Home Care Agency Launch Checklist

Get an EIN (Employer Identification Number)

Apply free at IRS.gov. Takes about 5 minutes online.

Form your business entity (LLC or Corp)

Most agencies choose an LLC. File with your state's Secretary of State.

Open a business bank account

Keep personal and business finances separate from day one.

Get an NPI number (if billing Medicaid)

Required for Medicaid billing. Apply at NPPES.

Research your state's licensing requirements

Every state is different. Some require training, background checks, and office space.

Submit your license application

Prepare all required documents, fees, and attestations.

Create policies and procedures manual

Most states require documented policies before issuing a license.

Consider hiring a licensing consultant

They know the process and can prevent costly mistakes.

Get general liability insurance

Protects against accidents and property damage claims.

Get professional liability insurance

Covers claims of negligence or errors in care.

Set up workers' compensation

Required in most states. Covers caregiver injuries on the job.

Get a surety bond (if required)

Check your state requirements. Usually $10K-$50K.

Set up accounting software

Track income, expenses, and payroll from the start.

Choose a payroll provider

Home care payroll has unique requirements (overtime, travel time, etc.).

Set your billing rates

Research market rates in your area. Factor in caregiver wages, overhead, and profit margin.

Consult a healthcare attorney

Get contracts, employment agreements, and compliance advice.

Set up background check process

Required for all caregivers. Choose a FCRA-compliant provider.

Implement HIPAA compliance

Protect client health information. Train all staff on privacy rules.

Create client service agreements

Document scope of services, rates, cancellation policy, and liability.

Choose scheduling software

Manage caregiver shifts, client visits, and availability.

Set up billing software

Invoice clients, process payments, and track revenue.

Set up EVV (if billing Medicaid)

Electronic Visit Verification is required for Medicaid services.

Or: choose an all-in-one platform

Many platforms handle scheduling, billing, and EVV together.

Build a basic website

Even a simple site helps families find you. Include services, service area, and contact info.

Set up a business phone number

Get a dedicated line. VoIP services work well and are affordable.

Start recruiting caregivers

Post on job boards, attend job fairs, ask for referrals.

Set up caregiver training program

New hire orientation, skills training, and ongoing education.

Credential your caregivers

Verify certifications, licenses, and training requirements.

Claim your Google Business Profile

Free and essential for local search visibility.

Consider a marketing agency

Agencies specializing in home care know what works.

Build referral relationships

Connect with hospitals, doctors, social workers, and discharge planners.

Get your first client!

Start with friends, family, or referrals. Deliver exceptional care.