CHORE SERVICES PROVIDER IN CONNECTICUT

HELPING INDIVIDUALS MAINTAIN SAFE AND SANITARY HOMES TO SUPPORT INDEPENDENT LIVING AND DIGNITY

Chore Services in Connecticut provides one-time or occasional heavy-duty household assistance to individuals who are elderly or have disabilities and are unable to maintain a safe and clean living environment. These services are available through the Connecticut Home Care Program for Elders (CHCPE) and other state-funded or Medicaid waiver programs administered by the Department of Social Services (DSS).

1. GOVERNING AGENCIES

Agency: Connecticut Department of Social Services (DSS)

Role: Authorizes and reimburses for chore services through CHCPE and related HCBS waiver programs

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight to ensure services meet Medicaid HCBS waiver guidelines

Agency: Connecticut Department of Consumer Protection (DCP)

Role: Registers Homemaker-Companion Agencies (HCAs) if the chore provider performs in-home services for vulnerable populations

2. CHORE SERVICE OVERVIEW

Chore Services help participants live safely in their homes by addressing tasks that pose health or safety risks. These are typically one-time or infrequent tasks that go beyond standard homemaking and may involve physical labor, sanitation, or environmental safety work.

Approved providers may deliver:

• Deep cleaning of kitchens, bathrooms, or whole homes

• Heavy-duty decluttering and removal of health hazards

• Moving furniture to allow safe mobility or accessibility

• Yard work necessary for home safety (e.g., clearing walkways)

• Trash removal and pest control preparation (not extermination)

• Documentation of services performed and home condition

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register business with the Connecticut Secretary of the State

• Obtain EIN from the IRS and NPI (Type 2)

• If entering client homes, register as a Homemaker-Companion Agency (HCA) with the Connecticut Department of Consumer Protection (DCP)

• Enroll as a Medicaid provider through DSS if billing directly

• Maintain general liability insurance and procedures for staff safety, supervision, and documentation

4. PROVIDER ENROLLMENT PROCESS

Step 1: DCP HCA Registration (if entering homes)

• Register via the DCP HCA portal, submit business info, complaint procedures, and proof of insurance

Step 2: DSS Medicaid Enrollment

• Apply through the Connecticut Medicaid Provider Enrollment Portal

• Submit NPI, EIN, business license, and service descriptions

Step 3: Connect with DSS or Area Agency on Aging (AAA)

• Coordinate for referrals and service authorizations for CHCPE-eligible individuals

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or proof of business registration

• IRS EIN Letter

• NPI confirmation

• DCP HCA registration (if applicable)

• DSS Medicaid enrollment approval

• Policy & procedure manual including:

  • Intake forms and home risk assessment tools

  • Task-specific service logs and completion checklists

  • Safety procedures for lifting, waste disposal, and hazardous conditions

  • Emergency protocols and incident documentation

  • Confidentiality, rights, and client complaint policies

  • Staff hiring, background check procedures, and supervision tracking

6. STAFFING REQUIREMENTS

Role: Chore Worker / Environmental Services Aide

Requirements:

• Experience in housekeeping, janitorial, or property maintenance

• Background check and TB screening

• Physical ability to lift, clean, and work in challenging environments

• CPR/First Aid certification (recommended)

Role: Supervisor / Scheduler (for agencies)

Requirements: Oversight experience, scheduling, quality assurance, and field support

Training Requirements for All Staff:

• Infection control and proper use of cleaning agents

• Fall prevention and safe lifting techniques

• Emergency and incident reporting

• Confidentiality and client rights

• Annual refreshers on safety and in-home conduct

7. MEDICAID WAIVER SERVICES

Chore Services are reimbursed under:

• Connecticut Home Care Program for Elders (CHCPE)

• Other state-funded programs for at-risk seniors and adults with disabilities

Approved providers may deliver:

• Time-limited or task-based in-home chore assistance

• Services based on assessed health or safety risks

• Coordination with care managers for documentation and approval

• Before-and-after reports with photos (if required by DSS)

8. TIMELINE TO LAUNCH

Phase: Business Formation

Timeline: 1–2 weeks

Phase: DCP HCA Registration (if required)

Timeline: 2–4 weeks

Phase: DSS Medicaid Enrollment

Timeline: 30–60 days

Phase: Staff Hiring and Service Onboarding

Timeline: 2–4 weeks

9. CONTACT INFORMATION

Connecticut Department of Social Services (DSS)

Email: dss.ctmedical@ct.gov

Website: https://portal.ct.gov/DSS

Connecticut Department of Consumer Protection (DCP) – HCA Registration

Phone: (860) 713-6100

Website: https://portal.ct.gov/DCP

Connecticut Medicaid Provider Enrollment Portal

Website: https://www.ctdssmap.com

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CONNECTICUT CHORE SERVICES PROVIDER

We help individuals and small businesses launch compliant Chore Services to serve Medicaid waiver participants and at-risk adults across Connecticut.

Scope of Work:

• Business registration (LLC, EIN, NPI)

• DCP HCA registration and DSS Medicaid enrollment support

• Policy & procedure manual for chore services and field safety

• Templates for task checklists, service logs, and risk assessments

• Website, domain, and email setup

• Staff credentialing trackers and supervision logs

• Client intake packet, consent forms, and service agreements

• Incident reporting systems and audit preparation tools

• Referral networking with DSS, AAAs, and housing assistance programs

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.