Do I need certification in Kentucky?

Yes, Kentucky requires Personal Services Agency (PSA) certification through the Cabinet for Health and Family Services for agencies providing personal care services.

How long does certification take in Kentucky?

Kentucky PSA certification typically takes 3-5 months depending on application completeness.

What about Kentucky Medicaid?

Kentucky Medicaid includes HCBS waiver programs. PSA certification is a prerequisite for Medicaid provider enrollment.

What are startup costs in Kentucky?

Kentucky home care startups typically range from $50,000 to $110,000.

What's the market opportunity?

Kentucky has significant rural populations with limited care options and growing metro areas in Louisville and Lexington.

Home Care Agency License in Kentucky: 2026 Guide