What is the difference between home care and home health?
Home care sends aides for non-medical help such as bathing, meals, housekeeping, companionship and respite, usually paid privately; home health sends nurses and therapists for skilled visits under a doctor's plan, usually paid by Medicare.
North Carolina licenses both under its home care license, with home health marked separately. DHSR lists 11 home care agencies licensed for home health, 8 hospice licenses and 263 other home care agencies with offices in the three counties.
What does in-home care cost around Greensboro?
CareScout's 2025 North Carolina median for a non-medical home care worker works out to $30 an hour, about $5,720 a month at 44 hours a week; no Greensboro figure is published.
Agencies often set minimum visit lengths, and nights or weekends can cost more. Medicare-covered home health costs an eligible patient nothing.
Can Medicaid pay for help at home?
Yes, for those who qualify: NC Medicaid personal care services, CAP/DA for members at nursing facility level of care, and PACE for people 55 and older in its service area.
CAP/DA often has a waiting list. The county department of social services decides Medicaid eligibility.
How do we choose a home care agency in the Triad?
Check the agency's DHSR license and licensed services, then ask about aide training and supervision, minimum shifts, back-up coverage and whether it accepts CAP/DA or long-term care insurance.
Our home care roster lists every licensed agency in the three counties with its services, searchable by city.
When is home care no longer enough?
When help is needed at night or around the clock, when the person cannot be left alone between visits, or when the cost of enough hours passes the cost of an adult care home.
Our comparison of home care and assisted living runs the numbers at North Carolina's medians.
What do North Carolina home care licenses cover?
A home care license lists the services an agency may provide, such as in-home aide, companion, sitter, respite or home health, and DHSR's listing shows those services next to each agency's name.
An agency licensed only for companion and sitter services should not be providing hands-on personal care such as bathing. Check the services column on our home care roster before hiring, and ask the agency to put the services and hourly rates in writing.
Where is in-home care licensed across the three counties?
This is how DHSR's listings spread in-home care across Guilford, Randolph and Rockingham counties; agencies have no bed count.
| County | Licenses | Licensed beds |
|---|---|---|
| Guilford County | 223 | 0 |
| Randolph County | 31 | 0 |
| Rockingham County | 20 | 0 |
Side by side
| In-home care in North Carolina is | In-home care in North Carolina is not | |
|---|---|---|
| Licenses | DHSR home care licenses, some with home health | Unregulated |
| Medicare | Pays only for skilled home health | Pays for hourly aides |
| Public help | CAP/DA or PACE for eligible members | Unlimited or immediate |