Compliance
Do You Need a License to Run a Non-Medical Home Care Agency?
In most states, yes. How the license depends on the services you offer, what six states actually require, what applications ask for, and how to check your state.
Do you need a license to run a home care agency in Kentucky?
Last verified October 17, 2026 · All Kentucky resources
Yes. Kentucky requires a state license to run a non-medical home care agency: the Personal Services Agency certification, issued by the Cabinet for Health and Family Services, Office of Inspector General (OIG). Kentucky certifies (rather than licenses) personal services agencies, which provide non-medical personal care in the client's home. An agency must get OIG certification before providing services. Agencies with three or fewer employees may get a 90-day provisional certificate if they plan to hire more staff within 90 days.
What are the key facts?
| License required | Yes |
|---|---|
| License | Personal Services Agency certification |
| Regulator | Cabinet for Health and Family Services, Office of Inspector General (OIG) |
| Fee | $500 initial, $350 annual recertification |
| Renewal | Every year (submit at least 60 days before expiration) |
| Rule | KRS 216.710-216.716; 906 KAR 1:180 |
How do you get licensed in Kentucky?
- Complete application form OIG-1180
- Pay the $500 initial fee to the Kentucky State Treasurer
- Submit the required documentation showing compliance with 906 KAR 1:180 and KRS 216.712
- Get OIG approval before providing services
What should you confirm with the state?
The 6-hour initial and 3-hour annual training requirements apply only to staff serving clients with dementia. The regulation doesn't say whether criminal checks must be fingerprint-based. No bond is required, but your service agreement must disclose whether the agency provides bonded protection for clients.
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 Kentucky
Agency licensing by state: other states
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