HOMEMAKER SERVICES PROVIDER IN WYOMING

Fatumata Kaba
2 days ago
3 min read

SUPPORTING SAFE, SANITARY, AND ORGANIZED LIVING ENVIRONMENTS TO PROMOTE INDEPENDENCE AND WELL-BEING

Homemaker Services in Wyoming assist individuals who are unable to manage household tasks due to age, disability, or chronic illness. These services are essential for helping participants maintain a clean, healthy, and safe home environment and are designed to support independent living and prevent institutionalization. Homemaker Services are available through Wyoming’s Community Choices Waiver (CCW) and the Comprehensive and Supports Waivers under the Developmental Disabilities Division (DDD). All services must be included in a participant’s Individualized Plan of Care (IPC) and reflect a documented need for assistance with household management.

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1. GOVERNING AGENCIES

Agency: Wyoming Department of Health – Division of Healthcare Financing & Developmental Disabilities Division (DDD)

Role: Establishes homemaker service guidelines, authorizes funding, and monitors provider compliance.

Agency: Medicaid Provider Services

Role: Processes enrollment and reimbursement for homemaker service providers.

Agency: Case Management Agencies / Public Health Nursing (PHN)

Role: Coordinates assessments, identifies homemaker needs, and submits service authorizations in IPCs.

2. HOMEMAKER SERVICES OVERVIEW

Homemaker services focus on non-medical household assistance that enables the participant to remain in their home and live safely and with dignity.

Covered homemaker tasks may include:

Light housekeeping (dusting, sweeping, mopping, vacuuming)
Dishwashing and kitchen clean-up
Laundry and bed linen changes
Bathroom cleaning and sanitizing
Organizing personal belongings and home spaces
Trash removal and basic safety monitoring
Meal preparation support (if specified in IPC)
Errands and grocery assistance (if included in service plan)

Homemaker services do not include skilled nursing, hands-on personal care, or heavy-duty cleaning.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business with the Wyoming Secretary of State
Obtain a Federal EIN and Type 2 NPI
Enroll with Medicaid as a homemaker service provider under the relevant HCBS waiver
Submit application materials, including a Homemaker Services Policy & Procedure Manual
Hire staff with experience in home care, hospitality, or disability services
Maintain liability insurance and complete background checks for staff

No healthcare license is required, but Medicaid certification through DDD or the CCW program is mandatory.

4. WYOMING PROVIDER ENROLLMENT PROCESS

Step 1: Register business and obtain EIN/NPI

Step 2: Apply for Medicaid provider enrollment under the applicable HCBS waiver

Step 3: Submit P&P Manual and staff documentation to Medicaid and DDD (if needed)

Step 4: Complete any required waiver-specific training or orientation

Step 5: Begin service delivery after IPC and authorization approval

5. REQUIRED DOCUMENTATION

Medicaid enrollment confirmation and waiver certification
Homemaker Services Policy & Procedure Manual, including:
- Task list templates and service tracking logs
- Housekeeping safety protocols
- Infection control and basic sanitation guidelines
- Participant preferences and cultural sensitivity practices
- Emergency protocols and incident reporting
- Confidentiality policies and consent documentation
- Staff supervision and training policies
- Participant rights and complaint procedures
Staff training logs and background check verification

6. STAFFING REQUIREMENTS

Role: Homemaker / Housekeeping Aide

Requirements:

Age 18 or older
High school diploma or GED preferred
Background check and abuse registry clearance
Physical ability to perform household tasks safely
CPR/First Aid certification (recommended, but may be required if working solo)

All staff must complete:

HIPAA and confidentiality training
Abuse and neglect prevention
Cleaning standards and sanitation protocols
Emergency procedures and incident reporting

7. MEDICAID PROGRAMS THAT COVER HOMEMAKER SERVICES

Community Choices Waiver (CCW): For individuals age 65+ or adults with physical disabilities needing home support to prevent institutionalization
Comprehensive Waiver (I/DD): Covers homemaker assistance when participants are unable to perform household tasks independently
Supports Waiver (I/DD): May include homemaker support within individual budgets
EPSDT (under 21): May authorize household support under medical necessity for children with complex needs

Note: Services must be tied to a documented functional limitation or health condition and included in the participant’s IPC. Prior authorization may be required based on the number of hours or frequency.

8. TIMELINE TO LAUNCH

Phase: Business Registration & Policy Manual Development

Timeline: 2–3 weeks

Phase: Staff Hiring & Training Setup

Timeline: 30–45 days

Phase: Medicaid Waiver Enrollment

Timeline: 1–2 months

Phase: Start of Services

Timeline: Upon case manager authorization and participant IPC approval

9. CONTACT INFORMATION

Wyoming Medicaid Provider Services

Website: https://health.wyo.gov/healthcarefin/medicaid/providers/

Community Choices Waiver Info

Website: https://health.wyo.gov/healthcarefin/ltc/home-and-community-based-waiver/

Developmental Disabilities Division (DDD)

Website: https://health.wyo.gov/behavioralhealth/dd/

Wyoming Secretary of State – Business Portal

Website: https://sos.wyo.gov

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

WCG guides new and existing providers in building homemaker service programs that meet Wyoming Medicaid standards while improving the daily lives of clients through dependable, supportive home care.

Scope of Work: