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The Nation's Capital

Home Care Licensing
in Washington D.C.

Navigate Washington D.C.'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 Washington D.C. Licensing
DC Health
Regulatory Body
Department of Health (DC Health), Office of Health Facilitie
3
License Types
Home Health, Personal Care, Hospice
100%
Survey Pass Rate
All TBOSC-prepared agencies
Stay Informed

Washington D.C. Licensing Updates & Insights

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

Washington D.C. at a Glance

Washington D.C. Home Care Licensing
Quick Reference

REGULATORY BODY
DC Health
Department of Health (DC Health), Office of Health Facilities Licensing
LICENSE TYPES
3 Categories
Home Health, Personal Care, Hospice
CON REQUIRED
Yes
Certificate of Need required
MEDICAID PROGRAM
Elderly and Persons with
Elderly and Persons with Physical Disabilities (EPD) Waiver DACL
Washington D.C. License Categories

Types of Home Care Licenses
Available in Washington D.C.

NON-MEDICAL
Non-Medical Home Care
Non-medical home care services in Washington D.C. 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 Washington D.C. 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 Washington D.C. 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 Washington D.C.

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

Washington D.C. Licensing
Services & Support

Get Started Today
FULL SERVICE
Licensure Success Package
Complete end-to-end support for getting your Washington D.C. agency licensed — from application prep through survey success.
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DOCUMENTATION
Washington D.C.-Specific P&Ps
Comprehensive policies and procedures written specifically for Washington D.C.'s regulatory requirements — not generic templates.
Schedule a Call
COMPLIANCE
Survey Guidance
Expert preparation for your Washington D.C. 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 Washington D.C. agency. We handle the paperwork and follow-through.
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Washington D.C. Client Results

What Washington D.C. Agencies Say About TBOSC

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

Expert Washington D.C. 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 Washington D.C. client we serve.

Deep Washington D.C. Regulatory Expertise
TBOSC brings expert knowledge of Washington D.C.'s specific licensing requirements. 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 Washington D.C. agencies.
Washington D.C.-Specific P&Ps
Our policies and procedures packages are written specifically for Washington D.C.'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 Washington D.C. licensing process. We handle the complexity so you can focus on your agency.
Washington D.C. 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

Frequently Asked Questions About
Washington D.C. Home Care Licensing

How long does it take to get licensed in Washington D.C.?
The timeline varies depending on your license type and application completeness. Licensing: Provisional license ~90 days post-application and inspection; full thereafter. CON: ~6 months DC Health Portal SHPDA CON FAQs Working with TBOSC can significantly reduce delays by ensuring your application is complete from the start.
What types of home care licenses does Washington D.C. offer?
Home Support Agency (home care), Home Health Agency, Hospice 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 Washington D.C.?
Not publicly listed; apply via portal. CON fee: greater of 3% of capital expenditure or $5,000 (max $300,000) SHPDA CON FAQs 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 Washington D.C. require a Certificate of Need?
Yes. Yes for new Home Health Agency and Hospice; likely no for Home Support Agency SHPDA CON FAQs The CON process adds time and complexity. TBOSC has experience navigating CON requirements and can guide you through the process.
What happens during the Washington D.C. state survey?
A surveyor from DC Health 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 Washington D.C.?
Yes. Washington D.C.'s Medicaid program (Elderly and Persons with Physical Disabilities (EPD) Waiver DACL) 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 Washington D.C.
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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