ADULT HEALTH SERVICES PROVIDER IN ARIZONA

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

6. STAFFING REQUIREMENTS

Role: Adult Health Program Supervisor

Requirements: Background in nursing, public health, or direct care supervision

Role: Wellness Assistant / Direct Support Staff

Requirements:

• High school diploma or GED

• CPR/First Aid certification

• Background check and Article 9 training (if serving DDD)

• CNA certification (optional but preferred for enhanced services)

Training Requirements for All Staff:

• Chronic illness and disability support

• Observation and documentation protocols

• Confidentiality, HIPAA, and abuse prevention

• Annual refresher and compliance training

7. MEDICAID WAIVER SERVICES

The following Arizona Medicaid Waivers authorize Adult Health Services:

• ALTCS – Elderly and Physically Disabled (EPD) Waiver

• ALTCS – Division of Developmental Disabilities (DDD) Waiver

Approved providers may deliver:

• Non-clinical health supervision and daily wellness checks

• Nutrition support, hygiene assistance, and personal care

• Chronic illness support based on care plan goals

• Coordination with other service providers and reporting to case managers

8. TIMELINE TO LAUNCH

Phase: Business Formation

Timeline: 1–2 weeks

Phase: QVADS Application and Documentation Review

Timeline: 60–90 days

Phase: Staff Hiring and Training

Timeline: 30–45 days

Phase: AHCCCS Medicaid Enrollment and Billing Setup

Timeline: 45–60 days

9. CONTACT INFORMATION

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

Email: DDDProviderRegistration@azdes.gov

Phone: (602) 542-6874

Website: https://des.az.gov/services/disabilities/developmental-disabilities

Arizona Health Care Cost Containment System (AHCCCS)

Email: ProviderRegistration@azahcccs.gov

Website: https://www.azahcccs.gov

Qualified Vendor Application Portal (QVADS): https://vendorhub.azdes.gov

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARIZONA ADULT HEALTH SERVICES PROVIDER

We help providers build, launch, and operate compliant Adult Health Services agencies under Arizona’s HCBS Medicaid programs.​​​​​​​​​​​​​​​​​​

Scope of Work:

• Business formation (LLC, EIN, NPI)

• QVADS application and documentation guidance

• Adult Health Services Policy & Procedure Manual development

• Templates for wellness logs, emergency forms, and service notes

• AHCCCS enrollment and billing setup

• WEBSITE, DOMAIN, AND EMAIL SETUP

• CLIENT WELLNESS MONITORING PACKETS AND INTAKE FORMS

• STAFF TRAINING GUIDES AND CREDENTIALING TEMPLATES

• INCIDENT TRACKING TOOLS AND REPORTING SYSTEMS

• CASE MANAGER OUTREACH STRATEGIES AND PARTNER NETWORKING

Continue To Our Client Portal To Get Started

Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.