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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 8

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 141–160 of 301

  1. Maine assisted living facility license: Chapter 113 Part A, fees and steps

    How Maine DHHS licenses apartment-style assisted living under 10-144 C.M.R. Ch. 113 Part A (Sept. 18, 2025): the $200 fee, RN and fire marshal rules, apartments, staff.

    Maine · Assisted living facilityReviewed

  2. Maine child care facility license: centers, small facilities and nursery schools

    How to license a child care center, small child care facility or nursery school in Maine: Ch. 32 ratios, director qualifications, fire permits, water tests and fees.

    Maine · Child care centerReviewed

  3. Becoming a licensed family child care provider in Maine

    Maine family child care licensing: the 2025 four-child threshold, State Fire Marshal inspection, water and lead tests, ratios, $80 provisional and $160 full license fees.

    Maine · Family child care homeReviewed

  4. Maine home health care services license: DLC rules, fees and the Medicare question

    How Maine DHHS licenses home health agencies under 22 M.R.S. ch. 419 and rule Ch. 119: who needs it, staff qualifications, the $300/$600 fees and Medicare limits.

    Maine · Home health agencyReviewed

  5. Maine personal care agency license: opening a non-medical home care agency under Ch. 129

    How Maine licenses personal care agencies: who needs a PCA license, the in-state office rule, the $500 fee, MBCC checks, PSS training, supervision and DLC backlogs.

    Maine · Non-medical home care agencyReviewed

  6. Maryland adult medical day care license: the OHCQ letter of interest, staffing and space rules

    How to license an adult medical day care center in Maryland under COMAR 10.12.04: letter of interest, plans review, RN and director rules, square footage and Medicaid.

    Maryland · Adult day careReviewed

  7. Maryland assisted living program license: OHCQ levels, rules and steps

    How OHCQ licenses Maryland assisted living programs from 2 residents up: three levels of care, the 17-bed line, licensed managers from July 2026 and the survey.

    Maryland · Assisted living facilityReviewed

  8. Maryland child care center license: MSDE rules, staffing and steps

    Licensing a child care center in Maryland: notice of intent, two orientations, the 60-day packet, director tiers, ratios, space rules and the two-year first license.

    Maryland · Child care centerReviewed

  9. Maryland family child care home: getting your certificate of registration

    How MSDE registers home daycares in Maryland: the 8-child cap, under-2 limits, orientation, CJIS checks, 24 training hours, inspections and the 2-year initial term.

    Maryland · Family child care homeReviewed

  10. Maryland home health agency license: the CON gate, OHCQ licensing and Medicare

    How Maryland licenses home health agencies: the MHCC certificate of need, who may apply, the closed 2025-2026 review, OHCQ application steps, and the Medicare freeze.

    Maryland · Home health agencyReviewed

  11. Maryland residential service agency (RSA) license for in-home personal care

    How OHCQ licenses Maryland residential service agencies: who needs an RSA license, the homemaker exemption, the application packet, RN supervision, training and Medicaid.

    Maryland · Non-medical home care agencyReviewed

  12. Massachusetts Adult Day Health program license: DPH rules under 105 CMR 158.000

    Licensing an Adult Day Health program in Massachusetts: who needs it, the 50 sq ft rule, staffing, the mailed DPH application and the 2026 MassHealth moratorium.

    Massachusetts · Adult day careReviewed

  13. Massachusetts assisted living residence certification: rules, fees and steps

    How Massachusetts certifies assisted living residences under M.G.L. c. 19D and 651 CMR 12.00: who needs it, the 90-day filing rule, fees, staffing and training.

    Massachusetts · Assisted living facilityReviewed

  14. Michigan adult foster care license: family homes, group homes and LARA approval

    How Michigan licenses adult foster care homes: the four size classes, the November 2025 rules, LARA fees, the seven-bed fire approval, zoning, staffing and steps.

    Michigan · Small residential care homeReviewed

  15. Michigan child care center license: MiLEAP rules, ratios and steps

    Licensing a child care center in Michigan: the four center types, Bureau of Fire Services plan review, square footage, ratios, program administrator rules and fees.

    Michigan · Child care centerReviewed

  16. Licensing a family or group child care home in Michigan

    How Michigan licenses home child care: family (1-6) vs group (7-12) homes, the April 2026 MiLEAP rules, ratios, radon and furnace checks, zoning and fees.

    Michigan · Family child care homeReviewed

  17. Michigan home for the aged license: the assisted living license LARA issues

    How Michigan licenses assisted living as a home for the aged (HFA): the 21-resident and 55+ thresholds, the exemption route, LARA fees, building rules and steps.

    Michigan · Assisted living facilityReviewed

  18. Minnesota adult day services license: Rule 223 centers, the 2026 moratorium and the home option

    How Minnesota licenses adult day centers and family adult day services: the DHS moratorium through Jan. 2028, Rule 223 ratios, 40 sq ft rule, fees and Medicaid screening.

    Minnesota · Adult day careReviewed

  19. Minnesota adult foster care license: the live-in rule, four beds and county-led licensing

    Minnesota adult foster care: the moratorium that limits new licenses to live-in homes, the four-bed cap, the $2,100 DHS fee, the 2026 colocation ban, and county steps.

    Minnesota · Small residential care homeReviewed

  20. Minnesota basic home care license: starting a non-medical home care agency

    How Minnesota licenses non-medical home care: what the MDH basic license covers, the $2,100 temporary license, the five-day notice, the survey and renewal fees.

    Minnesota · Non-medical home care agencyReviewed