Start a Home Care Franchise in Virginia

Be the Reason Families Can Breathe Again

FJ Top Brands 2024

Join The Butterfly Homecare Family

In Virginia, it’s common for one person to carry a lot, work, kids, aging parents, a spouse with health needs, or a child with autism or disabilities. Many families are doing their best, but they’re tired and worried about what happens if they can’t keep up.

A home care franchise in Virginia gives you a way to step in with real, practical help. You can build a business that keeps people safe at home, supports caregivers, and gives families room to breathe again.

Butterfly Home Care gives you:

  • A proven non-medical care model
  • Training on how to run the business day to day
  • Ongoing support so you’re never figuring it out alone

Why Home Care Matters So Much in Virginia

Virginia has a unique mix of people:

  • Retired military and federal workers who settled here after service
  • Families in Northern Virginia balancing demanding jobs with caregiving
  • Communities around Richmond, Hampton Roads, and beyond where aging parents still live in the family home
  • Households raising children and adults with disabilities or autism who need consistent support

Behind those demographics are very human stories:

  • An adult child driving across town every night to check on a parent
  • A spouse who hasn’t had a real break in months
  • A parent quietly worrying about what will happen to their child with disabilities in the future

For many of these families, sending someone to a facility feels wrong. They want help at home—from people they can trust and get to know over time.

That’s where your agency can come in:

  • Offering scheduled support, not just “whenever someone is available”
  • Providing caregivers who show up, listen, and stay
  • Becoming the name families share with friends when someone whispers, “We can’t keep doing this by ourselves.”

DUMMY DUMMY DUMMY text text text

What a Butterfly Home Care Franchise Can Look Like in Virginia

Butterfly Home Care is built for real life, not ideal scenarios.

In one week, your Virginia team might:

  • Help a veteran in Alexandria stay independent with support for bathing, dressing, and meals
  • Provide companionship and light support for a widow in Richmond whose children live in another state
  • Support a teenager with autism in Virginia Beach with after-school routines and calm, consistent structure

Care is:

  • Non-medical, but very hands-on with daily life
  • Focused on dignity, safety, and connection
  • Guided by routines that make life feel more predictable for everyone in the home

As the owner, you’re not doing all the hands-on care. Your role is to:

  • Hire and support caregivers who lead with patience and respect
  • Listen to families and shape services around what actually helps
  • Keep schedules, quality, and communication steady and clear

You become the person who brings some order and relief to situations that have been heavy for a long time.

Quality
Gratitude
Integrity

Why Franchise Owners Choose Butterfly

The home care space is crowded with generalist brands. Here's why operators building for the long term choose Butterfly.

What You Get When You Franchise With Butterfly

The Franchise Journey

58K

Franchise Fee

$100K- $200K

Investment Range

6%

Royalty

* Veterans and active service members receive a $5,000  discount

Medicaid Waiver Programs in Virginia

Virginia’s Medicaid waiver programs are well-established and specifically structured for the populations Butterfly serves — individuals with disabilities, developmental needs, and complex care requirements. For a Virginia franchise owner, these programs provide a predictable, recurring revenue stream that isn’t dependent on household income. Your agency can participate in:

  • CCC+ Waiver (Community Care for Children and Adults) — covers personal care and support services for adults and children with complex needs
  • DD Waiver (Developmental Disability Waiver) — covers home and community-based services for individuals with developmental disabilities

Butterfly has operated in Virginia since the brand’s founding, which means you’re entering a state where Butterfly already has established relationships, referral networks, and a known reputation with waiver case managers and support coordinators.

Your Path to Success with Butterfly Home Care

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*You’re always responsible for following Texas law and should consult your own legal and accounting professionals. We provide tools, examples, and experience-based guidance to help you move forward with clarity.

Your Earning & Growth Potential in Virginia

Home care in Virginia isn’t a one-time service. When families trust an agency, they often stay for months or years as needs change.

In Virginia, that can look like:

  • A senior in Fairfax County who needs help with bathing, meals, and safe mobility several days a week
  • An adult with disabilities in Loudoun County who relies on a structured morning and evening routine
  • A child with autism in Prince William or Richmond who benefits from consistent in-home support and behavior-focused care

Each new client can lead to:

  • Ongoing weekly hours instead of one-time visits
  • Referrals to other family members, neighbors, and church or community groups
  • Expanded services over time as needs increase or conditions change

Because Virginia has a mix of dense suburbs and fast-growing communities, as your reputation grows in one area, it becomes easier to:

  • Attract clients in nearby towns and counties
  • Recruit caregivers who want to work close to home
  • Build a strong presence within your protected territory

We can’t promise specific income or outcomes, but the recurring nature of home care, and the growing senior, autism, and disability care needs in Virginia, give motivated owners a solid foundation to grow on.

Getting Started in Virginia: What to Expect

Starting any care-related business can feel intimidating, especially if you’ve never done it before. Virginia has its own expectations for organizations that send caregivers into homes—and that’s good. Families deserve that level of protection.

As you set up your franchise, you can expect to:

  • Form and register your business in Virginia
  • Work within the state’s requirements for non-medical home care services
  • Put clear policies and procedures in writing
  • Complete background checks and screening for your team
  • Maintain appropriate oversight and quality checks for your services

The details depend on your exact service mix and business structure, and rules can change. You’ll always need to talk with your own legal and accounting advisors to understand what applies to you.

Butterfly Home Care is there to:

  • Give you a step-by-step roadmap
  • Share sample documents and checklists to review with your advisors
  • Help you organize the process so it feels manageable, not overwhelming

You’re not expected to “just know” everything on day one. We walk with you as you learn.

Who Tends To Thrive As A Franchise Owner in Virginia?

People who do well in this role usually have one thing in common: when others are overwhelmed, they become the calm one.

Owners often have experience in:

  • Teaching or education
  • Nursing or healthcare roles
  • Military or public service
  • Managing a home or working from home with big responsibilities
  • Supporting a parent, child, or partner through autism, disabilities, or long-term health needs

You don’t need a medical license. You do need:

  • A willingness to lead and support a small team
  • Comfort with schedules, follow-up, and basic numbers
  • A steady, kind way of talking with families and staff
  • Openness to following a proven system instead of reinventing everything yourself
If you’re used to being the person people turn to when things feel like “too much,” you already have some of the core traits this work requires.

Butterfly by the Numbers

Active Franchise Locations

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Target Agencies by End of 2026

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Families Served

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FAQs

Yes — Butterfly Home Care was founded in Sterling, Virginia and has operated in Northern Virginia since the brand’s beginning. The Manassas agency is also active. This means parts of Northern Virginia are already covered by existing Butterfly agencies. However Virginia is a large state with significant territory still available — Richmond, Hampton Roads, Charlottesville, the Shenandoah Valley, and other Virginia markets are not currently served by a Butterfly agency. Territory availability is confirmed during the Discovery process. If you’re interested in a specific Virginia market, reach out and we’ll tell you directly what’s available.
Virginia’s two primary Medicaid waiver programs for Butterfly franchisees are the CCC+ Waiver (Community Care for Children and Adults) and the DD Waiver (Developmental Disability Waiver). CCC+ covers personal care and support services for adults and children with complex medical and behavioral needs — it’s one of the most significant funding sources for home care agencies serving Virginia’s disability population. The DD Waiver covers home and community-based services for individuals with developmental disabilities. Both require provider enrollment with the Virginia Department of Medical Assistance Services (DMAS). Butterfly has navigated both programs through its existing Virginia agencies and provides enrollment guidance and billing support specific to Virginia’s waiver structure.
Yes. Virginia requires home care organizations providing personal care services to obtain a license from the Virginia Department of Health (VDH). The licensing process involves application, background checks, policy and procedure documentation, and a state inspection. Butterfly’s Virginia setup roadmap covers the licensing process in detail — and because we’ve been through it with our own Sterling and Manassas agencies, we know what the state looks for and how to prepare properly. You’ll still want your own legal advisor involved throughout.
Northern Virginia — specifically the corridors already served by Sterling and Manassas — is largely covered. The strongest available Virginia markets currently include the Richmond metro, Hampton Roads (Virginia Beach, Norfolk, Chesapeake, Newport News), Charlottesville, Fredericksburg, and the Roanoke valley. Each has meaningful demand for specialized home care and limited competition from agencies trained specifically for autism and IDD. Specific territory availability is confirmed during the Discovery process.
Yes — in a meaningful way. Butterfly’s brand is known among Virginia families, referral sources, and waiver case managers in ways it isn’t in states where the brand has no operating history. A new Virginia franchisee enters their market with a brand that has an established reputation rather than one that needs to be built from scratch. Referral sources who have worked with Butterfly’s Northern Virginia agencies can vouch for the care model. That head start is real — and it’s one of the genuine advantages of franchising with a brand that has operational roots in your state.
Yes. Virginia has a high concentration of families with children and adults with autism and developmental disabilities, particularly in suburban corridors around Northern Virginia, Richmond, and Hampton Roads. Virginia’s DD Waiver and CCC+ programs create a funded pathway for many of these families — meaning the demand is both present and backed by government funding. The gap between the number of families who need specialized home care and the number of agencies trained to provide it is significant across most Virginia markets outside of Northern Virginia.

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