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Do you need a license to run a home care agency in Arizona?

Last verified October 17, 2026 · All Arizona resources

No. Arizona does not require a state license for non-medical home care agencies. Arizona law defines a licensed home health agency as one primarily engaged in skilled nursing and other therapeutic services. Non-medical help such as homemaker services falls under 'supportive services' in the same statute, and no separate license for non-medical home care agencies was found. Agencies whose direct care workers serve ALTCS (Medicaid long-term care) members at home must follow AHCCCS direct care worker rules.

What are the key facts?

License requiredNo
RegulatorArizona Department of Health Services (home health licenses); AHCCCS (Medicaid/ALTCS provider rules)
RuleA.R.S. 36-151 (definitions)

What should you confirm with the state?

The training and background rules shown are AHCCCS (Medicaid ALTCS) requirements; private-pay non-medical agencies have no state license. A fingerprint clearance card is required only in some settings, such as DDD subcontractors, so confirm whether it applies to your agency with AHCCCS.

What should you budget for?

The license fee is a small part of startup cost. Insurance, payroll for your first caregivers before clients pay, and office staff usually cost far more. Use the bill rate calculator to check your pricing covers it, and the intake form and care plan templates for the paperwork inspectors ask to see.

Sources

More for Arizona

Agency licensing by state: other states

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