What is an RSA license in Maryland?

A Residential Service Agency (RSA) license is required to provide home care services in Maryland, including personal care, companion care, and nursing services.

How long does Maryland licensing take?

Maryland RSA licensing typically takes 4-6 months from application to approval.

What about Maryland Medicaid?

Maryland has extensive HCBS waiver programs. Becoming an approved Medicaid provider opens significant revenue opportunities.

What are startup costs in Maryland?

Maryland startup costs range from $60,000 to $150,000 due to comprehensive licensing requirements.

What's the market opportunity?

Maryland has strong demand in the Baltimore and DC metro areas, along with growing suburban and rural populations.

Home Care Agency License in Maryland: 2026 Guide