New Hampshire home care license requirements
Bottom line: Yes — DHHS Home Care Service Provider Agency license (He-P 822).
- License required?
- Yes
- License / pathway
- DHHS Home Care Service Provider Agency license (He-P 822)
- Fees (initial / renewal)
- $25 (<10 clients) / $250 (10+); renewal Not confirmed in official sources — check with the state agency
From the 50-state summary. Fees shown as stated in the state entry; see each entry for conditions, conflicts, and sources.
New Hampshire 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. A Home Care Service Provider Agency (HCSPA) is a licensed category under He-P 822; the 2025 He-E 501 rule also identifies home care service providers licensed under RSA 151:2 and He-P 822 as a pathway for in-home care. [1][2] |
| License type / name | Home Care Service Provider Agency (HCSPA) license under He-P 822. The sources reviewed describe this agency pathway as providing personal care and/or homemaker services through employees; they do not specifically establish whether every companion-service model is covered. [1][3] |
| Licensing agency | New Hampshire Department of Health and Human Services, Office of Legal and Regulatory Services, Health Facilities Administration. [4] |
| Agency website | The application form directs applicants to the Department’s health facilities administrative rules page: https://www.dhhs.nh.gov/administrative-rules-health-facilities [4] |
| Initial application / license fee | The application form lists an HCSPA application fee of $25 for fewer than 10 clients and $250 for 10 or more clients. The form does not distinguish initial from renewal fees. [4] |
| Renewal fee | Not confirmed in official sources — check with the state agency |
| Renewal cycle | Yearly. Renewal applications must be submitted at least 120 days before the current license expires. [4] |
| Typical approval timeline | Renewal applications are due at least 120 days before expiration. No application processing or approval time is stated in the sources reviewed. [4] |
| Administrator qualifications | For an initial application or administrator change, the form requires qualifications, including a resume showing education and experience and copies of applicable licenses and certifications. The supplied HCSPA facts do not state specific minimum education or experience qualifications. [4] |
| Caregiver background checks | The initial application requires New Hampshire criminal-record-check results for the applicant(s), the licensee/owner if different, and the administrator. The statute also requires covered employees, including volunteers whose work involves specified direct contact with clients or client materials, to authorize release of public criminal-history information. [4][5] |
| Caregiver training hours | For providers subject to the cited Title XX in-home-care rule, staff and volunteers must be trained and supervised on provider policies, the services they provide, and applicable additional requirements. No number of training hours is specified in the sources reviewed. [2] |
| Registry checks | The application requires BEAS registry-check results for the administrator and, if applicable, the medical director. For providers subject to the cited Title XX rule, prospective or current employees, volunteers, and subcontractors must also be checked against the state registry administered by the Bureau of Adult and Aging Services (BAAS). [4][2] |
| General liability insurance | The sources reviewed do not specify a general-liability policy type or coverage amount. For providers covered by the cited Title XX rule, insurance required by applicable state or local laws or rules must be maintained and written proof provided to the department. [2] |
| 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 | Amendments #14298 to He-E 501.06 and He-E 501.16 are identified as effective July 1, 2025. The sources reviewed describe Title XX in-home-care requirements including licensing, registry checks, insurance, and staff training. No 2026 change is identified in the sources reviewed. [2] |
Source notes and conflicts
The HCSPA application form lists $25 for fewer than 10 clients and $250 for 10 or more, but does not distinguish initial from renewal fees. The RSA annual fee schedule gives those same tiers for “personal care providers,” but the sources reviewed do not expressly equate that statutory fee category with HCSPA renewal fees. Registry materials use both “BEAS” on the 2024 application form and “BAAS” in the 2025 rule.
Sources
- TABLE OF CONTENTS
https://gc.nh.gov/rules/state_agencies/he-p.html - TABLE OF CONTENTS - New Hampshire General Court - NH.gov
https://www.gc.nh.gov/rules/state_agencies/he-e500.html - New Hampshire
https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/bdshcbctransitionplandraft122018.pdf - STATE OF NEW HAMPSHIRE
https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/initial-renewal-app-facilities.pdf - Chapter 151 RESIDENTIAL CARE AND HEALTH ...
https://gc.nh.gov/rsa/html/xi/151/151-mrg.htm
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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