These videos give an overview of the various Home and Community-Based Services (HCBS) available in California for providers who want to learn how to start or operate an HCBS agency in the state. Each video explains the purpose of the service, provider requirements, licensing process, and how the program functions in California. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers. Explore each section to find the service that best matches your goals or area of interest.
Respite Care
RESPITE CARE SERVICES PROVIDER IN CALIFORNIA
GIVING FAMILY CAREGIVERS A BREAK WHILE ENSURING SAFE, COMPASSIONATE SUPPORT FOR INDIVIDUALS WITH DISABILITIES OR COMPLEX NEEDS
Respite Care Services in California provide short-term, temporary relief to unpaid primary caregivers of individuals with developmental disabilities, chronic conditions, or aging-related needs. These services are offered through California’s Home and Community-Based Services (HCBS) Waivers, Regional Centers, and the Self-Determination Program (SDP). Respite care can be provided in-home, in the community, or at licensed out-of-home facilities.
1. GOVERNING AGENCIES
Agency: California Department of Developmental Services (DDS)
Role: Oversees coordination and funding for respite services through Regional Centers and the Self-Determination Program
Agency: California Department of Health Care Services (DHCS)
Role: Administers Medicaid and HCBS Waiver programs, including funding for in-home respite services
Agency: Regional Centers (21 non-profit centers statewide)
Role: Approve service providers, authorize respite hours, and manage individual budgets for clients
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures waiver compliance
2. RESPITE CARE SERVICE OVERVIEW
Respite services provide a break for unpaid caregivers while ensuring that the individual continues to receive appropriate care and supervision. Respite may be planned or offered during emergencies and is based on the needs defined in the individual’s Individual Program Plan (IPP) or Person-Centered Plan (PCP).
Approved providers may deliver:
In-home respite (care provided in the individual’s home)
Out-of-home respite (in a licensed facility or community setting)
Supervision, personal care, and basic support during the caregiver’s absence
Short-term behavioral support or companionship
Documentation of service dates, hours, and individual well-being
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the California Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a vendor with a Regional Center or Financial Management Service (FMS) if under the Self-Determination Program
Comply with Title 17 California Code of Regulations
Obtain Home Care Organization (HCO) license from the California Department of Social Services (if employing home care aides)
Maintain liability insurance and staffing documentation systems
4. REGIONAL CENTER VENDORIZATION PROCESS
Step 1: Pre-Application Contact
Reach out to your local Regional Center and request a vendor application packet for Service Code 420 (In-Home Respite)
Step 2: Application Submission
Submit business documentation, service description, sample timesheets, staff qualifications, and emergency protocols
Step 3: Facility License (if applicable)
If providing out-of-home respite, obtain a Community Care Licensing (CCL) facility license
Step 4: Approval and Service Agreement
Once approved, receive a vendor number and begin accepting referrals through the Regional Center
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Fictitious Business Name (FBN)
IRS EIN Letter
NPI confirmation
Liability insurance certificate
HCO or CCL license (if required)
Policy & procedure manual including:
Client intake and caregiver communication protocols
Daily service logs and emergency contact procedures
Medication reminder documentation (no medication administration unless licensed)
Client rights, grievance policy, and confidentiality protections
Staff qualifications, supervision logs, and training documentation
Service authorization and Regional Center billing procedures
6. STAFFING REQUIREMENTS
Role: Respite Care Supervisor / Program Manager
Requirements: Background in caregiving, social services, or human development; experience in supervision preferred
Role: Respite Care Worker / In-Home Aide
Requirements:
High school diploma or equivalent
TB clearance, background check, and fingerprinting (Live Scan)
CPR/First Aid certification
Home Care Aide registration with DSS (if required)
Training Requirements for All Staff:
Client safety, abuse prevention, and emergency response
Confidentiality and cultural sensitivity
Documentation and communication with families
Annual refreshers on ethics, privacy, and rights
7. MEDICAID WAIVER SERVICES
Respite Care Services in California are available through:
1915(c) HCBS Waiver for Individuals with Developmental Disabilities
Regional Center Services (Lanterman Act)
Self-Determination Program (SDP)
California Children's Services (CCS) – eligible plans
Approved providers may deliver:
Scheduled or emergency respite care in the home or community
Supervision and support consistent with the individual’s IPP or PCP
Documentation and coordination with service coordinators
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Regional Center Vendor Application or HCO Licensing
Timeline: 60–90 days
Phase: Medicaid Enrollment or SDP Approval (if applicable)
Timeline: 30–60 days
Phase: Staff Hiring and Training
Timeline: 30–45 days
9. CONTACT INFORMATION
California Department of Developmental Services (DDS)
Email: info@dds.ca.gov
Website: https://www.dds.ca.gov
California Department of Health Care Services (DHCS)
Website: https://www.dhcs.ca.gov
California Department of Social Services – Home Care Services Bureau
Website: https://www.cdss.ca.gov/home-care
Find Your Regional Center:
Website: https://www.dds.ca.gov/rc/lookup
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CALIFORNIA RESPITE CARE SERVICES PROVIDER
We support agencies and entrepreneurs in launching fully compliant Respite Care Services across California under the Regional Center, HCBS Waiver, and Self-Determination Program models.
Scope of Work:
Business registration (LLC, EIN, NPI)
Regional Center vendorization or Self-Determination FMS enrollment
Policy & procedure manual for in-home respite operations
Templates for service logs, emergency plans, and family communication
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and behavior plans
Incident reporting systems and audit preparation tools
Referral networking with Regional Centers, service coordinators, and local providers
Residential Care
COMMUNITY-BASED RESIDENTIAL SERVICES PROVIDER IN CALIFORNIA
CREATING SAFE, INCLUSIVE, AND INDIVIDUALIZED LIVING ENVIRONMENTS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES
Community-Based Residential Services in California offer 24-hour support in small, home-like settings for individuals with developmental disabilities who need ongoing supervision, skill-building, or behavioral support. These services are funded and authorized by Regional Centers under the Lanterman Act and delivered in compliance with Home and Community-Based Services (HCBS) standards.
1. GOVERNING AGENCIES
Agency: California Department of Developmental Services (DDS)
Role: Provides oversight for residential services and contracts with Regional Centers for service coordination
Agency: California Department of Social Services (CDSS) – Community Care Licensing Division (CCLD)
Role: Licenses residential facilities (e.g., Adult Residential Facilities) and enforces Title 22 regulations
Agency: Regional Centers (21 nonprofit centers statewide)
Role: Authorize services through Individual Program Plans (IPPs), approve vendors, and monitor quality
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures federal compliance with HCBS requirements under Medicaid
2. COMMUNITY-BASED RESIDENTIAL SERVICE OVERVIEW
Community-Based Residential Services offer individualized supports in licensed homes—typically housing 4 or fewer individuals—to help them live as independently as possible while receiving necessary care, supervision, and life skills training.
Approved providers may deliver:
24-hour supervision and health/safety support
Personal care assistance (ADLs and IADLs)
Medication administration (per licensure guidelines)
Community integration and recreation
Implementation of ISP goals and behavioral supports
Coordination of medical, dental, and mental health appointments
Daily documentation of services and progress
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the California Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply for a Community Care Facility (CCF) license from CDSS – CCLD (e.g., Adult Residential Facility [ARF])
Complete vendorization with a Regional Center using the appropriate Service Code (e.g., 915 for ARFs)
Secure fire clearance and ensure facility zoning compliance
Hire qualified staff and obtain Administrator Certification from CDSS
Maintain general liability, property, and worker’s comp insurance
4. REGIONAL CENTER VENDORIZATION PROCESS
Step 1: Pre-Vendorization Meeting
Contact your Regional Center’s Community Services Department and request a vendor application for residential services
Step 2: Program Design Development
Submit detailed service and staffing plan, house routines, emergency protocols, and quality assurance systems
Step 3: CDSS Licensing Approval
Apply for and obtain a Community Care License, including inspection, background checks, and facility approval
Step 4: Vendorization Approval
Sign vendor agreement and receive Regional Center referrals for individuals authorized through their IPPs
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Fictitious Business Name (FBN)
IRS EIN Letter
NPI confirmation
CDSS Community Care License (e.g., ARF)
Fire safety clearance
Regional Center vendor approval
Policy & procedure manual including:
House rules, client intake, and discharge criteria
Medication administration logs and health tracking forms
Staff schedules, job descriptions, and supervision records
Emergency and safety procedures
ISP goal implementation and progress logs
Participant rights, confidentiality, and grievance policies
Incident reporting and monthly service summaries
6. STAFFING REQUIREMENTS
Role: Administrator
Requirements: CDSS-approved administrator certification, minimum education and experience per Title 22
Role: Direct Support Professional (DSP)
Requirements:
DSP I and DSP II certification within one year of hire
CPR/First Aid certification
TB clearance and Live Scan fingerprinting
Completion of required orientation and in-service training
Training Requirements for All Staff:
ISP implementation and person-centered support
Medication administration (as authorized)
Abuse prevention and mandated reporter training
HIPAA/confidentiality and emergency preparedness
Annual CEUs and in-service refreshers per licensing standards
7. MEDICAID WAIVER SERVICES
Community-Based Residential Services are reimbursed under:
HCBS Waiver for Individuals with Developmental Disabilities
Regional Center Services under the Lanterman Act
State Plan Medi-Cal (for dual diagnosis and behavioral health needs)
Approved providers may deliver:
24-hour supervision and care in a licensed home setting
Skill-building activities aligned with the IPP
Behavioral interventions and healthcare coordination
Structured support for personal growth, safety, and integration
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: CDSS Community Care Licensing
Timeline: 90–120 days
Phase: Regional Center Vendorization
Timeline: 45–90 days
Phase: Facility Setup, Staffing, and Program Approval
Timeline: 30–60 days
9. CONTACT INFORMATION
California Department of Developmental Services (DDS)
Email: info@dds.ca.gov
Website: https://www.dds.ca.gov
California Department of Social Services – Community Care Licensing (CCLD)
Website: https://www.cdss.ca.gov/inforesources/community-care-licensing
Find Your Regional Center:
Website: https://www.dds.ca.gov/rc/lookup
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CALIFORNIA COMMUNITY-BASED RESIDENTIAL SERVICES PROVIDER
We guide providers through every stage of launching Community-Based Residential Services in California, including licensing, vendorization, program design, and long-term compliance.
Scope of Work:
Business registration (LLC, EIN, NPI)
CDSS residential licensing application and preparation
Regional Center vendorization and program design development
Policy & procedure manual for daily care, ISP tracking, and safety
Templates for staff schedules, medication logs, and resident records
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and house rules
Incident reporting systems and audit preparation tools
Referral networking with Regional Centers, case managers, and clinicians
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Supported Employment
SUPPORTED EMPLOYMENT SERVICES PROVIDER IN CALIFORNIA
ADVANCING INCLUSIVE WORKFORCE OPPORTUNITIES FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES ACROSS COMMUNITY SETTINGS
Supported Employment Services in California help individuals with intellectual and developmental disabilities (IDD) prepare for, obtain, and maintain competitive employment in integrated community settings. These services are authorized through California’s Home and Community-Based Services (HCBS) Waivers, regional center funding under the Lanterman Act, and are administered by the California Department of Developmental Services (DDS).
1. GOVERNING AGENCIES
Agency: California Department of Developmental Services (DDS)
Role: Oversees Supported Employment as a regional center-funded service under the Lanterman Act and HCBS waiver compliance
Agency: California Department of Health Care Services (DHCS)
Role: Manages Medicaid (Medi-Cal) and oversees federal funding for HCBS waiver services
Agency: Regional Centers (21 agencies statewide)
Role: Coordinate and authorize Supported Employment Services for eligible individuals
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures Supported Employment services meet HCBS federal regulations and person-centered standards
2. SUPPORTED EMPLOYMENT SERVICE OVERVIEW
Supported Employment Services are individualized services that assist individuals with disabilities in obtaining and sustaining meaningful employment in integrated, competitive settings. These services are tailored to each individual’s Individual Program Plan (IPP) and focus on long-term success in the workforce.
Approved providers may deliver:
Vocational assessments and job readiness evaluations
Job development and placement services
On-the-job coaching and skills training
Follow-along support and workplace accommodations
Soft skills training, self-advocacy, and communication support
Collaboration with employers, families, and regional center coordinators
Documentation of service outcomes and hours provided
Service models may include:
Individual Placement and Support (IPS)
Group Employment (Enclave or Work Crew)
Customized Employment
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the California Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply to become a Vendor with a California Regional Center for Supported Employment (Service Code 950 for Individual, 952 for Group)
Provide a comprehensive Program Design outlining services, goals, staffing, and participant engagement
Carry general liability insurance, auto insurance (if transporting clients), and workers’ comp
Pass a vendorization review including site visits and background checks for staff
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register your business and obtain NPI
Step 2: Contact the Regional Center(s) you intend to serve and request the Vendor Application Packet for Supported Employment
Step 3: Submit Program Design, staff qualifications, proof of insurance, and all required forms
Step 4: Undergo site visits and final approval from DDS via the Regional Center
Step 5: Once vendorized, begin accepting referrals for job seekers through the IPP process
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
Program Design (per DDS guidelines)
Regional Center vendor approval letter
Policy & procedure manual including:
Intake process and job matching procedures
Daily and monthly service documentation templates
Participant rights, HIPAA compliance, and confidentiality
Risk management and safety plans
Employer engagement and partnership strategy
Incident reporting and grievance policy
Staff supervision, CEUs, and performance evaluations
6. STAFFING REQUIREMENTS
Role: Job Coach / Employment Specialist
Requirements:
High school diploma (minimum); degree in human services preferred
Experience working with individuals with disabilities
Background check, CPR/First Aid certification, and valid CA driver’s license (if transporting clients)
Role: Program Manager / Employment Services Supervisor
Requirements:
Responsible for training, quality assurance, and employer relationships
Minimum 2 years of supported employment experience preferred
Training Requirements for All Staff:
Person-centered practices and vocational supports
Workplace safety and soft skills development
Documentation and service log protocols
Abuse prevention and mandated reporting
Annual professional development and CEU tracking
7. MEDICAID WAIVER SERVICES
Supported Employment is reimbursed through:
California HCBS Waivers via Medi-Cal (for eligible recipients)
Regional Center funding under the Lanterman Act
Department of Rehabilitation (DOR) (for pre-placement and short-term coaching)
Approved providers may deliver:
Individual job placement and coaching
Long-term follow-along support
Small group employment models
Collaboration with DOR and community employers
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Regional Center Vendorization Process
Timeline: 60–90 days
Phase: Staff Hiring and Program Setup
Timeline: 2–4 weeks
Phase: Referrals and Service Delivery
Timeline: Ongoing
9. CONTACT INFORMATION
California Department of Developmental Services (DDS)
Phone: (916) 654-1690
Website: https://www.dds.ca.gov
California Department of Health Care Services (DHCS)
Phone: (800) 541-5555
Website: https://www.dhcs.ca.gov
List of Regional Centers:
Website: https://www.dds.ca.gov/rc/listings
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CALIFORNIA SUPPORTED EMPLOYMENT SERVICES PROVIDER
We help job development professionals and organizations launch vendorized Supported Employment programs under California’s Regional Center system.
Scope of Work:
Business registration (LLC, EIN, NPI)
Vendor application and Program Design development for Supported Employment
Policy & procedure manual for service delivery, documentation, and supervision
Templates for intake forms, job logs, progress notes, and outcome reports
Website, domain, and email setup
Staff credentialing trackers and training documents
Client intake packet, consent forms, and worksite safety policies
Incident reporting systems and audit readiness tools
Referral networking with Regional Centers, DOR, and employers
Personal Assistance
PERSONAL ASSISTANCE SERVICES PROVIDER IN CALIFORNIA
SUPPORTING DAILY INDEPENDENCE THROUGH ONE-ON-ONE ASSISTANCE FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES
Personal Assistance Services (PAS) in California provide essential, non-medical support for individuals with intellectual and developmental disabilities (IDD) who require help with daily living tasks. These services are authorized through California’s Regional Center system under the Lanterman Act, and in some cases through Home and Community-Based Services (HCBS) Waivers. PAS is tailored to promote independence and quality of life in home and community settings.
1. GOVERNING AGENCIES
Agency: California Department of Developmental Services (DDS)
Role: Provides oversight and policy guidance for PAS under the Lanterman Act
Agency: Regional Centers (21 statewide)
Role: Authorize, coordinate, and monitor PAS for eligible consumers based on the Individual Program Plan (IPP)
Agency: California Department of Health Care Services (DHCS)
Role: Administers Medi-Cal funding for eligible services under waiver programs
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures HCBS services meet federal person-centered and community-based care standards
2. PERSONAL ASSISTANCE SERVICE OVERVIEW
Personal Assistance Services are hands-on supports provided to individuals who need help with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). The goal is to promote autonomy while addressing safety and support needs in the least restrictive environment.
Approved providers may deliver:
Assistance with bathing, grooming, dressing, and toileting
Meal preparation and feeding support
Light housekeeping, laundry, and home organization
Medication reminders (non-administration)
Mobility, transferring, and ambulation support
Help accessing and participating in community activities
Documentation of services provided and progress toward IPP goals
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the California Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply to become a Vendor with a California Regional Center for Personal Assistance (Service Code 062)
Submit a detailed Program Design describing service delivery, staff qualifications, and client engagement
Carry general liability and workers’ comp insurance
Conduct fingerprinting and background checks (Live Scan) for all staff
Establish HIPAA-compliant documentation and supervision systems
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register your business and obtain an NPI
Step 2: Contact your target Regional Center and request the Vendor Application Packet for Service Code 062
Step 3: Submit your Program Design, required forms, insurance documentation, and staff resumes
Step 4: Complete vendor orientation, staff screenings, and final Regional Center approval
Step 5: Begin accepting referrals based on authorized IPP services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or proof of business registration
IRS EIN Letter
NPI confirmation
Regional Center vendor approval
Staff background clearances and CPR/First Aid certifications
Policy & procedure manual including:
Intake procedures and IPP service alignment
Daily documentation and timesheet protocols
Participant rights and HIPAA compliance
Emergency response and incident reporting
Staff orientation, supervision, and training logs
Abuse prevention and reporting protocols
Grievance and resolution procedures
6. STAFFING REQUIREMENTS
Role: Personal Assistant / Direct Support Professional (DSP)
Requirements:
High school diploma or equivalent
CPR/First Aid certification and fingerprint clearance (Live Scan)
Experience supporting individuals with disabilities preferred
Strong communication and documentation skills
Role: Supervisor / Program Coordinator
Requirements:
Background in home- or community-based services
Responsible for quality assurance, scheduling, and staff support
Training Requirements for All Staff:
ADL/IADL assistance techniques
HIPAA and participant privacy
Abuse prevention and mandated reporting
Incident documentation and emergency response
Person-centered service delivery aligned with the IPP
7. MEDICAID WAIVER SERVICES
Personal Assistance Services may be funded through:
California Regional Centers under the Lanterman Act (primary funding source)
HCBS Waiver Services (for eligible Medi-Cal recipients through DDS)
Self-Determination Program (SDP) (when selected in participant’s individual budget)
Approved providers may deliver:
One-on-one ADL/IADL support
Community integration and participation assistance
Flexible schedules and support intensity based on IPP
Documented daily service logs for auditing and compliance
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Regional Center Vendorization
Timeline: 30–60 days
Phase: Staff Hiring and Training
Timeline: 2–4 weeks
Phase: Service Activation and Referral Onboarding
Timeline: Ongoing
9. CONTACT INFORMATION
California Department of Developmental Services (DDS)
Phone: (916) 654-1690
Website: https://www.dds.ca.gov
California Department of Health Care Services (DHCS)
Phone: (800) 541-5555
Website: https://www.dhcs.ca.gov
List of Regional Centers:
Website: https://www.dds.ca.gov/rc/listings
Adaptive Equipment
ADAPTIVE EQUIPMENT SERVICES PROVIDER IN CALIFORNIA
SUPPORTING FUNCTIONAL INDEPENDENCE THROUGH CUSTOMIZED EQUIPMENT AND ASSISTIVE DEVICES FOR INDIVIDUALS WITH DISABILITIES
Adaptive Equipment Services in California provides access to specialized equipment and assistive devices that help individuals with intellectual and developmental disabilities (IDD) maintain safety, mobility, communication, and independence in their homes and communities. These services are funded through California’s Regional Center system under the Lanterman Act, as well as authorized in some cases through Home and Community-Based Services (HCBS) Waivers.
1. GOVERNING AGENCIES
Agency: California Department of Developmental Services (DDS)
Role: Oversees the provision of adaptive equipment and ensures purchases are tied to the individual’s IPP (Individual Program Plan)
Agency: Regional Centers (21 agencies statewide)
Role: Authorize equipment requests and vendorize providers who supply adaptive equipment and related services
Agency: California Department of Health Care Services (DHCS)
Role: Administers Medi-Cal (California Medicaid), which may cover certain Durable Medical Equipment (DME)
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures Medicaid-funded services meet HCBS standards when applicable
2. ADAPTIVE EQUIPMENT SERVICE OVERVIEW
Adaptive Equipment Services provide individuals with the tools and technology needed to navigate daily life safely and independently. Devices must be functionally necessary, linked to the consumer’s IPP, and not otherwise covered by Medi-Cal or insurance.
Approved providers may deliver:
Mobility devices (e.g., walkers, gait trainers, manual wheelchairs)
Communication devices (e.g., AAC devices, talking boards)
Sensory tools and positioning equipment
Adaptive utensils, shower chairs, toileting aids
Customized or modified devices tailored to specific functional needs
Equipment setup, training, maintenance, and minor repairs
Documentation of delivery, client training, and use effectiveness
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the California Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply to become a Vendor with a California Regional Center for Adaptive Equipment (typically Service Code 125 or 130)
Provide a Program Design describing your scope of services, ordering process, and client training
Carry liability and product insurance
Employ or partner with trained technicians or rehabilitation specialists as needed
Maintain a secure documentation and billing system
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register your business and obtain an NPI
Step 2: Contact a Regional Center and request the Vendor Application Packet for Adaptive Equipment
Step 3: Submit required forms, Program Design, pricing structure, and insurance certificates
Step 4: Complete a vendor orientation, site visit (if required), and DDS approval
Step 5: Begin accepting referrals for equipment procurement, customization, and delivery
5. REQUIRED DOCUMENTATION
Articles of Incorporation or proof of business registration
IRS EIN Letter
NPI confirmation
Regional Center vendor approval letter
Program Design (per DDS guidelines)
Policy & procedure manual including:
Equipment request, ordering, and fulfillment protocols
Participant intake and training forms
Delivery verification and consent forms
Maintenance, return, and replacement procedures
Incident and safety reporting
HIPAA compliance and privacy safeguards
Staff credentialing and supervision protocols
6. STAFFING REQUIREMENTS
Role: Equipment Specialist / Technician
Requirements:
Experience in adaptive equipment, DME, or rehab technology
Training in proper installation and participant education
Background check and product safety certification (if applicable)
Role: Program Coordinator / Intake Manager
Requirements:
Oversight of referrals, documentation, and service timeliness
Communication with Regional Center Service Coordinators
Training Requirements for All Staff:
HIPAA and client confidentiality
Equipment handling and safety standards
Infection control (especially for reused devices)
Documentation protocols for Regional Centers and audits
Customer service and cultural sensitivity
7. MEDICAID WAIVER SERVICES
Adaptive Equipment may be funded under:
Lanterman Act via California Regional Centers (primary source)
HCBS Waivers (as an exception, when tied to the Individual Program Plan and not covered by Medi-Cal or private insurance)
Medi-Cal Durable Medical Equipment (DME) (for medically prescribed, basic equipment needs)
Approved providers may deliver:
Evaluated and approved adaptive equipment aligned with the IPP
In-home delivery, setup, and training
Documentation of outcomes and usage
Coordination with therapists, physicians, and case coordinators
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Regional Center Vendorization
Timeline: 30–60 days
Phase: Staff Training and Referral Activation
Timeline: 2–4 weeks
Phase: Equipment Ordering and Delivery
Timeline: Ongoing
9. CONTACT INFORMATION
California Department of Developmental Services (DDS)
Phone: (916) 654-1690
Website: https://www.dds.ca.gov
California Department of Health Care Services (DHCS)
Phone: (800) 541-5555
Website: https://www.dhcs.ca.gov
List of Regional Centers:
Website: https://www.dds.ca.gov/rc/listings
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CALIFORNIA ADAPTIVE EQUIPMENT SERVICES PROVIDER
We help suppliers, DME vendors, and accessibility professionals launch vendor-compliant Adaptive Equipment services for individuals served by California’s Regional Centers.
Scope of Work:
Business registration (LLC, EIN, NPI)
Regional Center vendor enrollment and Program Design development
Policy & procedure manual for equipment sourcing, delivery, and compliance
Templates for intake forms, training checklists, delivery receipts, and returns
Website, domain, and email setup
Staff credentialing trackers and safety protocols
Client intake packet, HIPAA consent forms, and user instructions
Incident reporting systems and audit preparation tools
Referral networking with Regional Centers, therapists, and support coordinators
Skilled Nursing
SKILLED NURSING SERVICES PROVIDER IN CALIFORNIA
DELIVERING LICENSED MEDICAL CARE IN THE HOME TO PROMOTE STABILITY, RECOVERY, AND QUALITY OF LIFE FOR INDIVIDUALS WITH COMPLEX HEALTH NEEDS
Skilled Nursing Services in California provide licensed, physician-directed medical care in the home for individuals with ongoing medical needs. These services are available under Medi-Cal (California Medicaid) through both State Plan benefits and Home and Community-Based Services (HCBS) Waivers, such as the Nursing Facility/Acute Hospital (NF/AH) Waiver and are regulated by the California Department of Health Care Services (DHCS) and the California Department of Public Health (CDPH).
1. GOVERNING AGENCIES
Agency: California Department of Health Care Services (DHCS)
Role: Administers Medi-Cal and HCBS waiver funding for skilled nursing services
Agency: California Department of Public Health (CDPH)
Role: Licenses Home Health Agencies (HHAs) and oversees compliance with Title 22 regulations
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures HCBS and skilled nursing standards are met
2. SKILLED NURSING SERVICE OVERVIEW
Skilled Nursing Services involve direct care delivered by a Registered Nurse (RN) or Licensed Vocational Nurse (LVN) in the home under a physician’s written order. These services are for individuals with complex medical needs who require regular clinical support to prevent institutionalization.
Approved providers may deliver:
Medication administration and IV therapy
Wound care, catheter care, and tracheostomy management
Feeding tube maintenance and monitoring
Chronic disease management (e.g., diabetes, cardiac, pulmonary)
Skilled assessments and nursing notes
Coordination with primary care physicians and interdisciplinary teams
Emergency planning and health education for caregivers
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the California Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply for a Home Health Agency (HHA) license through CDPH
Complete Medi-Cal enrollment for reimbursement of in-home skilled nursing
Comply with federal Conditions of Participation if also Medicare-certified
Carry liability insurance and workers’ compensation
Implement HIPAA-compliant clinical documentation systems
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register your agency and obtain NPI
Step 2: Apply for Home Health Agency licensure through CDPH’s Centralized Applications Unit (CAU)
Submit business plan, staffing model, policies, and undergo a site survey
Step 3: Enroll as a Medi-Cal provider through the Provider Application and Validation for Enrollment (PAVE) portal
Step 4: Apply to provide services under HCBS Waivers (such as NF/AH Waiver) if eligible
Step 5: Begin accepting referrals from physicians, case managers, or waiver agencies
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
CDPH HHA license and Medicare certification (if applicable)
Medi-Cal provider number and waiver program approval
Policy & procedure manual including:
Nursing care plans and physician order tracking
Medication administration records and treatment logs
Infection control and emergency preparedness
Incident reporting and quality assurance protocols
HIPAA compliance and patient privacy standards
Staff credentialing, training, and clinical supervision
Documentation for Medi-Cal and CMS audits
6. STAFFING REQUIREMENTS
Role: Registered Nurse (RN)
Requirements:
California RN license
Experience in home health or acute care preferred
CPR certification, background check, and TB clearance
Role: Licensed Vocational Nurse (LVN)
Requirements:
California LVN license
Works under RN supervision
Medication administration and clinical care experience
Role: Clinical Supervisor / Director of Patient Care Services (DPCS)
Requirements:
Active California RN license
Two or more years of clinical experience, including at least one year in home health supervision
Training Requirements for All Staff:
HIPAA and patient confidentiality
Documentation and billing compliance
Infection control and emergency response
Cultural competence and patient communication
Annual skills verification and CEU tracking
7. MEDICAID WAIVER SERVICES
Skilled Nursing is reimbursed through:
California Medi-Cal (State Plan benefit)
Home and Community-Based Services Waivers, such as:
NF/AH Waiver
Home and Community-Based Alternatives (HCBA) Waiver
Approved providers may deliver:
Short- or long-term nursing care based on medical necessity
Care planning in coordination with waiver case managers
Documentation for Level of Care reviews and ongoing eligibility
In-home skilled services to avoid hospitalization or nursing facility placement
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: CDPH Licensing Process
Timeline: 3–6 months
Phase: Medi-Cal Enrollment
Timeline: 60–90 days
Phase: Waiver Program Application (optional)
Timeline: 30–60 days
Phase: Staffing and Referral Activation
Timeline: Ongoing
9. CONTACT INFORMATION
California Department of Public Health (CDPH) – Licensing and Certification
Phone: (916) 558-1784
Website: https://www.cdph.ca.gov
California Department of Health Care Services (DHCS)
Phone: (800) 541-5555
Website: https://www.dhcs.ca.gov
Medi-Cal Provider Enrollment (PAVE)
Website: https://pave.dhcs.ca.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CALIFORNIA SKILLED NURSING SERVICES PROVIDER
We help licensed healthcare professionals and home health agencies launch compliant Skilled Nursing Services programs under Medi-Cal and HCBS waiver programs in California.
Scope of Work:
Business registration (LLC, EIN, NPI)
CDPH Home Health Agency licensing support
Medi-Cal and waiver provider enrollment guidance
Policy & procedure manual for nursing care, compliance, and documentation
Templates for care plans, physician orders, treatment logs, and incident reports
Website, domain, and email setup
Staff credentialing trackers and CEU monitoring tools
Client intake packet, consent forms, and HIPAA documents
Audit preparation systems and waiver readiness tools
Referral networking with hospitals, physicians, and managed care plans
Day Habilitation
DAY HABILITATION SERVICES PROVIDER IN CALIFORNIA
EMPOWERING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES THROUGH STRUCTURED DAYTIME PROGRAMS THAT BUILD SKILLS AND FOSTER COMMUNITY INCLUSION
Day Habilitation Services in California provide structured, person-centered daytime support to individuals with intellectual and developmental disabilities (IDD). These services are designed to enhance life skills, social engagement, and community participation and are funded through California’s Regional Centers under the Lanterman Act, with alignment to HCBS federal standards.
1. GOVERNING AGENCIES
Agency: California Department of Developmental Services (DDS)
Role: Provides statewide oversight of Day Habilitation programming and Regional Center vendorization
Agency: Regional Centers (21 statewide)
Role: Authorize and fund Day Habilitation Services based on the Individual Program Plan (IPP)
Agency: California Department of Health Care Services (DHCS)
Role: Administers Medi-Cal and oversees Medicaid-related service funding
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures HCBS Day Habilitation Services meet federal person-centered and integration requirements
2. DAY HABILITATION SERVICE OVERVIEW
Day Habilitation Services help individuals with developmental disabilities build adaptive skills in a structured setting during the day. These services are non-vocational, but may include pre-vocational activities, and are customized to support each person’s goals for independence and community access.
Approved providers may deliver:
Communication, social, and self-advocacy training
Personal care support (as needed)
Life skill development (e.g., hygiene, cooking, transportation training)
Community outings and inclusive recreational activities
Assistance with mobility and engagement in group activities
Documentation of participation, progress, and alignment with the IPP
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the California Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply to become a Vendor with a Regional Center for Day Habilitation (Service Code 510 or 055)
Submit a comprehensive Program Design outlining service goals, staff structure, daily schedules, and compliance measures
Secure a facility that meets ADA, fire safety, and local zoning regulations
Carry general liability and workers’ comp insurance
Implement transportation safety procedures if offering community outings
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register your business and obtain an NPI
Step 2: Contact the Regional Center(s) you wish to serve and request a Vendor Application Packet for Day Habilitation Services
Step 3: Submit your Program Design, required forms, staffing plan, and facility details
Step 4: Participate in an on-site review, fire inspection, and Regional Center orientation
Step 5: Upon DDS approval, begin accepting referrals based on IPP needs
5. REQUIRED DOCUMENTATION
Articles of Incorporation or proof of business registration
IRS EIN Letter
NPI confirmation
Regional Center vendor approval letter
Facility lease, site plan, and zoning clearance (if applicable)
Policy & procedure manual including:
Participant intake and goal development process
Daily schedule templates and activity logs
Behavior support and personal care guidelines
Emergency preparedness and transportation protocols
Staff training and supervision plan
Incident reporting and grievance procedures
HIPAA compliance and documentation retention
6. STAFFING REQUIREMENTS
Role: Day Program Coordinator / Administrator
Requirements:
Two years’ experience working with individuals with developmental disabilities
Responsible for overall program oversight and quality control
Role: Direct Support Professional (DSP)
Requirements:
High school diploma or equivalent
CPR/First Aid certification, background clearance (Live Scan)
Experience supporting adults with developmental disabilities preferred
Training Requirements for All Staff:
Person-centered planning and IPP goal alignment
Participant rights and abuse prevention
Community inclusion and safety
Emergency and first aid response
Ongoing CEUs and staff development tracking
7. MEDICAID WAIVER SERVICES
Day Habilitation Services are reimbursed under:
Lanterman Act funding through Regional Centers
Self-Determination Program (SDP) (if selected by the participant)
HCBS Waiver alignment for federal match compliance
Approved providers may deliver:
Center-based or community-based group activities
Individualized support aligned with IPP goals
Transportation to/from activities (if authorized)
Daily documentation and monthly progress reports
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Facility Licensing, Lease, and Setup
Timeline: 2–4 weeks
Phase: Regional Center Vendorization
Timeline: 60–90 days
Phase: Staff Hiring and Service Activation
Timeline: Ongoing
9. CONTACT INFORMATION
California Department of Developmental Services (DDS)
Phone: (916) 654-1690
Website: https://www.dds.ca.gov
California Department of Health Care Services (DHCS)
Phone: (800) 541-5555
Website: https://www.dhcs.ca.gov
Regional Center Directory (Statewide List):
Website: https://www.dds.ca.gov/rc/listings
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CALIFORNIA DAY HABILITATION SERVICES PROVIDER
We support human services professionals, day program founders, and disability advocates in launching fully compliant Day Habilitation programs through California’s Regional Center system.
Scope of Work:
Business registration (LLC, EIN, NPI)
Vendor application and Program Design development
Policy & procedure manual for daily operations, safety, and documentation
Templates for attendance logs, activity records, progress reports, and consent forms
Website, domain, and email setup
Staff credentialing trackers and Live Scan management tools
Client intake packet, behavior plans, and incident protocols
Incident reporting systems and audit preparation tools
Referral networking with Regional Centers, families, and support coordinators
Adult Day Health
ADULT DAY HEALTH CARE (ADHC) SERVICES PROVIDER IN CALIFORNIA
ENHANCING HEALTH, INDEPENDENCE, AND SOCIAL CONNECTIONS FOR ADULTS WITH MEDICAL AND COGNITIVE NEEDS IN A COMMUNITY SETTING
Adult Day Health Care (ADHC) Services in California offer coordinated health, therapeutic, and social services to individuals with chronic conditions, developmental disabilities, or cognitive impairments. ADHC is a licensed, community-based medical model authorized under California Medi-Cal through the Community-Based Adult Services (CBAS) Program and also coordinated by Managed Care Plans.
1. GOVERNING AGENCIES
Agency: California Department of Aging (CDA)
Role: Licenses ADHC centers and oversees CBAS program standards and audits
Agency: California Department of Health Care Services (DHCS)
Role: Manages Medi-Cal enrollment, provider reimbursement, and eligibility for CBAS participants
Agency: Managed Care Plans (e.g., LA Care, Health Net, Anthem)
Role: Authorize and coordinate CBAS services for enrolled members
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures HCBS compliance under Medicaid and Medicare
2. ADULT DAY HEALTH CARE SERVICE OVERVIEW
ADHC centers provide a structured day program that combines healthcare, therapeutic services, and social engagement in a non-residential setting. The goal is to help adults remain safely in the community, delay institutionalization, and support caregivers.
Approved providers may deliver:
Skilled nursing care and medication management
Physical, occupational, and speech therapy
Social services and case management
Mental health counseling
Daily personal care and hygiene assistance
Therapeutic and recreational activities
Nutritional meals and dietary counseling
Transportation to and from the center (if authorized)
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the California Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Secure a physical location that meets CDPH health facility standards
Apply for an ADHC license from the California Department of Public Health (CDPH)
Complete enrollment in the CBAS program with the California Department of Aging (CDA)
Obtain Medi-Cal provider enrollment approval and contracts with Managed Care Plans
Hire multidisciplinary staff including RNs, therapists, social workers, and aides
Maintain liability, malpractice, and facility insurance
4. PROVIDER ENROLLMENT PROCESS
Step 1: CDPH Licensing
Apply for ADHC license as a healthcare facility
Pass inspections related to safety, staffing, infection control, and building compliance
Step 2: CBAS Certification via CDA
Submit service delivery model, staff roster, care coordination plan, and sample documentation
Pass CBAS readiness review and receive certification
Step 3: Medi-Cal Enrollment (PAVE)
Apply through DHCS PAVE portal and submit required credentials, license, and NPI
Enroll with Managed Care Plans for contracts and referral access
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Fictitious Business Name (FBN)
IRS EIN Letter
NPI confirmation
CDPH ADHC license and CDA CBAS certification
Medi-Cal enrollment approval
Policy & procedure manual including:
Participant intake, assessment, and care planning
Nursing and therapy documentation standards
Daily activity schedules and staff ratios
HIPAA and client rights documentation
Incident reporting and emergency protocols
Interdisciplinary team meeting forms
Billing logs, authorization records, and visit verification
6. STAFFING REQUIREMENTS
Required Roles:
Program Director (licensed professional)
Registered Nurse (RN)
Social Worker
Physical/Occupational/Speech Therapist (at least one discipline)
Activity Coordinator
Certified Nursing Assistants (CNAs) or Personal Care Assistants
Dietitian Consultant
Administrative Support Staff
Training Requirements for All Staff:
Person-centered planning and cultural sensitivity
Emergency response and first aid
HIPAA and confidentiality
Infection control, documentation, and client safety
Annual in-service training requirements per CDPH and CDA guidelines
7. MEDICAID WAIVER SERVICES
ADHC is reimbursed under:
Community-Based Adult Services (CBAS) Program
Medi-Cal Managed Care Plans (mandatory enrollment for most counties)
CalAIM Enhanced Care Management (ECM) and Community Supports (as coordinated)
Approved providers may deliver:
Individualized, center-based services per CBAS regulations
Skilled nursing and allied therapies
Behavioral and social support
Daily documentation and outcomes reporting
Transportation (if part of plan authorization)
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Facility Preparation and CDPH Licensing
Timeline: 90–150 days
Phase: CBAS Certification with CDA
Timeline: 60–90 days
Phase: Medi-Cal & Managed Care Enrollment
Timeline: 45–90 days
9. CONTACT INFORMATION
California Department of Aging – CBAS Program
Email: cbas@aging.ca.gov
Website: https://aging.ca.gov/Programs_and_Services/CBAS
California Department of Public Health (CDPH) – Licensing & Certification
Phone: (916) 558-1784
Website: https://www.cdph.ca.gov
California Department of Health Care Services (DHCS)
Website: https://www.dhcs.ca.gov
PAVE Provider Enrollment Portal
Website: https://pave.dhcs.ca.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CALIFORNIA ADULT DAY HEALTH CARE (CBAS) PROVIDER
We help healthcare entrepreneurs and community organizations launch licensed Adult Day Health Care (ADHC) programs under California’s CBAS model, from facility planning to managed care contracting.
Scope of Work:
Business registration (LLC, EIN, NPI)
CDPH ADHC licensing and CDA CBAS certification support
Medi-Cal provider enrollment and managed care outreach
Policy & procedure manual for clinical, activity, and compliance operations
Templates for care plans, progress notes, and interdisciplinary team meetings
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and grievance protocols
Incident reporting systems and audit preparation tools
Referral networking with hospitals, physicians, and case managers
Assistive Technology
ASSISTIVE TECHNOLOGY SERVICES PROVIDER IN CALIFORNIA
ENABLING GREATER INDEPENDENCE AND FUNCTIONAL ABILITY THROUGH CUSTOMIZED DEVICES AND EQUIPMENT SUPPORT
Assistive Technology Services in California help individuals with developmental disabilities acquire, use, and maintain devices that support communication, mobility, self-care, learning, and community access. These services are offered through California’s Regional Centers, Self-Determination Program (SDP), and select Home and Community-Based Services (HCBS) Waivers.
1. GOVERNING AGENCIES
Agency: California Department of Developmental Services (DDS)
Role: Provides oversight for services delivered through Regional Centers and Self-Determination Program
Agency: California Department of Health Care Services (DHCS)
Role: Manages Medi-Cal programs and authorizes durable medical equipment (DME) under Medicaid
Agency: Regional Centers (21 nonprofit agencies)
Role: Approve vendors, authorize Assistive Technology Services in client IPPs, and monitor service delivery
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight of HCBS compliance for AT services
2. ASSISTIVE TECHNOLOGY SERVICE OVERVIEW
Assistive Technology Services include evaluation, procurement, customization, training, and maintenance of devices that improve daily functioning and access. These services are authorized in the Individual Program Plan (IPP) or Person-Centered Plan (PCP) and must support the participant’s specific goals.
Approved providers may deliver:
Functional needs assessments
Device selection, sourcing, and installation
Customization of assistive tools and mobility devices
Training for participants, caregivers, and staff
Maintenance, repair, and technical support
Documentation of service impact and device usage
Examples of covered technology include:
Communication devices (AAC), tablets with speech apps
Adaptive keyboards, switches, and environmental controls
Wheelchair modifications, lifts, and positioning systems
Sensory tools or vision/hearing aids
Medication dispensers and automated reminders
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the California Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Submit vendor application to your local Regional Center
OR enroll as a provider through a Financial Management Service (FMS) under the Self-Determination Program
Maintain insurance and documentation systems for delivery and training
Employ or contract Assistive Technology Professionals (ATP), therapists, or trained technicians
4. REGIONAL CENTER VENDORIZATION PROCESS
Step 1: Contact Regional Center
Request application for Service Code 125 (Assistive Technology Services) or similar
Step 2: Submit Documentation
Provide business license, service description, device handling policies, and training procedures
Include resumes or certifications of staff providing direct service
Step 3: Approval and Referrals
Upon approval, receive vendor number and begin accepting service authorizations
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Fictitious Business Name (FBN)
IRS EIN Letter
NPI confirmation
Vendor approval from a Regional Center or participation in the Self-Determination Program
Policy & procedure manual including:
Client assessment forms and service logs
Equipment selection and approval workflows
Training and support protocols for users and caregivers
Device warranty and maintenance tracking
Consent, HIPAA, and rights documentation
Incident reporting and corrective action procedures
Quality assurance and customer service follow-up
6. STAFFING REQUIREMENTS
Role: Assistive Technology Specialist / Consultant
Requirements: Certification as an ATP, OT/PT with AT experience, or extensive experience in disability tech
Role: Technician / Setup and Training Staff
Requirements:
Knowledge of adaptive devices and disability accommodations
Background clearance, CPR/First Aid (recommended)
Communication skills for training and troubleshooting
Training Requirements for All Staff:
Device safety and proper usage
Person-centered service delivery and documentation
Confidentiality, ethics, and HIPAA
Annual updates on new technologies and compliance
7. MEDICAID WAIVER SERVICES
Assistive Technology Services are covered under:
HCBS Waiver for Individuals with Developmental Disabilities (1915(c))
Regional Center Services (Lanterman Act)
Self-Determination Program (SDP)
EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) under Medi-Cal (for minors)
Approved providers may deliver:
AT assessments and recommendations
Delivery and training on approved devices
Repairs and replacements
Documentation tied to functional outcomes and goals
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Regional Center Vendorization or SDP Onboarding
Timeline: 30–90 days
Phase: Staff Hiring and Documentation Setup
Timeline: 2–4 weeks
Phase: Service Delivery and Referral Activation
Timeline: Ongoing
9. CONTACT INFORMATION
California Department of Developmental Services (DDS)
Email: info@dds.ca.gov
Website: https://www.dds.ca.gov
California Department of Health Care Services (DHCS)
Website: https://www.dhcs.ca.gov
Find Your Regional Center:
Website: https://www.dds.ca.gov/rc/lookup
Self-Determination Program Provider Portal:
Website: https://www.dds.ca.gov/initiatives/sdp
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CALIFORNIA ASSISTIVE TECHNOLOGY SERVICES PROVIDER
We help technology consultants, DME providers, and therapists launch Medicaid-compliant Assistive Technology Services across California’s Regional Center and Self-Determination systems.
Scope of Work:
Business registration (LLC, EIN, NPI)
Regional Center vendorization or Self-Determination onboarding
Policy & procedure manual for AT service delivery and training
Templates for assessments, device tracking, and service logs
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and service agreements
Incident reporting systems and audit preparation tools
Referral networking with schools, therapists, and support coordinators
Behavioral Health
BEHAVIORAL HEALTH SERVICES PROVIDER IN CALIFORNIA
SUPPORTING EMOTIONAL WELLNESS, POSITIVE BEHAVIOR, AND INDEPENDENT LIVING THROUGH PERSON-CENTERED INTERVENTIONS
Behavioral Health Services in California provide assessment, therapy, and behavioral intervention for individuals with developmental disabilities, mental health conditions, or co-occurring disorders. These services are delivered through California Regional Centers, Managed Care Plans, the Self-Determination Program (SDP), and Medi-Cal Specialty Mental Health Services under county Behavioral Health Departments.
1. GOVERNING AGENCIES
Agency: California Department of Developmental Services (DDS)
Role: Oversees behavior services through Regional Centers and the Self-Determination Program
Agency: California Department of Health Care Services (DHCS)
Role: Manages Medi-Cal Behavioral Health Services through county behavioral health plans
Agency: Regional Centers (21 nonprofit centers statewide)
Role: Authorize behavior intervention services via the IPP and vendorize providers
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight of HCBS waiver compliance and behavioral health parity
2. BEHAVIORAL HEALTH SERVICE OVERVIEW
Behavioral Health Services address challenging behaviors and emotional well-being using evidence-based interventions tailored to the participant’s Individual Program Plan (IPP) or Person-Centered Plan (PCP).
Approved providers may deliver:
Functional Behavior Assessments (FBA)
Behavior Intervention Plans (BIP)
Individual and group counseling
Parent/caregiver training
Mental health assessments and treatment planning
Ongoing documentation and behavioral data tracking
Crisis planning and de-escalation support
Note: Services may be delivered under different funding streams depending on whether they are clinical (Medi-Cal/mental health) or habilitative (Regional Center/DD-focused).
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the California Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Obtain appropriate licensure or certification for behavioral staff (e.g., BCBA, LMFT, LCSW, LPCC, Psychologist)
Apply for vendorization through the Regional Center (e.g., Service Code 612 – Behavioral Intervention)
OR operate as an Independent Facilitator under SDP for non-vendorized access
If billing Medi-Cal, enroll through DHCS and partner with county behavioral health departments
Maintain liability insurance, supervision logs, and documentation systems
4. PROVIDER ENROLLMENT PROCESS
Path A: Regional Center Vendorization
Request vendor application for behavioral services (e.g., 612 or 605)
Submit resumes, credentials, sample BIPs, service structure, and documentation templates
Complete quality assurance review and receive vendor number
Path B: Medi-Cal Behavioral Health Enrollment (Specialty Mental Health Services)
Coordinate with your county’s Behavioral Health Plan
Submit license, staffing, and facility credentials
Contract for services such as therapy, psychiatric evaluations, or case management
Path C: Self-Determination Program
Complete DDS-approved Independent Facilitator or provider registration
Work under FMS agency to bill against the individual’s budget
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Fictitious Business Name (FBN)
IRS EIN Letter
NPI confirmation
Licensure or certification for clinical staff (BCBA, LMFT, etc.)
Liability and professional insurance
Policy & procedure manual including:
Assessment tools and behavioral goal tracking
BIP development templates and training protocols
Confidentiality, consent, and participant rights policies
Crisis and incident response procedures
Clinical supervision and ongoing education logs
Service logs, data sheets, and outcome summaries
HIPAA compliance and documentation review processes
6. STAFFING REQUIREMENTS
Role: Clinical Supervisor / Behavior Analyst / Licensed Therapist
Requirements: BCBA, LMFT, LPCC, LCSW, Psychologist license or certification with behavioral intervention experience
Role: Behavior Technician / Support Staff
Requirements:
High school diploma or higher (some roles require RBT or associate’s degree)
Supervision by credentialed professional
Background clearance (Live Scan), TB test, and CPR certification
Training Requirements for All Staff:
Person-centered planning and behavior support strategies
HIPAA, documentation, and ethical service delivery
Crisis prevention and de-escalation
Annual CEUs or professional development hours
7. MEDICAID WAIVER SERVICES
Behavioral Health Services may be funded through:
1915(c) HCBS Waiver via Regional Centers (non-clinical behavior services)
Medi-Cal Specialty Mental Health Services (clinical)
Self-Determination Program (if included in PCP and budget)
EPSDT – for minors with behavioral health needs
Approved providers may deliver:
FBAs, BIPs, and habilitative behavior interventions
Psychotherapy, mental health treatment, and caregiver support
Crisis stabilization and data-driven progress monitoring
Service logs and ISP/IPP documentation
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Licensure and Regional Center Vendorization or Medi-Cal Enrollment
Timeline: 45–90 days
Phase: Staff Hiring and Supervision Plans
Timeline: 2–4 weeks
Phase: Referral Coordination and Service Activation
Timeline: Ongoing
9. CONTACT INFORMATION
California Department of Developmental Services (DDS)
Email: info@dds.ca.gov
Website: https://www.dds.ca.gov
California Department of Health Care Services (DHCS) – Behavioral Health
Website: https://www.dhcs.ca.gov/services/Pages/MentalHealthPrograms.aspx
Find Your Regional Center:
Website: https://www.dds.ca.gov/rc/lookup
Self-Determination Program Resources
Website: https://www.dds.ca.gov/initiatives/sdp
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CALIFORNIA BEHAVIORAL HEALTH SERVICES PROVIDER
We support licensed clinicians and behavior specialists in launching compliant Behavioral Health Services under California’s Regional Center, Medi-Cal, and Self-Determination systems.
Scope of Work:
Business registration (LLC, EIN, NPI)
Regional Center vendorization or Medi-Cal Behavioral Health enrollment
Policy & procedure manual for behavioral assessments and documentation
Templates for FBAs, BIPs, session notes, and data logs
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and progress tracking tools
Incident reporting systems and audit preparation tools
Referral networking with case managers, families, and clinicians
Home Modification
HOME MODIFICATION SERVICES PROVIDER IN CALIFORNIA
CREATING SAFER, MORE ACCESSIBLE HOMES TO SUPPORT INDEPENDENT LIVING FOR INDIVIDUALS WITH DISABILITIES
Home Modification Services in California help individuals with developmental disabilities or physical limitations live more safely and independently in their own homes. These services are authorized through California Regional Centers, the Self-Determination Program (SDP), and certain Home and Community-Based Services (HCBS) Waivers, and must align with the individual’s Individual Program Plan (IPP) or Person-Centered Plan (PCP).
1. GOVERNING AGENCIES
Agency: California Department of Developmental Services (DDS)
Role: Oversees home modification services via Regional Centers and the Self-Determination Program
Agency: Regional Centers (21 nonprofit agencies statewide)
Role: Authorize modifications in IPPs, approve vendors, and ensure safety and compliance
Agency: California Department of Health Care Services (DHCS)
Role: Manages Medi-Cal programs that may include home modification under EPSDT or waivers
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures home modification services under Medicaid meet federal HCBS guidelines
2. HOME MODIFICATION SERVICE OVERVIEW
Home Modification Services include physical adaptations to the home environment that enhance accessibility, safety, and daily function for the individual. Modifications must be necessary, cost-effective, and directly related to the individual’s disability and functional needs.
Approved providers may deliver:
Wheelchair ramps and widened doorways
Accessible bathrooms (grab bars, roll-in showers, lowered sinks)
Stair lifts and platform lifts
Kitchen adaptations (adjusted countertops, accessible appliances)
Installation of handrails, safety equipment, and non-slip flooring
Coordination with contractors and permit offices
Documentation of expenses, photos, and installation reports
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the California Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply for vendorization through a Regional Center under Service Code 56 (Home Modifications) or similar
OR provide services under the Self-Determination Program via an FMS
Possess a valid California Contractor License (Class B – General Building, or applicable trade license)
Carry general liability insurance and bonding
Ensure staff and subcontractors are background-checked if working in client homes
4. REGIONAL CENTER VENDORIZATION PROCESS
Step 1: Contact Regional Center
Request vendor application for Home Modification Services
Step 2: Submit Documentation
Include business license, contractor license, project workflow, cost estimation templates, and sample invoices
Provide quality control and safety protocols, staff roles, and consent procedures
Step 3: Approval and Vendor Number Assignment
Begin receiving referrals from service coordinators once authorized in the IPP
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Fictitious Business Name (FBN)
IRS EIN Letter
NPI confirmation
California contractor’s license and insurance
Regional Center vendor approval or Self-Determination authorization
Policy & procedure manual including:
Client intake, pre-assessment, and consent forms
Pre- and post-modification documentation (including photos)
Cost proposal and approval process
Construction safety and ADA compliance checklists
Emergency and incident protocols
Quality assurance and subcontractor management procedures
Staff background clearance and credential logs
Warranty and follow-up maintenance policies
6. STAFFING REQUIREMENTS
Role: Project Manager / Contractor
Requirements: California-licensed contractor (Class B or relevant specialty), ADA knowledge, experience with residential accessibility
Role: Installation Team / Subcontractor
Requirements:
Licensed, bonded, and insured (if applicable)
Experience in accessibility construction
Background check and safety training documentation
Training Requirements for All Staff:
ADA standards and universal design principles
Confidentiality and client interaction best practices
Home safety and incident response
Annual compliance review with Regional Center expectations
7. MEDICAID WAIVER SERVICES
Home Modification Services are reimbursed under:
HCBS Waiver for Individuals with Developmental Disabilities (1915(c))
Regional Center Services (IPP-aligned)
Self-Determination Program (SDP)
EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) – for youth with medical necessity
Approved providers may deliver:
One-time or episodic home modifications
Coordination with planning teams, vendors, and inspectors
Detailed documentation and fiscal accountability
Training for the individual or family on usage and maintenance
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Contractor Licensing & Regional Center Vendorization
Timeline: 45–90 days
Phase: Staff/Contractor Hiring & Compliance Setup
Timeline: 2–4 weeks
Phase: Referral Coordination and Project Approval
Timeline: Ongoing (based on IPP timelines)
9. CONTACT INFORMATION
California Department of Developmental Services (DDS)
Email: info@dds.ca.gov
Website: https://www.dds.ca.gov
California Contractors State License Board (CSLB)
Website: https://www.cslb.ca.gov
California Department of Health Care Services (DHCS)
Website: https://www.dhcs.ca.gov
Find Your Regional Center:
Website: https://www.dds.ca.gov/rc/lookup
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CALIFORNIA HOME MODIFICATION SERVICES PROVIDER
We support contractors, home accessibility companies, and nonprofit agencies in launching compliant Home Modification Services under California’s Regional Center and Self-Determination systems.
Scope of Work:
Business registration (LLC, EIN, NPI)
Regional Center vendorization or SDP onboarding
Policy & procedure manual for home assessment, installation, and safety
Templates for cost estimates, consent forms, and completion logs
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, modification agreements, and photo logs
Incident reporting systems and audit preparation tools
Referral networking with case managers, OTs, and housing organizations
Case Management
CASE MANAGEMENT SERVICES PROVIDER IN CALIFORNIA
COORDINATING CARE AND SERVICES TO EMPOWER INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES TO THRIVE IN THEIR COMMUNITIES
Case Management Services in California support individuals with developmental disabilities by helping them access, coordinate, and monitor services based on their unique needs and goals. These services are primarily delivered through California’s Regional Centers under the Lanterman Act, and may also be authorized through the Self-Determination Program (SDP) and select Home and Community-Based Services (HCBS) Waivers.
1. GOVERNING AGENCIES
Agency: California Department of Developmental Services (DDS)
Role: Provides statewide oversight and guidance for case management services delivered by Regional Centers and SDP providers
Agency: Regional Centers (21 nonprofit agencies)
Role: Employ or contract case managers (service coordinators) to develop and implement the Individual Program Plan (IPP) or Person-Centered Plan (PCP)
Agency: California Department of Health Care Services (DHCS)
Role: Oversees Medicaid funding and HCBS waiver coordination
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures compliance with HCBS standards for waiver-based case management
2. CASE MANAGEMENT SERVICE OVERVIEW
Case Management (also known as Service Coordination) ensures that individuals with developmental disabilities receive the services they are eligible for and that those services align with their goals, health needs, and living preferences. These services can be provided by Regional Center staff or by Independent Facilitators under the Self-Determination Program.
Approved providers may deliver:
Needs assessments and person-centered planning
Development and monitoring of the Individual Program Plan (IPP) or PCP
Coordination of medical, educational, vocational, and community supports
Referrals to service providers, housing, and benefits resources
Monitoring service quality and ensuring timely delivery
Documentation of all activities, contacts, and outcomes
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites (Regional Center Contracted or SDP Provider):
Register your business with the California Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a vendorized case management agency through a Regional Center or
Become a certified Independent Facilitator under the Self-Determination Program
Maintain liability insurance and secure systems for documentation and privacy
Employ case managers with appropriate education and background
4. PROVIDER ENROLLMENT PROCESS
Option A: Regional Center Vendorization (Service Code 880)
Contact the local Regional Center to request a vendor application packet
Submit resumes, organizational structure, policies, and documentation templates
Meet staffing qualifications and pass quality assurance review
Sign a vendor agreement and begin receiving referrals
Option B: Self-Determination Program (Independent Facilitator)
Complete the DDS-approved Independent Facilitator training
Join the participant’s planning team upon request and support their PCP process
Coordinate services within the individual’s budget and track service use
No vendor number is required, but FMS billing setup is needed
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Fictitious Business Name (FBN)
IRS EIN Letter
NPI confirmation
Liability insurance certificate
Regional Center vendor approval or IF certification
Policy & procedure manual including:
Intake and planning protocols
Person-centered planning and assessment tools
ISP/IPP/PCP development templates
Documentation logs and case notes
Service monitoring procedures
Staff qualifications, supervision logs, and training records
Client rights, confidentiality, and grievance procedures
Referral tracking and quality assurance plans
6. STAFFING REQUIREMENTS
Role: Case Manager / Service Coordinator / Independent Facilitator
Requirements:
Bachelor's degree in social work, psychology, education, or related field
Experience in developmental disabilities, community services, or care coordination
Background clearance (Live Scan) and TB testing (if working directly with clients)
Training Requirements:
Person-centered planning and the Lanterman Act
HCBS compliance and waiver guidelines
Confidentiality, documentation, and ethics
Emergency response and mandatory reporting
Annual training in cultural competence and client advocacy
7. MEDICAID WAIVER SERVICES
Case Management Services may be authorized under:
Regional Center Services (Lanterman Act)
Self-Determination Program (SDP)
1915(c) HCBS Waiver for Individuals with Developmental Disabilities
California Children's Services (CCS) – in coordination with other supports
Approved providers may deliver:
Needs assessments and PCP/IPP development
Linkages to healthcare, housing, employment, and behavioral services
Coordination with FMS and support providers (under SDP)
Ongoing documentation, progress updates, and compliance reporting
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Regional Center Vendorization or IF Certification
Timeline: 45–90 days
Phase: Staff Hiring and Documentation Setup
Timeline: 30–45 days
Phase: Referral Activation and Case Assignment
Timeline: 2–4 weeks
9. CONTACT INFORMATION
California Department of Developmental Services (DDS)
Email: info@dds.ca.gov
Website: https://www.dds.ca.gov
Find Your Regional Center:
Website: https://www.dds.ca.gov/rc/lookup
Self-Determination Program Resources
Website: https://www.dds.ca.gov/initiatives/sdp/independent-facilitators
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CALIFORNIA CASE MANAGEMENT SERVICES PROVIDER
We help professionals and agencies launch Case Management and Independent Facilitation Services across California through Regional Centers and the Self-Determination Program.
Scope of Work:
Business registration (LLC, EIN, NPI)
Regional Center vendor application or Independent Facilitator onboarding
Policy & procedure manual for service planning and coordination
Templates for IPPs, PCPs, case notes, and service tracking
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and rights documentation
Incident reporting systems and audit preparation tools
Referral networking with Regional Centers, FMS agencies, and service providers
Homemaker Services
HOMEMAKER SERVICES PROVIDER IN CALIFORNIA
SUPPORTING DAILY LIVING INDEPENDENCE THROUGH NON-MEDICAL IN-HOME ASSISTANCE FOR INDIVIDUALS WITH DISABILITIES
Homemaker Services in California help individuals with developmental disabilities, chronic conditions, or aging-related needs maintain a clean, safe, and healthy home environment. These non-medical services are offered through California’s Regional Centers, the Self-Determination Program (SDP), and in some cases, under Medi-Cal Waiver Programs such as HCBS-DD and ARChoices equivalents.
1. GOVERNING AGENCIES
Agency: California Department of Developmental Services (DDS)
Role: Oversees delivery of homemaker services through Regional Centers and SDP
Agency: Regional Centers (21 statewide)
Role: Approve homemaker vendors, authorize services via IPPs, and monitor quality
Agency: California Department of Health Care Services (DHCS)
Role: Oversees Medi-Cal programs and some in-home service coordination
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight for waiver-based homemaker services
2. HOMEMAKER SERVICE OVERVIEW
Homemaker Services include general household tasks that an individual is unable to perform independently due to their disability. Services are provided in the person’s own home and must align with goals in their Individual Program Plan (IPP) or Person-Centered Plan (PCP).
Approved providers may deliver:
Light housekeeping (e.g., vacuuming, mopping, dusting)
Dishwashing and kitchen cleaning
Laundry and linen changes
Grocery shopping and putting away food
Meal preparation and cleanup
Bathroom sanitation and trash disposal
Documentation of services and condition of the home
Note: Homemaker services do not include medical or hands-on personal care unless separately authorized.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the California Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a homemaker vendor with a Regional Center (Service Code 520 or similar)
OR join the Self-Determination Program via an FMS for non-vendorized delivery
Maintain liability insurance and appropriate worker screening
Employ staff with experience in home care, cleaning, or independent living support
4. REGIONAL CENTER VENDORIZATION PROCESS
Step 1: Contact Regional Center
Request a vendor application packet for homemaker services
Step 2: Submit Required Documents
Include a service description, staff qualifications, training protocols, sample task lists, and policies for entering private homes
Step 3: Approval and Vendor Number Issuance
Upon approval, you may begin accepting referrals from service coordinators
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Fictitious Business Name (FBN)
IRS EIN Letter
NPI confirmation
Liability insurance certificate
Regional Center vendor approval or Self-Determination FMS affiliation
Policy & procedure manual including:
Task checklists and visit verification forms
Infection control and safety protocols
Documentation of service delivery and notes
Emergency contact procedures
Client consent, confidentiality, and grievance policies
Staff hiring, background checks, and supervision protocols
Complaint handling and quality control
6. STAFFING REQUIREMENTS
Role: Homemaker Services Coordinator / Supervisor
Requirements: Experience in in-home support services, program supervision, or human services
Role: Homemaker / In-Home Support Worker
Requirements:
High school diploma or equivalent
Background clearance (Live Scan), TB screening, and CPR/First Aid (recommended)
Knowledge of basic cleaning, home safety, and respectful client interaction
Training Requirements for All Staff:
Household safety and infection control
Documentation and ethics
Confidentiality and abuse prevention
Annual refreshers in safety and disability awareness
7. MEDICAID WAIVER SERVICES
Homemaker Services may be funded under:
HCBS Waiver for Individuals with Developmental Disabilities (1915(c))
Regional Center Services under the Lanterman Act
Self-Determination Program (SDP)
Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) (for minors in Medi-Cal)
Approved providers may deliver:
Scheduled or as-needed non-medical household support
Services tailored to support ISP or PCP goals
Documentation of tasks performed and home condition reports
Coordination with service coordinators or FMS entities
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Regional Center Vendorization or SDP Onboarding
Timeline: 30–90 days
Phase: Staff Hiring and Training
Timeline: 2–4 weeks
Phase: Referral Activation and Service Launch
Timeline: Ongoing
9. CONTACT INFORMATION
California Department of Developmental Services (DDS)
Email: info@dds.ca.gov
Website: https://www.dds.ca.gov
Find Your Regional Center:
Website: https://www.dds.ca.gov/rc/lookup
California Department of Health Care Services (DHCS)
Website: https://www.dhcs.ca.gov
Self-Determination Program (SDP) Info:
Website: https://www.dds.ca.gov/initiatives/sdp
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CALIFORNIA HOMEMAKER SERVICES PROVIDER
We help new and existing providers launch fully compliant Homemaker Services under California’s Regional Center system and Self-Determination Program.
Scope of Work:
Business registration (LLC, EIN, NPI)
Regional Center vendorization or SDP enrollment with FMS
Policy & procedure manual for in-home support and safety
Templates for task checklists, daily logs, and client feedback
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and grievance tools
Incident reporting systems and audit preparation tools
Referral networking with support coordinators and disability organizations
Transportation Services
TRANSPORTATION SERVICES PROVIDER IN CALIFORNIA
CONNECTING INDIVIDUALS WITH DISABILITIES TO THEIR COMMUNITIES THROUGH SAFE, RELIABLE, AND PERSON-CENTERED TRANSPORTATION SUPPORT
Transportation Services in California help individuals with developmental disabilities travel to and from day programs, employment sites, medical appointments, and community activities. These services are authorized under California Regional Center programs, the Self-Determination Program (SDP), HCBS Waivers, and in some cases, through Medi-Cal Managed Care for Non-Emergency Medical Transportation (NEMT).
1. GOVERNING AGENCIES
Agency: California Department of Developmental Services (DDS)
Role: Oversees service authorization through Regional Centers and the Self-Determination Program
Agency: Regional Centers (21 statewide)
Role: Approve transportation vendors and authorize service codes based on the Individual Program Plan (IPP)
Agency: California Department of Health Care Services (DHCS)
Role: Administers Medi-Cal transportation benefits, including NEMT and NMT
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures compliance with HCBS transportation support standards
2. TRANSPORTATION SERVICE OVERVIEW
Transportation Services ensure individuals can access critical supports while living in the community. Services may include regularly scheduled rides, on-demand pickups, or mileage reimbursement depending on the individual’s plan and funding source.
Approved providers may deliver:
Curb-to-curb or door-to-door transportation
Rides to programs, work, medical appointments, or community activities
Group or individual routes
Vehicle safety inspections and route documentation
Driver credentialing and training
Documentation of service dates, mileage, and individual rider logs
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the California Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply to become a vendor with a Regional Center under Service Code 880 (Transportation)
OR enroll with a Financial Management Service (FMS) under the Self-Determination Program
Obtain commercial auto insurance and, if needed, TCP permit from the California Public Utilities Commission (PUC)
Maintain safety policies and fleet documentation
Hire trained drivers with background checks and clean driving records
4. REGIONAL CENTER VENDORIZATION PROCESS
Step 1: Contact Regional Center
Request vendor application for Transportation Services
Step 2: Submit Documentation
Include service description, route structure, safety procedures, and vehicle maintenance plan
Provide staff background checks, license/insurance copies, and incident reporting policies
Step 3: Approval and Vendor Number Assignment
Once approved, begin accepting referrals for authorized transportation routes or mileage-based services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Fictitious Business Name (FBN)
IRS EIN Letter
NPI confirmation
Vehicle registration, insurance, and inspection logs
Regional Center vendor approval or SDP FMS affiliation
Policy & procedure manual including:
Rider intake, consent, and scheduling
Daily logs of riders, destinations, and arrival times
Emergency response and incident protocols
Staff and driver background screening procedures
Maintenance logs and safety checklists
Mileage tracking and billing documentation
Confidentiality, HIPAA, and client rights policies
6. STAFFING REQUIREMENTS
Role: Transportation Coordinator / Dispatcher
Requirements: Experience in logistics, community programs, or fleet management
Role: Driver / Transportation Aide
Requirements:
Valid California driver’s license
Clean driving record and background check
CPR/First Aid certification (recommended)
Experience with individuals with disabilities preferred
Training Requirements for All Staff:
Passenger safety and vehicle operation
Abuse prevention and emergency procedures
Confidentiality and disability awareness
Annual training in incident reporting, ethics, and documentation
7. MEDICAID WAIVER SERVICES
Transportation Services are reimbursed under:
Regional Center Services (Lanterman Act, IPP-aligned)
Self-Determination Program (SDP)
HCBS Waiver for Individuals with Developmental Disabilities
Medi-Cal Non-Emergency Medical Transportation (NEMT) – through approved brokers or managed care plans
Approved providers may deliver:
Pre-scheduled or recurring transportation
Individual or group rides to authorized locations
Mileage-based reimbursement for family or staff transports
Compliance with California transit safety standards and client supervision needs
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Regional Center Vendorization or FMS Enrollment
Timeline: 30–90 days
Phase: Driver Hiring and Vehicle Setup
Timeline: 30–45 days
Phase: Referral Activation and Route Scheduling
Timeline: 2–4 weeks
9. CONTACT INFORMATION
California Department of Developmental Services (DDS)
Email: info@dds.ca.gov
Website: https://www.dds.ca.gov
Find Your Regional Center:
Website: https://www.dds.ca.gov/rc/lookup
California Department of Health Care Services (DHCS) – Medi-Cal Transportation
Website: https://www.dhcs.ca.gov/services/Pages/Medi-CalTransport.aspx
California Public Utilities Commission (PUC) – TCP Permits
Website: https://www.cpuc.ca.gov/tcpinfo
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CALIFORNIA TRANSPORTATION SERVICES PROVIDER
We help transportation vendors and community agencies launch fully compliant Transportation Services under California’s Regional Center, SDP, and Medi-Cal systems.
Scope of Work:
Business registration (LLC, EIN, NPI)
Regional Center vendor application or SDP enrollment support
Policy & procedure manual for driver safety, routing, and documentation
Templates for mileage logs, rider checklists, and incident reports
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and emergency protocols
Incident reporting systems and audit preparation tools
Referral networking with day programs, families, and support coordinators
Home Health
HOME HEALTH SERVICES PROVIDER IN CALIFORNIA
DELIVERING SKILLED NURSING, THERAPEUTIC CARE, AND PERSONAL SUPPORT TO INDIVIDUALS IN THEIR OWN HOMES
Home Health Services in California provide short-term, intermittent medical care and support in a participant’s home under a physician’s direction. These services are authorized through California Medicaid (Medi-Cal), Medicare, Managed Care Plans, and some Home and Community-Based Services (HCBS) Waivers. They are essential for individuals who are homebound, recovering from illness, or managing chronic conditions.
1. GOVERNING AGENCIES
Agency: California Department of Public Health (CDPH) – Licensing & Certification Division
Role: Licenses and monitors Home Health Agencies (HHAs) under Title 22 and federal Medicare Conditions of Participation
Agency: California Department of Health Care Services (DHCS)
Role: Administers Medi-Cal reimbursement and enrollment for certified HHAs
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and issues Medicare certification
Agency: California Managed Care Plans (e.g., LA Care, Anthem Blue Cross)
Role: Contract with HHAs for covered home health services under Medi-Cal managed care
2. HOME HEALTH SERVICE OVERVIEW
Home Health Services are ordered by a physician and delivered by licensed professionals to individuals who are homebound or need assistance recovering from illness or injury.
Approved providers may deliver:
Skilled nursing (e.g., wound care, injections, chronic condition monitoring)
Physical, occupational, and speech therapy
Home Health Aide (HHA) assistance (bathing, mobility, hygiene)
Medical social work and patient education
Medication management, coordination with physicians
Comprehensive care planning and progress documentation
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the California Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply for a Home Health Agency License through CDPH
Pass pre-licensure survey and meet building, staffing, and documentation standards
Obtain Medicare Certification from CMS (optional but often required for Medi-Cal billing)
Enroll with DHCS and Medi-Cal managed care plans (if applicable)
Hire clinical staff including RNs, therapists, and HHAs
Maintain general and professional liability insurance
4. PROVIDER ENROLLMENT PROCESS
Step 1: CDPH Home Health Agency Licensing
Submit application with program plan, staffing structure, infection control policy, and proof of ownership
Undergo facility survey and comply with Title 22 regulations
Receive State License Number upon approval
Step 2: CMS Medicare Certification (optional)
Apply for CMS certification (Form CMS-855A)
Undergo federal survey and obtain CMS provider number
Step 3: Medi-Cal Enrollment
Apply through the California DHCS PAVE portal
Submit licensure, Medicare number (if applicable), NPI, and ownership info
Enroll with managed care plans for additional client referrals
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Fictitious Business Name (FBN)
IRS EIN Letter
NPI confirmation
CDPH Home Health Agency License
Medicare certification (if applicable)
Medi-Cal provider enrollment documentation
Policy & procedure manual including:
Physician order intake and care coordination protocols
Skilled nursing, aide, and therapy care plans
HIPAA compliance and patient rights documentation
Infection control, quality assurance, and adverse event protocols
Visit logs, treatment plans, and progress notes
Emergency preparedness and staff safety protocols
Staff hiring, credentialing, and supervision plans
6. STAFFING REQUIREMENTS
Role: Administrator / Director of Patient Care Services (DPCS)
Requirements: RN with 1+ year supervisory experience in home health care
Role: Registered Nurse (RN)
Requirements: California RN license, CPR certification, home health experience preferred
Role: Licensed Vocational Nurse (LVN)
Requirements: Works under RN supervision, licensed in California
Role: Certified Home Health Aide (HHA)
Requirements: CDPH-certified HHA with background clearance and TB test
Optional Staff:
Physical Therapist (PT)
Occupational Therapist (OT)
Speech-Language Pathologist (SLP)
Medical Social Worker (MSW)
Training Requirements for All Staff:
Client confidentiality, ethics, and HIPAA
Infection control and emergency procedures
Annual skills competency checks and CEUs
7. MEDICAID WAIVER SERVICES
Home Health Services are reimbursed under:
California Medi-Cal State Plan
Medi-Cal Managed Care Plans
HCBS Waivers (for dual eligibility and medically fragile populations)
California Children's Services (CCS) & EPSDT Supplemental Benefits
Approved providers may deliver:
In-home skilled nursing and therapy as ordered
Personal care and assistance via HHAs
Coordination with physicians, waiver case managers, and discharge planners
Thorough documentation of services for audit compliance
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: CDPH Home Health Licensing
Timeline: 90–150 days
Phase: CMS Certification (if applicable)
Timeline: 60–90 days
Phase: DHCS Medi-Cal Enrollment & MCO Contracting
Timeline: 45–90 days
9. CONTACT INFORMATION
California Department of Public Health (CDPH) – Licensing & Certification
Phone: (916) 558-1784
Website: https://www.cdph.ca.gov
California Department of Health Care Services (DHCS)
Email: providerEnrollment@dhcs.ca.gov
Website: https://www.dhcs.ca.gov/services/medi-cal/Pages/PEB.aspx
California PAVE Provider Portal
Website: https://pave.dhcs.ca.gov
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CALIFORNIA HOME HEALTH SERVICES PROVIDER
We help home health agencies launch fully licensed and Medicaid-compliant Home Health Services in California, from licensing to Medicare/Medi-Cal enrollment and documentation readiness.
Scope of Work:
Business registration (LLC, EIN, NPI)
CDPH Home Health license application and survey preparation
Medicare and Medi-Cal enrollment support
Policy & procedure manual for clinical and compliance operations
Templates for care plans, nurse notes, therapy logs, and visit schedules
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and rights documents
Incident reporting systems and audit preparation tools
Referral networking with hospitals, MCOs, and discharge planners
Meal and Nutrition
NUTRITIONAL SERVICES PROVIDER IN CALIFORNIA
PROMOTING HEALTH AND WELLNESS THROUGH PERSONALIZED DIETARY SUPPORT FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES
Nutritional Services in California support the dietary health and nutritional well-being of individuals with developmental disabilities by providing assessments, meal planning, and education tailored to medical and personal needs. These services are authorized through California Regional Centers, the Self-Determination Program (SDP), and may also be included in some Home and Community-Based Services (HCBS) Waivers.
1. GOVERNING AGENCIES
Agency: California Department of Developmental Services (DDS)
Role: Provides oversight for nutritional services through Regional Centers and the Self-Determination Program
Agency: Regional Centers (21 nonprofit agencies statewide)
Role: Approve and authorize vendors to provide nutritional services under the IPP
Agency: California Department of Health Care Services (DHCS)
Role: Coordinates Medicaid waiver coverage and clinical guidelines for nutrition-related services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures that nutritional services comply with federal HCBS standards
2. NUTRITIONAL SERVICE OVERVIEW
Nutritional Services include professional support to help individuals manage special dietary needs, support chronic health conditions, or improve their overall nutritional status. These services must align with the individual’s goals as documented in their Individual Program Plan (IPP) or Person-Centered Plan (PCP).
Approved providers may deliver:
Nutritional assessments and dietary evaluations
Customized meal planning based on individual needs (e.g., diabetic, gluten-free, low-sodium)
Education for individuals, families, and support staff
Support for feeding issues, food allergies, and adaptive utensils
Coordination with primary care physicians and therapists
Documentation of services, progress, and recommendations
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the California Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply for vendorization through a Regional Center under Service Code 715 (Dietitian Services) or similar
OR provide services through the Self-Determination Program (SDP) with an approved Financial Management Service (FMS)
Employ or contract Registered Dietitians (RDs) or Licensed Dietitians (LDs)
Maintain liability insurance and HIPAA-compliant documentation systems
4. REGIONAL CENTER VENDORIZATION PROCESS
Step 1: Contact the Regional Center
Request a vendor application packet for nutritional or dietetic services
Step 2: Submit Required Documentation
Provide business credentials, resumes and licenses of staff, service descriptions, and sample reports
Step 3: Approval and Vendor Number Issuance
Once approved, begin accepting referrals aligned with participants’ IPPs
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Fictitious Business Name (FBN)
IRS EIN Letter
NPI confirmation
RD/LD license verification
Regional Center vendor approval or SDP authorization
Policy & procedure manual including:
Nutrition assessment forms and consent documentation
Meal plan templates and educational materials
Service delivery logs and progress tracking sheets
Confidentiality and HIPAA policies
Emergency nutrition plan procedures (for medically fragile clients)
Client rights, complaint resolution, and communication protocols
Staff credentials, training logs, and supervision documentation
6. STAFFING REQUIREMENTS
Role: Registered Dietitian (RD) / Licensed Dietitian (LD)
Requirements: Valid California RD or LD license, CPR certification (recommended), experience with disabilities or chronic conditions
Role: Nutrition Educator / Assistant (if applicable)
Requirements: Works under the supervision of an RD, background check, and training in client education
Training Requirements for All Staff:
Person-centered service delivery
HIPAA and confidentiality
Nutritional counseling and documentation
Annual continuing education and ethics review
7. MEDICAID WAIVER SERVICES
Nutritional Services are funded under:
Regional Center Services (IPP-authorized)
Self-Determination Program (PCP-authorized)
HCBS Waivers (e.g., 1915(c) DD Waiver when related to health goals)
EPSDT for Medi-Cal-enrolled minors with medical necessity
Approved providers may deliver:
Initial and follow-up nutrition evaluations
Customized dietary plans and training for caregivers
Coordination with healthcare and interdisciplinary teams
Documentation of measurable outcomes
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Regional Center Vendorization or SDP Onboarding
Timeline: 30–60 days
Phase: Staff Credentialing and Materials Setup
Timeline: 2–4 weeks
Phase: Referral Activation and Service Start
Timeline: Ongoing
9. CONTACT INFORMATION
California Department of Developmental Services (DDS)
Email: info@dds.ca.gov
Website: https://www.dds.ca.gov
California Department of Health Care Services (DHCS)
Website: https://www.dhcs.ca.gov
Find Your Regional Center:
Website: https://www.dds.ca.gov/rc/lookup
California Department of Consumer Affairs – Board of Registered Dietitians
Website: https://www.cdph.ca.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CALIFORNIA NUTRITIONAL SERVICES PROVIDER
We help registered dietitians and wellness professionals establish compliant Nutritional Services under California’s Regional Center and Self-Determination systems.
Scope of Work:
Business registration (LLC, EIN, NPI)
Regional Center vendorization or SDP enrollment support
Policy & procedure manual for nutrition service delivery and documentation
Templates for assessments, meal plans, and training logs
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and meal planning guides
Incident reporting systems and audit preparation tools
Referral networking with physicians, case managers, and support staff
Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.