification
Initial Fee
$0Timeline
2-16 WeeksMarket Rating
88
Senior Population
1.4 MillionRegional Markets
5 regionsView Full Guide
Arkansas
Private Care Agency License
Initial Fee
$3,000Timeline
2-4 MonthsMarket Rating
55
Senior Population
540,000Regional Markets
3 regionsView Full Guide
California
Home Care Organization (HCO) License
Initial Fee
$5,603Timeline
8-16 WeeksMarket Rating
88
Senior Population
6.5 MillionRegional Markets
5 regionsView Full Guide
Colorado
Class B Home Care Agency License
Initial Fee
$2,200Timeline
3-5 MonthsMarket Rating
72
Senior Population
930,000Regional Markets
4 regionsView Full Guide
Connecticut
Homemaker-Companion Agency (HCA) Registration
Initial Fee
$375Timeline
1-3 MonthsMarket Rating
72
Senior Population
660,000Regional Markets
4 regionsView Full Guide
Delaware
Personal Assistance Services Agency (PASA)
Initial Fee
$500Timeline
3-4 MonthsMarket Rating
55
Senior Population
195,000Regional Markets
3 regionsView Full Guide
Florida
Homemaker & Companion Services (HCS), Nurse Registry, or Home Health Agency (HHA)
Initial Fee
$50Timeline
8-12 WeeksMarket Rating
88
Senior Population
4.8 MillionRegional Markets
4 regionsView Full Guide
Georgia
Private Home Care Provider (PHCP)
Initial Fee
$250Timeline
8-14 WeeksMarket Rating
88
Senior Population
1.6 MillionRegional Markets
4 regionsView Full Guide
Hawaii
Home Care Agency License
Initial Fee
$1,200Timeline
60-90 DaysMarket Rating
55
Senior Population
280,000Regional Markets
4 regionsView Full Guide
Idaho
Personal Assistance Agency (PAA) for Medicaid; private-pay non-medical path varies by services offered
Initial Fee
$0Timeline
N/A - 90 DaysMarket Rating
55
Senior Population
320,000Regional Markets
5 regionsView Full Guide
Illinois
Home Services Agency License
Initial Fee
$1,500Timeline
90-240 DaysMarket Rating
72
Senior Population
2.2 MillionRegional Markets
4 regionsView Full Guide
Indiana
Personal Services Agency (PSA) License
Initial Fee
$250Timeline
60-90 DaysMarket Rating
55
Senior Population
1.1 MillionRegional Markets
5 regionsView Full Guide
Iowa
No specific state license for typical private-pay non-medical home care; separate rules may apply for staffing/Medicaid models
Initial Fee
$0Timeline
N/AMarket Rating
55
Senior Population
540,000Regional Markets
4 regionsView Full Guide
Kansas
HHA – Non-Medical Supportive Care Services License
Initial Fee
$250Timeline
60-90 DaysMarket Rating
55
Senior Population
480,000Regional Markets
3 regionsView Full Guide
Kentucky
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Louisiana
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Maine
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Maryland
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Massachusetts
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Michigan
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Minnesota
Basic or Comprehensive Home Care License
Initial Fee
$2,100Timeline
3-5 MonthsMarket Rating
72
Senior Population
950,000Regional Markets
4 regionsView Full Guide
Mississippi
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Missouri
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Montana
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Nebraska
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Nevada
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
New Hampshire
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
New Jersey
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
New Mexico
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
New York
Licensed Home Care Services Agency (LHCSA)
Initial Fee
$1,200Timeline
12-24 WeeksMarket Rating
88
Senior Population
3.3 MillionRegional Markets
6 regionsView Full Guide
North Carolina
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
North Dakota
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Ohio
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Oklahoma
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Oregon
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Pennsylvania
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Rhode Island
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
South Carolina
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
South Dakota
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Tennessee
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Texas
Home and Community Support Services Agency (HCSSA)
Initial Fee
$2,625Timeline
4-6 MonthsMarket Rating
88
Senior Population
4.5 MillionRegional Markets
3 regionsView Full Guide
Utah
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Vermont
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Virginia
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Washington
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
West Virginia
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Wisconsin
TBD
Initial Fee
$0Timeline
TBDMarket Rating
50
Senior Population
TBDRegional Markets
0 regionsView Full Guide
Wyoming
Home Health Agency License
Initial Fee
$500Timeline
2-3 monthsMarket Rating
38
Senior Population
100,000Regional Markets
3 regionsView Full Guide
Not sure which state is right for you?
Schedule a free consultation to compare states based on your budget, timeline, and business goals.