Starting a home care company, huh?

Here's a step-by-step guide to obtain a home care license in Colorado

First off, congrats to you! Providing care to our seniors is critical and necessary. I applaud you for joining the cause and leading the way with your own company.

Not only is it fulfilling, but there is so much need for home care in Colorado! 

One of the first steps in opening a home care company in Colorado is obtaining a license to operate a home care company. A state license is required, in addition to any Medicare or Medicaid certification.

There are 2 classifications for home care:

Class A - Home Health (but can also provide non-medical home care)

Class B - Non-Medical Home Care (cannot provide skilled home health services)

There are 2 departments at the State of Colorado government that are involved in the application process. 

It starts with the Colorado Department of Healthcare Policy & Financing and then ends with an on-site survey by the Colorado Department of Public Health & Environment. 

Here we'll take a brief look at the important steps in the home care licensure process.

Step 1: Letter of Intent

The whole process starts with submitting a Letter of Intent to the Department of Public Health and Environment. 

Here you are notifying the State of Colorado that you intend to start a specific type of home care company and who will be the owner. 

This gets the ball rolling. Once started, this will put you on the 'Path to New Home Care Agency License In Colorado' as seen in the visual at the top of the page. 

Step 2: Home Care Application

After submitting a Letter of Intent, you will then need to complete a home care application. This home care application is a length application with multiple items that need to be completed (background check, fingerprint check, etc.). 

This application provides the Department with details, including:

* Name of Your Agency

* Office Location

* Types of Services Provided (Class A, Class B, HCBS, IHSS, etc.) 

Step 3: Application Review

While Steps 1 & 2 are within your control to complete, Step 3 is wholly up to the State of Colorado. 

Referred to as a 'Fitness Review', a team member at the state takes an in-depth review of your application to ensure it has been completed accurately and all required documents are present. 

After a few weeks, you hopefully hear back that everything looks good and you have been approved for the next step!

Step 4: On-Site Survey

Out of all the steps, Step 4 is usually where applicants find a step backwards. The on-site survey process is the critical step in review and approval for licensure. 

But, the surveyor who comes out to your office has a specific checklist of items that will be reviewed. During this step, the agency will need Policies & Procedures that are Colorado focused. There are specific Colorado home care regulations that can result in hundreds of state-specific Colorado deficiencies. 

To ensure compliance and to pass this On-Site Survey, your agency will need multiple binders of policies and procedures that the surveyor will thumb through. 

If you have the correct policies in the correct binders, this On-Site Survey process can be a breeze! 

If not, you may end your survey with a list of deficiencies that need to be addressed before you can move to the next step.

Step 5: Approved!

Once Steps 1 to 4 have been completed, the State will perform one last review to ensure all documents and information is in place. 

After that, you will be notified that your license has been approved!


I'm hopeful that this information reduced some of the mystery around obtaining a home care license in Colorado. 

Do you still have questions? 

Looking for a partner to help guide you?

I have helped numerous home care agencies in Colorado navigate the process to obtain a licensure. 

I have a 100% success rate in getting a license and saved countless hours and dollars for home care agencies in the process. 

Contact me at 720.255.4150 or info@thebizofseniorcare.com

I can help to make sure you pursue the path to license as quickly and accurately as possible and to obtain your license in the least amount of time as possible. 

Contact Me!

Client Testimonials

I can't thank Lucas enough for his guidance in our opening a home care agency. We knew the application process and thought we were on track. But, Lucas had the process down cold and had us prepared at every turn. Our on-site survey passed with flying colors. Policies & Procedures were great! Would highly recommend. - Anastasia, Serenity Home Care 

Working with Lucas and The Business of Senior Care was one of the best, smartest pre-launch investments I made. I engaged him for the Agency Manager Training course, Colorado P&Ps, and Site Survey prep, and I can say without a doubt that my performance on the Site Survey wouldn't have been what it was without his guidance and support. In addition, he's a great guy with a ton of market and category knowledge. I highly recommend him for any home care agency in Denver, and I look forward to working with him on other initiatives in the future. - David, Nurse Next Door 

Lucas quickly impressed us with his knowledge and expertise in home care. He took his time to explain the initial survey process and helped me prepare for my survey. He created the P&Ps I needed and I passed my survey thanks to him! I can't recommend his services highly enough! -Jasmina, Care & Care Home Care