ADULT HEALTH SERVICES PROVIDER IN ARIZONA

Fatumata Kaba
Jul 1
3 min read

PROMOTING WELLNESS AND INDEPENDENCE THROUGH NON-INSTITUTIONAL HEALTH SUPPORT FOR ADULTS WITH CHRONIC ILLNESSES AND DISABILITIES

Adult Health Services in Arizona are designed to support adults who need routine health monitoring, therapeutic supervision, and assistance with managing chronic conditions, while remaining in a home or community-based setting. These services are part of Arizona’s Long Term Care System (ALTCS) and are delivered through Home and Community-Based Services (HCBS) to delay or prevent institutional care.

1. GOVERNING AGENCIES

Agency: Arizona Health Care Cost Containment System (AHCCCS)

Role: Administers Arizona Medicaid and oversees service reimbursements and provider enrollment

Agency: Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD)

Role: Approves Qualified Vendors and monitors Adult Health Service delivery for individuals with developmental disabilities

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Ensures federal compliance with HCBS and person-centered service standards

2. ADULT HEALTH SERVICE OVERVIEW

Adult Health Services help individuals manage chronic health conditions and improve quality of life through wellness-focused supports. These services are non-emergency and must be included in the person’s care or support plan.

Approved providers may deliver:

Health-related supports and condition monitoring
Non-clinical assistance with mobility, personal hygiene, and nutrition
Health education and chronic illness self-management
Supervision to maintain safety and avoid health deterioration
Routine wellness checks and documentation of health status
Coordination with physicians and support coordinators as needed

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register your business with the Arizona Corporation Commission
Obtain EIN from the IRS and NPI (Type 2)
Apply through the Qualified Vendor Application and Directory System (QVADS)
Maintain liability insurance and staff background checks
Develop written policies that support person-centered health monitoring
Hire trained staff (CNA, DSP, or wellness aides depending on setting and plan)

4. DDD QUALIFIED VENDOR ENROLLMENT PROCESS

Step 1: Pre-Application & Orientation

Attend the required DDD Qualified Vendor orientation
Review adult health service scope and delivery guidelines

Step 2: QVADS Application Submission

Submit documentation via QVADS including:
- Staff credentials and training protocols
- Sample health monitoring logs and progress note templates
- Emergency policies, wellness protocols, and safety systems

Step 3: Approval & Contracting

Upon review, providers sign a Qualified Vendor Agreement
Services and rates will be listed in the Qualified Vendor Directory

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License
IRS EIN Letter
NPI confirmation
QVADS registration and DDD approval
Policy & Procedure Manual including:
- Intake, eligibility, and health service coordination
- Daily health monitoring forms and reporting tools
- Staff qualifications and wellness oversight plans
- Safety protocols, infection control, and emergency planning
- Documentation procedures and HIPAA compliance
- Participant rights and grievance processes
- Communication protocols with family and care teams