Start a Care Business

Care business licensing, state by state

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

Menu navigation

Licensing guides, page 7

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 121–140 of 301

  1. Iowa elder group home certification: three to five elders, a 24-hour manager, and DIAL approval

    Iowa elder group homes: the 3-to-5-elder rule, 24/7 on-site manager, $750 DIAL certification fee, room sizes, fire approval, tenant limits and renewal.

    Iowa · Small residential care homeReviewed

  2. Kansas adult day care license: KDADS rules, space, fees and the fire marshal track

    How KDADS licenses adult day care in Kansas: no minimum headcount, a registered operator, 60 sq ft per participant, $100 + $30 per slot and fire marshal review.

    Kansas · Adult day careReviewed

  3. Kansas assisted living facility license: KDADS rules, fees and steps

    How KDADS licenses Kansas assisted living facilities: the 6-resident threshold, 200 sq ft apartments, operator or administrator, fees and the construction track.

    Kansas · Assisted living facilityReviewed

  4. Licensing a family child care home in Kansas under the Office of Early Childhood

    How Kansas licenses family child care homes since the July 2026 move to KOEC: the 35-hour exemption, group-size tables, orientation, $48 fingerprints and fire approval.

    Kansas · Family child care homeReviewed

  5. Kansas Skilled Services home health agency license: KDHE desk review, 200-mile rule and fees

    How KDHE licenses Kansas skilled home health agencies: who needs it, administrator and aide rules, the upload-based desk review, $500-$750 fees and the Medicare freeze.

    Kansas · Home health agencyReviewed

  6. Kansas non-medical home care: the supportive care services home health agency license

    Licensing a Kansas non-medical home care agency: KDHE's supportive care license, administrator and manager rules, the $250 fee, allowed tasks and pending rule changes.

    Kansas · Non-medical home care agencyReviewed

  7. Kansas Home Plus license: the 12-resident adult care home, its operator, and KDADS approval

    How to license a Kansas Home Plus: the 12-resident cap, operator registration, K.A.R. 26-42 care rules, fire marshal review, the $100 + $30 per bed fee and steps.

    Kansas · Small residential care homeReviewed

  8. Kentucky adult day health care program license: certificate of need, 902 KAR 20:066 and waiver rules

    How to open an adult day health care program in Kentucky: certificate of need, OIG licensure under 902 KAR 20:066, the $170 fee, nursing rooms and waiver rates.

    Kentucky · Adult day careReviewed

  9. Kentucky assisted living community license: OIG categories, fees and rules

    How Kentucky licenses assisted living communities under KRS 194A and 902 KAR 20:480: the three license levels, 200 sq ft units, per-unit fees, staffing, dementia rules.

    Kentucky · Assisted living facilityReviewed

  10. Kentucky certified family child-care home: getting your certificate of operation

    Who must certify a Kentucky home daycare, the 6-unrelated/10-total cap, the $10 fee, $50,000 insurance, zoning letter, training hours and the unannounced inspection.

    Kentucky · Family child care homeReviewed

  11. Kentucky child-care center license: Type I and Type II centers

    How Kentucky licenses child-care centers: Type I vs Type II, the $50 fee, Fire Marshal and zoning sign-offs, director rules, ratios, space and background checks.

    Kentucky · Child care centerReviewed

  12. Kentucky family care home license: three residents, a $42 fee and no certificate of need

    Kentucky family care homes: the three-unrelated-resident cap, operator rules, house standards, the $42 OIG fee, inspections and state supplementation payments.

    Kentucky · Small residential care homeReviewed

  13. Kentucky home health agency license: certificate of need, OIG licensing and Medicare

    Opening a Kentucky home health agency: the county-by-county certificate of need test, Form OIG 004, the $500 fee, 902 KAR 20:081 staff rules and the 2026 Medicare freeze.

    Kentucky · Home health agencyReviewed

  14. Kentucky personal services agency certification: opening a non-medical home care agency

    How Kentucky certifies non-medical home care agencies: who needs it, the three-client exemption, the $500 fee, dementia curriculum approval, hiring checks and renewal.

    Kentucky · Non-medical home care agencyReviewed

  15. Louisiana adult day health care license: LDH rules, staffing and the 1,500-foot rule

    How to license an adult day health care center in Louisiana under LAC 48:I Chapter 42: fire marshal plan review, the $600 fee, staffing, space and the ADHC Waiver.

    Louisiana · Adult day careReviewed

  16. Louisiana adult residential care provider (ARCP) license: levels, rules and steps

    How Louisiana licenses assisted living and personal care homes as adult residential care providers: four levels, fees, insurance, staffing and the 2027 generator rule.

    Louisiana · Assisted living facilityReviewed

  17. Louisiana early learning center license: Type I, II or III and how to get one

    Opening a child care center in Louisiana: the 7-child threshold, Type I, II and III licenses, Bulletin 137 space and ratio rules, director qualifications and fees.

    Louisiana · Child care centerReviewed

  18. Louisiana HCBS provider license: opening a personal care attendant agency

    How Louisiana licenses in-home personal care: the HCBS license and PCA module, Facility Need Review, the $50,000 line of credit, fees and the one-client survey.

    Louisiana · Non-medical home care agencyReviewed

  19. Louisiana home health agency license: the 1995 moratorium, buying an agency and LDH rules

    Louisiana home health agency licensing under R.S. 40:2116.32 and LAC 48:I Ch. 91: the limit on new licenses, buying an agency, the $75,000 credit line, fees and Medicare.

    Louisiana · Home health agencyReviewed

  20. Maine adult day services program license: Chapter 117, the 1:6 ratio and the fire marshal sign-off

    How to license an adult day program in Maine under 10-144 CMR Ch. 117: who needs it, social vs. health programs, 50 sq ft rule, 1:6 ratio, fees and fire inspection.

    Maine · Adult day careReviewed