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The Empire State

Home Care Licensing
in New York

Navigate New York's home care, home health, and hospice licensing requirements with expert guidance from TBOSC. From application to survey success — we'll help you launch with confidence.

Schedule a Free Discovery Call Explore New York Licensing
NYSDOH
Regulatory Body
New York State Department of Health
3
License Types
Home Care, Home Health, Hospice
100%
Survey Pass Rate
All TBOSC-prepared agencies

Quick Answer — New York Home Care Licensing

To start a home care agency in New York, you need a Licensed Home Care Services Agency (LHCSA) issued by the New York State Department of Health (NYSDOH). The application process typically takes 3–6 months and costs approximately $2,000+.

License Required
LHCSA License
Regulatory Body
NYSDOH
Timeline
3–6 months
Application Cost
$2,000+
Read the full New York licensing guide | Visit health.ny.gov
Stay Informed

New York Licensing Updates & Insights

Get notified when New York regulations change. Join agency owners and administrators who stay ahead with TBOSC.

New York at a Glance

New York Home Care Licensing
Quick Reference

REGULATORY BODY
NYSDOH
New York State Department of Health
LICENSE TYPES
3 Categories
Home Care, Home Health, Hospice
CON REQUIRED
Yes
Certificate of Need required
MEDICAID PROGRAM
Consumer Directed Persona
Consumer Directed Personal Assistance Program (CDPAP)
New York License Categories

Types of Home Care Licenses
Available in New York

NON-MEDICAL
Non-Medical Home Care
Non-medical home care services in New York including personal care, homemaking, companionship, and assistance with activities of daily living.
  • Personal care and assistance with daily living activities
  • Companionship and homemaker services
  • Medication reminders and oversight
  • Transportation and errand assistance
SKILLED / MEDICAL
Home Health Agency
Medicare-certified home health agencies in New York providing skilled medical services including nursing, therapy, and social work under physician direction.
  • Skilled nursing care under physician orders
  • Physical, occupational, and speech therapy
  • Medical social work services
  • Home health aide services under clinical supervision
END-OF-LIFE
Hospice Care
Hospice care programs in New York providing palliative care, comfort, and support for patients with terminal diagnoses and their families.
  • Comfort care and pain management
  • Skilled nursing and physician oversight
  • Bereavement counseling and spiritual support
  • Medical social work and volunteer coordination
The Licensing Process

How to Get Licensed
in New York

Follow these key steps to obtain your New York home care license. TBOSC provides expert guidance at every stage — from initial application through your state survey.

01
Business Entity Formation
Register your business entity with the New York Secretary of State. Choose your LLC or corporation structure and obtain your EIN.
FOUNDATION
02
Obtain Certificate of Need
New York requires Certificate of Need approval before you can apply for licensure. TBOSC can guide you through the CON process.
CON REQUIRED
03
Prepare Application Materials
Gather all required documentation including organizational documents, administrator qualifications, background checks, and proof of insurance as required by NYSDOH.
DOCUMENTATION
04
Submit License Application
Complete and submit your license application to NYSDOH along with all required documentation and fees.
APPLICATION
05
Develop Policies & Procedures
Create a comprehensive P&P manual meeting all New York regulatory requirements. TBOSC provides state-specific P&P packages.
COMPLIANCE
06
Pass State Survey
Prepare for and pass the state survey conducted by NYSDOH. TBOSC provides expert survey prep consulting.
SURVEY
What TBOSC Provides

New York Licensing
Services & Support

Get Started Today
FULL SERVICE
Licensure Success Package
Complete end-to-end support for getting your New York agency licensed — from application prep through survey success.
Schedule a Call
DOCUMENTATION
New York-Specific P&Ps
Comprehensive policies and procedures written specifically for New York's regulatory requirements — not generic templates.
Schedule a Call
COMPLIANCE
Survey Guidance
Expert preparation for your New York state survey. We'll make sure you're ready to pass with zero deficiencies.
Schedule a Call
ACCREDITATION
Accreditation Expertise
National accreditation guidance for CHAP, ACHC, and Joint Commission — streamlining your path to recognition.
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ENROLLMENT
Medicare Provider Enrollment
Navigate the Medicare enrollment process for your New York agency. We handle the paperwork and follow-through.
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New York Client Results

What New York Agencies Say About TBOSC

★★★★★
Consulting & P&Ps
TBOSC made the licensing process in New York so much easier. Their knowledge of the state regulations was invaluable, and we passed our survey with zero deficiencies.
Sarah
New York City, NY
★★★★★
New Agency Startup
Starting a home care agency in New York City felt overwhelming until we found TBOSC. Lucas walked us through every step and we launched successfully.
Michael
Buffalo, NY
★★★★★
Consulting & P&Ps
The policies and procedures package TBOSC provided was perfectly tailored to New York's requirements. We felt completely prepared for our state survey.
Jennifer
Rochester, NY
★★★★★
Survey Preparation
Working with TBOSC was one of the smartest investments we made. Their survey preparation guidance gave us the confidence we needed to pass on the first try.
Robert
Yonkers, NY
★★★★★
Licensing Guidance
TBOSC's expertise in New York licensing requirements saved us months of time. They knew exactly what the state was looking for.
Amanda
Syracuse, NY
★★★★★
Consulting
We highly recommend TBOSC to any home care agency in New York. Their responsiveness and deep regulatory knowledge set them apart.
David
Albany, NY
Why TBOSC for New York

Expert New York Licensing
Consulting You Can Trust

TBOSC was started by a home care operator who understands the challenges of starting and running an agency. We bring that hands-on experience to every New York client we serve.

Deep New York Regulatory Expertise
TBOSC brings expert knowledge of New York's specific licensing requirements, including Public Health Law Article 36 §3605 (LHCSA). We stay current as regulations change so you don't have to.
100% Survey Pass Rate Nationwide
Every TBOSC client that has completed our licensing and survey preparation process has passed their initial state survey. That track record extends to New York agencies.
New York-Specific P&Ps
Our policies and procedures packages are written specifically for New York's regulatory framework — not generic templates. They're updated as regulations change.
End-to-End Licensing Support
From initial application through survey preparation, TBOSC guides you through every step of the New York licensing process. We handle the complexity so you can focus on your agency.
New York Results
0%
First-survey pass rate for TBOSC clients nationwide
0+
Home care agencies & leaders served across the country
50
States where TBOSC provides licensing and compliance consulting
Only
Consulting company built by a former home care agency operator
ACHC Strategic Partner Logo

Official ACHC Strategic Partner

The Business of Senior Care is an official Strategic Partner of the Accreditation Commission for Health Care (ACHC) — one of the most respected accreditation bodies in the home care industry. Learn about ACHC accreditation →

Common Questions

📖 Want the complete step-by-step guide?

Read our full guide: How to Start a Home Care Agency in New York (2026 Guide) →

Frequently Asked Questions About
New York Home Care Licensing

How long does it take to get licensed in New York?
The timeline varies depending on your license type and application completeness. Most applicants can expect 3-6 months from application to license issuance. Working with TBOSC can significantly reduce delays by ensuring your application is complete from the start.
What types of home care licenses does New York offer?
Home Care: Licensed Home Care Services Agency (LHCSA); Home Health: Certified Home Health Agency (CHHA); Hospice: Hospice Operating Certificate TBOSC can help you determine which license type is right for your business model and guide you through the specific requirements.
What is the application fee for a license in New York?
$2,000 for LHCSA application In addition to application fees, budget for business formation, insurance, office space, and policies and procedures documentation. TBOSC can help you create a detailed startup budget.
Does New York require a Certificate of Need?
Yes. Yes for CHHA and Hospice; Public need review by PHHPC for LHCSA The CON process adds time and complexity. TBOSC has experience navigating CON requirements and can guide you through the process.
What happens during the New York state survey?
A surveyor from NYSDOH will review your policies and procedures, verify documentation, inspect your office, and confirm you meet all regulatory requirements. TBOSC provides dedicated survey prep consulting to help you pass with zero deficiencies.
Can TBOSC help with Medicare and Medicaid enrollment in New York?
Yes. New York's Medicaid program (Consumer Directed Personal Assistance Program (CDPAP)) offers opportunities for home care providers. TBOSC assists with Medicare provider enrollment and Medicaid waiver program applications.
Ready to Move Forward?

Let's Get Your New York
Agency Licensed & Open

Whether you're starting from scratch or need help at a specific stage, TBOSC offers 1-on-1 consulting tailored to exactly where you are in the process.

Schedule a Free Discovery Call Call 888-818-8426
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