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

Yes. Delaware requires a state license to run a non-medical home care agency: the Personal Assistance Services Agency license, issued by the Delaware Department of Health and Social Services, Division of Health Care Quality. No one may run a personal assistance services agency in Delaware without a DHCQ license, and each office needs its own license. Exclusions include individuals paid directly by a consumer and temporary staffing agencies. New agencies get a 90-day initial license, then an annual license.

What are the key facts?

How do you get licensed in Delaware?

1. Send DHCQ a written statement of intent describing your services and request an application
2. Prepare a policies and procedures manual
3. Gather proof of insurance and bonding and a list of management personnel
4. Disclose any owner, officer, or worker with a felony record
5. Operate under a 90-day initial license before an annual license is issued

What should you confirm with the state?

The license application requires proof of insurance and bonding, but no bond amount is stated in the rule. Confirm the bond amount and the current license fee with the Division of Health Care Quality.

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.