How to start a home care agency in Ohio and reach your first client faster
Many articles still say Ohio has no license for nonmedical home care. That has been wrong since 2022: the Ohio Department of Health licenses nonmedical home health services, and new agencies post a surety bond. Medicaid clients add Department of Aging certification, a Medicaid provider agreement, MyCare plan contracts, aide training and electronic visit verification. Home health and hospice add Medicare on top, and 2026 brought federal and state enrollment pauses. We put all of it in the right order for you.
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- You own 100%. No franchise fees or royalties
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- Christine OchimasRN, LMFT, MBA
- All three care typesNonmedical, home health, hospice
- Written to Ohio rulesOAC Chapter 3701-60 and OAC Chapter 173-39
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Updated November 2026 · Reviewed by Christine Ochimas, RN, LMFT, MBA
Answer two questions. See exactly what Ohio requires.
Nonmedical home care for PASSPORT and MyCare Ohio members
- State license
- ODH nonmedical home health services license, plus Ohio Department of Aging certification (OAC Chapter 173-39)
- Who you deal with
- ODH, the Ohio Department of Aging and your regional PASSPORT Administrative Agency, the Ohio Department of Medicaid, each MyCare plan
- Must haves
- ODA certification and pre certification review, Medicaid provider agreement, regional provider agreement, $1 million commercial liability insurance, trained aides with RN or LPN supervision, background checks, EVV, MyCare plan contracts
- Realistic time to first client
- Several months, longer while Medicaid enrollment is paused
Orientation for Ohio only. We confirm your exact path on the free call.
Three places new Ohio agencies lose months
Each one keeps you paying rent, insurance and payroll while no clients arrive.
Following advice that says no license is needed
Older guides, and some newer ones, say Ohio does not license nonmedical home care. Since October 1, 2022, OAC 3701-60-02 has barred agencies from providing nonmedical home health services through employees without an ODH license. Owners who believe the old advice start serving clients, or wait to buy the surety bond, and then have to stop and start over.
What it costs: Weeks lost, and exposure to a misdemeanor charge under ORC 3740.02 for operating without a license.
Two certifications and three plan contracts for Medicaid
The ODH license lets you operate, but it does not pay you for Medicaid clients. PASSPORT and MyCare Ohio waiver work needs Ohio Department of Aging certification, a pre certification review by the regional PASSPORT Administrative Agency, a Medicaid provider agreement and, for MyCare members, a separate contract with each MyCare plan. In 2026 the Ohio Department of Medicaid also paused new enrollment for several home care provider types.
What it costs: Months of payroll and rent carried by your reserve while certification, enrollment and plan contracts are pending.
Aides who do not meet PASSPORT rules
PASSPORT personal care aides need a qualifying credential or 30 hours of training with an in person skills check, orientation before their first visit, six hours of in service training every year and supervision by an RN or an LPN under an RN. Database reviews and a BCI criminal records check come first. A caregiver who looked fine for private pay may not qualify for a PASSPORT case.
What it costs: A Medicaid client you cannot staff, or claims you have to pay back after a review.
What does a delay cost your agency?
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Home care vs home health vs hospice in Ohio
The three sound alike and are regulated differently. The one you choose decides your regulator, staffing, startup capital and timeline.
| Topic | Nonmedical home care | Home health (skilled) | Hospice |
|---|---|---|---|
| What your staff do | Personal care, help with bathing, dressing and toileting, meal preparation, homemaking incidental to personal care, respite, errands | Skilled nursing, physical, occupational and speech therapy, medical social services and home health aide services | Palliative and supportive care for people who are terminally ill, and their families |
| State license | ODH nonmedical home health services license (ORC Chapter 3740) | ODH skilled home health services license (ORC 3740.03; OAC 3701-60-03) | ODH hospice care program license (ORC Chapter 3712; OAC Chapter 3701-19) |
| Certificate of Need | No | No: Ohio's Certificate of Need covers long term care facilities only | No: Ohio's Certificate of Need covers long term care facilities only |
| Main payers | Private pay, PASSPORT, MyCare Ohio waiver plans, DODD waivers for certified providers | Medicare, Ohio Medicaid and its managed care and MyCare plans, commercial insurance | Medicare hospice benefit, Ohio Medicaid, commercial insurance |
| Medicare | Not covered | Accreditation or state survey, then Medicare enrollment, paused for new agencies since May 13, 2026 | Accreditation or state survey, then Medicare enrollment, paused for new hospices since May 13, 2026 |
| Key staff | Owner or administrator; for PASSPORT, RN or LPN supervisors and qualified personal care aides | Administrator and clinical manager under 42 CFR Part 484, RNs, therapists, home health aides | Administrator, medical director, RN coordination, interdisciplinary team under 42 CFR Part 418 |
| Startup capital | Lowest, plus the $20,000 surety bond | Higher: $50,000 surety bond and clinical payroll before Medicare revenue | Highest: interdisciplinary team before revenue |
| Time to first client | Weeks to months (private pay); several months (PASSPORT and MyCare) | Longest: license, accreditation or survey, enrollment | Longest: license, inspection, survey, enrollment |
Many Ohio owners start with a nonmedical license and private pay clients, then add PASSPORT and MyCare. A skilled home health services license also covers nonmedical services under ORC 3740.03, so an agency that plans to add skilled care later can choose which license to apply for first. We plan both from day one so your policies, hiring and insurance grow with you instead of being rewritten.
Ohio requirements at a glance
| Nonmedical home care license | Required. Ohio Department of Health nonmedical home health services license under ORC Chapter 3740 and OAC Chapter 3701-60, valid for three years |
|---|---|
| License fee and bond | $250 application fee; $20,000 surety bond (nonmedical) or $50,000 (skilled) for agencies that were not providing direct care on or just before September 30, 2021 |
| Home health and hospice licensing | ODH skilled home health services license (ORC 3740.03); ODH hospice care program license (ORC Chapter 3712, OAC Chapter 3701-19) |
| Certificate of Need | None for home health or hospice. Ohio's Certificate of Need program covers long term care facilities (ORC 3702.51) |
| Medicaid home care programs | PASSPORT waiver (age 60 and older, run by the Ohio Department of Aging), MyCare Ohio for people with Medicare and Medicaid (statewide since August 1, 2026), Ohio Home Care Waiver (through age 59, run by ODM), DODD waivers |
| Provider certification | Ohio Department of Aging certification under OAC Chapter 173-39, a Medicaid provider agreement with ODM and an agreement with your regional PASSPORT Administrative Agency |
| Caregiver training | PASSPORT personal care aides: 30 hours of preservice training or another qualifying credential, plus six hours of in service training every year (ORC 173.525) |
| Background checks | Database reviews and a BCI criminal records check, with FBI records when the worker has not lived in Ohio for the past five years (ORC 3740.11; ORC 173.38; OAC Chapter 173-9) |
| Electronic visit verification | Required for PASSPORT, MyCare, Ohio Home Care Waiver and DODD personal care and nursing services and for Medicaid home health visits (OAC Chapter 5160-32) |
| Workers' compensation | Ohio Bureau of Workers' Compensation state insurance fund, or approved self insurance (ORC 4123.35) |
Summary of Ohio requirements as of November 2026. Rules change; confirm with each agency before filing.
Step by step: launching a home care agency in Ohio
The order matters. The ODH license comes before your first client of any kind, and Department of Aging certification and plan contracts take longest, so start policies, the surety bond and caregiver screening while the business paperwork is still in progress.
Form the business with the Ohio Secretary of State
File your LLC or corporation, get an EIN, register for Ohio employer withholding and unemployment insurance, set up local municipal income tax withholding, and open a Bureau of Workers' Compensation policy before your first hire.
You do this; we give you the checklistDecide your payer mix
Private pay, PASSPORT, MyCare Ohio or a mix. The Ohio Home Care Waiver pays agency personal care only through Medicare certified or accredited home health agencies, and DODD waivers need their own certification. Use the path finder above.
Decided on your free consultationBuy the surety bond and insurance
New agencies need a $20,000 surety bond from a company licensed in Ohio for the nonmedical license. Department of Aging certification requires at least $1 million in commercial liability insurance that covers client losses from theft or property damage. Add auto coverage for caregivers who drive.
You do this; we specify what is requiredWrite your policies
The ODH application asks for your written criminal records check policy and your service policies. For PASSPORT and MyCare, add incident reporting, aide supervision, back up staffing, records and person centered planning, written to OAC Chapter 3701-60 and OAC Chapter 173-39.
We write this for youApply for the ODH nonmedical home health services license
Submit the ODH application with the $250 fee, the bond, the primary owner's fingerprint impression card, your Secretary of State filings, ownership details, days and hours of operation, services and geographic area. Do not serve clients until the license is issued.
We prepare the applicationBuild the caregiver pipeline
Review the required databases, request a BCI criminal records check for every direct care hire, and add FBI records when the worker has not lived in Ohio for five years. For PASSPORT, confirm each aide's credential or 30 hour training, complete orientation before the first visit, and track six hours of in service training a year.
We set up the system and trackerGet Department of Aging certification
Apply in ODA's provider management system. ODA's regional designee reviews your business site within 60 days of a complete application, unless ODA extends the deadline, and ODA decides. You also need a Medicaid provider agreement with ODM and an agreement with the regional PASSPORT Administrative Agency. Check first whether the 2026 Medicaid enrollment pause still applies.
We prepare and manage itContract with MyCare Ohio plans
MyCare plans are not required to contract with every provider. Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare of Ohio serve members statewide, and Buckeye Health Plan keeps its existing members. Apply to each plan and complete its credentialing.
We prepare every plan's packetSet up electronic visit verification
Personal care and home care attendant visits under PASSPORT and MyCare need EVV, and MyCare claims without a matching record in the state's Sandata aggregator are denied. Use the state's EVV system or an approved alternate vendor at your own cost.
We walk you through setup
Personal care aide training and background checks
Ohio's ODH license has no caregiver training hours of its own, but the Medicaid programs do. For PASSPORT, ORC 173.525 (as amended effective September 30, 2025) sets 30 hours of preservice training and six hours of in service training a year, and OAC 173-39-02.11 sets the qualifying routes, orientation and supervision. Background checks apply to licensed and certified agencies alike.
- Qualifying routes for PASSPORT aides: A state tested nurse aide, a worker who meets the Medicare home health aide standards, one year of supervised aide experience plus a competency evaluation, a vocational program, or a training and competency evaluation program of at least 30 hours covering the listed topics.
- Skills check and orientation: The return demonstration part of a competency evaluation must be done in person. Orientation on ethics, incident reporting, emergencies and infection control comes before the first in person visit. DODD's MyLearning site offers free training that counts.
- In service training: Six hours of training acceptable to the Department of Aging every 12 months. Agency and program orientation do not count.
- Supervision: An RN, or an LPN under the direction of an RN, supervises PASSPORT aides, visits each client before or during the first service, then at least every 60 days, with at least two visits a year in person.
- Ohio Home Care Waiver aides: Agency aides need an ODH approved nurse aide program or the Medicare home health aide competency evaluation, hands on first aid certification and 12 hours of in service training a year.
- Database reviews: Before hiring, check the federal SAM and OIG exclusion lists, the DODD abuser registry, the ODM provider exclusion list, the sex offender database, the state inmate database and the state nurse aide registry. ODM's automated registry check system can run them together.
- Criminal records checks: A BCI check for every direct care applicant, with FBI records when the person has not lived in Ohio for the past five years. A conditional hire is allowed if the check is requested within five business days, and ends if results do not arrive within 60 days.
- Rechecks: ODH licensed agencies repeat the criminal records check at least every five years from the fifth anniversary of hire (OAC 3701-60-06).
Six mistakes that slow Ohio agencies down
We look for every one of these in the first week of an engagement.
Opening without the ODH license
- What it costs
- Serving clients before the license is issued is a misdemeanor under ORC 3740.02 and puts every later application at risk.
- How we prevent it
- Your first call ends with your exact Ohio path and the order to do it in, license first.
Buying the wrong bond or none at all
- What it costs
- An application without the $20,000 or $50,000 surety bond is incomplete, and ODH gives 14 days to answer requests for missing information.
- How we prevent it
- We confirm which license you need and which bond goes with it before anything is filed.
Assuming the ODH license covers Medicaid
- What it costs
- PASSPORT and MyCare pay only Department of Aging certified providers with a Medicaid provider agreement and, for MyCare, a plan contract.
- How we prevent it
- We run the license, ODA certification and plan contracts as one plan instead of three separate projects.
Hiring aides who do not meet PASSPORT rules
- What it costs
- Aides without a qualifying credential, orientation or in service hours cannot staff PASSPORT cases, and reviews can recover payments.
- How we prevent it
- A tracker that flags credentials, training, supervision visits and background checks for every caregiver.
Planning on Medicaid or Medicare enrollment that is paused
- What it costs
- ODM paused new enrollment for home health, hospice and waiver provider types from May 14, 2026, and CMS paused new Medicare home health and hospice enrollment from May 13, 2026.
- How we prevent it
- We check the current status of both pauses on your first call and build your launch around what is open.
Drifting into skilled care on a nonmedical license
- What it costs
- Skilled nursing or therapy without a skilled home health services license breaks ORC 3740.02 and creates problems with every payer.
- How we prevent it
- Clear service definitions so nonmedical caregivers never perform skilled tasks.
In a free 30 minute call we confirm your Ohio path, flag the mistakes that apply to your plan, and give you a fixed price to handle the rest.
Ohio launch packages
Three fixed price packages, matched to the path you choose. Your exact price is quoted in writing after your free call, before any work starts.
Private pay launch
For nonmedical agencies serving families who pay privately.
- Ohio path and a dated launch plan
- Policy and procedure manual written to OAC Chapter 3701-60 and OAC Chapter 173-39
- Service agreement, client rights and care plan forms
- Caregiver hiring and screening workflow
- Google Business Profile setup
PASSPORT and MyCare Ohio ready agency
Everything in Private pay launch, plus the Medicaid route.
- Policies aligned to PASSPORT and MyCare Ohio requirements
- Caregiver training and background check tracker
- Medicaid provider enrollment
- Credentialing packets for the Ohio Department of Aging, your regional PASSPORT Administrative Agency and each MyCare plan
- Survey and audit readiness
- Ohio city pages for local search
Home health and Medicare
For skilled home health. Hospice is scoped separately.
- Staffing and capital timeline
- Policies written to ODH rules and the Medicare Conditions of Participation
- License application and inspection readiness
- Accreditation survey preparation
- Medicare and Medicaid enrollment support
Every package: one fixed price agreed in writing · you own 100% of your agency · no franchise fees or royalties.
On your own vs a franchise vs Lunaria
| Topic | On your own | Home care franchise | With Lunaria |
|---|---|---|---|
| Who owns the business | You | You, under the franchisor's brand and rules | You, 100% |
| Ongoing fees | None | Royalties and brand fees, usually a share of revenue | None. One fixed project fee |
| Knowing what Ohio requires | Pieced together from manuals and forums | A national playbook, adapted | Confirmed on your first call, then in writing |
| Policy manual | A template, often from another state | The franchisor's standard manual | Written to OAC Chapter 3701-60 and OAC Chapter 173-39 |
| Medicaid credentialing | One application at a time | Varies by franchisor | Packets for the Ohio Department of Aging, your regional PASSPORT Administrative Agency and each MyCare plan prepared together |
| Your brand and marketing | Up to you | The franchisor's brand, with territory limits | Your brand, plus local search set up for you |
The Ohio home care startup checklist
Every Ohio step in order: business setup, your payer path, policies, caregiver screening and training, Medicaid enrollment and getting found. The items to start first are starred.
- Choose your care type and payer mix (private pay, PASSPORT, MyCare or a mix)
- Form your LLC or corporation with the Ohio Secretary of State
- Get an EIN and register for Ohio employer withholding, unemployment insurance and municipal income tax withholding
- Open a Bureau of Workers' Compensation policy before your first hire
- Buy a $20,000 surety bond (nonmedical) or $50,000 bond (skilled) if you were not providing care before September 30, 2021
- and 15 more steps
Christine Ochimas, RN, LMFT, MBA
Christine founded Lunaria Care Consulting to give nurses and caregivers a direct route from "I want my own agency" to a compliant business with clients. She reads state requirements the way a reviewer does and writes policies the way a nurse would actually use them.
- We serve owners in all 50 states and DC, with a plan written for Ohio
- We help through enrollment and survey readiness, not just the application
- We tell you what we cannot promise: no one can guarantee a state or health plan decision
Have these ready for your consultation
- The care you want to provide and the clients you want to serve
- The Ohio cities or counties you plan to cover
- Where you are now: idea, business formed or already operating
- Who you expect to pay: families, PASSPORT and MyCare Ohio, Medicare
- Your target opening month and rough budget
No client or patient records. We never need them for a first call.
What it costs to start a home care agency in Ohio
| Item | Notes |
|---|---|
| ODH license | $250 nonrefundable application fee for a nonmedical or skilled home health services license, and $250 to renew every three years. Hospice care program license: $600. Check current fees with ODH. |
| Surety bond | $20,000 bond for a new nonmedical license or $50,000 for a new skilled license. You pay the bond company's premium, which depends on your credit and history. |
| Entity formation | Ohio Secretary of State filing fee |
| Department of Aging certification | An application fee applies; check the current amount with ODA or your PASSPORT Administrative Agency |
| Background checks | BCI fee for each criminal records check, plus FBI records when required, plus fingerprinting vendor fees |
| Aide training | Training program or nurse aide program costs per caregiver; DODD's MyLearning training is free |
| Insurance | BWC workers' compensation premiums, at least $1 million commercial liability for ODA certification, auto coverage |
| EVV and scheduling software | State EVV system, or an alternate vendor whose costs the state does not cover |
| Accreditation (home health, hospice) | Accrediting organization application and survey fees |
| Operating reserve | Covers payroll, rent and insurance while the license, certification, plan contracts or Medicare enrollment are pending |
Fees change. Confirm current amounts with each agency before budgeting.
How long it takes in Ohio
Weeks to months: you cannot serve anyone until ODH issues the nonmedical license.
Several months: ODH license, Department of Aging certification with a pre certification review, Medicaid provider agreement, then MyCare plan contracts. Longer while ODM's enrollment pause applies.
Longest: ODH licensure, accreditation or a state survey, and Medicare enrollment, which CMS paused for new agencies in May 2026.
Ohio's demand is spread across several large metro areas, including Columbus, Cleveland, Cincinnati, Toledo, Akron and Dayton, so most owners compete city by city for private pay families. In 2026 MyCare Ohio expanded from 29 counties to the whole state, including rural Appalachian counties in the southeast, and ODM expects the plans' stronger network requirements to create room for more waiver providers there. Many families search for care for a parent from another city or state, which makes a strong Google Business Profile and clear pages for each community you serve matter.
Frequently asked questions
Do you need a license to start a nonmedical home care agency in Ohio?
Yes. Since October 1, 2022, an agency that provides nonmedical home health services, such as personal care, through employees needs a nonmedical home health services license from the Ohio Department of Health under ORC Chapter 3740 and OAC Chapter 3701-60. The license costs $250 and lasts three years.
Does an Ohio home care agency need a surety bond?
Yes, if the agency was not providing direct care on or just before September 30, 2021. A nonmedical home health services license needs a $20,000 surety bond and a skilled home health services license needs a $50,000 bond, issued by a company licensed to do business in Ohio.
Who licenses home health and hospice agencies in Ohio?
The Ohio Department of Health. Skilled home health agencies need a skilled home health services license under ORC 3740.03, which requires Medicare certification, CMS approved accreditation, Department of Aging certification or an attestation that the agency meets the Medicare Conditions of Participation. Hospices need a hospice care program license under ORC Chapter 3712 and OAC Chapter 3701-19.
Does Ohio require a Certificate of Need for home health or hospice?
No. Ohio's Certificate of Need program under ORC 3702.51 covers long term care facilities such as nursing homes. Home health and hospice agencies still need an ODH license, and Medicare certification if they bill Medicare.
How do Ohio agencies get PASSPORT and MyCare clients?
By getting Ohio Department of Aging certification under OAC Chapter 173-39, signing a Medicaid provider agreement with ODM and an agreement with the regional PASSPORT Administrative Agency, and, for MyCare Ohio members, contracting with each MyCare plan. Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare of Ohio serve MyCare members statewide.
What training do PASSPORT personal care aides need in Ohio?
Under ORC 173.525, 30 hours of preservice training acceptable to the Department of Aging, or another qualifying credential such as state tested nurse aide, plus six hours of in service training every year. An RN, or an LPN under an RN, must supervise them.
Can new Ohio agencies enroll in Medicare or Medicaid right now?
CMS paused new Medicare enrollment of home health agencies and hospices nationwide on May 13, 2026, for six months with possible extensions. The Ohio Department of Medicaid paused new enrollment for home health, hospice, waiver organizations and several aide provider types from May 14 to November 14, 2026, unless CMS authorizes an extension. Check both before you plan.
Is a franchise a better way to start a home care agency in Ohio?
A franchise gives you a brand and playbook in exchange for fees and ongoing royalties. Starting independently with Lunaria costs one fixed price, and you own 100% of your agency with no franchise fees or royalties.
How much does Ohio home care consulting cost?
Lunaria charges one fixed price per engagement, based on your path: private pay, PASSPORT and MyCare, or home health and Medicare. You receive the price in writing after a free 30 minute consultation. There are no hourly charges.
Do you only work in Ohio?
No. Lunaria works with owners in all 50 states and DC, so you can expand into a second state with the same team.
Sources checked for this guide (40)
- ORC 3740.01, home health definitions (codes.ohio.gov, Internet Archive copy June 2025; effective October 3, 2023)
- ORC 3740.02, license required (codes.ohio.gov, Internet Archive copy March 2026)
- ORC 3740.03, license applications, fees and surety bonds (Internet Archive copy)
- ORC 3740.05, three year license and renewal (Internet Archive copy)
- ORC 3740.11, database reviews and criminal records checks (Internet Archive copy July 2026)
- ODH Home Health Agency Licensure page (fees, fingerprints, surety bonds; Internet Archive copy November 2025)
- OAC 3701-60-02, applicability (Cornell LII)
- OAC 3701-60-03, license application and renewal (Cornell LII)
- OAC 3701-60-06, criminal records checks (Cornell LII)
- ORC 3712.03, hospice licensing (Internet Archive copy)
- OAC 3701-19-03, hospice license application and fee (Cornell LII)
- ORC 3702.51, Certificate of Need definitions (Internet Archive copy)
- ORC 173.525, PASSPORT personal care aide training (effective September 30, 2025; Internet Archive copy)
- ORC 173.391, Department of Aging provider certification (Internet Archive copy)
- OAC 173-39-01, ODA provider certification definitions (Cornell LII)
- OAC 173-39-02, requirements to become and remain certified (Cornell LII)
- OAC 173-39-02.11, personal care (Cornell LII)
- OAC 173-39-03, applying for certification (Cornell LII)
- OAC 173-9-03, database reviews (Cornell LII)
- OAC 173-9-04, criminal records checks (Cornell LII)
- OAC 5160-31-03, PASSPORT eligibility (Cornell LII)
- OAC 5160-46-02, Ohio Home Care Waiver eligibility (Cornell LII)
- OAC 5160-46-04, Ohio Home Care Waiver services and provider requirements (Cornell LII)
- OAC 5160-32-01, EVV program services (Cornell LII)
- OAC 5160-32-03, alternate EVV vendor (Cornell LII)
- OAC 5123-2-08, DODD agency provider certification (Cornell LII)
- ODM Next Generation MyCare Program Provider FAQ (updated August 2026)
- ODM Next Generation MyCare rollout schedule
- ODM announcement of Next Generation MyCare plans
- ODM Statewide New Provider Moratorium bulletin (May 14 to November 14, 2026)
- ODM hospice and home health moratorium announcement 2026
- CMS QSO-26-11, six month national moratoria on hospice and HHA enrollment
- CMS provider enrollment moratoria page (last modified August 27, 2026)
- Federal Register 2026-09717, temporary moratoria on enrollment of home health agencies
- Federal Register 2026-09718, temporary moratorium on enrollment of hospices
- ORC 4123.35, payment into the state insurance fund (Internet Archive copy)
- 42 CFR Part 484, home health Conditions of Participation (Cornell LII)
- 42 CFR Part 418, hospice care (Cornell LII)
- Central Ohio Area Agency on Aging, New Providers (PASSPORT Administrative Agency; application fee and provider types)
- Home Health Care News, October 15, 2026 (secondary, pointer only: no CMS extension announced)
This guide is general information and reflects Ohio requirements as we understood them in November 2026. Requirements change. Confirm current rules, fees and procedures with the Ohio Department of Health, the Ohio Department of Aging, the Ohio Department of Medicaid and CMS before filing. Lunaria Care Consulting provides professional consulting services and does not provide legal advice.
Other states: see all state guides. What we do: licensing, compliance, Medicaid enrollment and local search marketing.