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 New Jersey?
Last verified October 17, 2026 · All New Jersey resources
Yes. New Jersey requires a state license to run a non-medical home care agency: the Health Care Service Firm (HCSF) registration, issued by the New Jersey Division of Consumer Affairs. Firms that employ, place, or refer workers who provide health care, personal care, or companion services in New Jersey homes must register as a health care service firm with the Division of Consumer Affairs. Firms must become accredited by a body recognized by the Department of Human Services and show proof of accreditation at renewal. Licensed home health agencies are regulated separately.
What are the key facts?
| License required | Yes |
|---|---|
| License | Health Care Service Firm (HCSF) registration |
| Regulator | New Jersey Division of Consumer Affairs |
| Fee | $500 per year for each primary location |
| Renewal | Every year (registrations now expire September 30) |
| Rule | N.J.S.A. 34:8-43 et seq.; N.J.A.C. 13:45B-13 |
| Surety bond | Required: $10,000 |
What should you confirm with the state?
The 76-hour training requirement applies to certified homemaker-home health aides. A firm can send uncertified workers, such as companions, if it gives clients the required disclosures at least 24 hours before services. Confirm the $500 annual fee and the new September 30 expiration date with the Division of Consumer Affairs.
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 New Jersey
Agency licensing by state: other states
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Compliance
How Long Does It Take to Get a Home Care License?
Plan on 2 to 6 months in most licensing states. Statutory review clocks are 60 to 90 days, but they start only when your application is complete.
General
Home Care Agency Startup Costs: A Line-by-Line Budget
What it costs to open a non-medical home care agency: real state license fees, insurance minimums, office, hiring, software and the working capital most owners underestimate.
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