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Frequently Asked Questions

Straight answers to the questions every serious prospect asks. If you don’t find what you’re looking for here, reach out directly — we’re happy to talk.

ABOUT THE OPPORTUNITY

Most home care brands are built around senior care. Butterfly was purpose-built for a broader and largely underserved population — individuals with autism, intellectual and developmental disabilities, and complex behavioral needs, in addition to seniors and adults with other care needs. Our caregiver training program, care planning model, and operational systems are all designed around these specific populations. That specialty is our competitive advantage, and it’s why client retention is strong — families who find a caregiver who truly understands their loved one don’t leave.

No. Many of our franchise owners come from business, management, or service backgrounds rather than healthcare. What matters more is a genuine commitment to the mission, strong people and leadership skills, and the drive to build something meaningful in your community. Butterfly provides the clinical training framework, caregiver certification program, and operational systems — you don’t need to arrive with healthcare expertise.

A Butterfly franchise can be operated from a home office, particularly in the early stages. As your agency grows, many owners move to a small local office — but there’s no requirement for a storefront, retail space, or facility. The care is delivered in clients’ homes and communities, so your overhead stays low relative to businesses that require a physical location.
Our franchisees serve a range of individuals including children and adults with autism, individuals with intellectual and developmental disabilities (IDD), seniors who need in-home support, adults with physical disabilities, and family caregivers who need respite. This mix of client types gives franchisees multiple referral channels and a broader base than single-segment home care brands.

Home care is one of the most resilient service industries. Demand is driven by aging demographics, rising autism and disability diagnoses, and a strong cultural preference for remaining at home rather than entering facilities — none of which slow down during economic downturns. Medicaid waiver funding also provides a stable, government-backed revenue stream that is not dependent on household income.

THE INVESTMENT

The total estimated investment range is $100,000 to $200,000, which includes the franchise fee and startup costs. The franchise fee is $58,000. Final costs vary depending on your market, office setup, and initial staffing.

The franchise fee covers your license to operate under the Butterfly Home Care brand, access to our proprietary systems and operational playbook, initial training, onboarding support, territory rights, and pre-launch marketing assistance.

Veterans and active service members receive a $5,000 discount, bringing the franchise fee to $53,000.

The ongoing royalty is 6% of gross revenue. This funds continued corporate support, system development, marketing infrastructure, and access to the broader Butterfly franchise network.

We can connect qualified candidates with third-party financing resources and SBA loan programs that work with franchise businesses. We are happy to discuss funding options during the discovery process.
Butterfly franchises accept multiple payment sources including private pay, Medicaid waiver programs (such as CCC+ and DD Waivers in Virginia, and NOW/COMP in Georgia), long-term care insurance, and veterans benefits through Veterans Care Coordination. Having multiple revenue streams reduces dependence on any single funding source and supports more stable cash flow.

Profitability timelines vary by market, owner experience, and how aggressively the business is built during the first year. Home care is a recurring-revenue model — clients typically stay for months or years, which means revenue compounds over time rather than resetting each month. We provide realistic projections and financial guidance during the discovery process. We will never promise a specific timeline, but we will give you honest data to work from.

TRAINING & SUPPORT

You will complete a comprehensive initial training program covering every aspect of operating a Butterfly franchise — caregiver recruitment and management, the Butterfly Certified Caregiver training program, care plan development, client intake, Medicaid waiver navigation, marketing and referral building, scheduling, compliance, and day-to-day operations. Training takes place both at our headquarters and in your local market.

Support doesn’t end at opening. After launch you receive regular operational check-ins, advanced training opportunities, marketing support, access to our franchise peer network, updates to systems and processes, and direct access to the corporate support team. We stay actively involved as you grow.

We provide hiring frameworks, job posting guidance, interview and screening processes, and onboarding checklists designed specifically for the home care context. Caregiver recruitment is one of the most operationally important parts of running a home care agency and we treat it as a core part of the support we offer — not an afterthought.

Yes. Medicaid waiver programs are one of the most valuable revenue streams a Butterfly franchise has access to — and one of the most operationally complex to navigate. Enrollment processes, authorization requirements, billing procedures, and compliance standards vary by state and by program. Butterfly provides structured guidance specific to your market so you’re not figuring out waiver billing through trial and error after you open.

Here’s what’s available in each of our current and expanding markets:

  • Virginia: CCC+ Waiver, DD Waiver
  • Georgia: Elderly and Disabled Waiver Program (EDWP), Independent Care Waiver Program (ICWP), New Options Waiver Program (NOW), Comprehensive Supports Waiver Program (COMP), Service Options Using Resources in a Community Environment (SOURCE), Community Care Services Program (CCSP)
  • New Jersey: Community Care Program for the Elderly and Disabled (CCPED), Supports Program Waiver, Acquired Brain Injury (ABI) Waiver, Personal Care Assistant (PCA) Waiver, Home and Community-Based Services (HCBS) Waiver, Managed Long-Term Services and Supports (MLTSS) Program
  • Maryland: Community Options Waiver, Medical Day Care Services Waiver, Community Pathways Waiver, Autism Waiver
  • Texas: CLASS Waiver, HCS Waiver, Deaf-Blind with Multiple Disabilities (DBMD) Waiver, STAR+PLUS Home and Community-Based Services (HCBS) Program / Waiver
  • Florida: iBudget Waiver, Model Waiver, Statewide Medicaid Managed Care Long-Term Care (SMMC-LTC) Waiver
    Waiver programs are subject to enrollment caps, eligibility requirements, and periodic regulatory updates.

Butterfly tracks these changes and provides guidance so you’re not discovering a compliance issue after it becomes a problem. Waiver participation also opens referral channels that private-pay-only agencies don’t have access to — case managers, support coordinators, and waiver service facilitators all become active referral sources once your agency is enrolled and delivering.

We provide access to the operational and care management systems franchisees need to run their agency efficiently. Details are covered during the discovery and onboarding process.

TERRITORY

Territories are defined based on population data, geography, and market characteristics specific to your area. The goal is to give each franchisee a territory with sufficient demand to build a strong, sustainable business.
Yes. Once a territory is awarded, no other Butterfly franchise will be opened within that defined territory. Protecting your market is a fundamental part of how we structure the franchise relationship.
Yes. As your franchise grows and stabilizes, expansion opportunities are available. Many franchisees who build a strong first territory go on to open additional locations within the Butterfly network.
We are actively awarding franchises across the U.S. with current focus on New Jersey, Texas, Virginia, Maryland, and Georgia. Other markets are evaluated on an ongoing basis. Reach out to discuss availability in your specific area.

OPERATIONS

Client acquisition in home care is relationship-driven. Butterfly provides a referral development playbook covering the key referral sources in home care — physicians, hospitals, discharge planners, therapists, school districts, disability organizations, and community networks. We help you build those relationships from day one.
You will need at least a small team of caregivers and ideally a care coordinator before serving your first clients. Butterfly’s hiring frameworks and caregiver onboarding systems are designed to help you build that initial team efficiently.
Yes. Butterfly Home Care provides non-medical in-home care services. A nursing or clinical license is not required to operate the franchise. The care our caregivers provide does not include skilled nursing or medical procedures.
Every caregiver goes through the Butterfly Certified Caregiver program before being assigned to any client. The program is specifically designed for supporting individuals with autism, IDD, and complex care needs and covers person-centered care, behavior support, daily living skills, communication strategies, safety procedures, and professional conduct.

Managing caregiver reliability is a core operational responsibility. Butterfly’s systems and frameworks include backup coverage protocols and scheduling practices designed to minimize disruptions and protect client trust.

THE PROCESS

The timeline varies by candidate and market but typically ranges from several months from initial inquiry to opening day. The process includes discovery, application, qualification, franchise agreement, training, territory setup, and pre-launch preparation. We move at a pace that sets you up properly rather than rushing you to open.
Discovery starts with an initial conversation where we walk you through the opportunity, answer your questions, and learn about your background and goals. From there you receive the Franchise Disclosure Document (FDD), have the opportunity to speak with existing franchise owners, and go through a mutual qualification process before any agreement is signed.
We look for people who are genuinely driven by the mission — not just the business opportunity. Beyond that we look for strong leadership and people management skills, financial qualification, a commitment to quality, and the drive to build something meaningful in their community. Healthcare experience is helpful but not required.
The FDD is a legal document required by the Federal Trade Commission that every franchisor must provide to prospective franchisees before any agreement is signed. It contains detailed information about the franchise system, fees, obligations, financial performance, litigation history, and franchisee contact information. You will have time to review it thoroughly and we encourage you to do so with a franchise attorney.

Still have questions?

We'd rather answer them directly than have you wonder. Reach out to our franchise development team and we'll get back to you within one business day.
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