Waiver Consulting Group Blog

Articles on Medicaid waiver licensure, HCBS provider enrollment, compliance, audit defense, and state-specific startup guidance.

• New Hampshire DD Providers: The Enrollment Path, Step by Step (2026-08-08) — New Hampshire's sequence for new DD providers: NH Medicaid enrollment via the MMIS portal, Secretary of State registration, the BDS screening under He-M 504, and area agency relationships.
• Missouri Group Homes: Which Agency Licenses Your Program (2026-08-08) — Missouri regulates residential programs by population: DMH licenses IDD group homes under 9 CSR 40-5, while DHSS licenses residential care and assisted living facilities.
• Illinois Medicaid Waivers: Who Runs Each Program — and How to Expand (2026-08-08) — Illinois operates nine HCBS waivers under HFS, with day-to-day operations run by the Department on Aging, DDD, and DRS. Here is what that means for expanding providers.
• Pennsylvania NEMT: The 3-Step Path From Vehicle to Medicaid Billing (2026-07-19) — Starting non-emergency medical transportation in Pennsylvania takes three steps in order: PUC authority, PROMISe Medicaid enrollment, and broker contracts.
• Pennsylvania Life Sharing: Why Your License Isn’t Your Paycheck (2026-07-19) — In Pennsylvania, a Chapter 6500 life sharing license and ODP provider enrollment are two separate steps. Here’s how to get both right — and get paid.
• Licensing a Traditional Group Home in Maryland: Start With the Right Agency (2026-07-16) — Maryland licenses group homes by population. A developmental-disability group home goes through the DDA. Here is how to start right.
• Indiana Home Care to Home Health: What the Upgrade Really Requires (2026-07-16) — In Indiana, upgrading home care to licensed home health means state licensure, Medicare enrollment with a survey and reserve funds, and a supervising RN.
• North Carolina Now Requires Accreditation to Enroll in Innovations Waiver Services (2026-07-16) — As of April 2026, North Carolina requires national accreditation at the time you enroll in an Innovations Waiver service. Here is the path.
• How to Become an HCBS Waiver Provider in Pennsylvania (2026-07-11) — How to become an HCBS waiver provider in Pennsylvania — ODP Applicant Orientation, the Certificate of Completion, the 120-day window, and enrollment.
• How to Open a Residential Care Home in Delaware (2026-07-11) — How to open a residential care home in Delaware — DHCQ licensing, incorporation and EIN, all-hazards emergency plan, and FEMA staff training.
• How to Become a Medicaid Waiver Provider in Michigan (2026-07-11) — How to become a Medicaid waiver provider in Michigan — CHAMPS enrollment, MiLogin, and matching your policy manual to your scope.
• Becoming a Medicaid Respite Provider in Michigan: Enrollment and Codes (2026-07-10) — Michigan respite runs through your PIHP and CMHSP. Here's how to enroll in CHAMPS and qualify.
• Starting a Home Health Agency in Georgia: Certificate of Need Comes First (2026-07-10) — Georgia treats home health as a Certificate of Need service. Here's the order that keeps your launch on track.
• Opening an Adult Day Services Program in Illinois: What the State Requires (2026-07-10) — In Illinois, adult day providers are certified by the Department on Aging under the Community Care Program. Here's how to get ready.
• NPI Practice Location vs. Mailing Address: Why a Mailbox Gets Rejected (2026-07-09) — Why your NPI practice location must be a physical address — and how a PO box or mailbox in the wrong field can stall your enrollment.
• Virginia: How to License In-Home DD Waiver Services (2026-07-09) — Virginia's licensing path for in-home DD waiver services — DBHDS licensure through CONNECT, staff standards, and DMAS enrollment.
• Pennsylvania: How to Become an ODP Waiver Provider (2026-07-09) — Pennsylvania's step-by-step path to becoming an ODP waiver provider — from orientation and policies to PROMISe enrollment.
• Starting an NEMT Company in Massachusetts: How the Broker System Works (2026-07-08) — MassHealth non-emergency medical transportation is broker-managed. Here's how the Massachusetts system works and what to have in place before you carry your first rider.
• Colorado Class B vs Class A: The Home Care License That Fits Personal Care (2026-07-08) — In Colorado, your home care license class decides what you can provide and how you bill Medicaid. Here's how Class B and Class A differ — and who regulates each step.
• Kentucky Medicaid Enrollment: The Order That Gets Personal Care Agencies Paid (2026-07-08) — Billing Kentucky Medicaid is a sequence, not a single step. Here's the order personal care agencies should follow — certification, the KY Partner Portal, then MCO credentialing.
• The Hidden Fall Risk in Pennsylvania Home Care: Polypharmacy (2026-07-07) — Why polypharmacy is a hidden fall risk in Pennsylvania home care, and how caregivers should respond.
• Starting Non-Medical Home Care in Idaho: What to Set Up First (2026-07-07) — What Idaho requires before your first non-medical home care client, and how to set up to bill Medicaid.
• Nevada Medicaid and PERS: How to Get Approved to Bill (2026-07-07) — How Nevada providers enroll and bill Medicaid for personal emergency response systems (PERS).
• Keep Your North Carolina NCTracks Provider Record Current (2026-07-03) — North Carolina providers must keep NCTracks current: update within 30 days, use a Manage Change Request, and re-verify every five years.
• Why Arizona HCBS Applications Get Denied — and How to Submit a Complete One (2026-07-03) — Arizona HCBS applications get denied when background checks or the HCBS Settings Rule attestation are incomplete. Here's how to submit right.
• Illinois Adult Day Services and Home Care: Two Licenses, Two Rulebooks (2026-07-03) — Illinois licenses adult day services and non-medical home care through two different agencies with two different rulebooks. Here's how to sequence them.
• Texas Non-Medical Home Care: How to Get Licensed and Bill Medicaid (2026-07-02) — In Texas, a non-medical home care agency needs an HCSSA license in the PAS category from HHSC, then Medicaid enrollment, then MCO contracts. No nursing license required.
• Ohio Behavioral Health: How to Bill Medicaid in the Right Order (2026-07-02) — In Ohio, billing Medicaid for behavioral health means doing three steps in order: national accreditation, OhioMHAS certification, then Medicaid enrollment.
• California NEMT Vehicle Requirements: What Your Medi-Cal Vans Must Have (2026-07-02) — In California, your non-emergency medical transport vehicles must be equipped, permitted, and inspected before you can bill Medi-Cal. Here's what the state expects.
• How to License a Group Home in Maryland: Pick the Right Agency First (DDA, OHCQ, DHS, BHA) (2026-07-02) — In Maryland, the agency that licenses your group home depends on who you serve. Confirm the category first, then align facility, zoning, and staffing.