Compliance
What a Surety Bond Is and Which Home Care Agencies Need One
Most states do not require a surety bond for a home care license. Where one is required, by licensing or Medicaid, the amounts run from $5,000 to $50,000 and up.
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Yes. California requires a surety bond of $10,000. A Home Care Organization applicant must provide proof of an employee dishonesty bond, including third-party coverage, with a minimum limit of $10,000. This is a licensing requirement, not a Medicaid one.
For the license itself, see California home care agency licensing.
A surety bond guarantees to the state or a payer that your agency will follow the rules or repay what it owes. A fidelity or employee dishonesty bond protects clients if a caregiver steals from them. Clients and referral sources often ask for the second even where the state requires neither.
Starting January 1, 2027, SB 412 adds dementia care training before providing care and annually; confirm with the Home Care Services Branch whether this changes the required training hours. Aides must also show they are free of active tuberculosis.
Compliance
Most states do not require a surety bond for a home care license. Where one is required, by licensing or Medicaid, the amounts run from $5,000 to $50,000 and up.
Operations
Home care agencies need general and professional liability, workers' comp, non-owned auto, a fidelity bond and cyber cover. What states require, with minimums.
General
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