Medicaid Waiver & HCBS Provider Consulting — In Any State

Waiver Consulting Group helps healthcare providers launch, license, and grow Medicaid waiver and home and community-based services (HCBS) programs in all 51 U.S. jurisdictions. Since 2005, the firm has guided agencies through state licensure and certification, Medicaid provider enrollment (CMS-855B and state equivalents), waiver contracting, policy and procedure development, accreditation (CHAP, ACHC, COA, CARF, Joint Commission), MCO credentialing, and Medicaid audit defense.

Two tracks, one method

Starting a new agency: from entity formation and state licensure through Medicaid enrollment and first billing, WCG manages the full startup sequence — including audit-ready policy manuals, forms libraries, and survey preparation. Expanding an existing agency: add new service lines, enter new states, obtain accreditation, or contract with managed care organizations without disrupting current operations.

What WCG delivers

• Start-up assistance — Entity setup, licensure, policies, staffing, and readiness for a new agency.
• Program development — Feasibility, program design, and adding new service lines to an existing agency.
• Provider enrollment — Medicaid provider enrollment (including CMS-855B) and MCO credentialing.
• Compliance & audit defense — Compliance advisory, policy review, audit defense, and survey support.
• Marketing & referral development — Referral development and growth strategy for HCBS providers.
• Enrollment pathway tool — Interactive walkthrough of the Medicaid enrollment pathway.

Find your state pathway

Pick your state and service to see the exact regulator, licensure-versus-enrollment pathway, steps, and requirements: Start a new program. Or browse state consulting pages:

• Alabama Medicaid consulting
• Alaska Medicaid consulting
• Arizona Medicaid consulting
• Arkansas Medicaid consulting
• California Medicaid consulting
• Colorado Medicaid consulting
• Connecticut Medicaid consulting
• Delaware Medicaid consulting
• District of Columbia Medicaid consulting
• Florida Medicaid consulting
• Georgia Medicaid consulting
• Hawaii Medicaid consulting
• Idaho Medicaid consulting
• Illinois Medicaid consulting
• Indiana Medicaid consulting
• Iowa Medicaid consulting
• Kansas Medicaid consulting
• Kentucky Medicaid consulting
• Louisiana Medicaid consulting
• Maine Medicaid consulting
• Maryland Medicaid consulting
• Massachusetts Medicaid consulting
• Michigan Medicaid consulting
• Minnesota Medicaid consulting
• Mississippi Medicaid consulting
• Missouri Medicaid consulting
• Montana Medicaid consulting
• Nebraska Medicaid consulting
• Nevada Medicaid consulting
• New Hampshire Medicaid consulting
• New Jersey Medicaid consulting
• New Mexico Medicaid consulting
• New York Medicaid consulting
• North Carolina Medicaid consulting
• North Dakota Medicaid consulting
• Ohio Medicaid consulting
• Oklahoma Medicaid consulting
• Oregon Medicaid consulting
• Pennsylvania Medicaid consulting
• Rhode Island Medicaid consulting
• South Carolina Medicaid consulting
• South Dakota Medicaid consulting
• Tennessee Medicaid consulting
• Texas Medicaid consulting
• Utah Medicaid consulting
• Vermont Medicaid consulting
• Virginia Medicaid consulting
• Washington Medicaid consulting
• West Virginia Medicaid consulting
• Wisconsin Medicaid consulting
• Wyoming Medicaid consulting

Provider types served

• HCBS Providers — Home and community-based services agencies operating under 1915(c) and 1115 waiver authorities: licensure, waiver contracting, enrollment, and compliance.
• I/DD Providers — Providers serving people with intellectual and developmental disabilities: residential, day habilitation, supported employment, and the full waiver service array.
• Traumatic Brain Injury Programs — TBI waiver providers: specialized residential and community programs, state certification, and Medicaid enrollment.
• Independent Living Centers — ILCs and related community living programs: designation, funding streams, and Medicaid service delivery.
• Personal Care & Attendant Agencies — Personal care, attendant care, and consumer-directed service agencies: state licensure and Medicaid vendorization.
• Aging & Disability Resource Centers — ADRC and aging network providers: area agency contracting, Medicaid waiver services for older adults.
• Behavioral Health Providers — Mental health and behavioral health agencies: licensure, Medicaid enrollment, MCO credentialing, and accreditation.
• Home Health & Home Care — Skilled home health and non-medical home care agencies: state licensure, Medicare/Medicaid certification, and accreditation (CHAP, ACHC, Joint Commission).