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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 9

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 161–180 of 301

  1. Minnesota comprehensive home care license: nursing, delegation and the road to Medicare

    How MDH licenses skilled home care in Minnesota: what the comprehensive level adds, the $4,200 fee, the named RN, the first-client survey, and Medicare and MA billing.

    Minnesota · Home health agencyReviewed

  2. Minnesota family child care license: classes, ratios, training and the 2027 rewrite

    How Minnesota licenses home daycare: county-run applications, license classes up to 14 children, no state fee, required training, and the new rules starting July 1, 2027.

    Minnesota · Family child care homeReviewed

  3. Mississippi adult foster care facility license: rules on the books, no homes listed

    Mississippi adult foster care facilities: the three license classes, MSDH Chapter 83 rules, staffing, sprinklers, admission limits and the Residential Living alternative.

    Mississippi · Small residential care homeReviewed

  4. Mississippi child care facility license: how a center gets licensed by MSDH

    Opening a child care center in Mississippi: the six-child threshold, MSDH capacity math, ratios, director qualifications, the pre-opening packet, fees and CCPP.

    Mississippi · Child care centerReviewed

  5. Licensing a child care family home in Mississippi (5 or fewer children)

    How the Mississippi State Department of Health licenses home daycares for 5 or fewer children: who counts, the 22-item packet, $130 + $50 fees, director rules, subsidy.

    Mississippi · Family child care homeReviewed

  6. Mississippi home health agency license: the CON moratorium and how agencies change hands

    Mississippi home health agencies need an MSDH license and a certificate of need, but the CON moratorium was reaffirmed in April 2026. Here is what new owners can do.

    Mississippi · Home health agencyReviewed

  7. Mississippi Personal Care Home - Assisted Living license: MSDH rules and steps

    How MSDH licenses a Mississippi Personal Care Home - Assisted Living: the eight-hour nurse rule, staff ratios, plan review, admission limits and the Medicaid waiver.

    Mississippi · Assisted living facilityReviewed

  8. Missouri adult day care program license: DHSS rules, space, staffing and Medicaid

    How to license an adult day care program in Missouri under RSMo 192.2200 and 19 CSR 30-90: the five-participant trigger, 80 sq ft rule, staffing, fees and MO HealthNet.

    Missouri · Adult day careReviewed

  9. Missouri assisted living facility license: DHSS rules, CON and steps

    How DHSS licenses Missouri assisted living facilities: ALF vs ALF**, the certificate of need test, administrator license, staffing, fire safety and fees.

    Missouri · Assisted living facilityReviewed

  10. Opening a child care center in Missouri: director tiers, ratios and the DESE inspection sequence

    How Missouri licenses group child care homes and centers under 5 CSR 25-500: exemptions, director credit tiers, 2024 ratios, fire-alarm thresholds and DESE steps.

    Missouri · Child care centerReviewed

  11. Licensing a family child care home in Missouri: the 7-child line, ratios and DESE inspections

    When Missouri requires a family child care home license, the up-to-10 ratio table, fire and sanitation inspections, 2026 fingerprint costs and the DESE steps in order.

    Missouri · Family child care homeReviewed

  12. Missouri home health agency license: the DHSS two-service test, Medicare rules and the $600 fee

    How Missouri DHSS licenses home health agencies: the two-service rule, Medicare standards built into state law, the $600 annual fee, and the 2026 Medicare freeze.

    Missouri · Home health agencyReviewed

  13. Missouri residential care facility license: the five-minute evacuation rule and the CON check

    How to license a Missouri residential care facility: the 3-resident threshold, RCF vs ALF, sprinklers, staffing, the $100 DHSS fee, CON letter of intent and Medicaid.

    Missouri · Small residential care homeReviewed

  14. Montana adult day care center license: DPHHS rules, application packet and inspections

    Licensing an adult day care center in Montana under MCA 50-5 and ARM 37.106: who needs it, the application packet, staffing, meals, inspections and Medicaid.

    Montana · Adult day careReviewed

  15. Montana adult foster care home license: four residents, light care, and the DPHHS steps

    Montana adult foster care homes: the four-resident cap, light-care limits, background checks, bedroom and fire rules, the six-month provisional license and waiver pay.

    Montana · Small residential care homeReviewed

  16. Montana assisted living facility license: categories A to D, rules and steps

    How DPHHS licenses Montana assisted living facilities: categories A to D and the new D1, administrator rules, room sizes, the application packet and provisional license.

    Montana · Assisted living facilityReviewed

  17. Montana day-care center license: rules, staffing and steps under ARM 37.96

    How to license a Montana day-care center for 16 or more children: the 2025 ARM 37.96 rules, fire and health certificates, ratios, staff roles, training and no state fee.

    Montana · Child care centerReviewed

  18. Montana family and group day-care home registration: who needs it and how to get it

    How Montana registers home child care: 3-8 and 9-15 child tiers, the six-child exemption, ARM 37.96 rules in force since 2025, background checks, no state fee.

    Montana · Family child care homeReviewed

  19. Montana home health agency license: DPHHS rules, the 6-month provisional license and Medicare

    How Montana DPHHS licenses home health agencies: the RN-plus-therapy test, federal Part 484 standards, the 45-day policy review, provisional license and Medicare freeze.

    Montana · Home health agencyReviewed

  20. Nebraska adult day service license: 175 NAC 5, fees, building sign-offs and Medicaid waiver work

    How to license an adult day service in Nebraska: the 4-person threshold, $200-$300 fees, Fire Marshal and zoning papers, the 2024 rules, inspection and AD Waiver billing.

    Nebraska · Adult day careReviewed