Guide · Requirements by state
License: Licensed Home Care Services Agency (LHCSA) License, issued by New York State Department of Health. State fee: $2,000 — Application fee of $2,000 required with the LHCSA licensure application, per Public Health Law §§3605(13) and 361-a(3) and the DOH application FAQ. Not returned by the state once the application is acknowledged. Applications are filed electronically through NYSE-CON.. Renewal: DOH does not publish a recurring LHCSA renewal fee in its licensure FAQ; the $2,000 figure is the application fee (initial licensure, change of ownership, or expansion of a restricted license). No renewal amount is printed here because the state does not publish one in the sources checked.. Bond: no state minimum in the published rules. Administrator: No individual administrator credential is set in PHL §3605. Instead the PHHPC must be satisfied as to the character, competence and standing in the community of the applicant's incorporators, directors, stockholders and operators, and as to the agency's financial resources/feasibility.
An LHCSA is authorized to provide nursing services, home health aide services and personal care services (PHL §3605). Pure companionship/housekeeping is delivered as part of personal care; the license is the route for hands-on personal care in New York — there is no lighter registration tier for an agency employing aides to do personal care. The full service-by-service table is on the New York state page — check your marketing against it before you print anything.
Published timeline: No statutory processing deadline is published. Per DOH's FAQ, applications are reviewed in the order acknowledged in NYSE-CON, then go to the Public Health and Health Planning Council (PHHPC), which meets roughly every two months; after contingent approval the applicant submits a policy-and-procedure manual to the regional office and must pass a pre-opening survey before the license issues.. And if Medicaid clients are part of the plan: Enroll as a New York Medicaid provider (eMedNY) and contract with Managed Long Term Care plans and/or county local departments of social services, which authorize personal care hours. The consumer-directed lane (CDPAP) now runs through a single statewide fiscal intermediary, Public Partnerships LLC (PPL), with hours logged in its Time4Care system. Enrollment is a second application, on its own clock, after the license exists.
Requirements lists are static; your services are specific. The verdict checker applies New York's rules to your exact service mix and payer lane, and prints the confirm-before-you-file citation with the verdict.
Dataset pages behind this guide: New York state page · the full 50-state dataset (checked October 22, 2026).
Guides are general; verdicts are specific. The license checker applies your state's rules to your service mix, and the cost calculator prices your opening from the same dataset this guide cites.
The free checkers give you the verdict and the number. The Kit gives you the working papers: your state's application packet walked through in filing order, the policies-and-procedures binder spec (what your binder must contain — never a boilerplate binder), the administrator self-audit, the insurance & bond spec sheet, the Medicaid gate map, the franchise-vs-independent 10-year worksheets, and the payroll-runway planner.
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