HOMEMAKER SERVICES PROVIDER IN IDAHO

SUPPORTING DAILY LIVING AND HOUSEHOLD TASKS TO PROMOTE INDEPENDENCE AND COMMUNITY LIVING

Homemaker Services in Idaho assist individuals with disabilities, chronic illnesses, or aging-related needs by helping them maintain a clean, safe, and functional home environment. These services are authorized under Idaho’s Medicaid Home and Community-Based Services (HCBS) waiver programs and Medicaid State Plan benefits, enabling participants to continue living independently in their own homes or community settings.

1. GOVERNING AGENCIES

Agency: Idaho Department of Health and Welfare (IDHW) — Division of Medicaid

Role: Oversees Medicaid provider enrollment, service authorization, and reimbursement for Homemaker Services

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight ensuring Homemaker Services meet Medicaid HCBS community-based living standards

2. HOMEMAKER SERVICE OVERVIEW

Homemaker Services include assistance with routine household activities and tasks that participants are unable to perform independently due to physical, cognitive, or developmental limitations.

Approved providers may deliver:

• Light housekeeping (e.g., dusting, sweeping, vacuuming, mopping)

• Laundry services (washing, drying, folding clothes and linens)

• Meal preparation and cleanup

• Grocery shopping and basic household errands (where authorized)

• Assistance with organizing and maintaining safe living spaces

• Bed making and linen changing

• Garbage removal and household sanitation tasks

Services must be based on assessed participant needs documented in the Individualized Service Plan (ISP) and cannot duplicate personal care or direct medical services.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register business with the Idaho Secretary of State

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

• Enroll as a Medicaid provider through Idaho Medicaid Provider Enrollment

• Maintain general liability and professional liability insurance

• Develop operational policies for service delivery, participant safety, and emergency preparedness

• Staff must meet background screening and basic competency requirements in housekeeping and participant support

4. IDHW PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

• Submit Provider Enrollment Application for Homemaker Services through Idaho’s Medicaid Management Information System (MMIS)

Application and Documentation Submission:

• Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, operational policies, and participant intake forms

• Provide sample service plans, task tracking forms, emergency protocols, and participant rights policies

Program Readiness Review:

• IDHW reviews provider readiness including staff qualification standards, participant safety systems, and Medicaid billing compliance

Approval & Medicaid Enrollment:

• Upon approval, configure billing codes for Homemaker Services (typically billed hourly)

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business Registration (Idaho Secretary of State)

• IRS EIN confirmation

• NPI confirmation

• Proof of general and professional liability insurance

• HCBS-Compliant Policy & Procedure Manual including:

  • Participant intake, needs assessment, and service planning procedures

  • Task documentation, service verification, and scheduling protocols

  • Emergency preparedness and incident reporting procedures

  • HIPAA confidentiality, participant rights, and grievance handling policies

  • Staff credentialing, background checks, and training documentation

  • Medicaid billing, service authorization tracking, and audit readiness documentation

6. STAFFING REQUIREMENTS

Role: Homemaker Services Manager / Supervisor

Requirements: Experience in personal care services, housekeeping management, or home support services preferred; background screening clearance

Role: Homemaker Workers / Home Support Staff

Requirements: High school diploma or GED preferred; training in housekeeping, meal preparation, and participant safety; CPR/First Aid certification recommended; background screening clearance

All staff must complete:

• HIPAA confidentiality and participant rights training

• Abuse prevention, safety protocols, and emergency preparedness training

• Annual competency evaluations and refresher training in service delivery standards

7. MEDICAID WAIVER PROGRAMS

The following Idaho Medicaid Waivers authorize Homemaker Services:

• Aged and Disabled (A&D) Waiver

• Developmental Disabilities (DD) Waiver (for participants requiring environmental support)

Approved providers may deliver:

• Housekeeping and household support are necessary to maintain a safe and clean living environment

• Non-medical assistance related to meal preparation and home organization

• Support with activities indirectly linked to health maintenance and community living

8. TIMELINE TO LAUNCH

Phase: Business Formation and Credentialing Setup

Timeline: 1–2 weeks

Phase: Staff Hiring, Credentialing, and Program Development

Timeline: 1–2 months

Phase: Idaho Medicaid Provider Enrollment and Readiness Review

Timeline: 60–90 days

Phase: Medicaid Billing System Configuration and Claims Management

Timeline: 30–45 days

9. CONTACT INFORMATION

Idaho Department of Health and Welfare (IDHW) — Medicaid Division

Website: https://healthandwelfare.idaho.gov/services-programs/medicaid-health

Centers for Medicare & Medicaid Services (CMS)

Website: https://www.cms.gov/

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — IDAHO HOMEMAKER SERVICES PROVIDER

WCG supports home support agencies, homemaker service companies, and community organizations in launching Medicaid-compliant Homemaker Services under Idaho’s HCBS waiver programs.

Scope of Work:

• Business registration and EIN/NPI setup

• Medicaid provider enrollment assistance

• Development of Homemaker Services Policy & Procedure Manual

• Staff credentialing templates and participant intake/service tracking forms

• Medicaid billing system setup and claims management

• Website, domain, and email setup

• Daily documentation templates, scheduling systems, and task tracking sheets

• Quality assurance programs for service delivery monitoring and participant satisfaction

• Community outreach and referral partnership development strategies

Continue To Our Client Portal To Get Started

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