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

Last verified October 17, 2026 · All Rhode Island resources

Yes. Rhode Island requires a state license to run a non-medical home care agency: the Home Care Provider license, issued by the Rhode Island Department of Health. No one may establish, conduct or maintain a home care provider or home nursing care provider in Rhode Island without a license. A home care provider delivers direct health care in the home under RN supervision, such as personal care and homemaker services. A certificate of need is required before establishing a provider and before initial licensure.

What are the key facts?

License requiredYes
LicenseHome Care Provider license
RegulatorRhode Island Department of Health
RenewalEvery year (licenses expire December 31 following issuance)
Rule216-RICR-40-10-17; R.I. Gen. Laws Chapter 23-17

How do you get licensed in Rhode Island?

  1. Obtain a certificate of need before establishing the provider
  2. Submit the license application on Department forms
  3. Pay the non-refundable application fee to the Rhode Island General Treasurer
  4. Identify the central office and any branch offices
  5. Provide a notarized list of owners and ownership percentages

What should you confirm with the state?

The license fee is set in a separate fee rule; confirm the current amount with the Rhode Island Department of Health. The licensing rule doesn't mention a surety bond. Personal care is typically delivered by registered nursing assistants, who have their own training requirements.

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 Rhode Island

Agency licensing by state: other states

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