| Colorado HCA Class B Colorado Department of Public Health and Environment, Health Facilities and Emergency Medical Services Division (CDPHE) C.R.S. 25-27.5-103(1)Rules checked October 2, 2026 Colorado cost and timeline | $2,720.30 CDPHE’s Class B initial fee on its 2026/27 schedule (July 1, 2026 to June 30, 2027), non-refundable. The fee schedule changes every July 1. Initial License Application6 CCR 1011-1 Ch. 2, 2.12.1(A) | $1,638.36 a year Base renewal fee, plus $247.30 for each branch and $61.83 for each workstation. Agencies with 50 to 99 admissions in the previous year add $123.65; 100 or more add $247.30. Renewal License ApplicationAdditional Volume Fee | One year Licenses expire one year from issue. Renewals and fees are due at least 60 days before expiry. 6 CCR 1011-1 Ch. 2, 2.16 CCR 1011-1 Ch. 2, 2.5.1 | 10% to 75% of the renewal fee 10% of the total renewal fee if 6 to 29 days late, 50% at 30 to 59 days, 75% at 60 to 89 days. At day 90 the agency must stop operating and apply as new. Renewal Application Late Fees Charged6 CCR 1011-1 Ch. 2, 2.5.3 | $100,000 per occurrence, $300,000 aggregate Liability insurance, or a surety bond instead, of at least $100,000 per occurrence and $300,000 aggregate, kept for the whole license period. 6 CCR 1011-1 Ch. 26, 4.2(B) | $39.50 (CBI fee) CBI’s fee for the Colorado and nationwide fingerprint check that owners and managers need. The fingerprinting vendor adds its own fee, which CBI does not publish. CDHS charges $9.00 for each CAPS check on direct care staff; an online processing fee, which CDHS says it does not control, is added. CBI, Employment and Background Checks, Home Care Agency6 CCR 1011-1 Ch. 26, 4.2(D); C.R.S. 25-27.5-106(3)CBI, Employment and Background ChecksCAPS Check FAQ, PaymentC.R.S. 26-3.1-111(6)(b) | Branches, sales and revisits $247.30 to add a branch and $61.83 to add a workstation. A change of ownership costs the same as an initial license, $2,720.30, and a change of name or address $92.74. A second revisit about the same deficiency costs 100% of the initial or renewal fee. If CDPHE grants a 90-day provisional license instead of an initial one, it charges 15% of the initial fee for each provisional term. Adding a Branch Location; Adding a WorkstationChange of Ownership (CHOW)Change of Name; Change of AddressRevisit FeeProvisional License6 CCR 1011-1 Ch. 2, 2.4.1 | $4,358.66Our arithmetic Our arithmetic: $2,720.30 initial fee + $1,638.36 first renewal = $4,358.66. Class B, no branches or workstations, under 50 admissions, at the 2026/27 fees. The statute raises the fees 6% a year to 2028-29, so a renewal on a later schedule costs more. Initial License ApplicationRenewal License Application6 CCR 1011-1 Ch. 2, 2.1Additional Volume FeeC.R.S. 25-27.5-104(1)(g)(II)(B) |
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| Georgia PHCP Georgia Department of Community Health, Healthcare Facility Regulation Division (DCH) Ga. Comp. R. & Regs. 111-8-65-.05(1)Rules checked September 30, 2026 Georgia cost and timeline | $300 plus $250 A $300 application fee, plus the first license fee of $250 for each service category (up to $750), paid before DCH issues the license. Our arithmetic: $300 application fee + $250 first license fee = $550. 111-8-25-.03(8)Annual License Fee Payments, p. 1 | $250 a year per service An annual fee for each service category, up to $750, billed October to December for the next calendar year. Agencies accredited by a body DCH approves are eligible for 25% off. 111-8-25-.03(8)Annual License Fee Payments, p. 1111-8-25-.03(8), note ** | No expiry The license is valid until surrendered or revoked. The first license fee covers the rest of that calendar year; the annual fee then covers each following year. Annual License Fee Payments, p. 1 | $150 The annual fee is due October 1 to December 31; DCH’s fee page adds a $150 late fee on January 1, and the fee rule lists $150 per instance at 60 days past due. DCH may revoke a license if annual fees go unpaid 60 days after a written invoice. Annual License Fee Payments, p. 1111-8-25-.03(8), Miscellaneous Fees111-8-25-.03(7) | Only an employee bond, if staff handle client funds Any employee with unlimited access to a client’s personal funds for home management must be bonded through the provider; the rule sets no amount. If staff drive clients in a vehicle that is not the client’s, the provider gets the client’s signed waiver or makes reasonable efforts to make sure there is current motor vehicle insurance. 111-8-65-.03(i); .09(4)(c)9111-8-65-.03(w) | Set by DCH, amount not stated A records check is fingerprints plus a records search fee that DCH sets. The rule does not state the amount or who pays it. 111-8-12-.03(14) | $250 follow-up visit DCH’s fee schedule lists $250 for a follow-up visit to a periodic inspection, and $50 to replace a lost permit. Schedule of Licensure Activity Fees111-8-25-.03(8), Miscellaneous Fees | $800 to $1,050Our arithmetic Our arithmetic: $300 application fee + $250 first license fee + $250 annual fee for the next calendar year = $800, or $1,050 with a further $250 annual fee for a third calendar year. One service category. Each annual fee covers a calendar year, and the first license fee covers only the rest of the year the license starts in. So unless the license starts on January 1, the fees covering the first 24 months include a third calendar year’s annual fee, billed October to December of the second year. 111-8-25-.03(8)Annual License Fee Payments, p. 1 |
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| Illinois Home services agency Illinois Department of Public Health, Division of Health Care Facilities and Programs (IDPH) 210 ILCS 55/3.3Rules checked October 1, 2026 Illinois cost and timeline | $1,500 Covers the 240-day provisional license; the first full license then runs to one year from the end of the month the provisional license was issued. Not refundable, paid by check or money order. Form 445104, page 177 Ill. Adm. Code 245.100(a)(3)(A), (C)77 Ill. Adm. Code 245.100(a)(2) | $1,500 a year The same fee for each renewal, filed 60 to 90 days before the license expires. Form 445104, page 177 Ill. Adm. Code 245.90(b)(1) | One year Each license expires one year from the date it is issued. 77 Ill. Adm. Code 245.80(e) | A possible fine Missing the 60-day renewal deadline can bring a fine. IDPH may fine up to $100 a day from when a violation is identified. 77 Ill. Adm. Code 245.90(b)(1)77 Ill. Adm. Code 245.140(a)(1)(B) | $1 million per occurrence, $3 million aggregate The application includes a certificate of insurance showing liability coverage of at least $1 million per occurrence and $3 million aggregate. 77 Ill. Adm. Code 245.90(a)(2) | Fee set by the State Police, no amount in the Act The Illinois State Police fee for the fingerprint check may not exceed the actual cost of the check. Workers other than nurse aides may be required to pay their own fees. 225 ILCS 46/33(b)77 Ill. Adm. Code 955.165(j)(3) | $1,500 for a sale; each extra license pays its own fee A change of ownership pays the $1,500 license fee. An agency holding more than one license pays the fee for each; a home services placement agency license, for example, is $500. Form 445104, page 177 Ill. Adm. Code 245.95(a)FAQ, multiple licensesHome Services Placement application, page 1 | $3,000Our arithmeticOur reading Our arithmetic: $1,500 initial fee + $1,500 first renewal = $3,000. The rule applies the initial fee to the provisional license, and the first full license runs to one year from the end of the month the provisional license was issued; one renewal then covers the rest of the 24 months. Our sources name no separate fee when the full license is issued; confirm with IDPH. Form 445104, page 177 Ill. Adm. Code 245.100(a)(3)(A), (C)77 Ill. Adm. Code 245.80(e) |
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| Indiana PSA license Indiana Department of Health, Division of Home and Community-Based Care (IDOH) IC 16-27-4-6(a)Rules checked October 2, 2026 Indiana cost and timeline | $250 With each license application, paid to IDOH online in the Gateway. IDOH’s form says it is non-refundable. IC 16-27-4-6(d)PSA Licensing Program page, Initial Licensure step 10 | $250 a year The renewal application carries the same non-refundable fee. Renewal opens in the Gateway 60 days before the license expires. State Form 53591, page 2PSA Licensing Program page, License Renewal | One year A license expires one year after it is issued. IDOH may issue a first license for less than a year to stagger expiry dates. IC 16-27-4-6(h) | A possible civil penalty (up to $1,000) IDOH’s renewal form warns that if the application, documents and fee are not received and approved by the expiry date, the agency may face a civil penalty. The statute caps a civil penalty at $1,000. State Form 53591, page 1IC 16-27-4-19 | Only for lift services An agency that provides lift services must have liability insurance covering them. The statute sets no other insurance requirement. IC 16-27-4-6(l) | Agency pays, amount not in our sources The agency is responsible for the check fees, but may require applicants to pay them when they apply or reimburse the agency. IC 16-27-2-6 | $250 for a change of ownership The new owner applies with the $250 fee. Branch offices operate under the parent agency’s license. IDOH-HCBC/PSA-1, Change of Ownership License RequirementsIC 16-27-4-6(a) | $500 to $750Our arithmetic Our arithmetic: $250 initial fee + $250 first renewal = $500, or $750 with a further $250 second renewal. One renewal covers the second year of a full-year first license. If IDOH issues a shorter first license to stagger expiry dates, covering 24 months takes a second renewal. IC 16-27-4-6(d)IC 16-27-4-6(h) |
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| Kansas HHA (supportive care) Kansas Department of Health and Environment, Bureau of Facilities and Licensing (KDHE) K.S.A. 65-5102Rules checked October 2, 2026 Kansas cost and timeline | $250 or $500 $250 for a supportive-care-only applicant expecting under 100 unique clients a year, $500 for 100 or more. Non-refundable. K.A.R. 28-51-101(a)(1)(B)(iii)K.A.R. 28-51-101(a)(1)(B)(iv) | $100 or $350 a year $100 for under 100 unique clients served, $350 for 100 or more, paid online at least 30 days before the license expires. K.A.R. 28-51-101(b)(2)(C)K.A.R. 28-51-101(b)(2)(D)License RenewalK.A.R. 28-51-101(b) | One year Unless suspended or revoked. K.A.R. 28-51-101(d)(1) | Automatic cancellation If the annual report and fee are not in within 30 calendar days of the renewal expiration date, the license is automatically canceled. K.S.A. 65-5104(c) | Not covered in our sources | KDADS fee, current amount not confirmed The employer pays KDADS’s check fee, which KDADS sets by its own rules; the fingerprint collection site’s own fee is paid by the employer or the worker. We have not confirmed the current amount. K.S.A. 65-5117(d)(3)-(4)K.S.A. 65-5117(k)(1) | The license fee for a new owner A new owner applies on the same form as an original license, with the license fee. KDHE may issue a temporary operating permit for up to 90 days. K.S.A. 65-5104(e) | $350Our arithmetic Our arithmetic: $250 initial fee + $100 first renewal = $350. Under 100 unique clients a year; the fees for 100 or more clients are higher. K.A.R. 28-51-101(a)(1)(B)(iii)K.A.R. 28-51-101(b)(2)(C)K.A.R. 28-51-101(d)(1)K.A.R. 28-51-101(a)(1)(B)(iv)K.A.R. 28-51-101(b)(2)(D) |
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| Maryland RSA Maryland Department of Health, Office of Health Care Quality (OHCQ) Health-General §19-4A-04Rules checked October 2, 2026 Maryland cost and timeline | No fee OHCQ charges no fee to apply for an RSA license, although COMAR 10.07.05.04 still lists $1,000. Application, InstructionsCOMAR 10.07.05.04A(2)(k) | No renewalOur reading The statute no longer provides for renewal and OHCQ’s RSA page has no renewal process, so licenses no longer expire. Confirm with OHCQ. COMAR 10.07.05.04HChapter 661 of 2018, Health-General §19-4A-03(b) (struck); fiscal note Appendices 1-2 | No expiryOur reading COMAR still describes a 3-year license, but since Chapter 661 of 2018 the statute no longer provides for renewal. COMAR 10.07.05.04HFiscal and policy note, SB 108 (2018), Bill Summary | No renewal, so no late feeOur reading The statute no longer provides for renewal, so there is no renewal to file late. Confirm with OHCQ. COMAR 10.07.05.04HChapter 661 of 2018, Health-General §19-4A-03(b) (struck); fiscal note Appendices 1-2 | Not covered in our sources | $38 (DPSCS fee) DPSCS’s fee for a State-only check with in-person fingerprinting, including its $20 service fee, paid by the agency. Private fingerprinting providers may add their own fee. Fingerprinting Services, Central Repository FeesHealth-General §19-1904(a)-(b); §19-1902(c)Fingerprinting Services, Private Providers | $250 per extra prelicensure visit The rule lets the Department charge $250 for each extra prelicensure visit when an agency is not compliant. It also lists $50 for an amended license after a name or address change; whether that is charged is unconfirmed. COMAR 10.07.05.04KCOMAR 10.07.05.05A(3) | No feeOur arithmeticOur reading Our arithmetic: the $0 application fee only. OHCQ charges no application fee, and licenses no longer expire. Application, InstructionsCOMAR 10.07.05.04H |
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| Nevada Personal care agency (PCA) Nevada Health Authority, Health Care Purchasing and Compliance Division, Bureau of Health Care Quality and Compliance (HCQC) NRS 449B.100Rules checked October 3, 2026 Nevada cost and timeline | $1,374 Nonrefundable, plus a cancer registry fee of 6% of the renewal fee ($41.22) on issue. Our arithmetic: $1,374 initial fee + $41.22 cancer registry fee = $1,415.22. NAC 449.013(1)(n)NAC 449.013(3); NRS 449B.210(3) | $687 a year Plus the $41.22 cancer registry fee on each renewal. The compiled rule and HCQC’s renewal page say to renew by November 15. NAC 449.013(2)(n)NAC 449.013(3); NRS 449B.210(3)License Renewal page; NAC 449.0116 | One year The statute says a license expires on December 31 and is renewable a year at a time; HCQC’s licensee list shows recent licenses expiring one year after issue. NRS 449B.210(1)Licensee export, Oct 2, 2026 | Renewal fee plus half (compiled rule) The compiled rule says renewing after November 15 but by December 31, without good cause, costs the renewal fee plus half of it again, and a license not renewed before it expires needs a new application. How that applies to licenses that now expire on their anniversary is unclear (R116-25 moves chapter 449 renewals to the expiry date). Confirm with HCQC. NAC 449.0116(2)NAC 449.0116(3)License Renewal page; NAC 449.0116Licensee export, Oct 2, 2026 | $5,000 to $50,000 surety bond Filed with each application and renewal: $5,000 for fewer than 7 employees, $25,000 for 7 to 25, $50,000 for more than 25, or an approved deposit instead. The agency also keeps proof of adequate liability coverage. NRS 449B.185(1)-(2), (7)NRS 449B.190NAC 449.3972(3)-(4) | License applicants pay; the agency pays for staff Applicants for the license pay their own fingerprinting and background check costs. For staff checks the agency pays the Central Repository fee and may recover no more than half of it from the employee. Background Check FAQ 14; NRS 449B.310(7) | Enforcement costs A change of ownership needs a new application. The Division may charge its actual cost of enforcement, such as an inspection or investigation, but not for work covered by a license fee. NRS 449B.200(2)NRS 449B.150(1)-(2) | $2,143.44 to $2,871.66Our arithmetic Our arithmetic: $1,374 initial fee + $41.22 cancer registry fee + $687 first renewal + $41.22 cancer registry fee = $2,143.44, or $2,871.66 with a further $687 second renewal + $41.22 cancer registry fee. One renewal covers the first 24 months if the first license runs a full year, as HCQC’s licensee list shows for most new licenses. If it runs only to the December 31 the statute names, covering 24 months takes a second renewal. NAC 449.013(1)(n)NAC 449.013(3); NRS 449B.210(3)NAC 449.013(2)(n)Licensee export, Oct 2, 2026NRS 449B.210(1) |
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| New York LHCSA New York State Department of Health, Division of Home and Community Based Services (with the Public Health and Health Planning Council) (DOH) PHL s. 3605(1)Rules checked October 3, 2026 New York guide | $2,000 The state’s application fee, not refunded once DOH acknowledges the application, even if PHHPC disapproves it. PHL s. 3605(13)FAQ B, Q1 | Yearly registration The license has no expiry date in the statute, but the agency registers with DOH every year. Our sources name no registration fee. PHL s. 3605-b(1)(a)PHL s. 3605-b(1)(d) | No expiry in the statute The agency must register with DOH every year to operate or be paid. PHL s. 3605-b(1)(a)PHL s. 3605-b(1)(d) | $500 a month For each month or part month an agency is late registering; missing two registration periods leads to revocation proceedings. PHL s. 3605-b(1)(b), (d) | Not covered in our sources | Not charged to workers, amount not in our sources Agencies may not charge applicants or employees for criminal history check fees or costs. 10 NYCRR 402.4(e) | $2,000 for a change of ownership The same application fee applies to a change of ownership or expanding a restricted license. PHL s. 3605(13) | $2,000Our arithmetic Our arithmetic: the $2,000 application fee only. The application fee only: our sources name no fee for the yearly registration. PHL s. 3605(13)PHL s. 3605-b(1)(a) |
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| North Carolina Home care agency North Carolina Division of Health Service Regulation, Acute and Home Care Licensure and Certification Section (DHSR) G.S. 131E-138(a)Rules checked October 1, 2026 North Carolina cost and timeline | $510 Non-refundable, for an initial license. G.S. 131E-138(c)FAQ 12 | $510 a year DHSR must receive the renewal and fee by December 31 for the license to run from January 1. G.S. 131E-138(c)FAQ 26 | One year, to December 31 Licensure is for one year, and DHSR says every home care license expires at midnight on December 31. 10A NCAC 13J .0903(b)FAQ 24 | A gap in licensure A renewal received after January 1 takes effect on the date DHSR receives it, and an agency that does not renew before the license expires is operating without a license. FAQ 26FAQ 27 | Not covered in our sources | Not covered in our sources | $510 per extra site or sale Each additional site needs its own application with the $510 fee, and a change of ownership costs $510. Requirements for Adding an Additional Home Care SiteFAQ 12 | $1,020 to $1,530Our arithmetic Our arithmetic: $510 initial fee + $510 first renewal = $1,020, or $1,530 with a further $510 second renewal. Every license expires on December 31, so unless the first license starts on January 1, covering the first 24 months takes a second renewal. G.S. 131E-138(c)10A NCAC 13J .0903(b)FAQ 24 |
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| Ohio Nonmedical HHS Ohio Department of Health (ODH) ORC 3740.02(A)(2)Rules checked September 30, 2026 Ohio guide | $250 For a three-year license, not refundable. OAC 3701-60-03(B)(2)ORC 3740.05(A) | $250 every three years File at least 90 days before the license expires. ORC 3740.05(A)OAC 3701-60-03(H) | Three years ORC 3740.05(A) | Possible license action ODH may deny, suspend or revoke a license for reasons that include late renewal. OAC 3701-60-04(A) | $20,000 surety bond For any applicant that was not providing direct care on or just before September 30, 2021. ODA (Medicaid) certification separately asks for at least $1 million commercial liability cover. ORC 3740.03(B)(1)(h)OAC 173-39-02(A)(5)(a) | The agency pays BCI, amount not in our sources The agency pays the Bureau of Criminal Identification and Investigation the fee set under ORC 109.572 for each criminal records check. It may pass no more than that on to the applicant, and only if it says so when they apply and Medicaid does not reimburse the fee. OAC 3701-60-06(E) | Not covered in our sources | $250Our arithmetic Our arithmetic: the $250 license fee only. One three-year license covers the two years. The $20,000 surety bond is not a fee and is not included. OAC 3701-60-03(B)(2)ORC 3740.05(A)ORC 3740.03(B)(1)(h) |
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| South Carolina IHCP South Carolina Department of Public Health, Healthcare Quality, Bureau of Health Facilities Licensing (DPH) R.60-122 §103.ARules checked October 2, 2026 South Carolina cost and timeline | $1,000 DPH’s initial license fee, paid through DPH’s portal and not refundable, though DPH may refund part of it if the application is denied, based on the months left in the licensure year. R.60-122 §103.IForm 1307, Instructions | $800 a year DPH’s annual renewal fee. R.60-122 §103.I | Set by DPH, renewed yearly The license is valid for a period DPH sets; the fee and renewal are annual. R.60-122 §103.C.4, §103.I | $200 If the renewal application or fee is not in by the expiry date. Not filed within 30 days of expiry, the provider becomes unlicensed. R.60-122 §103.J | $100,000 per occurrence, $300,000 aggregate Liability insurance or a surety bond of at least $100,000 per occurrence and $300,000 aggregate, kept for the whole license period. R.60-122 §103.F.1 | $30.25 (paid to DPH’s fingerprint vendor) DPH lists $30.25 per employee for state and FBI fingerprint checks, paid directly to the fingerprint vendor. A SLED CATCH name-based record check costs $25, plus an online service fee. FY2026 Fees and Fines Report, AppendixCATCH, Fees & Payments | $50 amendment, $400 reinstatement $50 for each amended license (change of location, name or address) and $400 to reinstate a suspended license. Neither DPH’s form nor the rule names a separate fee for an additional location. R.60-122 §103.L.3R.60-122 §103.K.1Form 1307, Instructions, Part D | $1,800Our arithmetic Our arithmetic: $1,000 initial fee + $800 first renewal = $1,800. Assumes one renewal in the first 24 months; DPH sets the license period. R.60-122 §103.IR.60-122 §103.C.4, §103.I |
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| Tennessee PSSA Tennessee Department of Mental Health and Substance Abuse Services, Office of Licensure (TDMHSAS) 0940-05-02-.03(1)Rules checked October 2, 2026 Tennessee cost and timeline | $810 per site For one category of service, with each initial application; $1,010 for two categories at one site. Non-refundable. 0940-05-02-.05(1) | $810 a year per site The same fee with each yearly renewal, invoiced by TDMHSAS before the license expires. 0940-05-02-.05(1)0940-05-02-.07(1)-(2) | Up to 12 months A full license is valid for up to 12 months. 0940-05-02-.02(2) | No late fee in the rules we saved A timely and complete renewal, with fees, keeps the current license in force until TDMHSAS decides. 0940-05-02-.15 | Liability insurance, no amount set Proof of liability insurance coverage for the agency, workers and others who provide personal support services; the rule sets no minimum amount. 0940-05-38-.07(3) | $37.15 (TBI fee) TBI’s fee for a Tennessee and FBI fingerprint check for qualified organizations ($33.15 for a volunteer), bought through TBI’s contractor. TDMHSAS’s provider slides say a check can instead come from a Tennessee-licensed private investigation company, without fingerprints. Background Checks, Qualified OrganizationsBackground Checks, FBI Only (Nationwide)Slide 11 | Up to $50 per extra inspection TDMHSAS may charge up to $50 for an onsite inspection other than the initial or annual one. A change of ownership or location needs a new application and license. 0940-05-02-.23(1)0940-05-02-.10 | $1,620 to $2,430Our arithmetic Our arithmetic: $810 initial fee + $810 first renewal = $1,620, or $2,430 with a further $810 second renewal. One site and one category of service. One renewal covers the first 24 months if the initial license runs the full 12 months; initial and full licenses can be shorter, and then covering 24 months takes a second renewal. 0940-05-02-.05(1)0940-05-02-.02(1)0940-05-02-.02(2) |
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| Texas HCSSA (PAS) Texas Health and Human Services Commission (HHSC) Tex. Health & Safety Code §142.002(a)Rules checked September 30, 2026 Texas cost and timeline | $2,625 For an initial three-year license, not refundable, though you can ask for it back if HHSC misses its processing time frames. HHSC does not review an application until the payment shows as received. 26 TAC §558.3(a)(1)-(2)26 TAC §558.15(b)26 TAC §558.3(e)-(f)26 TAC §558.31(c)(1) | $2,625 every three years HHSC opens renewal at least 120 days before expiry; apply by the 45th day before expiry to avoid the late fee. 26 TAC §558.3(a)(2)26 TAC §558.17(f) | Three years From the date of issue. 26 TAC §558.15(b) | Half the renewal fee A late fee of half the renewal fee, on top of the renewal fee. An agency whose license expires must stop operating and apply for an initial license. 26 TAC §558.3(c)26 TAC §558.17(g) | Not covered in our sources | Not covered in our sources | $2,625 per branch or sale $2,625 for each branch office, per physical address, and a change of ownership is an initial application. $30 to report a change such as location or administrator on time, with a $100 late fee on top if late. 26 TAC §558.3(a)(4), (b)26 TAC §558.3(a)(1)-(2)26 TAC §558.11(c)26 TAC §558.208(b)(3)26 TAC §558.208(c) | $2,625Our arithmetic Our arithmetic: the $2,625 initial fee only. One three-year license covers the two years. 26 TAC §558.3(a)(1)-(2)26 TAC §558.15(b) |
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| Virginia HCO Virginia Department of Health, Office of Licensure and Certification (OLC) Va. Code § 32.1-162.9 ARules checked October 1, 2026 Virginia cost and timeline | $1,500 For a three-year license, paid with the application and not refundable. 12VAC5-381-70 A12VAC5-381-40 E | $1,500 every three years OLC makes renewal applications available at least 60 days before the license expires. 12VAC5-381-70 A12VAC5-381-40 E | Three years Each license expires on the third anniversary of its issue or renewal. 12VAC5-381-40 EVa. Code § 32.1-162.9 E | $50 An extra $50 if the renewal application is not filed by the date specified. 12VAC5-381-70 B | $1 million liability, $50,000 crime cover, plus malpractice Malpractice insurance consistent with Va. Code § 8.01-581.15 (no amount in the regulation), at least $1 million comprehensive general liability per occurrence, and third-party crime insurance or a blanket fidelity bond of at least $50,000. 12VAC5-381-210 B 112VAC5-381-210 B 212VAC5-381-210 B 3 | Not covered in our sources | $250 reissued license A change of operator, name or address needs a reissued license, at $250 each. Branch offices run under the main license. 12VAC5-381-60 B12VAC5-381-70 CVa. Code § 32.1-162.9 C | $1,500Our arithmetic Our arithmetic: the $1,500 initial fee only. One three-year license covers the two years. 12VAC5-381-70 A12VAC5-381-40 EVa. Code § 32.1-162.9 E |
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| Washington In-home services license (home care) Washington State Department of Health, in-home services program (DOH) RCW 70.127.020(1)Rules checked October 2, 2026 Washington cost and timeline | $5,000 Per service category, for the first 12-month license (DOH’s fee since June 1, 2026). The first county is included. WAC 246-335-990(1)WAC 246-335-990(3) | $2,400 to $3,700 per 2 years The standard home care fee, set by full-time equivalent staff (5 or fewer up to 101 or more). Agencies contracted with and monitored by DSHS or an AAA pay $1,700 to $2,600. WAC 246-335-990, Table 1WAC 246-335-990(4)WAC 246-335-990(4)(b)(iii), Table 2 | 12 months, then two years The first license lasts 12 months; after that, licenses run for two years. RCW 70.127.100 | $50 a day, up to $1,000 Counted from the renewal date, 30 days before expiry. WAC 246-335-990(8) | $1 million per occurrence Commercial general liability insurance of $1 million per occurrence, or a $2 million combined single limit. WAC 246-335-320(2)(b) | DSHS pays for caregiver checks DSHS says it pays for background checks for all long-term care workers, and the statute bars passing the fingerprint check cost to workers or employers. For a State Patrol check, the business pays the fee the State Patrol sets. Background Checks pageRCW 74.39A.056(1)(b)(i)RCW 43.43.834(3) | Counties, sales and extra surveys Each additional county costs $500 (urban) or $100 (rural); a change of ownership $500 per category. DOH may charge $5,000 for an extra on-site survey, and adding a service category costs another $5,000. WAC 246-335-990(3)WAC 246-335-990(5)WAC 246-335-990(6)WAC 246-335-990(2) | $7,400Our arithmetic Our arithmetic: $5,000 initial fee + $2,400 first renewal (24 months) = $7,400. One category, one county, 5 or fewer full-time equivalent staff, standard rate. The first renewal, due at 12 months, covers the next 24. WAC 246-335-990(1)WAC 246-335-990, Table 1RCW 70.127.100WAC 246-335-990(4) |
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