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Home Care License in Texas
How to Start a Home Care Business in Texas
Our nonprofit mission is to make healthcare licensing effortless and affordable. From preparing your TULIP application to completing HHSC surveys and policies, Consult Atlas Foundation uses AI-driven systems to ensure compliance, eliminate paperwork errors, and get your license approved quickly.
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All-in-One Licensing Solutions for Texas Healthcare Entrepreneurs
Welcome
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Step-by-Step Licensing Process
Why Texas Is the Best State to Launch Your Home Care Agency
Texas combines opportunity, growth, and compassion — making it one of the best states to start a home care agency. Backed by AI-driven systems and nonprofit support from Consult Atlas Foundation, you can eliminate costly mistakes, accelerate approvals, and serve a fast-growing senior community that values quality home care.
High Demand
Texas has one of the fastest-growing senior populations in the nation — with over 12.9% of residents aged 65 and older and rising every year. Families across Texas increasingly prefer in-home and community-based care over institutional settings, driving strong demand for licensed home care and healthcare agencies statewide.
Flexible Services
Texas allows licensed agencies to provide a wide range of home and community-based services, including personal care, companion care, homemaker support, respite care, and skilled nursing or therapy under the HCSSA license. This flexibility enables you to design customized care plans that meet each client’s unique medical and personal needs.
Dedicated Personal Support
Starting a home care agency in Texas can feel overwhelming, but with Consult Atlas Foundation, you get expert one-on-one guidance every step of the way. Our dedicated consultants assist with business planning, licensing, training, marketing, and compliance, ensuring your agency is launched smoothly, efficiently, and fully aligned with Texas HHSC regulations.
Licensing Requirements
At Consult Atlas Foundation, we make the Texas licensing process simple, affordable, and stress-free. As a nonprofit powered by AI, we eliminate human errors, streamline HHSC documentation, and help entrepreneurs obtain their Home and Community Support Services Agency (HCSSA) licenses quickly and accurately anywhere in Texas.
Starting a home care agency in Texas is an incredible opportunity to make a lasting difference in people’s lives while building a rewarding business. If you’re ready to learn more about how to start your home care agency in Texas, reach out to us today for a free consultation — we’ll guide you every step of the way.
How Much Would It Cost to Start a Care Business in Texas?
Starting a home care agency in Texas requires an initial investment along with ongoing operational costs. Below are some estimated expenses to help you plan your startup budget effectively:
The cost of a business license in Texas varies depending on the city or county where you plan to operate. For example, a general business registration or local permit may cost around $50 to $150, while additional occupational or zoning permits can vary by jurisdiction. Always check with your local city hall or county clerk’s office for the exact licensing fees and requirements in your area.
Filing a Certificate of Formation with the Texas Secretary of State currently costs $300. Unlike some states, Texas does not require newspaper publication, making the process simpler and more cost-effective. You’ll also need to file a Public Information Report annually and maintain a registered agent to keep your LLC in good standing.
Registering your business with the Texas Comptroller of Public Accounts to obtain a state tax ID number (also known as a Texas Taxpayer Number) typically has no registration fee. This ID allows your business to collect and remit state sales tax and meet other franchise or employment tax obligations in Texas.
You can apply for a Federal Employer Identification Number (EIN) at no cost directly through the Internal Revenue Service (IRS) website. This number is required to open business bank accounts, hire employees, and file both state and federal taxes in Texas.
Depending on your agency’s size and services:
- General and professional liability insurance typically ranges from $1,200 to $5,000+ per year.
- Workers’ compensation coverage costs vary based on the number of employees and their job risk classification.
- While Texas does not mandate workers’ compensation insurance for most private employers, it’s strongly recommended for healthcare and home care businesses to protect both your staff and clients.
The average pay for a Home Care Registered Nurse (RN) in Texas is around $37.50 per hour, according to recent 2025 data. Annual compensation typically ranges between $72,000 and $90,000, depending on location, experience, and agency type. Rates may vary across major cities like Dallas, Houston, Austin, and San Antonio due to demand and regional cost differences.
Digital marketing campaigns in Texas typically range from a few hundred to several thousand dollars per month, depending on your ad spend, target region, and marketing channels. Local outreach through Google Ads, SEO, and social media can help home care agencies build strong community visibility and attract new clients effectively.
Hospital-style beds in Texas generally cost between $2,000 and $6,000+, depending on model and adjustable features.
Standard wheelchairs typically start around $250, with prices varying based on brand, functionality, and supplier.
Additional items such as walkers, lift chairs, oxygen units, and safety rails may add to your initial setup costs depending on the services your agency provides.
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Frequently Asked Questions
To get a home care license in Texas, you must apply through the HHSC TULIP portal, complete the required pre-licensure training, submit all required documents (policies, organizational structure, qualifications, background checks), pass an HHSC survey/inspection, and meet all standards under the HCSSA licensing rules (Texas Administrative Code, Title 26, Chapter 558). Consult Atlas Foundation handles the entire process for you from start to approval.
Yes. To legally operate, you must obtain a Home and Community Support Services Agency (HCSSA) license from the Texas Health and Human Services Commission (HHSC).
Licensed agencies may offer Personal Assistance Services (non-medical), Home Health (skilled nursing and therapy), Hospice, and Specialty Care such as infusion or respiratory therapy under the HCSSA program.
No. Texas does not require a Certificate of Need, making it faster and easier to start a home care or home health agency compared to many other states.
The typical licensing process takes about 6–9 months, depending on how quickly you complete documentation, staff training, and HHSC survey requirements.
The HHSC application fee for a new parent or branch agency is $2,625 for a three-year license. Additional costs may include policies, insurance, and training expenses.
The Texas Health and Human Services Commission (HHSC) oversees licensing, inspections, renewals, and enforcement for all HCSSA-licensed agencies statewide.
Agencies must appoint a qualified Administrator and Alternate Administrator, employ trained caregivers or nurses, and ensure all staff pass criminal background checks and registry verifications.
Yes. After state licensure, agencies can apply for Medicare and/or Medicaid certification, which requires compliance with federal Conditions of Participation (42 CFR Part 484).
Absolutely. Consult Atlas Foundation provides nonprofit, AI-powered support — handling documentation, HHSC applications, training manuals, and full compliance setup.
Texas has a rapidly growing senior population (12.9%), no CON barrier, and a strong demand for home-based care — making it one of the most profitable and purpose-driven markets in 2025.