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

Yes. Pennsylvania requires a state license to run a non-medical home care agency: the Home care agency license (or home care registry license), issued by the Pennsylvania Department of Health, Division of Home Health. No organization may operate or advertise a home care agency or home care registry without a Department of Health license. Home care services include personal care, help with instrumental activities of daily living, companionship, respite, and specialized care. Each physical location needs its own license, and the Department inspects before issuing or renewing it.

What are the key facts?

How do you get licensed in Pennsylvania?

1. Get the license application from the Department of Health, Division of Home Health
2. Specify the license type (home care agency, home care registry, or both)
3. Submit the application with the $100 fee for each location
4. Pass the Department's pre-licensure inspection

What should you confirm with the state?

The rule doesn't state the license term; renewal forms are due at least 60 days before the expiration date printed on the license. It also doesn't say whether the federal record check is fingerprint-based. Confirm both with the Pennsylvania Department of Health, Division of Home Health.

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.