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Care business licensing, state by state

Try a license (“assisted living”), an agency (“AHCA”) or a topic (“background screening”).

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Licensing guides, page 11

Step-by-step guides to licensing a care business, each checked against the state agency’s own rules and dated with its last review.

Guides 201–220 of 301

  1. New Jersey health care service firm registration for home care agencies

    How New Jersey registers non-medical home care agencies as health care service firms: the $500 fee, bond, insurance, RN supervisor, accreditation and renewal.

    New Jersey · Non-medical home care agencyReviewed

  2. New Jersey home health agency license: a closed certificate of need door, and the ways around it

    How NJ licenses home health agencies: the certificate of need call closed since 2022, buying an existing agency, N.J.A.C. 8:42 staffing rules and DOH fees.

    New Jersey · Home health agencyReviewed

  3. New Mexico adult day care facility license: center vs. home, HCA rules and fees

    How to license an adult day care center or adult day care home in New Mexico under 8.370.20 NMAC: thresholds, 40 sq ft rule, 1:5 ratio, $300 fee, HCA steps.

    New Mexico · Adult day careReviewed

  4. New Mexico assisted living facility license: HCA rules, fees and the temporary-license path

    How New Mexico licenses assisted living under 8.370.14 NMAC: the two-resident threshold, 650 credit score, $300 fee, building rules and the temporary license.

    New Mexico · Assisted living facilityReviewed

  5. Opening a licensed child care center in New Mexico

    How New Mexico licenses child care centers under 8.9.4 NMAC: who needs one, local approvals, space, director rules, ratios, star levels and Universal Child Care rates.

    New Mexico · Child care centerReviewed

  6. Licensing a family or group child care home in New Mexico

    How New Mexico licenses home child care: the 4-child exemption, family (5-6) and group (7-12) homes, ECECD portal steps, training, space rules and subsidy rates.

    New Mexico · Family child care homeReviewed

  7. New Mexico home health agency license: HCA rules, the 100-mile limit and Medicare

    How New Mexico's Health Care Authority licenses home health agencies under 8.370.22 NMAC: who needs it, the 100-mile limit, aide training, fees and Medicare.

    New Mexico · Home health agencyReviewed

  8. New York assisted living: the adult care facility certificate and ALR license

    How DOH licenses New York assisted living: the adult home or enriched housing certificate, the ALR license, EALR and SNALR, public need review, NYSE-CON and fees.

    New York · Assisted living facilityReviewed

  9. New York certified home health agency (CHHA): PHHPC approval and public need

    How a New York certified home health agency is approved: PHHPC review, the county need formula in 10 NYCRR 760.5, the $2,000 fee and the 2026 Medicare freeze.

    New York · Home health agencyReviewed

  10. Registering a family day care home in New York: OCFS rules, ratios and steps

    How New York registers home child care for 3 to 6 children: the OCFS orientation, the 90-day document window, ratios, fire exits, training hours and renewals.

    New York · Family child care homeReviewed

  11. New York family-type home for adults: certification through your county and OCFS

    How to get certified to run a New York family-type home for adults: the four-resident limit, county DSS application, OCFS approval, room sizes, fire rules and timelines.

    New York · Small residential care homeReviewed

  12. New York licensed home care services agency (LHCSA): the license, the need test and the CON

    How New York licenses home care agencies: the LHCSA certificate of need through NYSE-CON, the county public need test, the $2,000 fee, PHHPC approval and registration.

    New York · Non-medical home care agencyReviewed

  13. North Carolina adult care home license: certificate of need, DHSR steps and fees

    How North Carolina licenses adult care homes (assisted living, 7+ beds): the certificate of need, DHSR construction review, administrator certificate, staffing and fees.

    North Carolina · Assisted living facilityReviewed

  14. North Carolina adult day care certification: county DSS study, DAAS rules and day health

    How to certify an adult day care or adult day health program in North Carolina under G.S. 131D-6 and 10A NCAC 06R/06S: exemptions, ratios, space, package and renewal.

    North Carolina · Adult day careReviewed

  15. North Carolina certified home health agency: certificate of need, DHSR license and Medicare

    How a Medicare-certified home health agency opens in North Carolina: the certificate of need, the DHSR home care license, Medicare certification and Medicaid.

    North Carolina · Home health agencyReviewed

  16. North Carolina family care home license: two to six residents, county DSS first, no CON

    Licensing a North Carolina family care home: county DSS intake, DHSR construction review, the 120-hour administrator path, building rules, fees and the first license.

    North Carolina · Small residential care homeReviewed

  17. Licensing a family child care home in North Carolina: the DCDEE process, step by step

    How North Carolina licenses home daycares: the 3-child trigger, 8-10 child capacity groups, $75 workshop, lead water tests, temporary license and star ratings.

    North Carolina · Family child care homeReviewed

  18. North Dakota assisted living facility license: two licenses, rules and fees

    How North Dakota licenses assisted living: the five-unit test, the HHS and Food and Lodging licenses, fees, fire and sanitation rules, and the basic care alternative.

    North Dakota · Assisted living facilityReviewed

  19. Licensing a child care center in North Dakota: group facility or center

    How North Dakota splits group child care (8-30 children) from child care centers, plus director rules, ratios, space, fire and food inspections, fees and CCL steps.

    North Dakota · Child care centerReviewed

  20. Opening a licensed family child care home in North Dakota

    When North Dakota requires a family child care license, how self-declaration differs, the HHS orientation and CCL portal steps, space and fire rules, fees and training.

    North Dakota · Family child care homeReviewed