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.
Plan the day
Drag-and-drop scheduling Move visits when plans change Route optimization Each day in an efficient orderIn the field
GPS check-in & EVV Verified check-in at the home Caregiver app The whole day on their phone AI note taking New Talk through the visit, then signBack office
Timesheets & QuickBooks Coming soon Verified hours to payroll and billing HIPAA & compliance Records handled to HIPAA standards
Daily scheduling
Call-out coverage finder New Who can cover without overtime Overtime calculator Weekly and daily OT EVV visit checker New Will this visit get paid? 15-minute unit converter Minutes, units and hoursLast 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).
| License required | Yes |
|---|---|
| License | In-home care agency license |
| Regulator | Oregon Health Authority, Health Facility Licensing and Certification |
| Fee | Initial: $2,000 limited, $2,250 basic, $2,500 intermediate, $3,000 comprehensive. Renewal: $1,000 limited or basic, $1,250 intermediate, $1,500 comprehensive. |
| Renewal | Every year |
| Rule | ORS 443.305-443.355; OAR 333-536 |
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.
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.
Compliance
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.
General
Ten steps to open a non-medical home care agency, from services and state licensing to insurance, hiring, payers, systems and first clients, with real fees.
Compliance
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
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.
These free tools are made by the team behind Caregiver Scheduling, caregiver scheduling software for home care agencies.
Simple pricing
From $199 /month
Up to 10 caregivers on Starter, 50 on Growth.
More than 50 caregivers? We'll put together a custom Scale plan for your agency.