NURSING SERVICES PROVIDER IN CONNECTICUT

Fatumata Kaba
Jul 8
3 min read

DELIVERING SKILLED HEALTHCARE AND CLINICAL MONITORING TO INDIVIDUALS IN THEIR HOMES AND COMMUNITY SETTINGS

Nursing Services in Connecticut provide essential medical oversight and skilled care for individuals with chronic health conditions, disabilities, or post-acute care needs. These services are offered through the Connecticut Medicaid State Plan, the Connecticut Home Care Program for Elders (CHCPE), the Personal Care Assistance (PCA) Waiver, the Acquired Brain Injury (ABI) Waivers, and Department of Developmental Services (DDS) Waivers.

1. GOVERNING AGENCIES

Agency: Connecticut Department of Public Health (DPH)

Role: Licenses and regulates Home Health Agencies, Nurse Registries, and individual nursing professionals

Agency: Connecticut Department of Social Services (DSS)

Role: Authorizes and reimburses nursing services under Medicaid and HCBS waiver programs

Agency: Connecticut Department of Developmental Services (DDS)

Role: Oversees nursing services for waiver participants with intellectual/developmental disabilities

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Ensures compliance with federal Medicaid and HCBS standards

2. NURSING SERVICE OVERVIEW

Nursing Services include professional medical care delivered in-home or in community-based settings. Services may be intermittent or continuous, depending on the individual’s condition and level of care required.

Approved providers may deliver:

Skilled nursing visits (e.g., medication administration, wound care, IV therapy)
Health assessments and care plan development
Chronic disease monitoring and education
Medication setup and safety checks
Coordination with physicians and interdisciplinary teams
Delegation and oversight of care tasks to aides or family members
Documentation of clinical outcomes and physician orders

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register business with the Connecticut Secretary of the State
Obtain EIN from the IRS and NPI (Type 2)
Obtain licensure from DPH as a Home Health Care Agency or operate under a Nurse Registry (if providing staffing)
Enroll as a Medicaid provider through the DSS Medicaid Provider Enrollment Portal
Employ or contract licensed RNs and LPNs
Maintain general liability, professional liability, and malpractice insurance
Implement HIPAA-compliant documentation and clinical protocols

4. PROVIDER ENROLLMENT PROCESS

Step 1: DPH Licensing

Apply for Home Health Agency or Nurse Registry license
Submit policies, staffing plans, and infection control procedures
Complete site inspection and receive approval

Step 2: DSS Medicaid Enrollment

Apply via the Connecticut Medicaid Provider Enrollment Portal
Submit business credentials, licensure, and service descriptions

Step 3: Connect with Referring Entities

Receive service authorizations from DSS, DDS, or care coordinators under applicable waivers

5. REQUIRED DOCUMENTATION

Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
DPH license (Home Health or Nurse Registry)
DSS Medicaid provider enrollment approval
Policy & procedure manual including:
- Admission criteria and care planning templates
- Medication administration and delegation logs
- Clinical documentation protocols and progress notes
- HIPAA and patient privacy protections
- Emergency and infection control procedures
- Incident reporting and change in condition alerts
- RN supervision records and delegation guidelines
- Staff credentialing, training, and CEU logs

6. STAFFING REQUIREMENTS

Role: Registered Nurse (RN)

Requirements:

Active Connecticut license
Experience in community health, chronic care, or developmental disabilities
CPR certification, background check, and TB screening

Role: Licensed Practical Nurse (LPN)

Requirements:

Active Connecticut license
Works under RN supervision per delegation plan

Role: Nurse Supervisor / Clinical Director

Requirements:

Advanced RN experience, administrative capability, and familiarity with HCBS guidelines

Training Requirements for All Staff:

HIPAA and documentation best practices
Infection control and universal precautions
Abuse prevention and emergency response
Medication safety and client rights
Annual CEUs for license maintenance

7. MEDICAID WAIVER SERVICES

Nursing Services are reimbursed under:

Connecticut Medicaid State Plan
Connecticut Home Care Program for Elders (CHCPE)
Personal Care Assistance (PCA) Waiver
Acquired Brain Injury (ABI) Waivers
DDS Waivers (Comprehensive and IFS)
Medically Complex Children’s Waiver

Approved providers may deliver:

Skilled intermittent or scheduled nursing visits
Monitoring and health teaching
Oversight of direct care staff
Clinical input into care planning and waiver documentation

8. TIMELINE TO LAUNCH

Phase: Business Formation

Timeline: 1–2 weeks

Phase: DPH Licensing (Home Health or Nurse Registry)

Timeline: 60–90 days

Phase: DSS Medicaid Enrollment

Timeline: 30–60 days

Phase: Staff Hiring and Referral Activation

Timeline: Ongoing

9. CONTACT INFORMATION

Connecticut Department of Public Health (DPH) – Facility Licensing and Investigations

Phone: (860) 509-7400

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

Connecticut Department of Social Services (DSS)

Email: dss.ctmedical@ct.gov

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

Connecticut Medicaid Provider Enrollment Portal

Website: https://www.ctdssmap.com

NURSING SERVICES PROVIDER IN CONNECTICUT

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

We help nurses and healthcare organizations launch fully licensed, Medicaid-compliant Nursing Services to support home-based care in Connecticut’s waiver system.

Scope of Work: