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

Last verified October 17, 2026 · All Nebraska resources

No. Nebraska does not require a state license for non-medical home care agencies. Nebraska does not license agencies that provide only non-medical in-home personal services (attendant, companion, and homemaker services). State law calls these in-home personal services agencies and sets worker standards and background check duties for them. Home health agencies are licensed separately by DHHS.

What are the key facts?

License requiredNo
RegulatorNebraska Department of Health and Human Services (DHHS)
RuleNeb. Rev. Stat. 71-6501 to 71-6504

What should you confirm with the state?

Nebraska has no license for non-medical home care; confirm with the Nebraska Department of Health and Human Services before you start operating. The law doesn't say whether background checks must be fingerprint-based. Medicaid and waiver programs have their own provider rules.

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 Nebraska

Agency licensing by state: other states

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