Tennessee · License fees and time frames · 0940-05-02

Tennessee PSSA license: cost and timeline

TDMHSAS charges $810 per site for a Personal Support Services Agency license, with the initial application and with every renewal, and the fee is non-refundable. Neither the rules nor TDMHSAS publish a processing time. Here are TDMHSAS’s fees, the other costs with official prices, each step from the four forms to the initial license, renewal, and what the proposed rewrite of the licensing rules would change.

See TDMHSAS’s fees Tennessee start-up guide

Rule-verified October 2, 2026
Quoted from Tenn. Comp. R. & Regs. 0940-05-02
Every fee linked to its source

A woman with short grey hair and round glasses, in a teal striped blouse, taps a calculator and writes in a spiral notebook at a library table beside a CareRulebook binder with sticky notes reading $810 to TDMHSAS and Renew every year, a white mug and a pencil, with a magnolia tree, parked cars and farmland outside the window

Quick answer

Cost: the Tennessee Department of Mental Health and Substance Abuse Services (TDMHSAS) charges $810 per site for one category of service, the PSSA license, with each initial and renewal application (0940-05-02-.05(1)). "All fees submitted are non-refundable." (0940-05-02-.05(1)) These are TDMHSAS’s fees, not CareRulebook prices. A license lasts up to 12 months (0940-05-02-.02), so by our reading you pay the fee every year.

Time: Neither the rules nor TDMHSAS’s pages give a processing time from application to license (checked October 2, 2026). (TDMHSAS, Become a Licensed Provider) The waits come at the invoice, the scheduling of the electronic desk audit and any corrections. We cannot give you a date, and we do not estimate one.

Other costs with an official price: TBI’s fingerprint checks ($37.15 for an applicant through a qualified organization, $50 for an FBI-only check for the general public) and DDA’s optional medication administration class ($50 per participant). Liability insurance is required, but no minimum is set and we found no official price.

Rule-verified, checked against official sources on October 2, 2026

$810

TDMHSAS license fee per site, one category (a PSSA)

0940-05-02-.05(1)

12 months

Longest term of an initial or full license

0940-05-02-.02(1)-(2)

Up to $50

TDMHSAS fee for an onsite inspection other than the initial or annual one

0940-05-02-.23(1)

None

Processing time published by TDMHSAS or in the rules

Become a Licensed Provider

What TDMHSAS charges

Every amount below is a state fee set in TDMHSAS’s licensing rules, Chapter 0940-05-02. None of them is a CareRulebook price.

What for	TDMHSAS fee	Notes	Source
License, one category of service (a PSSA), per site	$810	With the initial application and with every renewal. A license lasts up to 12 months, so by our reading this is yearly. Non-refundable.	0940-05-02-.05(1)
License, two categories at one site	$1,010	If the same site is also licensed for a second category of service.	0940-05-02-.05(1)
Initial and annual inspections	No separate fee	The rule charges them at the license fee rate in 0940-05-02-.05; by our reading the license fee covers them. A PSSA’s initial inspection is an electronic desk audit.	0940-05-02-.23(1)
Any other onsite inspection	Up to $50	Invoiced; due within 30 days, or before the license expires if sooner.	0940-05-02-.23(1)-(2)
Life safety or fire inspection	None needed	TDMHSAS says a PSSA currently needs no life safety or fire inspection, so by our reading there are no fire inspection fees from other agencies to pay.	Become a Licensed Provider, step 4
New owner or new location	A new application	A license is not transferable and is tied to its address. By our reading the new application carries the license fee again.	0940-05-02-.10

Paid before the decision. "The applicant must submit fees for the processing of the application prior to the Department’s making a determination to grant or to deny licensure." (0940-05-02-.05(1)) All fees are non-refundable, so a denied application does not get the fee back.
Per site and per category. "The fee rate is based on the number of distinct categories of service or facility, as applicable, to be operated at each site." (0940-05-02-.05(1)) TDMHSAS issues one license for each site (0940-05-02-.09).
By invoice. "You will be sent an invoice once the above forms have been received by the Office of Licensure." (Become a Licensed Provider, step 3) "All payments must be accompanied by a copy of the fee invoice before the fee will be credited to the appropriate agency or service." (0940-05-02-.07(2)) TDMHSAS also takes documents and payments in person at its Middle Tennessee office on Tuesdays and Thursdays, 8:00am to 4:00pm (TDMHSAS, Licensing).
Unpaid fees hold up the license. TDMHSAS may withhold a license, or suspend or expire an existing one, until fees are paid (0940-05-02-.23(3)).
Fee rule last amended in 2019. The fee rule was last amended by rules effective June 27, 2019 (0940-05-02-.05, history), and TDMHSAS’s proposed rewrite keeps the $810 fee (proposed 0940-05-02-.05).

Working out your TDMHSAS fees

Simple arithmetic, not a TDMHSAS figure

Your first two license years. One site, one category: the initial fee and one renewal, $810 + $810 = $1,620 at current rates (0940-05-02-.05(1)).

Simple arithmetic, not a TDMHSAS figure

A second site. Each site has its own license and its own fee, so two PSSA sites pay $810 × 2 = $1,620 a year at current rates. A second category at the same site instead raises that site’s fee to $1,010, $200 more (0940-05-02-.09).

Our reading of the rules

No fee for the yearly inspection. The $50 maximum is for onsite inspections other than the initial or annual one, which are charged at the license fee rate, so by our reading a year with only the routine inspection costs the license fee alone (0940-05-02-.23(1)).

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; none of the sources we checked publishes prices for insurance, private investigator checks or a nurse trainer.

The background check of the person responsible

The application asks for a TBI fingerprint check of the person with overall responsibility (or FBI fingerprints, or a licensed private investigator check covering current and previous states), and the individual pays for it. TDMHSAS does not publish the amount, and we have not confirmed which of TBI’s services the application expects. TBI lists $50 for an FBI-only (nationwide) fingerprint check for the general public, through its contractor; these are TBI’s fees.

MH-4385, item 7 TBI fees

Worker criminal checks: $37.15 each through TBI, or a private investigator

Fingerprints are needed if TBI or the FBI runs the check; a Tennessee-licensed private investigation company can run it without fingerprints. For qualified organizations, TBI lists $37.15 for a Tennessee and FBI fingerprint check of an applicant (TBI’s fee). TBI says qualified agencies, such as those serving the elderly, may request an ORI number, which sets up fingerprinting of prospective employees under a TBI user agreement. TBI’s $29 Tennessee name search uses no fingerprints, so by our reading it is not the TBI route TDMHSAS describes.

PSSA slides, slide 11 TBI fees TBI, ORI numbers How the checks work →

Abuse Registry and Sex Offender Registry checks

Every worker is checked on both registries before direct contact and every year after. The Abuse Registry is searched online through the Health Facilities Commission, and the Sex Offender Registry is TBI’s. We found no fee stated on either registry page we saved.

0940-05-38-.07(2)(d)-(e)HFC Abuse Registry

Liability insurance

Proof of liability insurance for the agency, its workers and others who provide services. No minimum amount is set. If workers drive clients, vehicle liability insurance too. We do not quote premiums.

0940-05-38-.07(3).06(1)(m)3

Medication administration certification: $50 per person (DDA’s fee)

Optional. For PSSAs not serving people with intellectual or developmental disabilities, DDA charges $50 per participant for the 20-hour class and $25 for the Test-Out renewal; certification lasts 3 years. From a third attempt at a test, DDA bills the agency $5 for a test-out and $50 for class testing (DDA’s charges). TDMHSAS says only people working for agencies licensed by TDMHSAS as a PSSA, or meeting other eligibility criteria, qualify, so by our reading this cost comes after the license.

PSSA slides, slide 21 DDA guidelines Eligibility

A registered nurse, if you offer medication assistance

Workers who give medication assistance need documented training by, or under the general supervision of, a registered nurse. An agency that does not offer medication assistance or education services needs no nurse for the license. We found no official price.

0940-05-38-.08(1)(b)Who runs the agency →

Business registration and a certified charter

A corporation sends a copy of its charter certified by the Tennessee Secretary of State with the application. The Secretary of State’s own fees apply; we have not checked them.

MH-4385, item 6

Your written policies

The desk audit covers certain policies and procedures, and deficiencies must be corrected before a license is issued. You can write them yourself or start from a manual; either way the licensee establishes them and runs the agency by them.

Become a Licensed Provider, step 5 0940-05-38-.05(2)-(3)What TDMHSAS reads →

Fees are set by TDMHSAS, TBI and DDA, not by CareRulebook.

CareRulebook

The policies TDMHSAS reads, written for your agency

Answer a few questions and CareRulebook writes your Tennessee PSSA policies and forms, with your agency’s details, the rule quoted under each policy and a desk-audit crosswalk, ready to adopt before you apply. Read every policy before you adopt it.

32 policies, 107 requirements mapped
Forms for the records on TDMHSAS’s common deficiency list
Editable Word and PDF when you pay; download again free for 12 months

Preview your manual

$199CareRulebook founding price for the first 50 Tennessee agencies, then $249. Not a TDMHSAS fee; TDMHSAS’s $810 license fee is separate.

Why we give no date

TDMHSAS publishes no processing time, range or average:

No processing time. Neither the rules nor TDMHSAS’s pages give a processing time from application to license (checked October 2, 2026). TDMHSAS says: "A Regional Manager can provide an in-depth explanation of the next steps." (Become a Licensed Provider, step 5)
Waits at three points. The invoice comes once TDMHSAS has the forms (step 3), the desk audit follows the paperwork and the fee (step 5), and any deficiencies are corrected before a license, in what TDMHSAS may allow as "a reasonable time period" (0940-05-02-.11).
The only fixed periods are ones you must meet: 15 calendar days to ask for a hearing after a denial (0940-05-02-.06(5)(c)), 30 days to pay an extra inspection invoice (0940-05-02-.23(2)), and the date TDMHSAS sets on a Notice of Non-Compliance for your Plan of Compliance (0940-05-02-.21).

We have no basis for an estimate, so we do not make one. Our suggestion: when you send the forms, ask the Regional Manager what to expect (TDMHSAS regional contacts).

What you control: complete, legible forms with every item answered (0940-05-02-.04(2)), paying the invoice promptly with a copy of it, and every required policy written and adopted before the desk audit. Our suggestion: do not sign client contracts or set a start date until the license is issued. No services may begin before TDMHSAS issues it, and unlicensed operation is unlawful and may bring civil or criminal sanctions (0940-05-02-.03(1)).

Renewal and changes after you are licensed

Term. "Initial licenses will not exceed 12 months." (0940-05-02-.02(1)) A full license is valid for up to 12 months from issue (0940-05-02-.02(2)). "The expiration date of all licenses issued by the Department will be indicated on the face of the license." (0940-05-02-.15)
TDMHSAS starts the renewal. "Prior to the expiration of an initial, full or provisional license, the Department will notify the licensee of the need to submit an application for license renewal." It tells you the information, fees (by invoice) and documents to send (0940-05-02-.07(1)). Each renewal includes a new client-mix attestation (0940-05-38-.04(4)).
On time keeps you licensed. If you file a timely and complete renewal with the fees, "the existing license does not expire until the status of the application has been determined by the Department" (0940-05-02-.15).
Full or provisional. At renewal TDMHSAS will "review the application material, the current life safety and environmental conditions, when applicable, and the performance history of the facility or service"; a full license follows if every service is in compliance, and a provisional license may be issued if not (0940-05-02-.07(5)). TDMHSAS may issue a provisional license to an agency not meeting every requirement, if it is making a diligent effort, clients are not endangered, it has an acceptable compliance plan and it met last year’s plan. (0940-05-02-.02(3))
Inspections. At least one unannounced inspection a year (0940-05-02-.22), and "Dates for unannounced inspections will be random varying from year to year." (0940-05-02-.07(4)) How inspections work.
Selling or moving. Licenses cannot be transferred. A new application and license are needed before services are provided after a change of ownership or location. (0940-05-02-.10) For a move, TDMHSAS says a new license is needed before the relocation, with a Fact Sheet for the new location and a Change of Status form closing the old one (TDMHSAS Provider FAQs).
Other changes. A new chief executive or executive director (with background forms and fingerprinting), a name change or a closure goes on the Change of Status form (MH-4454). The certificate is surrendered on closure or a change of owner (0940-05-02-.17).

Proposed · not in force · hearing November 18, 2026

What the proposed rewrite would change for cost and timing

On September 24, 2026 TDMHSAS filed proposed amendments rewriting every rule in Chapter 0940-05-02. The $810 fee stays the same (proposed 0940-05-02-.05). The changes that touch cost and timing:

Fees before the initial inspection. No initial inspection until the site’s fees are paid and registered; fees follow an invoice. Amounts unchanged ($810 for one category). (Proposed 0940-05-02-.05(2))
License types. A site not yet serving clients would renew to another initial license; a full license needs substantial compliance; a provisional license lasts up to 12 months and has the same force as a full license. (Proposed 0940-05-02-.02(1)-(3))
Renewal extensions. TDMHSAS may extend a license 60 days while a timely renewal is decided, then monthly on written request. (Proposed 0940-05-02-.15(2)-(3))
Overdue Plans of Compliance block renewal. A license would not be renewed while any Plan of Compliance is overdue. (Proposed 0940-05-02-.07(6))
Civil penalty notice in writing. Staff would notify a licensee in writing (not verbally) that a civil penalty may be imposed. Amounts unchanged. (Proposed 0940-05-02-.25(2)(a))

To comment: Attend the hearing on November 18, 2026, 10:00 a.m. Central, Ground Floor Hearing Room, Andrew Jackson Building, 500 Deaderick Street, Nashville (sign up to speak at the start; state-issued ID needed), or email written comments to Krysten.Velloff@tn.gov by 4:30 p.m. CDT on Friday, December 4, 2026. Contact: Krysten Velloff, 615-881-5280. (Secretary of State hearings list)

By our reading, the rule on fees before the initial inspection matches TDMHSAS’s process page today, so for a new agency the practical change is small: pay the invoice promptly. Every proposed change.

Mistakes that cost money or time

Starting services before the license

No one may begin delivering services until TDMHSAS issues a license; doing so is unlawful and may bring civil or criminal sanctions.

0940-05-02-.03(1)

Paying without the invoice

All payments must be accompanied by a copy of the fee invoice before the fee is credited.

0940-05-02-.07(2)

Leaving an inspection invoice unpaid

Inspection fees are due within 30 days, or before the license expires if sooner, and TDMHSAS may withhold, suspend or expire a license until fees are paid.

0940-05-02-.23(2)-(3)

Moving or selling without a new license

A new application and a new license are needed before services are provided after a change of ownership or location.

0940-05-02-.10

A worker meeting clients before the check is back

TDMHSAS reads the statute as requiring background results in the employer’s hands before any direct contact with or responsibility for clients.

PSSA slides, slide 34

A Plan of Compliance after the deadline

The plan is due by the date on the Notice of Non-Compliance. Under the proposed rewrite, a license would not be renewed while any plan is overdue.

0940-05-02-.21(2)

Civil penalties, per violation, per day

TDMHSAS may impose civil penalties for each violation, per day: $500 for a first Priority 1 or critical offense and $250 for other first offenses. A second offense of the same type within 12 months can bring $2,500 to $5,000 (Priority 1 or critical) or $500 to $2,500 (other offenses).

0940-05-02-.25(4)

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

Myths about cost and timing

Is TDMHSAS’s $810 PSSA license fee a one-time payment?

No. The fee goes with each initial and each renewal application, and a license lasts no more than 12 months, so by our reading you pay it every year. It is also per site, because TDMHSAS issues one license for each site. It is TDMHSAS’s fee, not a CareRulebook price.

"Each initial and renewal application for licensure must be submitted with the appropriate fees."
Tenn. Comp. R. & Regs. 0940-05-02, Licensure Administration and Procedures (December 2022 revised edition), 0940-05-02-.05(1); .02(1)-(2); .09

Do I get TDMHSAS’s fee back if my license is denied?

No. The fee is paid before TDMHSAS decides whether to grant or deny the license, and all fees submitted are non-refundable. A denied applicant may ask in writing, within 15 calendar days, for a hearing before the Licensure Review Panel.

"All fees submitted are non-refundable."
Tenn. Comp. R. & Regs. 0940-05-02, Licensure Administration and Procedures (December 2022 revised edition), 0940-05-02-.05(1); .06(5)(c)

Does TDMHSAS bill $50 for every inspection, including the yearly one?

No. The fee of up to $50 is for onsite inspections other than the initial or annual inspection; those are charged at the license fee rate in 0940-05-02-.05. By our reading the yearly inspection is covered by the yearly license fee. Any other inspection fee is invoiced and due within 30 days.

"not including an onsite initial or annual inspection which shall be charged at the rate applicable under Rule 0940-05-02-.05 for all categories of service."
Tenn. Comp. R. & Regs. 0940-05-02, Licensure Administration and Procedures (December 2022 revised edition), 0940-05-02-.23(1)-(2)

Can I start serving private-pay clients while my PSSA application is pending?

No. No one may begin delivering services until TDMHSAS issues the license, and providing personal support services without a license is unlawful. TDMHSAS issues an initial license (up to one year) after its desk audit and after any deficiencies are corrected.

"No person, partnership, association or corporation may begin delivering services until the Department issues a license."
Tenn. Comp. R. & Regs. 0940-05-02, Licensure Administration and Procedures (December 2022 revised edition), 0940-05-02-.03(1)

Frequently asked questions

How much does a PSSA license cost in Tennessee?

TDMHSAS’s fee is $810 per site for one category of service, sent with the initial application and again with every renewal. A site licensed for two categories pays $1,010. TDMHSAS may also charge up to $50 for an onsite inspection other than the initial or annual one. These are TDMHSAS’s fees, not CareRulebook prices, and they are non-refundable. On top come the background check for the person responsible, which they pay for, liability insurance (no minimum is set), and worker background checks. We do not give a total, because insurance and staffing costs vary.

How long does it take to get a PSSA license in Tennessee?

Neither the rules nor TDMHSAS’s pages give a processing time. The steps are fixed: four forms to the regional office, an invoice for the fee, an electronic desk audit once the paperwork is in and the fee is paid, corrections if the audit finds deficiencies, then an initial license for up to one year. TDMHSAS says a Regional Manager can explain the next steps, so ask yours what to expect.

Is the $810 TDMHSAS fee paid every year?

The fee goes with each initial and each renewal application, and a license lasts up to 12 months, so by our reading you pay it every year for each site. TDMHSAS sends an invoice before the license expires. The fee rule was last amended in 2019, and TDMHSAS’s proposed rewrite of 0940-05-02 keeps the amount.

Do I get the fee back if TDMHSAS denies my license?

How much do background checks cost for a Tennessee PSSA?

TDMHSAS does not publish an amount. A worker’s check can be run by TBI or the FBI with fingerprints, or by a Tennessee-licensed private investigation company without fingerprints. TBI lists $37.15 for a Tennessee and FBI fingerprint check of an applicant for qualified organizations, which need an ORI number from TBI, and $50 for an FBI-only fingerprint check for the general public. These are TBI’s fees. We found no official price for private investigator checks.

Can I serve clients while I wait for the license?

No. No one may begin delivering services until TDMHSAS issues a license, and providing personal support services without one is unlawful and may bring civil or criminal sanctions.

Will the fee change?

Not under TDMHSAS’s current proposal. Its rewrite of Chapter 0940-05-02, filed September 24, 2026 with a hearing on November 18, 2026, keeps the $810 one-category fee, says fees follow an invoice, and says no initial inspection is scheduled until the fees are paid. It is a proposal and is not in force.

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TDMHSAS has proposed a rewrite of its licensing procedure rules, Chapter 0940-05-02 (comments due December 4, 2026), and has said PSSA medication administration rules are coming. Leave your email and we will tell you when a Tennessee rule or fee change affects your agency.

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Sources

Tenn. Comp. R. & Regs. 0940-05-38, Minimum Program Requirements for Personal Support Services Agencies (rules effective June 2, 2016; December 2022 revised edition) · Tennessee Secretary of State, Publications Division (TDMHSAS rules) · retrieved October 1, 2026
Tenn. Comp. R. & Regs. 0940-05-02, Licensure Administration and Procedures (December 2022 revised edition) · Tennessee Secretary of State, Publications Division (TDMHSAS rules) · retrieved October 1, 2026
Notice of Rulemaking Hearing 09-31-26: TDMHSAS amendments to Chapter 0940-05-02, Licensure Administration and Procedures (filed September 24, 2026; hearing November 18, 2026) · Tennessee Secretary of State; Tennessee Department of Mental Health and Substance Abuse Services · retrieved October 1, 2026
Rulemaking Hearings list (0940-05-02 entry, notice 4392) · Tennessee Secretary of State · retrieved October 2, 2026
Become a Licensed Provider · Tennessee Department of Mental Health and Substance Abuse Services, Office of Licensure · retrieved October 1, 2026
Licensed Provider Frequently Asked Questions · Tennessee Department of Mental Health and Substance Abuse Services, Office of Licensure · retrieved October 1, 2026
Licensing (Office of Licensure) · Tennessee Department of Mental Health and Substance Abuse Services · retrieved October 2, 2026
Personal Support Services Agency (PSSA) Provider Information (2025 slide deck; file modified November 2025) · Tennessee Department of Mental Health and Substance Abuse Services, Office of Licensure · retrieved October 1, 2026
Initial Application for License, MH-4385 (rev. 05/15/2020) · Tennessee Department of Mental Health and Substance Abuse Services, Office of Licensure · retrieved October 2, 2026
Agency/Service Change of Status Form, MH-4454 (rev. 5/15/2020) · Tennessee Department of Mental Health and Substance Abuse Services, Office of Licensure · retrieved October 2, 2026
Medication Administration Agency Guidelines and Medication Administration Standards · Tennessee Department of Disability and Aging · retrieved October 2, 2026
Abuse Registry · Tennessee Health Facilities Commission · retrieved October 2, 2026
Background Checks: general public and qualified organizations (checks offered and TBI’s fees) · Tennessee Bureau of Investigation · retrieved October 2, 2026
Obtaining an ORI Number (8.1.23) · Tennessee Bureau of Investigation, Biometrics Services Unit · retrieved October 2, 2026

Build your Tennessee manualfrom $199

Tennessee PSSA license: cost and timeline

What TDMHSAS charges

Working out your TDMHSAS fees

Other costs of getting and keeping the license

The background check of the person responsible

Worker criminal checks: $37.15 each through TBI, or a private investigator

Abuse Registry and Sex Offender Registry checks

Liability insurance

Medication administration certification: $50 per person (DDA’s fee)

A registered nurse, if you offer medication assistance

Business registration and a certified charter

Your written policies

The policies TDMHSAS reads, written for your agency

How long it takes, step by step

Check which department licenses you

Set up the business and the person responsible

Write and adopt your policies

Send the four forms to your regional office

Receive and pay TDMHSAS’s $810 invoice

The electronic desk audit

Correct any deficiencies

Initial license, then services may start

Hire, check and train each worker before they meet a client

Unannounced inspection

Renew when TDMHSAS writes

Why we give no date

Renewal and changes after you are licensed

What the proposed rewrite would change for cost and timing

Mistakes that cost money or time

Starting services before the license

Paying without the invoice

Leaving an inspection invoice unpaid

Moving or selling without a new license

A worker meeting clients before the check is back

A Plan of Compliance after the deadline

Civil penalties, per violation, per day

Myths about cost and timing

Is TDMHSAS’s $810 PSSA license fee a one-time payment?

Do I get TDMHSAS’s fee back if my license is denied?

Does TDMHSAS bill $50 for every inspection, including the yearly one?

Can I start serving private-pay clients while my PSSA application is pending?

Frequently asked questions

Get Tennessee rule-change alerts

Keep reading

Sources