HOME HEALTH SERVICES PROVIDER IN ARIZONA

DELIVERING SKILLED MEDICAL CARE AND PERSONALIZED SUPPORT TO INDIVIDUALS IN THE COMFORT OF THEIR OWN HOMES

Home Health Services in Arizona provide medically necessary care and therapeutic support to individuals in their home setting. These services help people with chronic conditions, disabilities, or recent hospitalization needs avoid institutional care and maintain independence. Under the Arizona Long Term Care System (ALTCS) and Home and Community-Based Services (HCBS) Waivers, providers deliver these services through licensed home health agencies and Medicaid-authorized staff.

1. GOVERNING AGENCIES

Agency: Arizona Department of Health Services (ADHS) – Bureau of Medical Facilities Licensing

Role: Licenses home health agencies and ensures compliance with medical care standards and safety protocols

Agency: Arizona Health Care Cost Containment System (AHCCCS)

Role: Oversees Medicaid enrollment, reimbursement, and program compliance

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

Role: Coordinates waiver services for individuals with developmental disabilities and manages Qualified Vendor authorizations

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight for home health services under Medicaid and HCBS waivers

2. HOME HEALTH SERVICE OVERVIEW

Home Health Services provide skilled care and health-related assistance in an individual’s residence. These services must be ordered by a physician or included in the person’s care plan and are delivered by licensed professionals under the supervision of a registered nurse or medical director.

Approved providers may deliver:

• Skilled nursing care (e.g., wound care, injections, catheter care, medication administration)

• Licensed Practical Nurse (LPN) services under RN supervision

• Home Health Aide services for ADL support and basic personal care

• Physical, occupational, or speech therapy (if offered)

• Medical monitoring and care coordination

• Health education and support for families or caregivers

• Documentation of visits, vital signs, interventions, and physician coordination

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register business with the Arizona Corporation Commission

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

• Apply for a Home Health Agency License through the Arizona Department of Health Services (ADHS)

• Apply through the Qualified Vendor Application and Directory System (QVADS) (if serving DDD members)

• Maintain liability and malpractice insurance

• Hire licensed nurses and clinical staff

• Develop HIPAA-compliant documentation and care tracking systems

4. LICENSING & MEDICAID ENROLLMENT PROCESS

Step 1: ADHS Licensing

• Submit a Home Health Agency license application

• Prepare for an inspection covering documentation, staff files, safety procedures, and clinical protocols

• Submit administrative policies, staffing plans, and client rights documentation

Step 2: AHCCCS Enrollment

• Register as a Medicaid provider through AHCCCS

• Submit license, NPI, and staff credential documentation

• Set up AHCCCS Online portal access for claims submission

Step 3 (if applicable): QVADS Application for DDD

• Submit staffing plans, documentation templates, and agency profile

• Complete contract approval and receive vendor listing

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business License

• IRS EIN Letter

• NPI confirmation

• ADHS home health agency license

• AHCCCS enrollment documentation

• QVADS registration (if serving DDD)

Policy & procedure manual including:

• Clinical intake and physician order management

• RN and LPN documentation standards

• Medication administration and care tracking

• Infection control and universal precautions

• HIPAA, consent forms, and privacy procedures

• Client rights, grievance process, and service plan templates

• Staff supervision and continuing education protocols

• Incident documentation and emergency response policies

6. STAFFING REQUIREMENTS

Role: Director of Nursing / Clinical Administrator

Requirements: Licensed RN in Arizona with supervisory experience and home health background

Role: Registered Nurse (RN)Requirements: Arizona license, CPR certification, experience in home-based medical care

Role: Licensed Practical Nurse (LPN)Requirements: Arizona license under RN supervision

Role: Certified Home Health Aide (HHA)Requirements: State certification, background check, and in-service training

Optional:

• Physical, occupational, or speech therapists

• Medical social workers (if agency provides interdisciplinary care)

Training Requirements for All Staff:

• Infection control and PPE

• Documentation, ethics, and confidentiality

• Emergency response procedures

• Annual skills assessments and regulatory updates

7. MEDICAID WAIVER SERVICES

Home Health Services are authorized under:

• ALTCS – Elderly and Physically Disabled (EPD) Waiver

• ALTCS – Division of Developmental Disabilities (DDD) Waiver

• Children’s Rehabilitative Services (CRS)

• Arizona Early Intervention Program (AzEIP)

Approved providers may deliver:

• Intermittent skilled nursing and therapy services

• In-home health aide support

• Ongoing documentation and coordination with the care team

• Monitoring of chronic conditions and early detection of health concerns

8. TIMELINE TO LAUNCH

Phase: Business Formation

Timeline: 1–2 weeks

Phase: ADHS Application and Survey Preparation

Timeline: 60–90 days

Phase: AHCCCS Enrollment and Credentialing

Timeline: 45–60 days

Phase: QVADS Application (if applicable)

Timeline: 30–60 days

9. CONTACT INFORMATION

Arizona Department of Health Services (ADHS) – Bureau of Medical Facilities Licensing

Phone: (602) 364-3030

Website: https://www.azdhs.gov

Arizona Health Care Cost Containment System (AHCCCS)

Email: ProviderRegistration@azahcccs.gov

Website: https://www.azahcccs.gov

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

Email: DDDProviderRegistration@azdes.gov

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

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

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

We support agencies in launching fully licensed and Medicaid-compliant Home Health Services under Arizona’s ALTCS and HCBS waiver programs.

Scope of Work:

• Business registration (LLC, EIN, NPI)

• ADHS license application and inspection prep

• AHCCCS enrollment and Medicaid billing setup

• Policy & procedure manual for skilled and non-skilled services

• Templates for RN care notes, medication logs, and physician orders

• Website, domain, and email setup

• Staff credentialing trackers and supervision logs

• Client intake packet, consent forms, and behavior plans

• Incident reporting systems and audit preparation tools

• Referral networking with hospitals, doctors, and support coordinators

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.