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Illinois · License fees and time frames · 77 Ill. Adm. Code 245.95, 245.100

Illinois home care license: cost and timeline

IDPH charges $1,500 a year for a home services agency license, paid by check with a paper application. A provisional license follows within 90 days of a compliant application, lasts 240 days and ends with a survey. Here is every IDPH fee, the costs the rules require without setting a price, and each step from envelope to renewal.

  • Rule-verified October 1, 2026
  • Quoted from Part 245 and IDPH’s forms
  • Every fee linked to its source
A home care founder writes in a notepad at a café table beside a closed checkbook and a CareRulebook binder with sticky notes reading $1,500 to IDPH and 240 days

Quick answer

Cost: the Illinois Department of Public Health (IDPH) charges $1,500 for a home services agency license, initial, renewal or change of ownership. The license lasts one year, so you pay it every year. The fee goes by check or money order with the paper application and is not refundable. It is IDPH’s fee, not a CareRulebook price.

Time: IDPH reviews the application within 30 days, and it must be complete and approved within 90 days. A provisional license follows within 90 days of a compliant application and lasts 240 days, with the licensing survey in its last 30 days. By our arithmetic, that puts the full license roughly 7 to 11 months after a compliant application.

The rules also require costs IDPH does not price: liability insurance of at least $1 million per occurrence and $3 million aggregate, fingerprint checks, training and supervision.

IDPH’s website did not respond when we checked, so IDPH’s forms and FAQ on this page are Internet Archive copies, each dated in its citation. The rules come from the Illinois General Assembly’s site directly. Call IDPH on 217-782-7412 to confirm the current form before you mail a check.

$1,500

IDPH license fee, every year

Form 445104

30 days

IDPH’s first review of your application

IDPH FAQ

240 days

Provisional license, survey in the last 30

245.100(a)(2)-(3)

60 to 90

Days before expiry to file each renewal

245.90(b)(1)

What IDPH charges

Every amount below is a state fee paid to IDPH, from its application forms and 77 Ill. Adm. Code 245.95. None of them is a CareRulebook price. The other license types are here for comparison; this guide covers the home services agency license.

What forIDPH feeTermNotesSource
Home services agency license (initial, renewal or change of ownership)$1,5001 yearPaid to IDPH by check or money order with the paper application. Not refundable.Form 445104, page 1
Each further license you holdA fee for eachPer licenseAn entity can hold license types singly or in any combination, with a completed application and fee for each.245.95(a)
Home services placement agency license$5001 yearFor agencies that place workers clients hire privately. Not refundable. IDPH says these agencies must also hold a Department of Labor private employment agency license.Placement application; 245.95(c)
Home nursing agency licenseUp to $1,5001 yearFor services that need a licensed nurse. The rule sets the same cap as for home services.245.95(b)
Home health agency license$1,5002 yearsSkilled nursing plus at least one other home health service.210 ILCS 55/4(c)

The rule sets a ceiling: "A home nursing agency or a home services agency shall pay a licensure fee not to exceed $1,500 annually. The fee is not refundable." (245.95(b)). IDPH’s form charges the full $1,500 (Form 445104, page 1). Certified local health departments are exempt from the fee (245.95(b)).

Simple arithmetic, not an IDPH figure

$1,500 × 3 = $4,500 in IDPH license fees to cover your first three years of licensing: the initial fee and two renewals. Illinois licenses home services for one year at a time, so the fee comes round every year.

Our reading of the first-year dates

The initial fee is applied to the provisional license, and the first full license expires one year from the end of the month the provisional license was first issued (245.100(a)(3)). If your survey falls near the end of the 240 days, the 60-to-90-day renewal window opens only a few months later, so budget for the second $1,500 within about a year of receiving your provisional license.

Costs IDPH does not set

The rules require each of these, but the price is up to whoever provides them. We do not quote typical prices, because they vary and no official source we found publishes them.

Liability insurance, with set minimums

A certificate of insurance showing at least $1 million per occurrence and $3 million in the aggregate goes in with the application, and you show evidence of it while you operate. IDPH’s surveyors ask for the current certificate.

245.90(a)(2); 245.30(b)(2)IDPH surveyor checklist

Fingerprint checks for caregivers

A fingerprint-based check for each new direct care worker who has not had one or is not active on the Health Care Worker Registry. Part 955 lets you require workers other than CNAs to pay their own application and fingerprinting fees, and sets the deadlines: data within 2 working days, fingerprints within 10 working days.

955.165(j)(3)955.165(f), (h)-(j)

Training hours

At least 10 hours for each worker before and soon after they start (5 before the first assignment, 5 within 30 days), then at least 10 hours every year. Staff with direct access to clients with dementia also need 6 hours in their first 60 days and 3 hours a year. The rules set hours, not prices.

245.71(c), (f)973.140Training and competency checks →

Supervision you cannot bill

A supervisor visits each client on site at least every 90 days and observes each worker giving care at least once a year. Supervision time cannot be billed to the client.

245.40(c)(6)245.40(c)(6)(C)

An office and a manager

An office with a working phone, staffed during business hours, adequately equipped, keeping records confidential and meeting local fire safety rules. An agency manager supervises services. No nurse is required for a home services agency.

245.40(a)(12)245.30(f)(1)

Your written policies

Copies of your policies go in with the application, and IDPH reads them before it licenses you. An application not complete and approved within 90 days may be denied, and the fee is not refundable.

245.90(a)(3)(I)Every policy the rules require →

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Answer a few questions and CareRulebook writes the Illinois policies IDPH reviews with your application, with your agency's details filled in and the rule quoted under every policy.

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$199CareRulebook founding price for the first 50 Illinois agencies, then $249. Not an IDPH fee.

How long it takes, step by step

IDPH says getting from application to a provisional license decision should take no more than 90 days (IDPH FAQ). Tick steps off as you go; progress is saved in this browser only.

  1. Get ready before you apply

    Your pace

    Set up your governing body and name an agency manager. Register with the IDPH web portal and get Health Care Worker Registry access, arrange liability insurance, and write the policies that go in the envelope (which policies).

    245.90(a)(2)-(3)
  2. Mail the application with a $1,500 check

    Day 0

    Send Home Services Application form 445104 to IDPH in Springfield with a check or money order. IDPH does not accept electronic submissions or payments.

    Form 445104, page 1
  3. IDPH’s first review

    Within 30 days

    IDPH reviews a new application within 30 days and emails the address on the application for any revisions. It communicates with your agency representative only by email, fax or phone.

    IDPH FAQ
  4. Complete and approved within 90 days

    By day 90

    The application must be complete and approved within 90 days of submission, or it may be denied. Answer IDPH’s revision requests quickly.

    IDPH FAQ; 245.130(b)
  5. Receive the provisional license

    Within 90 days of a compliant application

    IDPH issues a provisional license to a new agency within 90 days of receiving a compliant application. It lasts 240 days unless suspended or revoked sooner, and the initial fee is applied to it.

    245.100(a)(1)-(2)
  6. Put the operational requirements in place

    First 6 months of the 240 days

    Within the first six months of the provisional license, IDPH tells you which operational requirements must be in place for the licensure survey.

    IDPH FAQ
  7. The licensure survey

    Last 30 days of the 240

    IDPH inspects in the last 30 days of the provisional license and issues a full license if you substantially meet the requirements. Your agency manager or a designee must be available when the nurse surveyor arrives. If IDPH finds violations, the plan of correction is due within 10 days.

  8. One extension, if needed

    Up to 90 more days

    If you do not yet substantially comply but have made significant progress, IDPH may renew the provisional license once, for up to 90 days.

    245.100(a)(4)
  9. Your full license

    After the survey

    The first full license expires one year from the end of the month in which the provisional license was first issued, not one year from the survey.

    245.100(a)(3)(A)
  10. Renew every year, 60 to 90 days ahead

    Every year

    File each renewal, with the $1,500 fee, 60 to 90 days before the license expires, with last year’s client numbers. Be operating and able to show client activity before your second renewal.

    245.90(b), (d), (e)

Adding up the months

IDPH does not publish a total. This is our arithmetic from the limits in the rule, counted from the day IDPH receives a compliant application.

CaseHow we added itTotal
QuickestProvisional license issued straight away, survey at the start of its last 30 days: 0 + 210 days210 days, about 7 months
Slowest, no extensionProvisional license on day 90, survey at the end of the 240 days: 90 + 240 days330 days, about 11 months
With the one extensionAs above, plus up to 90 days: 90 + 240 + 90 daysUp to 420 days, about 14 months

Time spent fixing an incomplete application comes on top, inside IDPH’s 90-day limit for completing it. Sources: 245.100(a)(1) 245.100(a)(2) 245.100(a)(3) 245.100(a)(4)

Renewal and changes after you are licensed

  • Renewal window. "Each licensee shall file a renewal application with the Department not less than 60 days, or more than 90 days, prior to the expiration date of the licensee's current license." Missing the 60-day deadline can bring a fine (245.90(b)(1)).
  • What renewal reports. Renewals report the past year's clients admitted, discharged, served over 65 and on service at year end, leaving out Community Care Program, DHS rehabilitation and VA clients. (245.90(d)(1))
  • Five clients or fewer. At renewal, an agency that served five or fewer clients in the fiscal period faxes IDPH one client's signed contract, service plan and the first and last week of daily care notes. (Form 445104, page 5)
  • Client activity. An agency must be operating and able to show client activity before its second renewal. (245.90(e))
  • Changes within 10 days. Tell IDPH within 10 days of a change to the agency name, manager, physical or mailing address, operating hours, phone, fax or email, including at branches. IDPH uses a Facility Information Change Form. (245.80(h))
  • New counties. IDPH approval is needed before caring for clients in a new county, using its Geographic Service Area Request Form (by mail or to DPH.COOS@illinois.gov). (IDPH FAQ)
  • Selling the agency. Tell IDPH in writing at least 30 days before a change of ownership or sale. The buyer applies for a new license at least 30 days before the sale; the sale is not complete until IDPH issues it. The buyer’s application carries the same $1,500 IDPH fee (245.80(d); Form 445104).
  • Closing. Give IDPH written notice at least 30 days before closing, with the reasons and who will hold the records. Transfer active clients' records to the receiving agency, and return the license by certified mail when services stop. (245.80(g))

Mistakes that cost money

Mailing an incomplete application

It must be complete and approved within 90 days of submission or it may be denied, and the $1,500 fee is not refundable.

IDPH FAQ; Form 445104

Renewing late

File 60 to 90 days before expiry. If the renewal application and fee are not in at least 60 days before expiry, IDPH may fine you.

245.90(b)

Opening a second location without approval

Breaking the branch and drop-site rules can mean fines of up to $100 a day or a separate license for the second location.

245.80(l)

Skipping yearly registry verifications

Verify each employee in the Health Care Worker Registry at least once a year and enter hire and separation dates within 30 days. Missing verifications, or missing background check files, can bring fines of up to $500.

955.145; 955.220

Buying an agency and keeping its license

A license cannot be transferred or assigned, so the buyer applies for its own, with the $1,500 IDPH fee, at least 30 days before the sale. IDPH says the seller’s license should not lapse while that happens.

245.80(d); IDPH CHOW guidance

Sharing a franchisor’s license

Each franchise business entity needs its own license, and so its own application and fee.

245.80(d)(3)

Leaving violations open

IDPH may fine up to $100 a day from the day a violation is identified until it is corrected. File the plan of correction within 10 days of a notice of violation.

245.140; 245.120(b)

Fines are IDPH penalties, paid to the state.

Myths about cost and timing

Is an Illinois home services license good for two years?

No. A home services agency license lasts one year and costs $1,500. The two-year, $1,500 license is for home health agencies. File each renewal 60 to 90 days before the license expires.

"Each license shall be for a term of one year and shall expire one year from the date of issuance."

Does each Illinois branch office need its own home services license?

No. If IDPH approves it as a branch: within 100 miles of the parent office, inside your service area, offering the same services, with monthly documented supervisory visits. Each franchise entity, though, needs its own license, and an unapproved second location can be fined up to $100 a day or required to get a separate license.

"A branch office shall be part of the agency and shall be located close (but not more than 100 miles from the parent office location) and shall provide the same services as the parent office"

Can a new Illinois caregiver start work before fingerprint results come back?

It depends. Yes, conditionally, for up to three months, if the registry check and six web searches are clear and the worker has supervision enough to prevent abuse, neglect or theft. They must also finish 5 hours of training and pass a competency evaluation before the first assignment. Someone marked Ineligible on the registry cannot be hired.

"A health care employer or long-term care facility may conditionally employ an applicant for up to three months pending the results of a fingerprint-based criminal history records check"

Can an Illinois placement agency (registry) supervise and schedule the caregivers it places?

No. A home services placement agency is not the worker's employer. After placement it cannot control the worker's assignments or duties, help the client pay the worker, or manage the client's care on an ongoing basis. If you want to schedule and supervise caregivers, you need a home services agency license.

"Following the placement of the worker with the client, the placement agency shall not have any control of the worker's assignments or duties, or assist the client in the payment of the worker."

Frequently asked questions

How much does a home care license cost in Illinois?

IDPH charges $1,500 for a home services agency license, whether initial, renewal or change of ownership, and the license lasts one year. You pay it again every year at renewal. It is paid by check or money order and is not refundable. These are IDPH’s fees, paid to the state, not CareRulebook prices.

Is the Illinois license fee refundable?

No. Both IDPH’s application form and the rule say the fee is not refundable. An application that is not complete and approved within 90 days of submission may be denied, so have every document ready before you mail it.

Can I pay the IDPH license fee online?

Not according to IDPH’s application form as archived on March 21, 2026: it says electronic submissions and payments are not accepted. You mail the form with a check or money order. Call IDPH on 217-782-7412 to confirm before you mail it.

How long does it take to get a home care license in Illinois?

IDPH reviews a new application within 30 days and issues a provisional license within 90 days of a compliant application. The provisional license lasts 240 days, and IDPH surveys you in its last 30 days. Added together, the full license comes roughly 7 to 11 months after a compliant application, or longer if the provisional license is extended. That is our arithmetic from the rule’s limits, not an IDPH estimate.

When do I renew an Illinois home services license?

Every year. File the renewal application 60 to 90 days before the license expires, with client numbers for the past year. Missing the 60-day deadline can bring a fine. Your first full license expires one year from the end of the month the provisional license was first issued, so the first renewal comes sooner after the survey than many people expect.

What insurance does an Illinois home care agency need?

The application must include a certificate of insurance showing liability coverage of at least $1 million per occurrence and $3 million in the aggregate. IDPH does not set the premium; that is between you and your insurer.

Who pays for caregiver fingerprinting in Illinois?

Part 955 says workers other than certified nursing assistants may be required to pay their own application and fingerprinting fees. The rule does not set the amount. Whoever pays, the agency starts the check and the fingerprints must be taken within 10 working days of the worker signing the authorization form.

How much is a home services placement agency license?

IDPH’s placement application sets a $500 fee, and the rule caps it at $500 a year. IDPH also says a home services placement agency must be licensed by the Illinois Department of Labor as a private employment agency.

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Sources

  1. 77 Ill. Adm. Code 245, Home Health, Home Services, and Home Nursing Agency Code (current through 50 Ill. Reg. 2147, effective January 30, 2026) · Illinois Department of Public Health (Illinois Administrative Code, Joint Committee on Administrative Rules, ilga.gov) · retrieved October 1, 2026
  2. Home Health, Home Services, and Home Nursing Agency Licensing Act (210 ILCS 55) · Illinois General Assembly (Illinois Compiled Statutes, ilga.gov) · retrieved October 1, 2026
  3. 77 Ill. Adm. Code 955, Health Care Worker Background Check Code · Illinois Department of Public Health (Illinois Administrative Code, ilga.gov) · retrieved October 1, 2026
  4. 77 Ill. Adm. Code 973, Alzheimer's Disease and Related Dementias Services Code · Illinois Department of Public Health (Illinois Administrative Code, ilga.gov) · retrieved October 1, 2026
  5. Home Services Agencies Frequently Asked Questions (archived copy of March 21, 2026) · Illinois Department of Public Health · retrieved October 1, 2026
  6. Home Services/Home Nursing Placement (archived copy of June 15, 2026) · Illinois Department of Public Health · retrieved October 1, 2026
  7. Home Services Application, Form 445104 (Initial, Renewal and Change of Ownership; archived copy of March 21, 2026) · Illinois Department of Public Health · retrieved October 1, 2026
  8. Home Services Placement Initial, Renewal and Change of Ownership Application (archived copy of March 21, 2026) · Illinois Department of Public Health · retrieved October 1, 2026
  9. Surveillance Nurse Visit Checklist (Home Services) (archived copy of August 30, 2025) · Illinois Department of Public Health · retrieved October 1, 2026
  10. Change of Ownership Guidance (archived copy of March 21, 2026) · Illinois Department of Public Health · retrieved October 1, 2026
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