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

Last verified October 17, 2026 · All Idaho resources

No. Idaho does not require a state license for non-medical home care agencies. Idaho has no state license for private-pay non-medical home care agencies. Agencies that deliver Medicaid personal care services act as Personal Assistance Agencies under IDAPA 16.03.26: they recruit, hire, train, supervise, and pay personal assistants, carry liability insurance, and staff an RN (or QIDP) supervisor.

What are the key facts?

License requiredNo
LicensePersonal Assistance Agency (Medicaid provider)
RegulatorIdaho Department of Health and Welfare (Medicaid)
RuleIDAPA 16.03.26.554

What should you confirm with the state?

All requirements shown are Medicaid rules; Idaho has no licensing rule for private-pay non-medical agencies. Training hours for personal assistants aren't set in the rule, so confirm current training standards with the Idaho Department of Health and Welfare.

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 Idaho

Agency licensing by state: other states

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