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The Volunteer State

Home Care Licensing
in Tennessee

Navigate Tennessee'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 Tennessee Licensing
HFC
Regulatory Body
Health Facilities Commission, Division of Licensure and Regu
3
License Types
Home Health, Personal Care, Hospice
100%
Survey Pass Rate
All TBOSC-prepared agencies
Stay Informed

Tennessee Licensing Updates & Insights

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

Tennessee at a Glance

Tennessee Home Care Licensing
Quick Reference

REGULATORY BODY
HFC
Health Facilities Commission, Division of Licensure and Regulation
LICENSE TYPES
3 Categories
Home Health, Personal Care, Hospice
CON REQUIRED
Yes
Certificate of Need required
MEDICAID PROGRAM
CHOICES in Long-Term Serv
CHOICES in Long-Term Services and Supports
Tennessee License Categories

Types of Home Care Licenses
Available in Tennessee

NON-MEDICAL
Non-Medical Home Care
Non-medical home care services in Tennessee 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 Tennessee 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 Tennessee 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 Tennessee

Follow these key steps to obtain your Tennessee 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 Tennessee Secretary of State. Choose your LLC or corporation structure and obtain your EIN.
FOUNDATION
02
Obtain Certificate of Need
Tennessee 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 HFC.
DOCUMENTATION
04
Submit License Application
Complete and submit your license application to HFC along with all required documentation and fees.
APPLICATION
05
Develop Policies & Procedures
Create a comprehensive P&P manual meeting all Tennessee regulatory requirements. TBOSC provides state-specific P&P packages.
COMPLIANCE
06
Pass State Survey
Prepare for and pass the state survey conducted by HFC. TBOSC provides expert survey prep consulting.
SURVEY
What TBOSC Provides

Tennessee Licensing
Services & Support

Get Started Today
FULL SERVICE
Licensure Success Package
Complete end-to-end support for getting your Tennessee agency licensed — from application prep through survey success.
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DOCUMENTATION
Tennessee-Specific P&Ps
Comprehensive policies and procedures written specifically for Tennessee's regulatory requirements — not generic templates.
Schedule a Call
COMPLIANCE
Survey Guidance
Expert preparation for your Tennessee state survey. We'll make sure you're ready to pass with zero deficiencies.
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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 Tennessee agency. We handle the paperwork and follow-through.
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Tennessee Client Results

What Tennessee Agencies Say About TBOSC

★★★★★
Consulting & P&Ps
TBOSC made the licensing process in Tennessee so much easier. Their knowledge of the state regulations was invaluable, and we passed our survey with zero deficiencies.
Sarah
Nashville, TN
★★★★★
New Agency Startup
Starting a home care agency in Nashville felt overwhelming until we found TBOSC. Lucas walked us through every step and we launched successfully.
Michael
Memphis, TN
★★★★★
Consulting & P&Ps
The policies and procedures package TBOSC provided was perfectly tailored to Tennessee's requirements. We felt completely prepared for our state survey.
Jennifer
Knoxville, TN
★★★★★
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
Chattanooga, TN
★★★★★
Licensing Guidance
TBOSC's expertise in Tennessee licensing requirements saved us months of time. They knew exactly what the state was looking for.
Amanda
Clarksville, TN
★★★★★
Consulting
We highly recommend TBOSC to any home care agency in Tennessee. Their responsiveness and deep regulatory knowledge set them apart.
David
Murfreesboro, TN
Why TBOSC for Tennessee

Expert Tennessee 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 Tennessee client we serve.

Deep Tennessee Regulatory Expertise
TBOSC brings expert knowledge of Tennessee's specific licensing requirements, including TCA § 68-11-201 et seq.. 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 Tennessee agencies.
Tennessee-Specific P&Ps
Our policies and procedures packages are written specifically for Tennessee'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 Tennessee licensing process. We handle the complexity so you can focus on your agency.
Tennessee 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
Common Questions

Frequently Asked Questions About
Tennessee Home Care Licensing

How long does it take to get licensed in Tennessee?
The timeline varies depending on your license type and application completeness. CON first, then app/survey 30-45 days pre-open, ratification at next board mtg, license 7-10 days after (months total) Working with TBOSC can significantly reduce delays by ensuring your application is complete from the start.
What types of home care licenses does Tennessee offer?
Home Health Agency, Hospice, Professional Support Services Provider (for home care therapies/services) 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 Tennessee?
$1,404 initial (non-refundable; varies slightly) 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 Tennessee require a Certificate of Need?
Yes. Yes for Home Health and Hospice (exceptions for pediatric-only); No for PSSP The CON process adds time and complexity. TBOSC has experience navigating CON requirements and can guide you through the process.
What happens during the Tennessee state survey?
A surveyor from HFC 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 Tennessee?
Yes. Tennessee's Medicaid program (CHOICES in Long-Term Services and Supports) 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 Tennessee
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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