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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 14

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 261–280 of 301

  1. Tennessee personal support services agency (PSSA) license for non-medical home care

    How Tennessee licenses non-medical home care: the PSSA license from TDMHSAS or DDA, the 50% client rule, exemptions, required policies, worker checks, fees and renewal.

    Tennessee · Non-medical home care agencyReviewed

  2. Texas child care home permits: listed, registered or licensed

    How HHSC Child Care Regulation permits home child care in Texas: the three tiers by number of unrelated children, caregiver qualifications, ratios, insurance and fees.

    Texas · Family child care homeReviewed

  3. Texas Day Activity and Health Services (DAHS) license: building, staffing and Medicaid

    How to license a Day Activity and Health Services facility in Texas: the 4-person threshold, 40 sq ft rule, 1:8 ratio, $75 fee, TULIP steps, Medicaid and ISS.

    Texas · Adult day careReviewed

  4. Texas home health license: the HCSSA home health categories, step by step

    How HHSC licenses Texas home health agencies: HCSSA categories, administrator and nurse rules, Presurvey CBT, $2,625 fee, 45-day clocks and the 2026 Medicare freeze.

    Texas · Home health agencyReviewed

  5. Texas personal assistance services license: the HCSSA PAS category

    How HHSC licenses Texas non-medical home care: HCSSA personal assistance services category, companion exemption, administrator rules, $2,625 fee and the six-month survey.

    Texas · Non-medical home care agencyReviewed

  6. Utah adult day care license: a human services program under R501-13

    Licensing adult day care in Utah: the 3-adult, 4-hour threshold, R501-13 staffing ratios, the 50 sq ft rule, FY2027 fees and New Choices Waiver billing.

    Utah · Adult day careReviewed

  7. Utah assisted living facility license: Type I, Type II and the size classes

    How Utah licenses assisted living: the two-resident threshold, Type I vs Type II, size classes, plan review, administrator rules, training and the application steps.

    Utah · Assisted living facilityReviewed

  8. Utah child care center license: thresholds, rules and fees under R381-100

    How to license a child care center in Utah: the five-child threshold, exemptions, director credentials, ratios, square footage, background checks and FY 2027 fees.

    Utah · Child care centerReviewed

  9. Utah home health agency license: R432-700, DACS clearances and the two-year fee

    How Utah licenses home health agencies: the two-staff threshold, R432-700 staffing and supervision rules, DACS background clearances, FY2027 fees and the Medicare freeze.

    Utah · Home health agencyReviewed

  10. Utah licensed family child care: when your home program needs a license

    When a Utah home daycare needs a license (9+ unrelated children), the certificate option, R430-90 ratios and group sizes, space, training, background checks and fees.

    Utah · Family child care homeReviewed

  11. Utah personal care agency license: opening a non-medical home care agency

    How Utah licenses non-medical home care as a personal care agency under R432-725: who needs it, administrator and aide rules, DACS background checks and renewal.

    Utah · Non-medical home care agencyReviewed

  12. Vermont assisted living residence license: units, Level III rules and steps

    How DAIL licenses Vermont assisted living residences: the 225-square-foot unit standard, Level III rules, manager qualifications, the application and renewal.

    Vermont · Assisted living facilityReviewed

  13. Vermont center-based child care license: the CBCCPP process

    How to license a child care center or preschool in Vermont: the three-phase CDD application, space and ratio rules, director qualifications and the Act 76 changes.

    Vermont · Child care centerReviewed

  14. Vermont home health agency designation: CON moratorium, Medicare and DAIL rules

    How Vermont designates home health and hospice agencies: Green Mountain Care Board CON first, a moratorium through 2030, Medicare certification, then DAIL designation.

    Vermont · Home health agencyReviewed

  15. Starting a registered family child care home in Vermont

    Vermont registration for home child care: the two-family exemption, the 10-child and 12-child summer options, BFIS application, water and lead tests, and training.

    Vermont · Family child care homeReviewed

  16. Vermont residential care home license: Level III or Level IV, from three residents up

    How DAIL licenses Vermont residential care homes: the three-resident threshold, Level III vs Level IV, room and bath rules, manager rules, staffing and the application.

    Vermont · Small residential care homeReviewed

  17. Virginia adult day center license: VDSS rules, the 1:6 ratio and a fee that starts at $14

    Licensing an adult day center in Virginia under 22VAC40-61: who needs it, director rules, 50 sq ft per participant, 1:6 staffing, VELA filing, fees, inspections.

    Virginia · Adult day careReviewed

  18. Virginia assisted living facility license: VDSS levels, rules and fees

    How VDSS licenses Virginia assisted living facilities: the four-resident threshold, two care levels, administrator rules, insurance tiers, fees and 2026 changes.

    Virginia · Assisted living facilityReviewed

  19. Virginia home health license: the VDH home care organization license for skilled care

    How Virginia licenses home health: the VDH home care organization license under 12VAC5-381, the 3-month reserve, $1,500 fee, staffing rules and the Medicare path.

    Virginia · Home health agencyReviewed

  20. Virginia home care organization license for personal care services

    How to license a non-medical personal care agency in Virginia as a VDH home care organization: who is exempt, the $1,500 fee, reserve funds, RN supervision and insurance.

    Virginia · Non-medical home care agencyReviewed