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The Old Dominion

Home Care Licensing
in Virginia

Navigate Virginia's home care, home health, and hospice licensing requirements with expert guidance from TBOSC. From application to survey success — we'll help you launch with confidence.

Schedule a Free Discovery Call Explore Virginia Licensing
VDH OLC
Regulatory Body
Virginia Department of Health, Office of Licensure and Certi
3
License Types
Home Health, Personal Care, Hospice
100%
Survey Pass Rate
All TBOSC-prepared agencies
Stay Informed

Virginia Licensing Updates & Insights

Get notified when Virginia regulations change. Join agency owners and administrators who stay ahead with TBOSC.

Virginia at a Glance

Virginia Home Care Licensing
Quick Reference

REGULATORY BODY
VDH OLC
Virginia Department of Health, Office of Licensure and Certification
LICENSE TYPES
3 Categories
Home Health, Personal Care, Hospice
CON REQUIRED
Yes
Certificate of Need required
MEDICAID PROGRAM
Commonwealth Coordinated
Commonwealth Coordinated Care Plus (CCC Plus) Waiver
Virginia License Categories

Types of Home Care Licenses
Available in Virginia

NON-MEDICAL
Non-Medical Home Care
Non-medical home care services in Virginia including personal care, homemaking, companionship, and assistance with activities of daily living.
  • Personal care and assistance with daily living activities
  • Companionship and homemaker services
  • Medication reminders and oversight
  • Transportation and errand assistance
SKILLED / MEDICAL
Home Health Agency
Medicare-certified home health agencies in Virginia providing skilled medical services including nursing, therapy, and social work under physician direction.
  • Skilled nursing care under physician orders
  • Physical, occupational, and speech therapy
  • Medical social work services
  • Home health aide services under clinical supervision
END-OF-LIFE
Hospice Care
Hospice care programs in Virginia providing palliative care, comfort, and support for patients with terminal diagnoses and their families.
  • Comfort care and pain management
  • Skilled nursing and physician oversight
  • Bereavement counseling and spiritual support
  • Medical social work and volunteer coordination
The Licensing Process

How to Get Licensed
in Virginia

Follow these key steps to obtain your Virginia home care license. TBOSC provides expert guidance at every stage — from initial application through your state survey.

01
Business Entity Formation
Register your business entity with the Virginia Secretary of State. Choose your LLC or corporation structure and obtain your EIN.
FOUNDATION
02
Obtain Certificate of Need
Virginia requires Certificate of Need approval before you can apply for licensure. TBOSC can guide you through the CON process.
CON REQUIRED
03
Prepare Application Materials
Gather all required documentation including organizational documents, administrator qualifications, background checks, and proof of insurance as required by VDH OLC.
DOCUMENTATION
04
Submit License Application
Complete and submit your license application to VDH OLC along with all required documentation and fees.
APPLICATION
05
Develop Policies & Procedures
Create a comprehensive P&P manual meeting all Virginia regulatory requirements. TBOSC provides state-specific P&P packages.
COMPLIANCE
06
Pass State Survey
Prepare for and pass the state survey conducted by VDH OLC. TBOSC provides expert survey prep consulting.
SURVEY
What TBOSC Provides

Virginia Licensing
Services & Support

Get Started Today
FULL SERVICE
Licensure Success Package
Complete end-to-end support for getting your Virginia agency licensed — from application prep through survey success.
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DOCUMENTATION
Virginia-Specific P&Ps
Comprehensive policies and procedures written specifically for Virginia's regulatory requirements — not generic templates.
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COMPLIANCE
Survey Guidance
Expert preparation for your Virginia state survey. We'll make sure you're ready to pass with zero deficiencies.
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ACCREDITATION
Accreditation Expertise
National accreditation guidance for CHAP, ACHC, and Joint Commission — streamlining your path to recognition.
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ENROLLMENT
Medicare Provider Enrollment
Navigate the Medicare enrollment process for your Virginia agency. We handle the paperwork and follow-through.
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Virginia Client Results

What Virginia Agencies Say About TBOSC

★★★★★
Consulting & P&Ps
TBOSC made the licensing process in Virginia so much easier. Their knowledge of the state regulations was invaluable, and we passed our survey with zero deficiencies.
Sarah
Virginia Beach, VA
★★★★★
New Agency Startup
Starting a home care agency in Virginia Beach felt overwhelming until we found TBOSC. Lucas walked us through every step and we launched successfully.
Michael
Norfolk, VA
★★★★★
Consulting & P&Ps
The policies and procedures package TBOSC provided was perfectly tailored to Virginia's requirements. We felt completely prepared for our state survey.
Jennifer
Chesapeake, VA
★★★★★
Survey Preparation
Working with TBOSC was one of the smartest investments we made. Their survey preparation guidance gave us the confidence we needed to pass on the first try.
Robert
Richmond, VA
★★★★★
Licensing Guidance
TBOSC's expertise in Virginia licensing requirements saved us months of time. They knew exactly what the state was looking for.
Amanda
Arlington, VA
★★★★★
Consulting
We highly recommend TBOSC to any home care agency in Virginia. Their responsiveness and deep regulatory knowledge set them apart.
David
Alexandria, VA
Why TBOSC for Virginia

Expert Virginia Licensing
Consulting You Can Trust

TBOSC was started by a home care operator who understands the challenges of starting and running an agency. We bring that hands-on experience to every Virginia client we serve.

Deep Virginia Regulatory Expertise
TBOSC brings expert knowledge of Virginia's specific licensing requirements, including 12VAC5-381 (HCO). We stay current as regulations change so you don't have to.
100% Survey Pass Rate Nationwide
Every TBOSC client that has completed our licensing and survey preparation process has passed their initial state survey. That track record extends to Virginia agencies.
Virginia-Specific P&Ps
Our policies and procedures packages are written specifically for Virginia's regulatory framework — not generic templates. They're updated as regulations change.
End-to-End Licensing Support
From initial application through survey preparation, TBOSC guides you through every step of the Virginia licensing process. We handle the complexity so you can focus on your agency.
Virginia Results
0%
First-survey pass rate for TBOSC clients nationwide
0+
Home care agencies & leaders served across the country
50
States where TBOSC provides licensing and compliance consulting
Only
Consulting company built by a former home care agency operator
Common Questions

Frequently Asked Questions About
Virginia Home Care Licensing

How long does it take to get licensed in Virginia?
The timeline varies depending on your license type and application completeness. Up to 60 days (application review, pre-conference, survey, deficiency correction within 15 days) Working with TBOSC can significantly reduce delays by ensuring your application is complete from the start.
What types of home care licenses does Virginia offer?
Home Care Organization (HCO) covering home health, personal care, pharmaceutical services; Hospice program; Hospice facility TBOSC can help you determine which license type is right for your business model and guide you through the specific requirements.
What is the application fee for a license in Virginia?
HCO: $1,500 initial/renewal (3-year); Hospice: $500 initial/renewal In addition to application fees, budget for business formation, insurance, office space, and policies and procedures documentation. TBOSC can help you create a detailed startup budget.
Does Virginia require a Certificate of Need?
Yes. No for HCO and home-based hospice programs; Yes for hospice facilities >16 beds The CON process adds time and complexity. TBOSC has experience navigating CON requirements and can guide you through the process.
What happens during the Virginia state survey?
A surveyor from VDH OLC will review your policies and procedures, verify documentation, inspect your office, and confirm you meet all regulatory requirements. TBOSC provides dedicated survey prep consulting to help you pass with zero deficiencies.
Can TBOSC help with Medicare and Medicaid enrollment in Virginia?
Yes. Virginia's Medicaid program (Commonwealth Coordinated Care Plus (CCC Plus) Waiver) offers opportunities for home care providers. TBOSC assists with Medicare provider enrollment and Medicaid waiver program applications.
Ready to Move Forward?

Let's Get Your Virginia
Agency Licensed & Open

Whether you're starting from scratch or need help at a specific stage, TBOSC offers 1-on-1 consulting tailored to exactly where you are in the process.

Schedule a Free Discovery Call Call 888-818-8426
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