Skip to content
CareRulebook
MenuClose

Where are you starting?

United StatesTexas, North Carolina, Georgia, Virginia, Indiana, Ohio, New York, Illinois, Washington, Colorado, Tennessee, Maryland, Kansas, South Carolina, Nevada
TexasManual
North CarolinaManual
GeorgiaManual
VirginiaManual
IndianaManual
OhioGuideNew YorkGuide
IllinoisManual
WashingtonManual
ColoradoManual
TennesseeManual
MarylandManual
KansasManual
South CarolinaManual
NevadaManual
All US states →
United KingdomEngland
Free toolsChecklists, calculators and templates

South Carolina · In-Home Care Provider license · DPH’s application

South Carolina in-home care license application: DPH’s Form 1307, step by step

You apply for a South Carolina in-home care provider license on one DPH form, Form 1307, sworn before a notary and emailed with your random drug testing policy, your insurance evidence, each signer’s SLED check and drug test, and proof that you paid DPH’s fee. Here is the form part by part, what goes with it, the one policy DPH asks to see, how DPH decides, and how renewal, an amended license, a change of owner, exceptions and closing work.

  • Rule-verified October 2, 2026
  • Quoted from R.60-122 (May 22, 2026) and S.C. Code 44-70
  • From DPH’s Form 1307-ENG-DPH (08/2026)
A woman in a mustard yellow cardigan clips printed pages together with a binder clip at an oak desk beside an upright teal CareRulebook binder with yellow tabs, a closed laptop, a white mug and a snake plant, with two sticky notes on the desk edge reading Drug testing policy and Notary: Part D, and crepe myrtle trees and wooded hills outside the window

Quick answer

South Carolina licenses non-medical home care through the Department of Public Health (DPH), which took over from DHEC in 2024 (2023 Act No. 60). "No person, private or public organization, political subdivision, or governmental agency shall establish, operate, maintain, or represent itself (advertise and/or market) as an in-home care provider in South Carolina without first obtaining a license from the Department." (R.60-122 §103.A)

You apply on DPH’s Licensure Application for In-Home Care Provider, Form 1307-ENG-DPH (08/2026), signed under oath before a notary (Form 1307, Part D), and send it to IHCP@dph.sc.gov, DPH’s preferred method, or by mail (Form 1307, p. 1). With it go "A copy of your Random Drug Testing Policy", your liability insurance and your workers’ compensation coverage (Form 1307, Additional Documents), each signer’s SLED check and drug test (R.60-122 §103.F.4), and proof that you paid DPH’s $1,000 fee (R.60-122 §103.I).

Then "An initial license shall not be issued to a proposed provider until the applicant has demonstrated to the Department that the proposed provider is in substantial compliance with the licensing standards." (R.60-122 §103.B) So the rest of your policy manual is not sent, but it should be in place before you apply.

"Rule requires" means R.60-122 as rewritten from May 22, 2026, or the In-Home Care Providers Act (S.C. Code 44-70). "DPH asks" or "DPH says" rests on DPH’s Form 1307-ENG-DPH (08/2026) or its web pages. The form and the rule do not always match, and we say where. Where we add our own reading or advice, we say so.

$1,000

DPH’s non-refundable fee for a first license (a state fee, not a CareRulebook price)

R.60-122 §103.I

3

Documents DPH’s form lists with every initial and renewal application: the drug testing policy, liability insurance and workers’ compensation

Form 1307, Additional Documents

90 days

The oldest each signer’s SLED check may be when DPH receives the application

R.60-122 §103.G

30 days

The earliest each signer’s drug test may be taken before DPH receives the application

R.60-122 §103.H

From first check to DPH’s license

The rule asks for a complete and accurate application, on a form or by electronic means DPH sets, before the first license and at intervals DPH decides (R.60-122 §103.F). Here is the whole path. Tick steps off as you go; your progress is saved in this browser only. For a version tailored to your agency, use the free license checklist.

  1. 1. Check that in-home care is the license you need

    First

    In-home care is non-medical: the rule lists 13 tasks, with medication reminders the only medication task on the list. Skilled nursing needs a home health agency license and a Certificate of Need. Home care, home health or Medicaid?

    R.60-122 §700.B
  2. 2. Set up the business, the name and a zoned office

    Before applying

    Gather the Secretary of State documents and ownership list the form asks for, check the name against other licensees, and get a county or municipal zoning permit (or, if unzoned, a local letter) for a primary office in a commercially zoned or unzoned area. Before you fill it in.

  3. 3. Buy the insurance

    Before applying

    Liability insurance or a surety bond of at least $100,000 per occurrence and $300,000 aggregate, indemnity coverage for clients, and workers’ compensation.

  4. 4. Write your policies, with the drug testing policy to stand alone

    Before applying

    Policies for each section of R.60-122. DPH’s form asks for one of them with the application: the random drug testing policy. The drug testing policy DPH reads.

  5. 5. Signers: SLED check and drug test

    Within 90 and 30 days of DPH receiving it

    Each person who signs needs a SLED name-based check no older than 90 days, and a 5-panel drug test no earlier than 30 days, both counted to the day DPH receives the application. The signers’ checks.

    R.60-122 §103.G-H
  6. 6. Fill in Form 1307 and sign it under oath before a notary

    Day 0

    Parts A and B for a first application, then Part D, the oath, signed by the owner, the head of an LLC or two corporate officers, and notarized. Form 1307, part by part.

  7. 7. Pay DPH’s $1,000 fee and send it all

    Day 0

    Attach the drug testing policy, insurance evidence, the signers’ checks and tests and proof of payment, and email everything to IHCP@dph.sc.gov, DPH’s preferred method, or mail it. What goes with it.

  8. 8. DPH decides

    After you apply

    DPH will not issue a first license until you show substantial compliance with the standards. The rule allows a visit to a proposed provider but does not say whether every applicant gets one, and no processing time is published. DPH’s decision.

Before you fill it in

  • The right license. "Care services provided by caregivers are strictly limited to non-medical tasks." The rule lists 13 tasks, ending with medication reminders (R.60-122 §700.B). A home health agency provides part-time or intermittent skilled nursing ordered by a physician, APRN or PA, under an RN, plus at least one other service. It needs a different license and a Certificate of Need (S.C. Code 44-69-20(5), 44-69-75(A)).
  • The name. The name may not match or resemble another South Carolina licensee’s. A franchise location must include its geographic area in its name. DPH decides whether names are similar (R.60-122 §103.E). Our suggestion: search DPH’s Find a Facility list before you print anything (DPH, Find a Facility).
  • The office. "The primary office must be in an office that is in a commercially zoned or unzoned area." "For the primary office, the applicant must obtain a county or municipal zoning permit to operate the provider." (R.60-122 §103.D.1) By our reading, a home in a residential zone does not qualify. All records are kept at the primary office (R.60-122 §102.S). The administrator and office requirements.
  • The insurance. Keep liability insurance or a surety bond of at least $100,000 per occurrence and $300,000 aggregate. Indemnity coverage for clients’ injuries and losses, and workers’ compensation, come on top (R.60-122 §302).
  • An administrator. Each provider must have an administrator responsible for overall management and operation. The rule sets no qualifications. (R.60-122 §401) No nurse is required for the license (R.60-122 §402.B, §406.A).
  • The policies. "Written policies and procedures addressing each section of this regulation regarding client care and operation of the provider shall be developed." (R.60-122 §301.A) DPH sees only the drug testing policy with the form, but see DPH’s decision on why the rest should be ready too. The policies, section by section.
  • Separate lines of business. If the provider offers other services (for example private duty nursing), keep them separate: separate marketing, caregiver records and client records. (R.60-122 §103.C.6)

Form 1307, part by part

DPH’s Licensure Application for In-Home Care Provider, 1307-ENG-DPH (08/2026), is linked from DPH’s in-home care page (DPH, In-Home Care Providers). It starts with a cover page and a page of instructions, then the reason for the application and Parts A to D (Form 1307-ENG-DPH). A first application completes Parts A, B and D.

PartWhat it asks forSource
Reason for the applicationThe form has three boxes: Initial, Renewal and Change Request. DPH says to tick Initial only the first time you apply for a license, and not for a change of ownership of an existing licensed provider. For an amended license, or a change of name, location or ownership, DPH says to complete only Parts C and D.Form 1307, Instructions
Part A. Provider informationPart A asks for the provider’s name, primary office address, county, phone and fax; up to three multiple locations (not the primary office), with a box for each new or relocated office and a sheet for more; the administrator’s name, phone, fax and email; and a contact person, with title, mailing address, phone and email, who can make licensure decisions and receives all of DPH’s letters, including the license.Form 1307, Part A
Part B. Operation disclosurePart B names the licensee, the person or legal entity that will hold the license, with address and phone, and the ownership type: sole proprietorship, partnership, limited partnership, corporation, LLC, government or other. Three attachments follow where they apply: Secretary of State documents, a list of officers (corporation or partnership), and everyone owning 5% or more.Form 1307, Part B
Part C. Licensure changesPart C is only for changes. Section 1 gives the current and new name or address, Section 2 the current and new owner, each signing and dating, and Section 3 adds multiple locations. The instructions call the changes part "Part D: Licensure Changes", but on the form itself the changes are Part C and the sworn verification is Part D.Form 1307, Part C
Part D. VerificationThe application is signed under oath and notarized: by the owner(s), the head of an LLC, or two officers of a corporation. The signers swear that they have read the application and its attachments, that the statements are correct and true to the best of their knowledge, and that they understand they must comply with R.60-122 and that non-compliance may lead to enforcement. A notary public witnesses it.Form 1307, Part D
Additional documentsDPH’s form asks for a copy of the Random Drug Testing Policy, the liability insurance and workers’ compensation coverage with both initial and renewal applications.Form 1307, Additional Documents
AttachmentsAnything that needs more room, and any documentation, goes on letter-size (8.5 by 11 inch) attachments labeled with the section they belong to.Form 1307, Instructions

The contact person. Part A asks for the "Name of person who can make licensure/operation decisions about facility and address where you want to receive ALL correspondence, including the license" (Form 1307, Part A). Our suggestion: name someone who reads email every day, because the license itself goes to that address.

What the rule wants the form to show. The rule says the application gives the provider’s full name and address, the owner’s name and address if different, and the names of the persons in control of the provider. (R.60-122 §103.F) DPH may ask for more information, including evidence that the applicant can comply with the rule. (R.60-122 §103.F)

Who signs, form and rule. DPH’s form names the head of the LLC for an LLC (Form 1307, Part D); the rule names only owners (individual or partnership) and two officers (corporation) (R.60-122 §103.F). Neither says how many members sign for an LLC with several members. Ask DPH, because every signer needs the checks below.

What goes with it

The form and the rule list the attachments differently. DPH’s form asks for three documents with initial and renewal applications (Form 1307, Additional Documents). The rule says: "When submitting an application for an initial license, the provider shall include evidence of" insurance or a bond, indemnity coverage, workers’ compensation, the signers’ checks and drug tests, and the random drug testing policy (R.60-122 §103.F.1-5). By our reading, send everything on both lists.

DPH asks; rule requires

The random drug testing policy

The one policy DPH asks to see. Our suggestion: send it as its own document, under your agency’s name, with nothing that depends on the rest of the manual. What it must say.

Form 1307; R.60-122 §103.F.5

DPH asks; rule requires

Liability insurance or a surety bond

At least $100,000 per occurrence and $300,000 aggregate. "The provider shall maintain such coverage for the duration of the license period."

R.60-122 §103.F.1

DPH asks; rule requires

Workers’ compensation

The form lists "Workman’s Comprehensive Insurance Coverage" and explains it as workers’ compensation insurance under S.C. Code 42-5-10 and following. The rule asks for workers’ compensation insurance under the same statute.

Form 1307; R.60-122 §103.F.3, §302.C

Rule requires

Indemnity coverage

"The provider shall maintain indemnity coverage to compensate clients for injuries and losses resulting from services provided." The rule lists evidence of it with an initial application; the form does not. By our reading, send it.

R.60-122 §103.F.2, §302.B

Rule requires

Each signer’s SLED check and drug test

The rule asks for the criminal record checks and drug test results for the prospective licensee with an initial application. The form does not list them. By our reading, send them. The signers’ checks.

R.60-122 §103.F.4, G-H

DPH asks

Ownership papers

Corporations, partnerships and LLCs attach the name, address and percentage of everyone owning 5% or more, plus Secretary of State documents and officer lists.

Form 1307, Part B

Rule requires

The zoning permit or local letter: keep it ready

"For the primary office, the applicant must obtain a county or municipal zoning permit to operate the provider." In an unzoned area, the applicant gets a letter from the county or municipality instead. The form does not ask for either; keep it with your license papers.

R.60-122 §103.D.1

Sent with the application and every renewal

The random drug testing policy DPH reads

The statute: "A licensed in-home provider and an individual employed as an in-home caregiver by a licensed in-home care provider are subject to random drug testing." (S.C. Code 44-70-70) The rule turns that into a policy duty: "The provider’s policies and procedures must address random drug testing and describe the procedure chosen." (R.60-122 §402.C) What the rule says the policy has to cover:

  • Who is tested. "Person(s) signing the licensure applications on behalf of the provider and individuals employed as in-home caregivers by licensed in-home care providers are subject to random drug testing" (R.60-122 §402.C). So the owners or officers who signed Form 1307 are in the pool, not only caregivers.
  • The method. "The provider may choose the method of random testing that most suitably meets the provider’s needs." At a minimum, a 5-panel urine, hair, saliva or blood screen for cannabis, cocaine, amphetamines, opiates and phencyclidine (R.60-122 §402.C).
  • Who reads the results. A nurse, the administrator, or human resources or hiring staff (R.60-122 §402.B-C).
  • A positive result. A caregiver with a positive random test does no caregiving until a physician confirms a prescribed medication or a later test is negative. (R.60-122 §402.C)
  • The records. Keep the lab result, or for in-house tests: name, date, time and signature of the person tested and of the reviewer, kit manufacturer and model, results, and kit lot number and expiry. (R.60-122 §402.C.1-5)

What the rule leaves to you. It sets no testing frequency and no share of staff to test, and DPH has published no guidance on what it looks for. By our reading, the policy should say how people are picked (so that the choice is random), how often, who orders and reviews tests, how an office kit is used if you use one, and what happens to a signer who tests positive, because the rule speaks only to caregivers there. The pre-employment test is a separate duty (R.60-122 §402.B).

In CareRulebook’s South Carolina manual this is policy 2.3, and it also comes as its own file to attach to Form 1307. Preview the manual.

The signers’ checks

The statute sets the duty: "Before becoming licensed as an in-home care provider, a person must undergo a criminal record check as provided for in regulations promulgated by the department pursuant to Section 44-70-40 and submit to a drug test." (S.C. Code 44-70-60(A)) The rule applies it to everyone who signs the application.

The SLED check

Each signer "shall undergo a State Law Enforcement Division (SLED) name-based criminal records check", and the evidence must not be older than 90 calendar days when DPH receives it (R.60-122 §103.G). SLED says a CATCH search is name-based only and covers South Carolina records only. (SLED CATCH) It costs $25 plus an online service fee (SLED CATCH, Fees & Payments). By our reading a CATCH report is the check the rule means, but DPH has not said so; ask DPH.

What bars a license. No license if a signer must register as a sex offender or has a conviction or plea for abuse, neglect or exploitation of a vulnerable adult, unlawful conduct toward or cruelty to children, any violent crime, any other drug-related felony, or forgery, embezzlement or breach of trust with fraudulent intent. Signers must report such convictions to DPH immediately. (R.60-122 §103.G.1-2) This list is for the signers; caregivers have their own list (R.60-122 §405.G).

The drug test

Each signer takes a 5-panel urine, hair, saliva or blood screen for cannabis, cocaine, amphetamines, opiates and phencyclidine. "The test must be taken not earlier than thirty (30) days before the Department’s receipt of the licensure application." (R.60-122 §103.H) "Test results shall be received and reviewed by a person other than the person being tested and who is not related to the person being tested by blood or marriage." (R.60-122 §103.H) A positive test means denial unless a physician states it came from a prescribed medication (R.60-122 §103.H).

The documentation. For a laboratory test, the documentation is the laboratory’s result. For a test done in the office: the name, date, time and signature of the person tested and of the unrelated reviewer, the type of screen with the kit’s manufacturer and model, the date, time and result, and the kit’s lot number and expiry date. (R.60-122 §103.H.1-5)

Timing

Both windows run to the day DPH receives the application, not the day you sign it. By our reading, order the SLED check and take the drug test in the last few weeks before you send, and email the application, DPH’s preferred method (Form 1307, p. 1), so the receipt date is clear. After licensing, signers stay subject to random drug testing (R.60-122 §402.C).

DPH’s fees

These are DPH’s fees, set by R.60-122 §103 and repeated in DPH’s FY2026 fees report (FY2026 Fees and Fines Report). They are paid to the state and are not CareRulebook prices.

DPH fee (state fee)AmountSource
DPH initial in-home care provider license fee$1,000R.60-122 §103.I
DPH annual license renewal fee$800R.60-122 §103.I
DPH late renewal fee$200R.60-122 §103.J
DPH amended license fee$50R.60-122 §103.L.3
DPH reinstatement of a suspended license$400R.60-122 §103.K.1

How to pay. The rule says fees are paid to DPH "via a secured portal or specific website" and are not refundable (R.60-122 §103.I), and "Proof of payment is required for all applications submitted." (Form 1307, Instructions) Neither the form nor DPH’s in-home care page names the portal; ask DPH (803-545-4370) how to pay before you send.

If DPH says no. "If the application is denied, a portion of the fee may be refunded based upon the remaining months of the licensure year." (R.60-122 §103.I)

Other costs (not DPH license fees). SLED CATCH checks for the signers, drug screens, the insurance, and an office in a commercially zoned or unzoned area are market costs we have not surveyed. License cost and timeline.

DPH’s decision

  • Substantial compliance first. "An initial license shall not be issued to a proposed provider until the applicant has demonstrated to the Department that the proposed provider is in substantial compliance with the licensing standards." (R.60-122 §103.B) The rule does not say how you demonstrate it.
  • A visit is possible. The rule defines an inspection as "A visit by individuals authorized by the Department to a proposed or licensed in-home care provider for the purpose of determining compliance with this regulation" (R.60-122 §102.L), and DPH uses inspections, investigations, applications and other documents about a proposed or licensed provider to enforce the rule (R.60-122 §201). Whether DPH visits every applicant before the first license is not stated, and we could not confirm DPH’s practice. Our suggestion: have the whole manual, staff files and client forms ready before you apply.
  • Other DPH licenses. If the applicant already has a facility, activity or provider licensed by DPH, that one must be in substantial compliance before DPH licenses the new provider or amends a license. (R.60-122 §103.B) Current or past violations of the S.C. Code or DPH regulations may put at risk a license for the provider, or for any other provider or addition owned or operated by the licensee. (R.60-122 §103.A)
  • Money owed. Before DPH issues a license, the applicant pays all outstanding fees (initial, annual and inspection fees) and any finally assessed monetary penalties. (R.60-122 §103.F)
  • How long. Neither the rule nor DPH’s pages give a processing time; ask DPH. DPH’s form warns: "Application must be complete and legible. Any missing information may result in delays in processing this application." (Form 1307, Instructions)
  • Until the license arrives. "without first obtaining a license from the Department" covers operating, advertising and marketing (R.60-122 §103.A). If DPH finds services being provided without a license, the owner must stop at once and make sure clients are safe. (R.60-122 §103.A)
  • A refusal. When DPH finds a violation of a statute or regulation on running the provider, it may, after proper notice, impose a monetary penalty or deny, suspend or revoke the license. (R.60-122 §204) The statute says sanctions may be appealed under S.C. Code 44-1-60. (S.C. Code 44-70-40(8)) That section was written for DHEC; we have not checked how the appeal route works for DPH after Act 60, so ask a lawyer if you need it.

Once licensed. Post the license in a public area of the business office, or keep it readily available to the public. (R.60-122 §103.C.1) A license covers a named provider at specific locations: the primary office and any registered multiple locations. (R.60-122 §103.C.4) Every caregiver then needs a criminal record check, registry checks and a negative drug test before starting (R.60-122 §402, §405). Caregiver background checks.

The CareRulebook South Carolina manual preview on a laptop: policy 2.3 on drug testing for a sample agency, citing R.60-122 §402.C, with six of the manual’s policies listed beside it

CareRulebook

The policy DPH reads, and the ones it can ask for at any time

CareRulebook’s South Carolina manual follows R.60-122 section by section, as rewritten on May 22, 2026, with your agency’s details filled in and the rule quoted under each policy. Your random drug testing policy also comes as its own file, ready to attach to Form 1307 with your initial application and each renewal. Policy 1.1 shows which policy answers each section of the rule.

  • 29 policies, 84 requirements mapped
  • The random drug testing policy as its own file for DPH
  • A crosswalk from each section of R.60-122 to its policy
  • Editable Word and print-ready PDF
Preview your manual

$199CareRulebook founding price for the first 50 South Carolina agencies, then $249. Not a DPH fee.

Renewal

  • Every year, before expiry. "For a license to be renewed, applicants shall file an application with the Department, including any required documentation to evidence compliance with the regulation and pay a license fee of eight hundred dollars ($800)." (R.60-122 §103.K)
  • On the form. For a renewal, tick Renewal and enter the license number and expiration date. The name must appear exactly as it did the year before, and DPH asks for the random drug testing policy, the liability insurance and the workers’ compensation coverage again. (Form 1307, Instructions)
  • Form and rule differ. The rule’s list of evidence (insurance or bond, indemnity, workers’ compensation, the signers’ checks and drug tests, the random drug testing policy) is for an application for an initial license. DPH’s form asks for the drug testing policy and insurance evidence with renewals too. (R.60-122 §103.F; Form 1307) By our reading, send the three documents every year, because DPH processes the form; ask DPH whether it also wants the signers’ checks again.
  • Late. "Failure to submit the renewal application, licensing fee, and late fee within thirty (30) days of the license expiration date shall render the provider unlicensed." (R.60-122 §103.J) DPH’s monthly enforcement reports from January 2025 to July 2026 show two orders against in-home care providers, both $300 consent orders for late renewals. None cites the 2026 rule yet. (DPH enforcement actions)
  • Even mid-change. "The current licensee is responsible for renewal of the license prior to the expiration date regardless of any changes or pending approvals" (Form 1307, Notice)
  • Your caregiver checks. The statute says the department verifies that a direct care entity is running the required criminal record checks before it issues a renewal license, and acts as the channel for federal checks. (S.C. Code 44-7-2940) Violating the direct caregiver check law brings a civil fine of $100 for the first violation and $500 for each later one, paid before the license is renewed. (S.C. Code 44-7-2950)
  • Licensed before May 22, 2026? The rewritten rule applies to you too, with no transition period (R.60-122 §101). The rule gives no grace period until renewal, so by our reading anything still missing (the zoning permit, the policies, the client paperwork) is due now. Your to-do list, or choose "Already licensed" in the license checklist.

Amended license, new offices and a new administrator

  • Moving or renaming. "A provider shall request issuance of an amended license by application to the Department prior to any of the following circumstances" a change of location from one site to another, or a change of name or postal address. "An amendment fee of fifty dollars ($50) is required for each amendment." (R.60-122 §103.L) On the form, tick Change Request, complete Part C, Section 1, and Part D only (Form 1307, Instructions). A new primary office has to meet the zoning rule (R.60-122 §103.D.1).
  • A new office alongside the primary one. "A provider shall not establish, operate, or maintain a multiple location or represent itself as such without first registering the multiple location by application to the Department and receiving approval of the registration from the Department." (R.60-122 §103.D.2) Form 1307 does this in Part C, Section 3, and "Check this box to affirm that all multiple locations are providing full scope of service." (Form 1307, Part C, Section 3) The registration lasts until the license in force when it was approved expires (R.60-122 §103.D.4). The rule does not say whether it then renews with the license; ask DPH.
  • A new administrator. DPH says any change in administrator must be reported to its Bureau, and has an online form for it (DPH, Submit Information). R.60-122 itself does not mention the report or set a deadline; by our reading, send the form as soon as the change happens.

Change of licensee: buying, selling or restructuring

  • No transfer. A license cannot be sold or transferred. A change in controlling interest or legal entity (for example sole proprietor to corporation) needs a new license applied for beforehand. (R.60-122 §103.C.3, §103.M) The statute says the same: a license is "not transferable or assignable" (S.C. Code 44-70-50).
  • What counts. "A change in the controlling interest even if, in the case of a corporation or partnership, the legal entity retains its identity and name", or "A change of the legal entity, for example, sole proprietorship to or from a corporation, partnership to or from a corporation, even if the controlling interest does not change." (R.60-122 §103.M)
  • On the form. "Application must be completed by new owner, as licenses are not transferable." Part C, Section 2 gives the current and new owner, each signing and dating (Form 1307, Part C, Section 2). The form has three boxes: Initial, Renewal and Change Request. DPH says to tick Initial only the first time you apply for a license, and not for a change of ownership of an existing licensed provider. (Form 1307, Instructions)
  • The seller keeps renewing. DPH’s form says the current licensee must renew before the expiration date even if a change, such as a change of ownership, is still waiting for DPH’s approval. (Form 1307, Notice)
  • Not settled. The signers’ SLED check and drug test are "To obtain an initial license" (R.60-122 §103.G-H), while the statute requires both before a person becomes licensed (S.C. Code 44-70-60(A)). By our reading, have the new signers’ checks and tests ready. The rule also does not say whether the buyer may run the agency under the seller’s license while DPH decides. Ask DPH before the sale closes.

Exceptions and variances

"The provider may request a variance to this regulation in a format as determined by the Department." DPH decides case by case and may revoke a variance (R.60-122 §103.N). DPH has a form for this. DPH’s Request for Exception to Licensing Standard (0226-ENG-DPH) is for licensed and proposed providers. It asks for the standard, the specific requirement, why the exception is needed and how the protection the standard gives will still be provided. Send it to ExR.BHFL@dph.sc.gov or by mail; DPH answers in writing. (Form 0226-ENG-DPH) If DPH approves an exception, the applicant signs and returns DPH’s letter for it to take effect; DPH’s instructions say not returning it within 7 days counts as withdrawing the request. Keep a copy of the decision for inspections. (Form 0226-ENG-DPH, Instructions)

The rule says "variance" and the form says "exception"; by our reading the form is the format DPH has set for both. The case most agencies ask about is the office: an agency licensed before May 22, 2026 and run from a home in a residential zone. The zoning rule has no exception for earlier licensees (R.60-122 §103.D.1), so ask before you rely on one. The primary office and zoning.

Suspension and revocation

  • Suspended. "Prior to reinstatement of a suspended license, the licensee shall submit a reinstatement fee of four hundred dollars ($400)." (R.60-122 §103.K.1), a DPH fee.
  • Revoked. "Prior to reinstatement of a revoked license, the licensee must apply for a license as provided for in Section 103 of this regulation along with the initial licensing fee. Any time remaining from the revoked license is forfeited." (R.60-122 §103.K.2)
  • Penalties. Penalties range from $100 to $5,000 per violation, set by a schedule: for example $500 to $1,500 for a first Class I, $300 to $800 for a first Class II and $100 to $300 for a first Class III violation. (R.60-122 §205.F) Inspections and incident reporting.

Closing

  • Temporary closure. Before a temporary closure, tell DPH in writing of the intent to close and the date; within 10 business days before closing, tell DPH how records are kept, which clients need transfer and the expected reopening date. (R.60-122 §502.A) After more than a year closed, DPH decides whether to inspect before you reopen (R.60-122 §502.A).
  • Permanent closure. Tell DPH in writing of the intent to close and the date; within 10 business days before closing, give DPH the records arrangements, the clients who need transfer, and the dates and amounts of client refunds. "On the date of closure, the provider shall return the license to the Department." (R.60-122 §502.B)
  • Clients. "Prior to permanent or temporary closure, the provider shall provide all clients written notice of the closure at least ten (10) business days prior to the closure." Give them a list of licensed providers for continued care (R.60-122 §502.C, §700.C).
  • Records. "The licensee shall notify the Department, in writing, describing these arrangements and the location of records." Client records are kept at least five years after services end (R.60-122 §602.B-C).

Myths about applying

Does DPH review my whole policy manual before licensing?

It depends. Not as a set submission. Only the random drug testing policy goes in with the application (and again at each renewal). But DPH may not issue an initial license until you show substantial compliance with the standards, and inspections are unannounced, so the full manual should be in place before you apply. Ask DPH whether it inspects before the first license.

"A copy of your Random Drug Testing Policy"

Do I send DPH my random drug testing policy only with my first application?

No. DPH’s form asks for it with initial and renewal applications, together with your liability insurance and workers’ compensation coverage. The 2026 rule lists it with the initial application only, but the form is what DPH processes, so by our reading send it every year. It is the one policy DPH’s form asks you to send; the rest of your manual must be in place and ready to show DPH, but is not sent.

"Additional Documents (to be submitted with your Initial and/ Renewal Application)"

Can the owners get their background check and drug test months before applying?

No. Each signer’s SLED check must be no older than 90 calendar days when DPH receives the application, and the drug test no earlier than 30 days before DPH receives it. Time both close to the day you send the form, and send by email (DPH’s preferred method) so the receipt date is clear.

"The test must be taken not earlier than thirty (30) days before the Department’s receipt of the licensure application."

Can I advertise or sign up clients while my South Carolina application is pending?

No. The rule bars operating as an in-home care provider, and also representing yourself as one, which it spells out as advertising or marketing, before DPH issues the license. If DPH finds services being given without a license, the owner must stop at once and make sure clients are safe.

"represent itself (advertise and/or market) as an in-home care provider in South Carolina without first obtaining a license from the Department"

If I buy an existing South Carolina home care agency, can I keep using the seller’s license?

No. A license is not assignable or transferable, and a change in controlling interest needs a new license, applied for before the change. DPH’s form says the new owner completes the change of ownership section and both owners sign it, and that Initial is not the box to tick for a change of ownership. Until DPH acts, the seller stays responsible for renewing on time.

"Application must be completed by new owner, as licenses are not transferable."

We are moving from a sole proprietorship to an LLC with the same owner. Is an amended license enough?

No. R.60-122 treats a change of legal entity as a change of licensee, which needs a new license applied for before the change, even when the same people stay in control. An amended license ($50, a DPH fee) is for a move to another site or a change of name or postal address.

"A change of the legal entity, for example, sole proprietorship to or from a corporation, partnership to or from a corporation, even if the controlling interest does not change."

Can I run a South Carolina in-home care agency from my house?

It depends. Only if it is in a commercially zoned area with a county or municipal zoning permit, or in an unzoned area with a letter from the county or municipality saying a provider may be operated there. That is the rule for the primary office since May 22, 2026. By our reading, a home in a residential zone does not qualify; ask DPH about your address. SCDHHS already required a commercially zoned or unzoned office for Medicaid agencies.

"The primary office must be in an office that is in a commercially zoned or unzoned area."

How much does a South Carolina in-home care license cost?

It depends. DPH charges $1,000 for the initial license and $800 a year to renew. A late renewal adds $200, an amended license is $50 and reinstating a suspended license is $400. Fees are non-refundable. Budget too for liability insurance or a surety bond ($100,000 per occurrence, $300,000 aggregate), workers’ compensation, background checks and drug tests.

"The initial license fee shall be one thousand dollars ($1,000)."

Frequently asked questions

How do I apply for an in-home care provider license in South Carolina?

Fill in DPH’s Licensure Application for In-Home Care Provider (Form 1307-ENG-DPH), Parts A and B, and sign Part D under oath before a notary: the owner or owners, the head of an LLC, or two officers of a corporation. Attach your random drug testing policy, your liability insurance or surety bond and your workers’ compensation coverage, which the form lists; the rule also asks for indemnity coverage and each signer’s SLED check and drug test. Add proof that you paid DPH’s $1,000 fee and email it all to IHCP@dph.sc.gov, DPH’s preferred method, or mail it to the Bureau of Health Facilities Licensing, P.O. Box 2046, West Columbia, SC 29171.

Does DPH review my policies before licensing?

DPH’s form asks for one policy, the random drug testing policy, with initial and renewal applications. The rest of your manual is not sent, but the rule requires written policies for each section of R.60-122, and DPH will not issue a first license until you show substantial compliance with the standards, so have them all in place before you apply.

Is there an inspection before the first license?

The rule does not say. It defines an inspection as a DPH visit to a proposed or licensed provider, and says DPH uses inspections, applications and other documents to enforce the rule. Whether DPH visits every applicant before the first license is not stated, and we could not confirm DPH’s practice. Ask DPH, and be ready for a visit.

How long does DPH take to issue the license?

DPH does not publish a processing time, and the rule sets none. DPH’s form says missing information may delay processing. We cannot give you a date; ask DPH at 803-545-4370.

Who has to sign the application?

DPH’s form says the owner or owners for an individual business, the head of the limited liability company for an LLC, two officers for a corporation, and the head of the department for a government unit. The rule names the owners of an individual business or a partnership, and two officers of a corporation. Everyone who signs needs a SLED check and a drug test, and is subject to random drug testing afterwards.

What do I send with a renewal?

DPH’s form asks for the random drug testing policy, your liability insurance and your workers’ compensation coverage with renewal applications, and the name must appear exactly as it did the year before. DPH’s renewal fee is $800. If the renewal or fee is not in by the expiration date, DPH adds a $200 late fee, and 30 days after expiry an agency that has not renewed is unlicensed.

What if I move my office or change the agency’s name?

Apply for an amended license before the move, or before a change of name or postal address. DPH’s fee is $50 for each amendment. On Form 1307, tick Change Request and complete only Parts C and D. A new primary office still has to be in a commercially zoned or unzoned area.

Get South Carolina rule-change alerts

The rewritten R.60-122 took effect on May 22, 2026, and DPH updated Form 1307 in August 2026. We found no proposal to amend the rule since. Leave your email and we will tell you when a South Carolina change affects your application, your renewal or your policies.

No spam. Only emails about South Carolina home care rule changes. How we use your email.

Keep reading

South Carolina

How to start a home care agency in South Carolina

Who needs the license, what changed on May 22, 2026, the zoned office and DPH’s fees.

Tool

South Carolina license checklist

Every step to a DPH license, or to the 2026 rule if you are already licensed, tailored and emailed to you.

Manual

South Carolina policy manual

Policies for each section of R.60-122, with the drug testing policy as its own file for Form 1307. Preview free.

South Carolina

South Carolina license cost and timeline

DPH’s fees, the other costs and why no processing time is published.

South Carolina

The South Carolina administrator and office

The administrator, the zoned primary office and multiple locations.

South Carolina

South Carolina caregiver background checks

SLED or FBI checks, registries, disqualifying offenses and drug tests.

South Carolina

South Carolina policies and procedures

What R.60-122 asks your policies to cover, section by section.

North Carolina

The North Carolina license application

DHSR reviews your policies before it licenses you.

Georgia

The Georgia license application

DCH’s application checklist, GAHLES and a three-month provisional license.

Tennessee

The Tennessee license application

Four forms to a TDMHSAS regional office and an electronic desk audit.

Kansas

The Kansas license application

An emailed application, then policies uploaded into 13 folders for KDHE’s review.

Virginia

The Virginia license application

The VDH OLC Portal, the prelicensure consultation and renewal every three years.

Sources

  1. Regulation 60-122, Standards for Licensing In-Home Care Providers (Document No. 5407, State Register Vol. 50, Issue 5, effective May 22, 2026, with the errata in Vol. 50, Issue 6, June 26, 2026) · South Carolina Department of Public Health; South Carolina Legislative Council (State Register) · retrieved October 2, 2026
  2. Document No. 5407, R.60-122 rewrite: notice of proposed regulation (State Register Vol. 49, Issue 9, September 26, 2025), final regulation (Vol. 50, Issue 5, May 22, 2026), errata (Vol. 50, Issue 6), with the 2024 and 2025 drafting notices and the pre-2026 text · South Carolina Legislative Council, State Register (Department of Public Health filings) · retrieved October 2, 2026
  3. S.C. Code 44-70-10 to 44-70-80, Licensure of In-Home Care Providers Act · South Carolina Legislative Services Agency · retrieved October 2, 2026
  4. S.C. Code 44-7-2910 to 44-7-2950, criminal record checks of direct caregivers · South Carolina Legislative Services Agency · retrieved October 2, 2026
  5. S.C. Code 44-69-10 et seq., Licensure of Home Health Agencies Act · South Carolina Legislative Services Agency · retrieved October 2, 2026
  6. 2023 Act No. 60 (S.399): Department of Public Health and Department of Environmental Services created, DHEC abolished, effective July 1, 2024 · South Carolina General Assembly · retrieved October 2, 2026
  7. In-Home Care Providers (regulations, forms, memos, map) · South Carolina Department of Public Health · retrieved October 2, 2026
  8. Licensure Application for In-Home Care Provider, form 1307-ENG-DPH (08/2026) · South Carolina Department of Public Health · retrieved October 2, 2026
  9. Submit Information to Healthcare Quality (plan of correction, accident/incident reporting, change in administrator; updated March 30, 2026) · South Carolina Department of Public Health · retrieved October 2, 2026
  10. FY2026 DPH Fees and Fines Report (Proviso 117.70), fee appendix · South Carolina Department of Public Health · retrieved October 2, 2026
  11. Healthcare Quality Enforcement Actions (monthly reports, January 2025 to July 2026) · South Carolina Department of Public Health · retrieved October 2, 2026
  12. Find a Facility: In-Home Care Providers (licensed provider list behind DPH’s facility map, exported October 2, 2026) · South Carolina Department of Public Health · retrieved October 2, 2026
  13. SLED CATCH (Citizens Access to Criminal Histories) · South Carolina Law Enforcement Division · retrieved October 2, 2026
  14. Request for Exception to Licensing Standard, form 0226-ENG-DPH (07/2025), with its instructions · South Carolina Department of Public Health, Bureau of Health Facilities Licensing · retrieved October 2, 2026
Build your South Carolina manualfrom $199