Nevada · License fees and time frames · NAC 449.013

Nevada personal care agency license: cost and timeline

The state charges $1,374 to apply for a Nevada personal care agency license and $687 a year to renew, plus 6% of the renewal fee. Neither the rules nor HCQC publish a processing time. Here are the state’s fees, the surety bond, what we have and have not seen of the 2026 fee rule, other costs with official sources, each step to the license, and the deadlines the rules do fix.

See the state’s fees Nevada start-up guide

Rule-verified October 3, 2026
Quoted from NAC 449.013 and NRS 449B
Every fee linked to its source

A woman with short silver hair and dark-rimmed glasses, in a terracotta cardigan, writes in a spiral notebook and taps a calculator at a window table beside a CareRulebook binder with sticky notes reading “$1,374 to HCQC” and “$687 renewal to HCQC”, with yellow-leafed trees and brown hills outside.

Quick answer

Cost: the state charges $1,374 for the initial license (NAC 449.013(1)(n)) and $687 for each yearly renewal (NAC 449.013(2)(n)), both nonrefundable. On issue and at each renewal you also pay "the licensee shall pay to the Division a nonrefundable fee equal to 6 percent of the renewal fee set forth in subsection 2", which is $41.22 (NAC 449.013(3)). These are the state’s fees, not CareRulebook prices.

The bond: With each application and renewal the agency files a surety bond of $5,000 (fewer than 7 employees), $25,000 (7 to 25) or $50,000 (more than 25), payable to the Aging and Disability Services Division to cover property damage to clients aged 60 or older. (NRS 449B.185)

Time: HCQC publishes no processing time, and we found no timetable for the prelicensure survey. The rules fix one period on your side: "An application for a license is valid for 1 year after the date on which the application is submitted." (NAC 449.013(4)). We do not estimate a date.

Rule-verified, checked against official sources on October 3, 2026

$1,374

State fee for the initial license, nonrefundable

NAC 449.013(1)(n)

$687

State fee for each yearly renewal

NAC 449.013(2)(n)

$41.22

Cancer registry fee on issue and each renewal (6% of the renewal fee)

NAC 449.013(3)

None

Processing time published by HCQC or in the rules

NAC 449.013(4)

What the state charges

Every amount below is set by the State Board of Health’s rules, or by the statute where shown. None of them is a CareRulebook price. The first three rows are what every agency pays; the rest apply only in the situation shown.

What for	State fee	Notes	Source
Initial license	$1,374	Paid with the application. Nonrefundable.	NAC 449.013(1)(n)
Yearly renewal	$687	Nonrefundable. The license runs one year at a time.	NAC 449.013(2)(n)
Cancer registry fee	$41.22	6% of the renewal fee, paid when the license is issued and at each renewal, for the state system for reporting cancer. Nonrefundable.	NAC 449.013(3); NRS 449B.210(3)
Late renewal (compiled rule)	+ $343.50	Half the renewal fee again, for a renewal filed after November 15 but by December 31 without good cause. R116-25 may change this (see Renewal below).	NAC 449.0116(2)
New administrator reported late	NAC 449.0168 fee + 50%	If the Division is not told, with an application, within 30 days of a change of administrator. We have not confirmed the amount HCQC charges a personal care agency (next row).	NAC 449.0114(4), as amended by R089-24
License change under NAC 449.0168	$250 (draft $268)	For a new license to reflect a change such as a new name or administrator. The section’s list of license holders does not name personal care agencies, so whether HCQC charges it to one is not clear to us.	NAC 449.0168(1), R071-26 draft
Criminal history petition (optional)	Up to $50	Asks the Division, before you apply or pay, whether a criminal history would disqualify you. The Division may waive it.	NRS 449B.110(6)
Employment agency license, for comparison	$1,400	A different license, for placing caregivers rather than employing them. The R071-26 draft raises it to $1,498.	NAC 449.013(1)(r)

Set by the Board. The statute leaves the license fee to the State Board of Health’s regulations, and lets the Board allow payment in installments by regulation. (NRS 449B.160) HCQC’s renewal page offers installment agreements only to residential facilities for groups and homes for individual residential care. Personal care agencies are not on its list. (HCQC, License Renewal)
Nonrefundable, even for the wrong license. HCQC warns that "application fees are non-refundable as stated in NAC 449.013" if you apply for the wrong license type (HCQC PCA page).
Fees owed first. HCQC says no changes can be made in a renewal application; a change needs its own amendment application. All fees due must be paid before a renewal is processed. (HCQC, License Renewal)
Enforcement costs. The Division may charge an agency, or anyone running one without a license, its actual cost of enforcing chapter 449B, such as an inspection or investigation, but not for work tied to issuing or renewing a license that already carries a fee. (NRS 449B.150)
Penalties are separate. For violations the Division may bar the agency from providing services to clients until corrected, impose penalties of up to $5,000 a day per violation, or appoint temporary management. (NRS 449B.410(1))

The late administrator and license change rows rest on NAC 449.0168, which we have only in the R071-26 draft: the current $250 appears there as text to be replaced. By our reading the section does not name personal care agencies; ask HCQC what it charges you for a change.

Approved in 2026 · approved text not seen

The 2026 fee rule (R071-26): what we have and have not seen

What we have seen:

The notice. The Division’s notice for R071-26 describes a 7% rise in licensing fees for most of the facility types licensed under NAC 449, not all of them. (R071-26 notice of hearing)
The draft and the vote. The State Board of Health approved a 7% rise in most health facility fees (R071-26, approved regulations dated July 1, 2026). The LCB draft keeps the personal care agency fees at $1,374 and $687. (Board of Health minutes, June 5, 2026; LCB draft) For comparison, the same LCB draft raises the initial fee for an employment agency to provide nonmedical services from $1,400 to $1,498, while the personal care agency line stays at $1,374. (LCB draft, NAC 449.013(1)(r))
HCQC’s pages. HCQC’s public workshops page lists R071-26, fee changes to NAC 449, under "Approved Regulations - July 1, 2026", with a link to the approved text on the Legislature’s site, which we could not open. (HCQC, Public Workshops) HCQC’s licensing page says recent amendments (R071-26) apply to health facility licensing fees for initial and change of ownership applications, license changes and renewals. (HCQC, Licensing)

What we have not seen: the approved text itself (R071-26AP). The Legislature’s site refuses our requests and the Internet Archive holds no copy. So we cannot confirm that the final text matches the draft for personal care agencies, or the date the new fees took effect. Our reading: the personal care agency fees are still $1,374 and $687, because the only text we have keeps them, but check the amount shown in the licensing system when you pay. Older HCQC material still lists the renewal at $687 (HCQC renewal fee schedule).

Working out your state fees

Simple arithmetic, not a state figure

Your first year. The initial fee and the 6% fee on issue: $1,374 + $41.22 = $1,415.22 (NAC 449.013(1)(n), (3)).

Simple arithmetic, not a state figure

Each renewal. $687 + $41.22 = $728.22, so the first two license years come to $2,143.44 at current rates (NAC 449.013(2)(n), (3)).

Simple arithmetic, not a state figure

A late renewal, under the compiled rule. $687 + $343.50 + $41.22 = $1,071.72 for a renewal filed after November 15 but by December 31 without good cause (NAC 449.0116(2)). By our reading the 6% fee applies to a late renewal too.

The surety bond

Employees (NRS 449B.185(1))	Bond amount	HCQC’s checklist wording
Fewer than 7	$5,000	Fewer than 7
At least 7 but not more than 25	$25,000	7 to 24
More than 25	$50,000	More than 25

NRS 449B.185(1) · HCQC Licensing Checklist, Surety Bond

The statute and HCQC differ at 25. HCQC’s checklist, citing NRS 449.065 rather than NRS 449B.185, words the tiers as $5,000 for fewer than 7 employees, $25,000 for 7 to 24 and $50,000 for more than 25, which leaves an agency with exactly 25 employees in neither. NRS 449B.185 puts 7 to 25 employees in the $25,000 tier. (Licensing Checklist) We follow the statute. Whether contracted attendants count as employees for the tiers is not stated; ask HCQC if you are near a boundary.
What it covers. With each application and renewal the agency files a surety bond of $5,000 (fewer than 7 employees), $25,000 (7 to 25) or $50,000 (more than 25), payable to the Aging and Disability Services Division to cover property damage to clients aged 60 or older. The bond is executed by the agency as principal and a surety company as surety, and covers the whole initial license period or renewal period. (NRS 449B.185(2)-(3))
How HCQC wants it. The bond must name the State of Nevada, Department of Human Services, Aging and Disability Services as obligee, show the DBA name and physical address, be signed by the owner and carry the bond company’s original seal. (Licensing Checklist)
What you pay. The amount is the bond’s face value. What you pay is the premium a surety company charges, which the rules do not set and we have not priced.
A deposit instead. With the Administrator’s approval, an agency may instead deposit with a bank or trust company in Nevada certain bank, US government or Nevada government obligations worth at least the bond amount, which can be withdrawn only by order of the ADSD Administrator. (NRS 449B.190)
No bond, no license. "A license is suspended by operation of law when the agency is no longer covered by a surety bond" (NRS 449B.185(5)) A surety may be released after giving the Administrator 30 days’ written notice. The Administrator gives the agency at least 20 days’ written notice that the license will be suspended by law until another bond or substitute is filed. (NRS 449B.185(4)-(5))

Other costs of getting and keeping the license

Each card says where the duty comes from. We give a price only where an official source sets one, and say so where we found none.

Liability insurance

The agency keeps proof of adequate liability coverage and of the surety bond, verified with the initial application and on request. The certificate of liability insurance names the agency and its physical address as insured and lists the Health Care Purchasing and Compliance Division in Carson City as certificate holder. HCQC wants the insurance certificate to show the occurrence and amount information. Neither HCQC’s checklist nor the rules set a minimum amount; the rule says adequate coverage. We do not quote premiums.

NAC 449.3972(3)Licensing Checklist

Business licenses and an office

HCQC wants a copy of the Nevada State Business License itself (receipts and SilverFlume screenshots are not accepted), a city or county business license, conditional use verification or special use permit for the agency’s address, and a fully executed lease or recorded deed for a physical location in Nevada. No official source we saved gives these fees or rents.

Licensing Checklist State business license

Owner fingerprint checks

Each owner with 10% or more completes a fingerprint background check; the statute requires every applicant to submit fingerprints to the Central Repository for an FBI report. HCQC says the applicant pays for fingerprinting and the state and federal checks; it gives no amount.

Licensing Checklist; NRS 449B.300(1)Background Check FAQ

Staff background checks

For staff, the agency pays the Central Repository’s fee and may recover no more than half of it from the employee or contractor; if it charges them any part, it must let them pay in periodic payments. HCQC warns that resubmitting rejected fingerprints without the required paperwork means an additional processing fee. We did not find the Repository’s current fee in what we saved.

NRS 449B.310(7)Background Check FAQ How the checks work →

Training

The agency provides or arranges required training, pays its cost and travel, and pays staff their wage for training and travel time. If an employee fails to complete a course, the rule’s exception covers only that course’s cost and travel, not wages. The agency pays for the elder abuse training the statute requires of the applicant, the administrator and care employees. For annual infection control training, HCQC offers two free options (its own course or listed CDC modules). The requirement is by topic, not hours. The medication course (16 hours), cultural competency courses and first aid and CPR courses are not priced in any source we saved.

NAC 449.39735 NRS 449B.225(7)HCQC, infection control training

Health certificates and TB tests

Attendant files must show the tests and certificates NAC 441A.375 requires: before starting, a physical examination or health care provider certificate that the person is free of active TB and other communicable disease, and a TB screening test within the past 12 months. No official source sets a price.

NAC 441A.375; NAC 449.3976(1)(c)

A foreign diploma

HCQC asks for the administrator’s US high school diploma or an equivalent such as a GED, and says a foreign diploma goes through NACES. HCQC gives no price for that evaluation.

Licensing Checklist

If you bill Medicaid

Nevada Medicaid’s personal care rate already covers background checks and TB testing, and basic training, in-service requirements and CPR and first aid; none of them is reimbursed separately.

MSM 3503.7 MSM 3503.7, training

Your written policies

The Division reviews your methods of operation and policies at the prelicensure survey, against HCQC’s 55-tag checklist. You can write them yourself or start from a manual.

NAC 449.0112(1)What the Division reads →

Fees are set by the State Board of Health, the Department of Public Safety and other bodies, not by CareRulebook.

CareRulebook

The policies the Division reads, written for your agency

Answer a few questions and CareRulebook writes your Nevada personal care agency policies and forms, written to the rules as R089-24 changed them, with your agency’s details, the rule quoted under each policy and an index of HCQC’s 55 survey checklist tags. Read every policy before you adopt it.

35 policies, 127 requirements mapped
All 55 HCQC checklist tags indexed, with the pages in your PDF
Editable Word and PDF when you pay; download again free for 12 months

Preview your manual

$199CareRulebook founding price for the first 50 Nevada agencies, then $249. Not an HCQC fee; the state’s $1,374 license fee is separate.

Why we give no date

No processing time. We found no processing time, range or average in NRS 449B, NAC 449 or HCQC’s pages. An application must be complete and include proof of the applicant’s identity that the Division accepts. The investigation and prelicensure survey start once the Division has the complete application, the identity proof and the fee. No rule says how soon after that the survey happens (NAC 449.011(1); 449.0112(1)).
The survey is not described. Whether it is on site, remote or a document review, and how long it takes, is not published. HCQC’s workbook shows what the surveyor checks, not when.
The one-year limit. "An application for a license is valid for 1 year after the date on which the application is submitted." After that, an applicant who has not met the licensing requirements submits a new application and pays the fee again (NAC 449.013(4)).
Steps that come after the license. An agency can open its Department of Public Safety fingerprint account only after it receives its license. New applicants first take HCQC’s NABS training (about 1 hour 20 minutes). (HCQC Background Check FAQ) Plan your first hires around that.

We have no basis for an estimate, so we do not make one. Our suggestion: have the administrator’s and designee’s files and your policies ready before you apply, so the survey is not what holds you up, and do not sign client contracts until the license is issued. Operating a personal care agency without a license is a misdemeanor. The Division may serve a cease and desist order, and a court may add a civil penalty of up to $10,000 for a first offense ($10,000 to $25,000 after that). (NRS 449B.485)

The deadlines the rules do fix

These periods are set by NRS 449B, NAC 449 or HCQC. Most are yours to meet.

What	When	Who	Source
Application validity	One year from submission; then a new application and fee	You	NAC 449.013(4)
Answer to a criminal history petition	Within 90 days of the petition	The Division	NRS 449B.110(2)
Plan of correction	Within 10 days of receiving a statement of deficiencies	You	NAC 449.0118(5); 449.9987(1)
New administrator	Notify the Division within 30 days	You	NAC 449.0114(4), as amended
Change of ownership, location or services	Immediately	You	NAC 449.0114(5)
Property transfer with the same operator	Notify in writing within 10 days	You	NAC 449.0114(3), as amended
Surety pulls out	30 days’ written notice by the surety; at least 20 days’ notice to you before suspension	Surety; the Administrator	NRS 449B.185(4)-(5)
Background check on a new hire	Within 10 days of hiring	You	NRS 449B.310(1)
Undetermined check result	Notify the person within 10 working days; they have 30 days to respond	You; the person	NAC 449.0113
Repeat background checks	At least every 5 years	You	NRS 449B.310(4)(b)
First aid and CPR	Within 6 months of starting work	Each attendant	NAC 449.3976(1)(f)
Cultural competency training	Within 90 days of hire, then at least 2 hours every two years	Staff with weekly direct client contact	NAC 449.011931
Renewal (compiled rule and HCQC’s page)	By November 15; licenses expire December 31	You	NAC 449.0116; HCQC renewal page

Renewal and the license term: not settled

The statute. A license "expires on December 31 following its issuance and is renewable for 1 year upon reapplication and payment of all fees" (NRS 449B.210(1)).
The compiled rule and HCQC’s page. The rule says to submit a complete renewal application on or before November 15 of the year the license expires. The existing license stays valid until the Division decides, and the Division may inspect before it renews. (NAC 449.0116(1)) HCQC’s renewal page says to renew "no later than Nov. 15 to avoid a 50% late penalty (licenses expire on Dec. 31)" (HCQC, License Renewal).
What HCQC’s list shows. HCQC’s licensee list shows recent licenses expiring one year after issue (for example first issued 08/26/2026, expiring 08/25/2027), in line with AB 544 for chapter 449 licenses, although NRS 449B.210 still says December 31. 50 licenses first issued in 2026 expire on their anniversary in 2027, while 26 others first issued in 2026 still expire on December 31, 2026. (HCQC licensee export, our count)
R116-25. "A new applicant for a health facility license will receive the initial license valid for an entire year" (R116-25 notice) The revised proposed text of R116-25 (section 37) would have chapter 449 licensees renew on or before the date the license is scheduled to expire under NRS 449.089, drop the extra half-fee charge, and allow a renewal application and fee up to 30 days after expiry. We have not seen the approved text, and NRS 449.089 is not the personal care agency statute. (R116-25 revised proposed text, section 37)
Late or missed. Renewing after November 15 but by December 31, without good cause, costs the renewal fee plus half of it again. A licensee that does not apply to renew before the license expires cannot renew and must apply for a new license. (NAC 449.0116(2)-(3)) HCQC says a facility that has submitted its renewal application and paid the fee keeps an active license while the renewal is under review. (HCQC, License Renewal)
What goes with it. Each renewal includes statements that the agency complies with the background check rules and that the licensee, administrator and employees have completed elder abuse training. (NRS 449B.210(2)) The bond is filed again too (NRS 449B.185(1)).

Our suggestion: until HCQC says which date applies to your license, put both the November 15 date and your license’s expiry date in your calendar, and renew by whichever comes first. Fees, bond and renewal on the Nevada guide.

Mistakes that cost money or time

Serving clients before the license

Operating a personal care agency without a license is a misdemeanor. The Division may serve a cease and desist order, and a court may add a civil penalty of up to $10,000 for a first offense ($10,000 to $25,000 after that).

NRS 449B.485

Applying for the wrong license

An employment agency license and a personal care agency license are different. HCQC says a wrong application can delay processing, and the fee is not refunded.

HCQC PCA page

Letting the application run past a year

An application is valid for one year. After that, you apply and pay again.

NAC 449.013(4)

Letting the bond lapse

The license is suspended by law while the agency has no surety bond or approved deposit.

NRS 449B.185(5)

Reporting a new administrator late

Since R089-24, an agency that does not notify the Division and apply within 30 days of a change of administrator pays the fee for an application for a new license in NAC 449.0168(1), plus an extra 50% of that fee.

NAC 449.0114(4), as amended

Missing the renewal

Renewing after November 15 but by December 31, without good cause, costs the renewal fee plus half of it again. A licensee that does not apply to renew before the license expires cannot renew and must apply for a new license.

NAC 449.0116(2)-(3)

Fingerprints resubmitted without the paperwork

HCQC warns that resubmitting rejected fingerprints without the required paperwork means an additional processing fee.

HCQC Background Check FAQ

Fees and penalties are set by the state, not by CareRulebook.

Myths about cost and timing

Is $1,374 all I pay the state to open a Nevada personal care agency?

No. On top of the $1,374 initial license fee, the licensee pays a nonrefundable fee of 6% of the renewal fee ($41.22) when the license is issued and at each renewal, for the state’s cancer reporting system. Owners of 10% or more pay for their own fingerprint background checks, and the agency needs a surety bond, liability insurance and business licenses. These are state and third-party costs, not CareRulebook prices.

"the licensee shall pay to the Division a nonrefundable fee equal to 6 percent of the renewal fee set forth in subsection 2"
NAC chapter 449 general provisions that apply to personal care agencies (449.0112, 449.0113, 449.0114, 449.0116, 449.0118, 449.01065, 449.011901 to 449.011951, 449.013, 449.9987), compiled text revised 8-24, NAC 449.013(1)(n), (3)

Did the 7% fee rise approved in 2026 raise every Nevada health facility license fee?

No. The Division’s notice describes a 7% rise for most of the facility types licensed under NAC 449, not all, and the LCB draft the Board approved on June 5, 2026 keeps the personal care agency fees at $1,374 to apply and $687 to renew, while raising others such as the employment agency fee. HCQC lists the regulation as approved on July 1, 2026; we have not been able to open the approved text itself, so check the fee in the licensing system when you pay.

"Increase licensing fees for most of the facility types licensed under NAC 449 by seven percent"
LCB File No. R071-26 (health facility fee increase): LCB draft of April 20, 2026, notice of hearing and State Board of Health minutes of June 5, 2026, R071-26 notice of hearing; LCB draft, NAC 449.013(1)(n), (2)(n)

Does HCQC promise a licensing decision within a set time?

No. We found no processing time in NRS 449B, the NAC or HCQC’s pages, and no timetable for the prelicensure survey. The fixed period is on your side: an application is valid for one year, and an applicant who has not met the licensing requirements by then applies and pays again.

"An application for a license is valid for 1 year after the date on which the application is submitted."
NAC chapter 449 general provisions that apply to personal care agencies (449.0112, 449.0113, 449.0114, 449.0116, 449.0118, 449.01065, 449.011901 to 449.011951, 449.013, 449.9987), compiled text revised 8-24, NAC 449.013(4)

Is the Nevada surety bond a fee I pay to the state?

No. The bond is an agreement between your agency and a surety company, payable to the Aging and Disability Services Division, to cover property damage to clients aged 60 or older caused by the agency. Its face amount is $5,000, $25,000 or $50,000 depending on how many employees you have; what you pay is the surety company’s premium, which the rules do not set. You file a bond with each application and renewal, and the license is suspended by law while you have no bond or approved deposit.

"A bond filed pursuant to this section must be executed by the agency as principal and by a surety company as surety."
NRS chapter 449B, Agencies to Provide Personal Care Services and Related Entities (added by AB 519, 2025; page revised 4/15/2026), NRS 449B.185(1)-(2), (5)

Frequently asked questions

How much does a Nevada personal care agency license cost?

The state charges $1,374 for the initial license and $687 for each yearly renewal, both nonrefundable, plus a fee of 6% of the renewal fee ($41.22) when the license is issued and at each renewal. By our arithmetic that is $1,415.22 in the first year and $728.22 at each renewal. You also need a surety bond ($5,000, $25,000 or $50,000 by employee count), liability insurance, business licenses and fingerprinting for owners of 10% or more. These are state and third-party costs, not CareRulebook prices.

Did the 2026 fee increase change the personal care agency fee?

Not in the text we have seen. The State Board of Health approved R071-26, a 7% rise for most facility types licensed under NAC 449, on June 5, 2026, and HCQC lists it as approved on July 1, 2026. The LCB draft the Board considered keeps the personal care agency fees at $1,374 and $687. We could not open the approved text on the Legislature’s site, so check the fee shown in the licensing system when you pay.

How long does it take to get licensed in Nevada?

HCQC does not publish a processing time, and we found no timetable for the prelicensure survey or whether it is on site. What the rules fix is on your side: the application is valid for one year, so an applicant who has not met the licensing requirements within a year applies and pays again. We do not estimate a date.

How much is the surety bond?

The bond amount is $5,000 if the agency employs fewer than 7 employees, $25,000 for 7 to 25 and $50,000 for more than 25, payable to the Aging and Disability Services Division. That is the bond’s face value: what you pay is the surety company’s premium, which the rules do not set and we have not priced. With approval, a deposit of certain bank or government obligations can stand in for the bond.

Is the license fee refundable?

No. NAC 449.013 lists the initial and renewal fees as nonrefundable, and HCQC warns that if you apply for the wrong license type, processing can be delayed and the fee is not refunded.

When do I renew a Nevada personal care agency license?

This is not settled. NRS 449B.210 says the license expires on December 31 after it is issued, and HCQC’s renewal page says to renew by November 15 to avoid a 50% late penalty. But HCQC’s licensee list shows many licenses first issued in 2026 expiring on their anniversary in 2027, in line with a 2025 law and R116-25 for chapter 449 licenses. Until HCQC says which applies, put both dates in your calendar and renew by whichever comes first.

Can I pay the license fee in installments?

The statute lets the Board allow installments by regulation, but HCQC’s renewal page offers installment agreements only to residential facilities for groups and homes for individual residential care. Personal care agencies are not on its list.

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The State Board of Health approved changes to chapter 449 fees (R071-26) and renewal dates (R116-25) in 2026, and the approved texts are not yet easy to read. Leave your email and we will tell you when a Nevada fee or rule change affects your agency.

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Sources

NRS chapter 449B, Agencies to Provide Personal Care Services and Related Entities (added by AB 519, 2025; page revised 4/15/2026) · Nevada Legislature, Legislative Counsel Bureau (Internet Archive copy) · retrieved October 2, 2026
NAC 449.396 to 449.3982, Agencies to Provide Personal Care Services in the Home (compiled text, NAC-449 revised 8-24, as amended by LCB File No. R089-24, filed February 27, 2026) · Nevada Legislature, Legislative Counsel Bureau (State Board of Health regulations; Internet Archive copies) · retrieved October 3, 2026
LCB File No. R089-24, approved regulation of the State Board of Health (filed February 27, 2026), with the adopted text, informational statement, notice of hearing and Board packet · Nevada Legislature, Legislative Counsel Bureau, Register of Administrative Regulations; Nevada Health Authority · retrieved October 3, 2026
NAC chapter 449 general provisions that apply to personal care agencies (449.0112, 449.0113, 449.0114, 449.0116, 449.0118, 449.01065, 449.011901 to 449.011951, 449.013, 449.9987), compiled text revised 8-24 · Nevada Legislature, Legislative Counsel Bureau (Internet Archive copy) · retrieved October 2, 2026
LCB File No. R004-24, approved regulation (filed November 15, 2024): cultural competency training, complaint policy and log, preferred names and pronouns · Nevada Legislature, Legislative Counsel Bureau, Register of Administrative Regulations (Internet Archive copy) · retrieved October 3, 2026
NAC 441A.375, tuberculosis surveillance and testing of employees (applied to attendants by NAC 449.3976) · Nevada Legislature, Legislative Counsel Bureau (Internet Archive copy) · retrieved October 3, 2026
Agency to Provide Personal Care Services in the Home (Personal Care Agency), page last updated 07/21/2026 · Nevada Health Authority, Bureau of Health Care Quality and Compliance · retrieved October 2, 2026
Licensing Checklist for Personal Care Services (PCS), page last updated 04/09/2026 · Nevada Health Authority, Bureau of Health Care Quality and Compliance · retrieved October 2, 2026
Licensee search export: Agency to Provide Personal Care Services in the Home (credential codes PCS and PCO), October 2, 2026 · Nevada Health Authority, Bureau of Health Care Quality and Compliance · retrieved October 2, 2026
Background Check Requirements and FAQs (page last updated 05/26/2026) · Nevada Health Authority, Bureau of Health Care Quality and Compliance · retrieved October 3, 2026
Training & Education, Cultural Competency, Unlicensed Caregiver Infection Control Training and Medication Management pages · Nevada Health Authority, Bureau of Health Care Quality and Compliance · retrieved October 3, 2026
Health Facilities Licensing, License Renewal and renewal fee schedule pages · Nevada Health Authority, Bureau of Health Care Quality and Compliance · retrieved October 3, 2026
Public Workshops, Hearings and Proposed Regulations (last updated 09/29/2026), with the notice of public workshop for LCB File No. R164-26 and the State Board of Health regulations page · Nevada Health Authority, Health Care Purchasing and Compliance Division · retrieved October 3, 2026
LCB File No. R071-26 (health facility fee increase): LCB draft of April 20, 2026, notice of hearing and State Board of Health minutes of June 5, 2026 · Nevada State Board of Health · retrieved October 2, 2026
LCB File No. R116-25 (license renewal dates under AB 544, rehabilitative residential mental health care facilities): Board packet excerpt and minutes of June 5, 2026 · Nevada State Board of Health · retrieved October 2, 2026
Medicaid Services Manual chapter 3500, Personal Care Services Program (July 1, 2026) · Nevada Health Authority, Nevada Medicaid · retrieved October 3, 2026

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Nevada personal care agency license: cost and timeline

What the state charges

The 2026 fee rule (R071-26): what we have and have not seen

Working out your state fees

The surety bond

Other costs of getting and keeping the license

Liability insurance

Business licenses and an office

Owner fingerprint checks

Staff background checks

Training

Health certificates and TB tests

A foreign diploma

If you bill Medicaid

Your written policies

The policies the Division reads, written for your agency

How long it takes, step by step

Check that this is the right license

Form the business and secure an office in Nevada

Appoint the administrator and complete elder abuse training

Get liability insurance and the surety bond

Have your policies and forms ready for the survey

Apply online and pay the state’s fee

The prelicensure survey

License issued; display it

Open the fingerprint account

Screen and train every hire

Renew every year

Why we give no date

The deadlines the rules do fix

Renewal and the license term: not settled

Mistakes that cost money or time

Serving clients before the license

Applying for the wrong license

Letting the application run past a year

Letting the bond lapse

Reporting a new administrator late

Missing the renewal

Fingerprints resubmitted without the paperwork

Myths about cost and timing

Is $1,374 all I pay the state to open a Nevada personal care agency?

Did the 7% fee rise approved in 2026 raise every Nevada health facility license fee?

Does HCQC promise a licensing decision within a set time?

Is the Nevada surety bond a fee I pay to the state?

Frequently asked questions

Get Nevada rule-change alerts

Keep reading

Sources