HOMEMAKER SERVICES PROVIDER IN ARIZONA
- Fatumata Kaba
- Jul 1
- 3 min read
SUPPORTING HEALTH AND SAFETY THROUGH NON-MEDICAL HOUSEHOLD ASSISTANCE FOR INDIVIDUALS RECEIVING LONG-TERM CARE SERVICES
Homemaker Services in Arizona help individuals who are elderly or have disabilities remain safely in their homes by providing assistance with routine household tasks. These services are authorized under Arizona Long Term Care System (ALTCS) through Arizona Health Care Cost Containment System (AHCCCS) and are part of the state’s Home and Community-Based Services (HCBS) offerings.
1. GOVERNING AGENCIES
Agency: Arizona Health Care Cost Containment System (AHCCCS)
Role: Administers Medicaid and ALTCS; authorizes and reimburses HCBS providers
Agency: Arizona Department of Economic Security – Division of Developmental Disabilities (DES/DDD)
Role: Manages services for individuals with developmental disabilities enrolled in ALTCS
Agency: Managed Care Organizations (MCOs) / Program Contractors (e.g., Mercy Care, UnitedHealthcare Community Plan, Banner – University Family Care)
Role: Coordinate services, conduct monitoring, and issue service authorizations
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight for Medicaid HCBS program compliance
2. HOMEMAKER SERVICE OVERVIEW
Homemaker Services include non-medical assistance with routine household activities to maintain a clean, safe, and functional home. These services support individuals who are unable to manage tasks independently due to physical, cognitive, or behavioral limitations.
Approved providers may deliver:
Light housekeeping (sweeping, mopping, vacuuming, dusting)
Laundry, bed-making, and changing linens
Dishwashing, kitchen cleanup, and organization
Trash removal and sanitation of common areas
Meal preparation support (non-medical)
Shopping assistance and errands (if approved by MCO)
Service documentation and communication with care managers
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Arizona Corporation Commission
Obtain EIN from the IRS and NPI (Type 2)
Apply to become an AHCCCS-registered provider under ALTCS
Complete contracting with one or more AHCCCS Program Contractors (MCOs)
Ensure staff meet fingerprinting, background checks, and training standards
Maintain general liability and workers’ comp insurance
Comply with AHCCCS policies and quality management standards
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register your business and obtain an NPI
Step 2: Apply to become an AHCCCS provider through the AHCCCS Online Provider Enrollment Portal
Step 3: Contract with one or more ALTCS Managed Care Organizations (e.g., Mercy Care, UHC, Banner)
Step 4: Submit administrative documents, staffing plan, and quality assurance policies
Step 5: Receive approval and begin receiving service referrals through case managers
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration (Arizona Corporation Commission)
IRS EIN Letter
NPI confirmation
Certificate of liability and workers’ comp insurance
AHCCCS provider approval
MCO contracts and credentialing confirmations
Policy & procedure manual including:
Client intake and service scheduling procedures
Daily documentation logs and task checklists
Staff training records and supervision plans
Confidentiality and HIPAA compliance
Emergency protocols and safety procedures
Incident reporting and grievance process
Cultural competency and abuse prevention policies
6. STAFFING REQUIREMENTS
Role: Homemaker / Home Care Aide
Requirements:
High school diploma or GED preferred
Background check and fingerprint clearance (Level I)
CPR/First Aid certification
Ability to document services and follow individualized service plans (ISPs)
Role: Supervisor / Administrator
Requirements:
Responsible for scheduling, training, and quality assurance
Familiarity with AHCCCS and MCO documentation standards
Training Requirements for All Staff:
Infection control and home safety
Confidentiality and HIPAA
Abuse, neglect, and exploitation prevention
Documentation accuracy and incident reporting
Cultural competence and respectful communication
7. MEDICAID WAIVER SERVICES
Homemaker Services are reimbursed under:
Arizona Long Term Care System (ALTCS)
Division of Developmental Disabilities (DDD) ALTCS program
AHCCCS HCBS waivers and managed care plans
Approved providers may deliver:
Housekeeping and support services per the member’s service plan
Time-tracked, task-specific documentation for billing
Ongoing coordination with MCOs and case managers
Person-centered service delivery that supports independence
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: AHCCCS Provider Enrollment
Timeline: 30–60 days
Phase: MCO Contracting and Credentialing
Timeline: 30–90 days
Phase: Staff Hiring and Service Delivery Setup
Timeline: Ongoing
9. CONTACT INFORMATION
Arizona Health Care Cost Containment System (AHCCCS)
Phone: (602) 417-4000
Website: https://www.azahcccs.gov
AHCCCS Provider Enrollment
Arizona DES – Division of Developmental Disabilities (DDD)
Phone: (844) 770-9500
ALTCS Managed Care Plans (e.g., Mercy Care, Banner, UHC)
Contact links are available on each MCO’s website

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARIZONA HOMEMAKER SERVICES PROVIDER
We guide direct care professionals and agencies in launching AHCCCS-compliant Homemaker Services programs under ALTCS and DDD.
Scope of Work:
Business registration (LLC, EIN, NPI)
AHCCCS provider enrollment and MCO contracting support
Policy & procedure manual for task-based care, documentation, and compliance
Templates for task logs, daily checklists, and incident reports
Website, domain, and email setup
Staff credentialing trackers and training records
Client intake packet, consent forms, and safety checklists
Incident reporting systems and audit readiness tools
Referral networking with case managers and managed care organizations
Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.
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