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

Last verified October 17, 2026 · All Oregon resources

Yes. Oregon requires a state license to run a non-medical home care agency: the In-home care agency license, issued by the Oregon Health Authority, Health Facility Licensing and Certification. No entity may provide in-home care services or call itself an in-home care agency without an OHA license. Licenses come in four classes by service level: limited (personal care with medication reminding), basic (adds medication assistance), intermediate (adds medication administration), and comprehensive (adds nursing services).

What are the key facts?

License requiredYes
LicenseIn-home care agency license
RegulatorOregon Health Authority, Health Facility Licensing and Certification
FeeInitial: $2,000 limited, $2,250 basic, $2,500 intermediate, $3,000 comprehensive. Renewal: $1,000 limited or basic, $1,250 intermediate, $1,500 comprehensive.
RenewalEvery year
RuleORS 443.305-443.355; OAR 333-536

What should you confirm with the state?

The 12 initial hours are a 4-hour orientation plus 8 hours of training, and only 2 of the 8 hours are due before work starts. Caregivers with a current Oregon health care license or certificate may be exempt from caregiver training. Fingerprinting is optional for the agency.

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 Oregon

Agency licensing by state: other states

Related guides

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