Indiana home care license requirements
Bottom line: Yes — IDOH Personal Services Agency (PSA) license.
CHANGED SINCE MARCH 2026 Change flag: IDOH moved PSA licensing to its Gateway online process on May 1, 2026.
- License required?
- Yes
- License / pathway
- IDOH Personal Services Agency (PSA) license
- Fees (initial / renewal)
- $250 initial; $250 annual
From the 50-state summary. Fees shown as stated in the state entry; see each entry for conditions, conflicts, and sources.
Indiana requirements, item by item
Bracketed numbers link to the official sources at the bottom of this page.
Not confirmed in official sources — check with the state agency We could not confirm this item on an official state source during our review, so we did not estimate it.
| Item | What the guide found |
|---|---|
| License required? | Yes. Indiana requires a license for a personal services agency providing covered services, subject to stated exemptions. A home health agency already licensed under IC 16-27-1 does not need a separate PSA license; the sources reviewed also describe exclusions for certain individual providers. [1][2] |
| License type / name | Personal Services Agency (PSA) license for the non-medical agency pathway. IDOH’s program page calls this the Personal Care Services Agency (PSA) Licensing Program; its Gateway application is named Personal Service Agency License Registration. [1] |
| Licensing agency | Indiana Department of Health (IDOH), Division of Home and Community-Based Care. [1][2] |
| Agency website | https://www.in.gov/health/cshcr/acute-and-continuing-care/personal-care-services-agency-licensing-program [1] |
| Initial application / license fee | $250. The sources reviewed describe the fee as non-refundable. [2][3] |
| Renewal fee | $250; the supplied application instructions describe the renewal fee as non-refundable. [3][4] |
| Renewal cycle | Annual. A license generally expires one year after issuance; an initial license may be issued for less than one year to stagger expiration dates. IDOH says renewal becomes available 60 days before the current license expires. [2][3][1] |
| Typical approval timeline | IDOH’s June 2025 newsletter says PSA application reviews may take 30–60 days. This is a review estimate, not a guaranteed approval timeframe. [5] |
| Administrator qualifications | For the Attendant Care provider pathway, the agency must employ a personal services agency manager; the sources reviewed state no manager qualifications. [6] |
| Caregiver background checks | The supplied PSA materials call for expanded or national criminal-history checks; older application instructions specify checks for owners, the manager, and alternate managers, current within the past 3 months. IDOH’s June 2025 newsletter says checks for new applications and new employees must be completed through ISP and lists accepted providers. Separately, Attendant Care IHCP enrollment requires an ISP fingerprint check. [2][3][5][7][6] |
| Caregiver training hours | Not confirmed in official sources — check with the state agency |
| Registry checks | Not confirmed in official sources — check with the state agency |
| General liability insurance | A PSA providing lift services must carry liability insurance covering those services. Separately, the supplied IHCP enrollment materials require proof of liability insurance for all services in that pathway; the facts do not establish a general insurance requirement for every standalone PSA. [2][7][6] |
| Workers' compensation | Not confirmed in official sources — check with the state agency |
| Bonding (surety / dishonesty) | Not confirmed in official sources — check with the state agency |
| Rule changes 2025–2026 | Effective July 1, 2025, SEA 473 added a 75-hour training-and-competency requirement, including 16 practicum hours, for new employees not already registered as home health aides; the sources reviewed do not establish whether it applies to PSA-only employees. IDOH’s April 2026 page said its Gateway licensing process would be implemented May 1, 2026. For the listed Attendant Care and Home and Community Assistance HCBS waiver providers, IHCP announced a PSA-license requirement effective March 25, 2026, then on May 7, 2026 resumed accepting either a PSA or HHA license for new enrollments and recertifications. [5][8][9][10] |
Source notes and conflicts
The sources reviewed use both “Personal Services Agency” and “Personal Care Services Agency” for the PSA program. For training, the June 2025 newsletter reports a 75-hour requirement for certain new employees but does not establish that it applies to PSA-only employees; the PSA requirements separately describe competency evaluation without specifying training hours. IHCP’s March 2026 PSA-only license requirement for listed waiver providers was subsequently changed on May 7, 2026, when either a PSA or HHA license became acceptable.
Sources
- Personal Care Services Agency (PSA) Licensing Program - IN.gov
https://www.in.gov/health/cshcr/acute-and-continuing-care/personal-care-services-agency-licensing-program - IDOH Policy & Procedures - IN.gov
https://www.in.gov/health/cshcr/files/PSA-License-Requirements.pdf - Initial Application for License to Operate a Personal Services Agency
https://www.in.gov/health/files/PSA-APPLICATION-INSTRUCTION-LETTER.pdf - [PDF] Licensure Renewal - IN.gov
https://www.in.gov/health/files/AC_PSA_Licensure_Renewal.pdf - [PDF] Home and Community-Based Care Newsletter (2025-01) - Indiana
https://www.in.gov/health/cshcr/files/Home-and-Community-Based-Care-Newsletter-June-2025-NEW.pdf - Attendant Care
https://www.in.gov/fssa/ompp/files/Attendant-Care.pdf - Required Document Definitions
https://www.in.gov/dA/10e571c788/Required-Document-Definitions.pdf?language_id=1 - Personal Care Services Agency (PSA) Licensing Program
https://secure.in.gov/health/cshcr/acute-and-continuing-care/personal-care-services-agency-licensing-program/ - [PDF] BT202622 - IHCP bulletin
https://www.in.gov/medicaid/providers/files/bulletins/BT202622.pdf - IHCP bulletin
https://www.in.gov/medicaid/providers/files/bulletins/BT202666.pdf
Limits: fees and forms change often. Agencies sometimes post conflicting figures (a statute vs. an older form); those conflicts are shown, not resolved by guessing. Confirm the current fee with the agency before filing. This guide is a research reference, not legal advice.
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