How to Start a Home Care Business in Texas: A Step-by-Step Guide (2024)

Caoimhe Walsh

Written on 12 September, 2024
home-care-texas
Starting a home care business in Texas is both exciting and challenging. There's a lot to think about, from getting the right licenses to marketing your services and finding good employees.

If you’re looking to start a home care business in the Lone Star State, you’re in the right place. This guide will walk you through everything you need to know about launching your home care business in Texas.

Your Complete Guide to Starting a Home Care Business in Texas

1. Preparation

Before you jump into starting your home care business in Texas, you need a solid plan. This plan will help you figure out your strategy, understand your potential profits and pricing, and decide where to put your time and money.

What to include in your Texas home care business plan:

  • Market research: What home care services do Texans need most? Who else is offering these services in your area? How do people in Texas usually pay for home care?

  • Your brand: What makes your home care business special in Texas? What services will you offer?

  • Business structure: Will you work alone and hire caregivers as needed? Set up an LLC? Partner with someone? Who will you need to hire?

  • How you'll run things: How will you provide your services? How will you keep patient information safe and private? How will you handle complaints?

  • Marketing: What's the best way to promote your business in Texas? How much will it cost?

  • Money matters: What's your budget? Will you need a loan? How much profit do you expect to make? How many patients do you need to make money?

  • Goals: What do you want your business to achieve? When do you want to achieve these goals?

We'll talk more about finding staff and marketing your business later on.

2. Registering Your Home Care Business

Before you start hiring or taking on clients, you need to make sure your business is legal in Texas.

Licensing

In Texas, you need to get a Home and Community Support Services Agency (HCSSA) license from the Texas Health and Human Services Commission. This license covers different types of home care services. You'll also need to register your business with the Texas Secretary of State. Some cities or counties in Texas might require extra licenses, so check with your local government too.

Insurance

Depending on how big your business is and where it's located in Texas, you might need general liability insurance and workers' compensation insurance.

3. Hiring Caregiver Staff 

Having a great team of caregivers is crucial for providing top-notch home care in Texas. But how many caregivers should you hire? And how can you find skilled and caring team members in the Lone Star State?

When you're hiring staff, you'll also need to think about how your team will communicate and how you'll schedule home care visits.

To help you out, check out our guides to caregiver recruitment, interviewing caregivers, and caregiver onboarding


4. Marketing Your Home Care Business

No home care business can survive without a steady flow of new patients. Our ultimate guide to home care business marketing will walk you through everything you need to know. 


You can also read our deep dives on creating a home care marketing strategy, SEO marketing for home care, home care referral sites, social media for home care businesses, and Google Business Profiles.


Achieve Home Care Agency Success with the Right Tools

When you start your home care business in Texas, you want to focus on what really matters: providing top-notch care and growing your company.

But many new home care owners find themselves drowning in paperwork. You could spend hours on schedules, invoicing, and keeping in touch with everyone.

That's why having the right tools is so important. Good home care software can help Texas agencies save time by making it easier to:

  • Set up worker schedules

  • Track work hours

  • Manage client money

  • Send out bills

A good home care app makes sure your caregivers have all the info they need when visiting Texas homes. Some apps even have a special website for patients' families and friends, which can send out updates automatically.

With the right tools, you can spend less time on office work and more time making your Texas home care business the best it can be.

Try ShiftCare for free


How much does it cost to start a home health care business in Texas?

Costs vary widely in Texas. A small, one-person agency might start around $5,000 for basic licensing and setup. Larger operations can range from $40,000 to $80,000. Franchises may cost $100,000 or more.


Are home care businesses profitable in Texas?

Yes, they can be profitable, especially given Texas's growing elderly population. Success depends on efficient operations, effective marketing, and quality service. Agencies that streamline administration and maintain full schedules tend to do better.

Can you run a small business from home in Texas?

Yes, including a home care agency. Check local zoning laws and HOA rules. You'll still need proper state licensing for home care. Ensure compliance with Texas regulations for home-based businesses and home care agencies

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