HOMEMAKER SERVICES PROVIDER IN CONNECTICUT

Fatumata Kaba
Jul 8
3 min read

SUPPORTING INDEPENDENT LIVING FOR OLDER ADULTS AND INDIVIDUALS WITH DISABILITIES THROUGH NON-MEDICAL IN-HOME ASSISTANCE

Homemaker Services in Connecticut provides non-medical, in-home support to individuals who need help maintaining a clean, safe, and functional home environment. These services are offered through Connecticut Medicaid's Home and Community-Based Services (HCBS) Waivers, including the Connecticut Home Care Program for Elders (CHCPE), the Personal Care Assistance (PCA) Waiver, and related state-funded programs administered by the Department of Social Services (DSS).

1. GOVERNING AGENCIES

Agency: Connecticut Department of Social Services (DSS)

Role: Administers Medicaid and waiver programs, authorizes homemaker services through care plans, and monitors provider compliance

Agency: Connecticut Department of Consumer Protection (if registered as a homemaker companion agency)

Role: Registers Homemaker Companion Agencies (HCAs) and maintains oversight of consumer rights protections

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Ensures HCBS waiver services meet federal requirements for community-based care

2. HOMEMAKER SERVICE OVERVIEW

Homemaker Services help individuals who are elderly or have disabilities maintain their independence by assisting with routine household tasks. These services are non-medical and must be documented in the participant’s care plan.

Approved providers may deliver:

Light housekeeping (sweeping, mopping, dusting)
Laundry and linen changes
Meal preparation and light dishwashing
Grocery shopping and errand running
Organization and home safety upkeep
Routine documentation of tasks performed and time spent

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 employing staff to work in client homes, register as a Homemaker Companion Agency (HCA) with the Connecticut Department of Consumer Protection (DCP)
Enroll as a Medicaid provider through DSS for CHCPE or PCA Waiver
Maintain liability insurance and employee records
Implement staff training, background checks, and supervision protocols

4. PROVIDER ENROLLMENT PROCESS

Step 1: Register as a Homemaker Companion Agency (if applicable)

Apply through the DCP online portal
Submit background check policies, agency ownership details, and business practices

Step 2: Medicaid Enrollment via DSS

Enroll through the DSS Medicaid Provider Enrollment Portal
Submit EIN, NPI, business license, and HCA registration (if applicable)

Step 3: Referral Coordination

Upon approval, begin accepting referrals from DSS case managers and waiver care teams

5. REQUIRED DOCUMENTATION

Articles of Incorporation or proof of business registration
IRS EIN Letter
NPI confirmation
DCP Homemaker Companion Agency registration (if applicable)
Medicaid enrollment confirmation
Policy & procedure manual including:
- Client intake and service authorization process
- Task checklists and homemaker visit logs
- Supervision and quality assurance processes
- Confidentiality, privacy, and client rights documentation
- Complaint and grievance procedures
- Emergency protocols and health/safety policies
- Staff credentialing, background checks, and ongoing training records

6. STAFFING REQUIREMENTS

Role: Homemaker / Companion

Requirements:

Background check and TB screening
Valid driver’s license (if performing errands)
Experience in housekeeping or senior support is preferred
CPR/First Aid certification (recommended)

Role: Supervisor / Scheduler

Requirements: Experience in home care coordination, staff supervision, and scheduling logistics

Training Requirements for All Staff:

Elder abuse recognition and reporting
Infection control and home safety
Documentation and ethical service delivery
Confidentiality and rights of persons served
Annual performance and safety training updates

7. MEDICAID WAIVER SERVICES

Homemaker Services are reimbursed under:

Connecticut Home Care Program for Elders (CHCPE)
Personal Care Assistance (PCA) Waiver
Acquired Brain Injury (ABI) Waivers
State-Funded Connecticut Respite and Community Care Programs

Approved providers may deliver:

Non-medical household task support in participant homes
Documented services per DSS care plan or Medicaid authorization
Coordination with family members, case managers, and community resources
Regular communication with waiver programs for compliance and outcome tracking

8. TIMELINE TO LAUNCH

Phase: Business Formation

Timeline: 1–2 weeks

Phase: HCA Registration with DCP (if applicable)

Timeline: 2–4 weeks

Phase: Medicaid Enrollment with DSS

Timeline: 30–60 days

Phase: Staff Hiring, Training, and Referral 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) – Homemaker Companion Agency Registry

Phone: (860) 713-6100

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

Connecticut Medicaid Provider Enrollment Portal

Website: https://www.ctdssmap.com

HOMEMAKER SERVICES PROVIDER IN CONNECTICUT

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

We help new providers establish Homemaker Services that meet Connecticut’s Medicaid and waiver compliance standards, from agency set up to staff credentialing and policy development.

Scope of Work: