How to Start a Home Care Agency in Oklahoma — 2026 License Guide

Step 1: Choose your service type

Decide whether you’ll serve adults with disabilities (DDS habilitation), seniors (non-medical home care), or both. This determines your licensing path and the software features you’ll need.

Step 2: Register your business

Register with the Oklahoma Secretary of State, obtain an EIN, and set up your business bank account. Most agencies register as an LLC.

Step 3: Apply for OKDHS licensing

Contact the Oklahoma Department of Human Services for provider licensing requirements. DDS providers must meet specific staffing, training, and facility requirements.

Step 4: Set up EVV compliance

Oklahoma mandated EVV for all Medicaid personal care services in October 2025. You need an EVV system that syncs with the DCI aggregator before you can bill Medicaid for visits.

Step 5: Choose your software

You’ll need scheduling, EVV, care plan management, and billing at minimum. If you’re serving DDS clients, you also need habilitation goal tracking. Look for a platform that handles all of this in one system.

Step 6: Hire and train caregivers

HTS workers need specific training and certifications. Build your credentialing process before your first hire.

Starting an Oklahoma agency? Tendara is built for Oklahoma providers.