Do I need a license in Tennessee?

Yes, Tennessee requires Personal Support Service Agency (PSSA) licensure through TDMHSAS for agencies providing non-medical personal assistance services.

How long does licensing take in Tennessee?

Tennessee PSSA licensing typically takes 3-5 months depending on application completeness.

What about TennCare (Medicaid)?

Tennessee's TennCare includes CHOICES for home care. PSSA licensure is typically a prerequisite for provider enrollment.

What are startup costs?

Tennessee home care startups typically range from $50,000 to $120,000 including licensing fees.

What's the market opportunity?

Tennessee has strong demand in Nashville, Memphis, Knoxville metros and growing suburban areas.

Home Care Agency License in Tennessee: 2026 Guide