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Tools & Insights for
Serious Operators

Free guides, checklists, templates, and expert articles covering every stage of launching and growing a home care, home health, or hospice agency.

Latest Articles

Expert Insights

CareTime
Partner Webinar
CareTime Webinar 2025 Webinar
From Licensure to Revenue: Building A Compliance Foundation That Pays Off
Lucas Carroll joined Julio Barea, VP of Sales at CareTime, for this webinar on building a compliance foundation for Medicaid and VA agencies. Topics include state licensure, Medicaid enrollment, waiver program selection, monthly audits, and how compliance drives revenue.
Watch Webinar
ACHC Strategic Partner
ACHC University
ACHC Partner Webinar March 2026 60 min
Building a Culture of Continuous Improvement (ACHC Webinar)
Lucas Carroll joined ACHC University for this exclusive webinar on building a culture of continuous improvement in your home care agency. Learn QAPI implementation, survey preparation, and how to meet ACHC accreditation standards.
Watch Webinar
How to start a home care agency complete guide
Mega Guide March 19, 2026 25 min read
How to Start a Home Care Agency in 2026: The Complete Step-by-Step Guide
The definitive guide to launching a home care agency — covering all 50 states, licensing requirements, CON laws, startup costs ($40K–$80K), Medicare and Medicaid enrollment, and a complete state-by-state comparison table.
Read Article
How to start a home care agency business guide
Guide January 6, 2026 18 min read
How to Start a Home Care Agency in 2026: The Complete Business Guide
Step-by-step guide covering licensing requirements, startup costs ($40K–$80K), business planning, insurance, staffing, and Medicare certification. Everything you need to launch a successful home care agency across any of the 50 states.
Read Article
Senior care business startup costs
Guide January 20, 2026 12 min read
How Much Does It Cost to Start a Senior Care Business in 2026?
Complete breakdown of startup costs for non-medical home care ($40K–$80K), home health ($150K–$350K), and hospice agencies. Includes cost tables, hidden expenses, and strategies to reduce your investment.
Read Article
Home care agency vs assisted living comparison
Comparison February 10, 2026 14 min read
Home Care Agency vs Assisted Living: Which Is More Profitable in 2026?
Head-to-head comparison of startup costs, profit margins, licensing complexity, and scalability. Learn which senior care business model is the smarter first move for entrepreneurs.
Read Article
How to get home care clients
Marketing March 3, 2026 11 min read
How to Get Your First 10 Home Care Clients
Proven strategies to land your first clients fast: referral relationships, Google optimization, community networking, and a week-by-week 30-day client acquisition plan you can start today.
Read Article
Dallas Texas skyline
State Guide January 27, 2026 12 min read
How to Start a Home Care Agency in Texas (2026 Guide)
The Lone Star State is the second-largest home care market with the fastest-growing senior population. Navigate HHSC licensing via TULIP, HCSSA requirements, and no CON barriers.
Read Article
California coastline
State Guide January 13, 2026 12 min read
How to Start a Home Care Agency in California (2026 Guide)
The Golden State is the largest home care market in the US with 6.5 million seniors. Learn about CDSS HCO licensing, $25K surety bonds, CDPH requirements for home health, and how to navigate California's regulations.
Read Article
Florida beach sunset
State Guide February 3, 2026 12 min read
How to Start a Home Care Agency in Florida (2026 Guide)
The Sunshine State has the highest percentage of 65+ residents in the US. Learn about AHCA licensing, CON requirements, the Nurse Registry alternative, and Florida's massive senior care demand.
Read Article
New York City skyline from Brooklyn Bridge
State Guide February 17, 2026 11 min read
How to Start a Home Care Agency in New York (2026 Guide)
The Empire State has one of the most complex licensing environments in the country. Navigate LHCSA applications, CON requirements for home health, and the massive NYC metro market.
Read Article
How to start a home care agency in Colorado
State Guide January 8, 2026 7 min read
How to Start a Home Care Agency in Colorado (2026 Guide)
Navigate The Centennial State's licensing through the Colorado Department of Public Health and Environment, understand requirements, costs, and how to launch your home care agency in Colorado.
Read Article
Atlanta skyline from Piedmont Park
State Guide January 6, 2026 11 min read
How to Start a Home Care Agency in Georgia (2026 Guide)
The Peach State's Atlanta metro is one of the fastest-growing senior care markets in the country. Navigate DCH licensing, CON requirements for home health, and Georgia's Private Home Care Provider rules.
Read Article
Chicago skyline with Cloud Gate
State Guide March 10, 2026 10 min read
How to Start a Home Care Agency in Illinois (2026 Guide)
Navigate The Prairie State's licensing through IDPH, understand CON requirements, and learn why the Chicago metro is a top-10 home care market nationally. Complete licensing guide for IL.
Read Article
How to start a home care agency in Washington
State Guide March 10, 2026 7 min read
How to Start a Home Care Agency in Washington (2026 Guide)
Navigate The Evergreen State's licensing through the Washington State Department of Health, understand requirements, costs, and how to launch your home care agency in Washington.
Read Article
How to start a home care agency in Virginia
State Guide March 8, 2026 7 min read
How to Start a Home Care Agency in Virginia (2026 Guide)
Navigate Old Dominion's licensing through the Virginia Department of Health, understand requirements, costs, and how to launch your home care agency in Virginia.
Read Article
Columbus Ohio skyline
State Guide March 17, 2026 10 min read
How to Start a Home Care Agency in Ohio (2026 Guide)
The Buckeye State is one of the least regulated states for non-medical home care — no state license required. Learn about Ohio's unique market, home health and hospice requirements, and how to launch fast.
Read Article
How to start a home care agency in Arizona
State Guide January 4, 2026 7 min read
How to Start a Home Care Agency in Arizona (2026 Guide)
Grand Canyon State doesn't require a state license for non-medical home care — learn what you still need to get started, from business formation to insurance and compliance.
Read Article
New Jersey shore boardwalk
State Guide March 3, 2026 10 min read
How to Start a Home Care Agency in New Jersey (2026 Guide)
The Garden State has unique licensing paths — from simple Consumer Affairs registration for non-medical to full CON review for home health. Navigate NJ's dense market near NYC and Philadelphia.
Read Article
Blue Ridge Mountains North Carolina
State Guide February 10, 2026 12 min read
How to Start a Home Care Agency in North Carolina (2026 Guide)
The Tar Heel State requires licensure for all home care including non-medical. Explore DHSR licensing, CON for home health, and why Charlotte and Raleigh-Durham are the Southeast's fastest-growing senior markets.
Read Article
How to start a home care agency in Michigan
State Guide February 2, 2026 7 min read
How to Start a Home Care Agency in Michigan (2026 Guide)
The Wolverine State doesn't require a state license for non-medical home care — learn what you still need to get started, from business formation to insurance and compliance.
Read Article
How to start a home care agency in Nevada
State Guide February 13, 2026 7 min read
How to Start a Home Care Agency in Nevada (2026 Guide)
Navigate The Silver State's licensing through the Bureau of Health Care Quality and Compliance, understand requirements, costs, and how to launch your home care agency in Nevada.
Read Article
How to start a home care agency in Tennessee
State Guide March 2, 2026 7 min read
How to Start a Home Care Agency in Tennessee (2026 Guide)
Navigate The Volunteer State's licensing through the Health Facilities Commission, understand requirements, costs, and how to launch your home care agency in Tennessee.
Read Article
Philadelphia skyline and Schuylkill River
State Guide February 24, 2026 10 min read
How to Start a Home Care Agency in Pennsylvania (2026 Guide)
The Keystone State offers a straightforward licensing path with no CON requirement. Learn about PA DOH licensing, Act 169 background checks, and strong Medicaid waiver programs.
Read Article
How to start a home care agency in Oregon
State Guide February 23, 2026 7 min read
How to Start a Home Care Agency in Oregon (2026 Guide)
Navigate The Beaver State's licensing through the Oregon Health Authority, understand requirements, costs, and how to launch your home care agency in Oregon.
Read Article
How to start a home care agency in Maryland
State Guide January 29, 2026 7 min read
How to Start a Home Care Agency in Maryland (2026 Guide)
Navigate The Old Line State's licensing through the Maryland Department of Health, understand requirements, costs, and how to launch your home care agency in Maryland.
Read Article
How to start a home care agency in Indiana
State Guide January 18, 2026 7 min read
How to Start a Home Care Agency in Indiana (2026 Guide)
Navigate The Hoosier State's licensing through the Indiana Department of Health, understand requirements, costs, and how to launch your home care agency in Indiana.
Read Article
How to start a home care agency in Massachusetts
State Guide January 31, 2026 7 min read
How to Start a Home Care Agency in Massachusetts (2026 Guide)
The Bay State doesn't require a state license for non-medical home care — learn what you still need to get started, from business formation to insurance and compliance.
Read Article
How to start a home care agency in Minnesota
State Guide February 4, 2026 7 min read
How to Start a Home Care Agency in Minnesota (2026 Guide)
Navigate The North Star State's licensing through the Minnesota Department of Health, understand requirements, costs, and how to launch your home care agency in Minnesota.
Read Article
How to start a home care agency in South Carolina
State Guide February 27, 2026 7 min read
How to Start a Home Care Agency in South Carolina (2026 Guide)
Navigate The Palmetto State's licensing through the South Carolina Department of Public Health, understand requirements, costs, and how to launch your home care agency in South Carolina.
Read Article
How to start a home care agency in Utah
State Guide March 4, 2026 7 min read
How to Start a Home Care Agency in Utah (2026 Guide)
Navigate The Beehive State's licensing through the Division of Licensing and Background Checks, understand requirements, costs, and how to launch your home care agency in Utah.
Read Article
How to start a home care agency in Louisiana
State Guide January 25, 2026 7 min read
How to Start a Home Care Agency in Louisiana (2026 Guide)
Navigate The Pelican State's licensing through the Louisiana Department of Health, understand requirements, costs, and how to launch your home care agency in Louisiana.
Read Article
How to start a home care agency in Wisconsin
State Guide March 16, 2026 7 min read
How to Start a Home Care Agency in Wisconsin (2026 Guide)
Navigate The Badger State's licensing through the Wisconsin Department of Health Services, understand requirements, costs, and how to launch your home care agency in Wisconsin.
Read Article
How to start a home care agency in Connecticut
State Guide January 10, 2026 7 min read
How to Start a Home Care Agency in Connecticut (2026 Guide)
Navigate The Constitution State's licensing through the Department of Consumer Protection, understand requirements, costs, and how to launch your home care agency in Connecticut.
Read Article
How to start a home care agency in Hawaii
State Guide January 14, 2026 7 min read
How to Start a Home Care Agency in Hawaii (2026 Guide)
Navigate The Aloha State's licensing through the Office of Health Care Assurance, understand requirements, costs, and how to launch your home care agency in Hawaii.
Read Article
How to start a home care agency in Kentucky
State Guide January 23, 2026 7 min read
How to Start a Home Care Agency in Kentucky (2026 Guide)
Navigate The Bluegrass State's licensing through the Office of Inspector General, understand requirements, costs, and how to launch your home care agency in Kentucky.
Read Article
How to start a home care agency in Missouri
State Guide February 8, 2026 7 min read
How to Start a Home Care Agency in Missouri (2026 Guide)
The Show-Me State doesn't require a state license for non-medical home care — learn what you still need to get started, from business formation to insurance and compliance.
Read Article
How to start a home care agency in Oklahoma
State Guide February 21, 2026 7 min read
How to Start a Home Care Agency in Oklahoma (2026 Guide)
Navigate The Sooner State's licensing through the Oklahoma State Department of Health, understand requirements, costs, and how to launch your home care agency in Oklahoma.
Read Article
How to start a home care agency in Alaska
State Guide January 2, 2026 7 min read
How to Start a Home Care Agency in Alaska (2026 Guide)
Navigate The Last Frontier's licensing through the Department of Health, understand requirements, costs, and how to launch your home care agency in Alaska.
Read Article
How to start a home care agency in Kansas
State Guide January 21, 2026 7 min read
How to Start a Home Care Agency in Kansas (2026 Guide)
Navigate The Sunflower State's licensing through the Kansas Department of Health and Environment, understand requirements, costs, and how to launch your home care agency in Kansas.
Read Article
How to start a home care agency in Alabama
State Guide January 1, 2026 7 min read
How to Start a Home Care Agency in Alabama (2026 Guide)
The Yellowhammer State doesn't require a state license for non-medical home care — learn what you still need to get started, from business formation to insurance and compliance.
Read Article
How to start a home care agency in New Mexico
State Guide February 17, 2026 7 min read
How to Start a Home Care Agency in New Mexico (2026 Guide)
Navigate Land of Enchantment's licensing through the New Mexico Health Care Authority, understand requirements, costs, and how to launch your home care agency in New Mexico.
Read Article
How to start a home care agency in Maine
State Guide January 27, 2026 7 min read
How to Start a Home Care Agency in Maine (2026 Guide)
Navigate The Pine Tree State's licensing through the Maine Department of Health and Human Services, understand requirements, costs, and how to launch your home care agency in Maine.
Read Article
How to start a home care agency in Iowa
State Guide January 20, 2026 7 min read
How to Start a Home Care Agency in Iowa (2026 Guide)
The Hawkeye State doesn't require a state license for non-medical home care — learn what you still need to get started, from business formation to insurance and compliance.
Read Article
How to start a home care agency in Idaho
State Guide January 16, 2026 7 min read
How to Start a Home Care Agency in Idaho (2026 Guide)
Gem State doesn't require a state license for non-medical home care — learn what you still need to get started, from business formation to insurance and compliance.
Read Article
How to start a home care agency in Nebraska
State Guide February 11, 2026 7 min read
How to Start a Home Care Agency in Nebraska (2026 Guide)
The Cornhusker State doesn't require a state license for non-medical home care — learn what you still need to get started, from business formation to insurance and compliance.
Read Article
How to start a home care agency in Arkansas
State Guide January 6, 2026 7 min read
How to Start a Home Care Agency in Arkansas (2026 Guide)
The Natural State doesn't require a state license for non-medical home care — learn what you still need to get started, from business formation to insurance and compliance.
Read Article
How to start a home care agency in Mississippi
State Guide February 6, 2026 7 min read
How to Start a Home Care Agency in Mississippi (2026 Guide)
The Magnolia State doesn't require a state license for non-medical home care — learn what you still need to get started, from business formation to insurance and compliance.
Read Article
How to start a home care agency in Montana
State Guide February 9, 2026 7 min read
How to Start a Home Care Agency in Montana (2026 Guide)
The Treasure State doesn't require a state license for non-medical home care — learn what you still need to get started, from business formation to insurance and compliance.
Read Article
How to start a home care agency in Delaware
State Guide January 12, 2026 7 min read
How to Start a Home Care Agency in Delaware (2026 Guide)
Navigate The First State's licensing through the Office of Health Facilities Licensing and Certification, understand requirements, costs, and how to launch your home care agency in Delaware.
Read Article
How to start a home care agency in New Hampshire
State Guide February 15, 2026 7 min read
How to Start a Home Care Agency in New Hampshire (2026 Guide)
Navigate The Granite State's licensing through the New Hampshire Department of Health and Human Services, understand requirements, costs, and how to launch your home care agency in New Hampshire.
Read Article
How to start a home care agency in Wyoming
State Guide March 18, 2026 7 min read
How to Start a Home Care Agency in Wyoming (2026 Guide)
Navigate Equality State's licensing through the Wyoming Department of Health, understand requirements, costs, and how to launch your home care agency in Wyoming.
Read Article
How to start a home care agency in Rhode Island
State Guide February 25, 2026 7 min read
How to Start a Home Care Agency in Rhode Island (2026 Guide)
Navigate The Ocean State's licensing through the Rhode Island Department of Health, understand requirements, costs, and how to launch your home care agency in Rhode Island.
Read Article
How to start a home care agency in North Dakota
State Guide February 19, 2026 7 min read
How to Start a Home Care Agency in North Dakota (2026 Guide)
Peace Garden State doesn't require a state license for non-medical home care — learn what you still need to get started, from business formation to insurance and compliance.
Read Article
How to start a home care agency in Vermont
State Guide March 6, 2026 7 min read
How to Start a Home Care Agency in Vermont (2026 Guide)
The Green Mountain State doesn't require a state license for non-medical home care — learn what you still need to get started, from business formation to insurance and compliance.
Read Article
How to start a home care agency in South Dakota
State Guide February 28, 2026 7 min read
How to Start a Home Care Agency in South Dakota (2026 Guide)
Mount Rushmore State doesn't require a state license for non-medical home care — learn what you still need to get started, from business formation to insurance and compliance.
Read Article
How to start a home care agency in West Virginia
State Guide March 14, 2026 7 min read
How to Start a Home Care Agency in West Virginia (2026 Guide)
The Mountain State doesn't require a state license for non-medical home care — learn what you still need to get started, from business formation to insurance and compliance.
Read Article
How to start a home care agency in Washington Dc
State Guide March 12, 2026 7 min read
How to Start a Home Care Agency in Washington DC (2026 Guide)
Navigate The District's licensing through the DC Health, understand requirements, costs, and how to launch your home care agency in Washington DC.
Read Article
Browse All

Resource Library

Showing 12 resources
Guide
State Licensing Roadmap: All 50 States
Requirements, timelines, fees, and key contacts for home care licensure in every state. Updated quarterly.
Checklist
Medicare Certification Pre-Survey Checklist
The exact 47-point checklist our consultants use before every home health survey. Walk in fully prepared.
Guide
How to Choose Your Home Care Accrediting Body
A side-by-side comparison of CHAP, ACHC, and The Joint Commission — requirements, costs, timelines, and which is right for your agency.
Template
Home Care Agency Business Plan Template
A ready-to-fill business plan framework designed for home care startups — financial projections, market analysis, and operations sections included.
Article
5 Reasons Home Health Surveys Fail (And How to Avoid Them)
The most common deficiencies cited during initial certification surveys — and the corrective actions that prevent them before the surveyor arrives.
Checklist
Hospice Agency Launch Checklist
From CON application to Medicare certification — the step-by-step checklist for launching a hospice agency from scratch, organized by phase.
Guide
Navigating the Home Health Conditions of Participation in 2025
A comprehensive breakdown of the most impactful Conditions of Participation updates and what they mean for agency operations and survey readiness.
Guide
Caregiver Recruitment & Retention: A Practical Playbook
Hiring strategies, onboarding frameworks, and retention programs that the highest-performing home care agencies use to build and keep great teams.
Template
QAPI Program Implementation Template
A turnkey Quality Assurance & Performance Improvement program template that meets Medicare Conditions of Participation requirements out of the box.
Article
Home Care vs. Home Health vs. Hospice: Choosing Your Service Line
A clear breakdown of the differences, licensing requirements, revenue models, and operational realities of each service line to help you make the right choice.
Checklist
Policies & Procedures Audit Checklist
Verify your policy manual is complete, current, and compliant. Covers all required policy categories across home care, home health, and hospice.
Guide
How to Respond to a Survey Deficiency: Step-by-Step Guide
A detailed walkthrough on exactly how to write a Plan of Correction that satisfies surveyors and protects your certification status.
Video Guides

Home Care Agency Video Library

Watch our free video guides covering home care licensing, startup steps, policies and procedures, and Medicare and Medicaid — then book a free strategy call when you are ready to get started.

View All on YouTube

State Licensing Guides

State Licensing Guide
Louisiana - Facility Needs Review & Home Care Licensing

This video covers the home care licensing process in Louisiana including the Facility Needs Review requirement. Learn what steps are needed to obtain your Louisiana home care agency license.

State Licensing Guide
Navigating the Home Care License Process in Utah

This video walks through the step-by-step process for obtaining a home care agency license in Utah. Learn about Utah state requirements, timelines, and what to expect during the application process.

State Licensing Guide
Navigating the Home Care License Process in New Jersey

This video explains the New Jersey home care licensing requirements and application process. Learn what documents, fees, and qualifications are needed to start a licensed home care agency in New Jersey.

State Licensing Guide
Navigating the Non Medical Home Care License Process in Georgia

This video covers the non-medical home care licensing process in Georgia including state requirements and application steps. Learn how to get your Georgia home care agency license without a medical background.

State Licensing Guide
Navigating North Carolina Home Care Licensing

This video walks through the home care licensing requirements in North Carolina including DHHS application steps and timelines. Learn what it takes to get your North Carolina home care agency license approved.

State Licensing Guide
Navigating Home Care Licensing in California

This video covers the California home care licensing process through CDPH including requirements, fees, and timelines. Learn how to successfully obtain your California home care agency license.

How to Start a Home Care Agency

Getting Started
Why Now is a Great Time to Start a Home Care Business

This video explains why the current market conditions make now an ideal time to start a home care agency. Learn about the growing demand for home care services and the opportunity for new agency owners.

Getting Started
Exploring Private Duty Nursing: Expanding Your Home Care Agency's Services

This video covers how home care agencies can expand into private duty nursing services. Learn the requirements, revenue potential, and operational steps for adding private duty nursing to your agency.

Getting Started
What is our Licensure Success Package? Step-by-Step Tutorial

This video walks through The Business of Senior Care Licensure Success Package and exactly what is included. Learn how the package guides new agency owners through every step of the home care licensing process.

Getting Started
How to Start a Home Care Agency?

This video provides a complete overview of the steps required to start a licensed home care agency from scratch. Learn about licensing, business formation, staffing, and everything needed to launch your agency.

Policies and Procedures

Compliance
Policies and Procedures for Home Care Businesses

This video explains why policies and procedures are essential for every licensed home care agency. Learn what a complete P&P manual must include to satisfy state licensing requirements.

Compliance
Our Policies & Procedures Package

This video walks through The Business of Senior Care Policies and Procedures Package and what is included. Learn how this package helps new agency owners meet state licensing compliance requirements from day one.

Compliance
The Compliance Defender Program: Your Partner in Ongoing Compliance

This video introduces the Compliance Defender Program and how it helps home care agencies maintain ongoing regulatory compliance. Learn how this program protects your agency from compliance risks after licensing.

Medicare and Medicaid

Reimbursement
Understanding Medicare vs. Medicaid

This video breaks down the key differences between Medicare and Medicaid for home care agency owners. Learn which program applies to your agency model and how reimbursement works for each.

Reimbursement
Medicaid Waivers 101 - Home Care Agencies

This video explains what Medicaid waivers are and how home care agencies can qualify to provide waiver services. Learn the application process and requirements for becoming a Medicaid waiver provider in your state.

ACHC Accreditation

ACHC Partner Webinar
Building a Culture of Continuous Improvement

Lucas Carroll joined ACHC University for this exclusive webinar on building a culture of continuous improvement in your home care agency. Learn QAPI implementation, survey preparation, and how to meet ACHC accreditation standards.

ACHC Leadership Interview
Barb Provini — Associate Clinical Director, ACHC

Lucas Carroll sits down with Barb Provini, Associate Clinical Director at ACHC, to discuss what home care agencies need to know about accreditation, compliance best practices, and building a survey-ready culture.

Watch & Listen

Home Care Doors Open Podcast

Real conversations about licensing, compliance, operations, and growth — straight from the people building home-based care agencies. New episodes added regularly.

View All on YouTube
Scaling with Systems: Paul Kezin on Performance, Growth & the Future of Home Care
Jan 29, 2026
Scaling with Systems: Paul Kezin on Performance, Growth & the Future of Home Care
Franchising with Purpose: Glenn Leingang on Growth, Culture & Home Care Demand
Dec 25, 2025
Franchising with Purpose: Glenn Leingang on Growth, Culture & Home Care Demand
Scaling Smart: Jeff Bevis on Systems, Success & the Future of Home Care
Dec 11, 2025
Scaling Smart: Jeff Bevis on Systems, Success & the Future of Home Care
Leading the Future of Caregiving: Heidi Rowell on Growth, Innovation & Empowering Caregivers
Nov 27, 2025
Leading the Future of Caregiving: Heidi Rowell on Growth, Innovation & Empowering Caregivers
Medicaid, Technology & the Future of Home Care: Julio Barea on Compliance and Growth
Oct 2, 2025
Medicaid, Technology & the Future of Home Care: Julio Barea on Compliance and Growth
Protecting Your Agency: Jared Wills on Risk & the Future of Home Care
Aug 21, 2025
Protecting Your Agency: Jared Wills on Risk & the Future of Home Care
Leading With Legacy: Marcylle Combs on Leadership & the Future of Home Health
Aug 7, 2025
Leading With Legacy: Marcylle Combs on Leadership & the Future of Home Health
Tech That Transforms: David Knack on AI, Automation & the Future of Home Care
Jul 31, 2025
Tech That Transforms: David Knack on AI, Automation & the Future of Home Care
Numbers That Matter: Doug Walters on Financial Strategy, Growth & the Future of Home Care
Jul 24, 2025
Numbers That Matter: Doug Walters on Financial Strategy, Growth & the Future of Home Care
Profit & Purpose: Brad Wolfe on Financial Clarity, Billing Strategy, and Growth in Home Care
Jul 17, 2025
Profit & Purpose: Brad Wolfe on Financial Clarity, Billing Strategy, and Growth in Home Care
Delegation That Works: Regina Asuncion on VAs, Time Management, & Scaling with Less Stress
Jul 8, 2025
Delegation That Works: Regina Asuncion on VAs, Time Management, & Scaling with Less Stress
Built to Last: Chuck Bailey on KPIs, Growth, and What Every Home Care Entrepreneur Must Know
Jul 2, 2025
Built to Last: Chuck Bailey on KPIs, Growth, and What Every Home Care Entrepreneur Must Know
Exit On Your Own Terms: Paul Pappageorge on Valuation, Exit Planning & Home Care M&A
Jun 24, 2025
Exit On Your Own Terms: Paul Pappageorge on Valuation, Exit Planning & Home Care M&A
Private Nursing Success: Monique Robinson on Growth, Compliance & Leadership
Jun 16, 2025
Private Nursing Success: Monique Robinson on Growth, Compliance & Leadership
Home Care Accreditation: Teresa Harbour on Quality and Compliance
May 23, 2025
Home Care Accreditation: Teresa Harbour on Quality and Compliance
Accelerate Your Home Care Agency's Success with Chris Trempe's Insights
Jan 9, 2025
Accelerate Your Home Care Agency's Success with Chris Trempe's Insights
Achieving Home Care Accreditation: Barb Provini on Standards and Surveys
Dec 17, 2024
Achieving Home Care Accreditation: Barb Provini on Standards and Surveys
Home Care Business Growth: Delfino Salinas on Franchising and Licensing
Dec 3, 2024
Home Care Business Growth: Delfino Salinas on Franchising and Licensing
Financial Strategies for Home Care Agencies with Dana Charumbira
Nov 19, 2024
Financial Strategies for Home Care Agencies with Dana Charumbira
Building Successful Home Care Businesses through Franchising with Sarah Van Aken
Nov 5, 2024
Building Successful Home Care Businesses through Franchising with Sarah Van Aken
Jen Chaney Discusses Franchise Development and Growth at Right at Home
Oct 15, 2024
Jen Chaney Discusses Franchise Development and Growth at Right at Home
Preparing for Success: Startup Strategies in Home Care with Mike Seamon
Oct 1, 2024
Preparing for Success: Startup Strategies in Home Care with Mike Seamon
From Social Security to Home Care: Mike Walters' Journey
Sep 17, 2024
From Social Security to Home Care: Mike Walters' Journey
Denise Bellville on Standardization and Sustainability in Home Care
Sep 3, 2024
Denise Bellville on Standardization and Sustainability in Home Care
Home Care Business Growth: Dan Durney on Franchising and Licensing
Aug 20, 2024
Home Care Business Growth: Dan Durney on Franchising and Licensing
Guiding Potential Franchisees in Home Care: Insights from Mitchell Benson
Aug 6, 2024
Guiding Potential Franchisees in Home Care: Insights from Mitchell Benson
Protecting Your Home Care Business: Rick Dyer on Insurance Must-Knows
Jul 23, 2024
Protecting Your Home Care Business: Rick Dyer on Insurance Must-Knows
Home Care Open Doors Trailer
Jul 15, 2024
Home Care Open Doors Trailer
Free Downloads

Start With These Essential Tools

No email required. Just the most useful resources we've built — free to download and use.

50-State Licensing Requirements Summary
One-page summaries for all 50 states covering license type, fees, bond requirements, and estimated processing time.
Download PDF
Agency Launch Readiness Self-Assessment
Score your readiness across 8 key dimensions before you invest in licensing — capital, location, staffing, compliance knowledge, and more.
Download PDF
Home Health Medicare Billing Basics Guide
A plain-language introduction to PDGM, RAPs, NOAs, and claim submission for home health agencies just getting started with Medicare billing.
Download PDF
Common Survey Deficiencies & How to Fix Them
The top 20 deficiencies cited during home health and hospice surveys — with corrective action templates you can adapt for your Plan of Correction.
Download PDF
Caregiver Onboarding Checklist & HR Packet
A complete onboarding checklist covering background checks, I-9, training requirements, competency evaluation, and required documentation by service line.
Download PDF
Home Care Agency Startup Cost Estimator
A spreadsheet tool for estimating total startup costs — licensing fees, insurance, staffing, equipment, software, and working capital — by state and service line.
Download Excel
Common Questions

Frequently Asked Questions

Can't find what you're looking for? Our team is happy to answer any questions about licensing, accreditation, or getting started.


Ask a Question
Processing times vary significantly by state — from as little as 30 days in some states to 6+ months in others. On average, our clients receive their licenses within 60–90 days of submitting a complete application. States like California, New York, and Illinois tend to take longer due to volume and review requirements.
For home health agencies, yes — you typically need both a state license and Medicare certification (either through a CMS-approved accrediting organization or a state survey). Non-medical home care agencies generally only need a state license and do not bill Medicare. Hospice agencies require both licensure and Medicare certification as well.
A Certificate of Need is a state-level approval required before opening certain healthcare facilities or services in some states. As of 2025, roughly 35 states have CON laws that may apply to home health or hospice agencies. CON requirements can add 6–18 months to your launch timeline. TBOSC helps clients navigate CON applications in states where they are required.
All three are CMS-approved Deemed Status accrediting organizations for home health and hospice, meaning accreditation from any of them substitutes for a state survey for Medicare certification. CHAP and ACHC are home care specialists and are generally preferred for their industry focus and support. The Joint Commission is broader in scope and better recognized across all healthcare settings, which can be advantageous if you plan to pursue hospital contracts.
Startup costs vary widely by state, service line, and business model. For non-medical home care, total startup costs typically range from $15,000–$75,000 including licensing fees, insurance, staffing, and working capital. For home health agencies pursuing Medicare certification, costs are typically $50,000–$150,000+ when you factor in the additional regulatory requirements, policies, and staffing. Download our free Startup Cost Estimator for a state-specific breakdown.
Absolutely. A significant portion of our work is with existing agencies — updating outdated policies and procedures, preparing for re-surveys or annual reviews, responding to deficiency citations, and building QAPI programs. If you've received a survey deficiency or are concerned about an upcoming review, contact us as soon as possible so we can assess the situation and build a response plan.

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