CHORES SERVICES PROVIDER IN UTAH

ENSURING A CLEAN, SAFE, AND SANITARY LIVING ENVIRONMENT FOR INDIVIDUALS WITH DISABILITIES THROUGH INTERMITTENT HOUSEHOLD ASSISTANCE

Chores Services in Utah support individuals with disabilities who are unable to perform heavy or infrequent household tasks that are essential for health and safety. These services are offered under select 1915(c) Home and Community-Based Services (HCBS) Waivers administered by the Utah Department of Health and Human Services (DHHS), through the Division of Services for People with Disabilities (DSPD).

These services are intended to supplement, not replace, ongoing supports like personal care or homemaker services and are only approved when necessary due to functional limitations.

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1. GOVERNING AGENCIES

Agency: Utah Department of Health and Human Services (DHHS) – Division of Services for People with Disabilities (DSPD)

Role: Authorizes and monitors Chores Services through Utah’s HCBS waiver programs; provides oversight on reimbursement and service quality.

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Ensures that Utah’s Medicaid waiver programs meet federal HCBS guidelines, including coverage of intermittent non-medical services.

2. CHORES SERVICES OVERVIEW

Chores Services cover non-routine, heavy-duty household tasks that are critical to the individual’s health or safety and that no one else in the household can reasonably perform.

Examples of covered tasks:

• Deep cleaning of unsanitary or hazardous living areas

• Heavy lifting or trash removal (non-hazardous)

• Cleaning after pest infestations (non-licensed support)

• Organizing and decluttering to reduce fall or fire hazards

• Cleaning following illness, hospitalization, or infection

• Moving furniture to allow for accessibility or mobility devices

• Limited yard work to ensure safe access to the home (e.g., clearing pathways)

Note: These are one-time or infrequent tasks and are not intended to be ongoing housekeeping services.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register your business with the Utah Division of Corporations

• Obtain EIN from the IRS and a Type 2 National Provider Identifier (NPI)

• Enroll with Utah Medicaid and apply for DSPD provider status

• Maintain general liability and worker’s compensation insurance

• Create a Chores Services Policy & Procedure Manual that reflects DSPD’s standards

4. UTAH PROVIDER ENROLLMENT PROCESS

Step 1: Register your legal entity and obtain your EIN and NPI

Step 2: Enroll as a Medicaid provider with Utah Medicaid

Step 3: Apply to become an approved DSPD provider of Chores Services

Step 4: Submit all required documentation, including service plans and safety procedures

Step 5: Complete DSPD training and MySupport onboarding

Step 6: Begin accepting referrals and providing chore-related services upon ISP authorization

5. REQUIRED DOCUMENTATION

• Articles of incorporation, EIN, NPI

• Utah Medicaid provider agreement and DSPD contract

• Proof of business liability and auto insurance (if transporting supplies)

• Chores Services Policy Manual including:

  • Intake and task approval process

  • Chore request forms and safety assessments

  • Documentation logs for tasks completed and time spent

  • Client safety and fall prevention protocols

  • Participant rights and consent procedures

  • Incident reporting and emergency procedures

  • HIPAA and data protection policies

6. STAFFING REQUIREMENTS

Role: Chores Services Worker

Requirements: Age 18+, background check, physical ability to perform tasks safely; no licensure required

Role: Program Supervisor (optional)

Requirements: Oversight experience with in-home support services

All staff must complete:

• HIPAA and confidentiality training

• Abuse, Neglect, and Exploitation Prevention training (ANEP)

• Safety protocols for lifting, deep cleaning, and trash removal

• Emergency preparedness and basic infection control

7. MEDICAID WAIVER PROGRAMS

Chores Services are authorized under the following waivers in Utah:

• Community Supports Waiver (CSW) – for adults with ID/DD

• Acquired Brain Injury (ABI) Waiver – for individuals with injury-related limitations

• Physical Disabilities Waiver (PDW) – where functionally justified

• Medically Complex Children’s Waiver (MCCW) – limited use when approved by care team

8. TIMELINE TO LAUNCH

Phase: Business Formation & Policy Manual Preparation

Timeline: 1–2 months

Phase: Medicaid Enrollment & DSPD Provider Application

Timeline: 2–3 months

Phase: Staff Training & Documentation Setup

Timeline: 30–45 days

Phase: Service Activation

Timeline: Upon approval and participant service plan authorization

9. CONTACT INFORMATION

Utah Department of Health and Human Services (DHHS) – DSPD

Website: https://dspd.utah.gov

Utah Medicaid Provider Enrollment

Website: https://medicaid.utah.gov

Centers for Medicare & Medicaid Services (CMS)

Website: https://www.cms.gov

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — UTAH CHORES SERVICES PROVIDER

WCG equips in-home service providers and support agencies with the tools to deliver chore-related Medicaid waiver services across Utah.

Scope of Work:

• Utah Medicaid and DSPD enrollment support

• Chores Services Policy & Procedure Manual

• Task request, documentation, and follow-up templates

• Staff onboarding and training resources

• Quality assurance tools and risk assessment forms

• Billing and audit preparation guides

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.