These videos give an overview of the various Home and Community-Based Services (HCBS) available in Connecticut 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 Connecticut. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers in Connecticut. Explore each section to find the service that best matches your goals or area of interest.
Respite Care
RESPITE CARE SERVICES PROVIDER IN CONNECTICUT
GIVING FAMILY CAREGIVERS A BREAK WHILE ENSURING SAFE, COMPASSIONATE SUPPORT FOR INDIVIDUALS WITH DISABILITIES AND COMPLEX NEEDS
Respite Care Services in Connecticut provide short-term, temporary relief to unpaid caregivers of individuals with disabilities, chronic health conditions, or age-related needs. These services are available through various Connecticut Medicaid Home and Community-Based Services (HCBS) Waivers, including the Personal Care Assistance (PCA) Waiver, the Acquired Brain Injury (ABI) Waivers, the Connecticut Home Care Program for Elders (CHCPE), and the Department of Developmental Services (DDS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Connecticut Department of Social Services (DSS)
Role: Administers Medicaid waiver programs and reimburses authorized respite care providers
Agency: Connecticut Department of Developmental Services (DDS)
Role: Oversees respite services for individuals with intellectual and developmental disabilities under DDS Waiver
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures waiver-based respite services comply with HCBS rules
2. RESPITE CARE SERVICE OVERVIEW
Respite care offers temporary relief to family caregivers by providing substitute care for an eligible individual. It can be provided in-home, in the community, or in licensed out-of-home settings and must be authorized in the person’s care plan.
Approved providers may deliver:
In-home respite (short-term care provided in the individual's home)
Out-of-home respite (e.g., licensed facilities or supervised community-based settings)
Supervision, personal care, and behavioral support (if applicable)
Planned or emergency care coverage
Documentation of hours provided and care tasks completed
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Connecticut Secretary of the State
Obtain EIN from the IRS and NPI (Type 2)
For agency-based services: register with DSS as a Medicaid provider and/or obtain appropriate licensure from DPH (if offering medical care)
Individual respite workers under self-directed models must enroll through a Financial Management Service (FMS)
Maintain liability insurance and ensure staff complete background checks and required training
4. PROVIDER ENROLLMENT PROCESS
Option A: Agency-Based Provider
Apply through the DSS Medicaid Provider Enrollment Portal
Submit business documents, NPI, staff qualifications, and service descriptions
Select applicable waiver programs (e.g., CHCPE, ABI, DDS Waiver)
Option B: Individual Respite Worker (Self-Directed Model)
Enroll through an FMS provider supporting the participant's waiver
Complete required background checks and employment eligibility forms
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
DPH license (if applicable)
DSS Medicaid enrollment approval or FMS authorization
Policy & procedure manual including:
Client intake and caregiver communication protocols
Daily service logs and visit verification
Emergency and incident response plans
Confidentiality, HIPAA, and participant rights documentation
Grievance procedures and safety protocols
Staff hiring, credentialing, and supervision guidelines
Quality assurance and service review forms
6. STAFFING REQUIREMENTS
Role: Respite Caregiver / Direct Support Worker
Requirements:
Background check, TB screening, CPR/First Aid certification (recommended)
Experience in personal care or caregiving preferred
Role: Supervisor / Program Coordinator (for agencies)
Requirements: Experience in health or human services, program oversight, and staff supervision
Training Requirements for All Staff:
Person-centered care and participant safety
Abuse prevention and mandated reporting
HIPAA and confidentiality
Documentation and emergency preparedness
Annual refreshers in safety and ethics
7. MEDICAID WAIVER SERVICES
Respite Care Services are covered under:
Personal Care Assistance (PCA) Waiver
Acquired Brain Injury (ABI) Waivers I & II
Connecticut Home Care Program for Elders (CHCPE)
Department of Developmental Services (DDS) Waiver Programs
State-funded Respite Programs for Alzheimer's and dementia care
Approved providers may deliver:
Scheduled or emergency in-home respite
Community-based or overnight respite (with appropriate licensure)
Support with ADLs/IADLs as outlined in the service plan
Coordination with families and waiver care managers
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: DSS Medicaid Enrollment or FMS Registration
Timeline: 30–60 days
Phase: Staff Hiring and Background Checks
Timeline: 2–4 weeks
Phase: Service Referrals and Authorization
Timeline: Ongoing
9. CONTACT INFORMATION
Connecticut Department of Social Services (DSS)
Email: dss.ctmedical@ct.gov
Website: https://portal.ct.gov/DSS
Connecticut Department of Developmental Services (DDS)
Email: ddsct.co@ct.gov
Website: https://portal.ct.gov/dds
Connecticut Medicaid Provider Enrollment Portal
Website: https://www.ctdssmap.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CONNECTICUT RESPITE CARE SERVICES PROVIDER
We help agencies, families, and individual caregivers launch Medicaid-compliant respite care services under Connecticut’s HCBS waiver and state-funded programs.
Scope of Work:
Business registration (LLC, EIN, NPI)
Medicaid enrollment or FMS registration support
Policy & procedure manual for respite care operations and safety
Templates for daily logs, task sheets, and incident forms
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and caregiver communications
Incident reporting systems and audit preparation tools
Referral networking with DSS, DDS, FMS providers, and hospitals
Habilitation Services
HABILITATION SERVICES PROVIDER IN CONNECTICUT
SUPPORTING SKILL DEVELOPMENT AND INDEPENDENCE FOR INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES
Habilitation Services in Connecticut are designed to help individuals with intellectual and developmental disabilities (I/DD) acquire, maintain, and improve self-help, socialization, and adaptive skills needed for daily living and community participation. These services are authorized under Connecticut’s Medicaid Home and Community-Based Services (HCBS) waiver programs and focus on person-centered outcomes that promote independence and quality of life
1. GOVERNING AGENCIES
Agency: Connecticut Department of Developmental Services (DDS)
Role: Manages habilitation service delivery for individuals with developmental disabilities under HCBS waivers
Agency: Connecticut Department of Social Services (DSS)
Role: Oversees Medicaid provider enrollment and ensures Medicaid compliance
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure that habilitation services meet HCBS rules and participant-centered standards
2. HABILITATION SERVICE OVERVIEW
Habilitation Services support individuals in learning or enhancing skills to live as independently and fully as possible within their homes and communities.
Approved providers may deliver:
Life skills training (personal hygiene, grooming, dressing, and cooking)
Communication and social skills development
Community integration activities (using public transportation, banking, shopping)
Support with employment readiness and volunteer experiences
Development of self-advocacy and decision-making skills
Safety skills (recognizing hazards, emergency preparedness)
Behavioral support and positive behavior interventions (where authorized)
All services must be tailored to the participant’s person-centered plan and designed to achieve measurable individual goals.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Connecticut Secretary of the State
Obtain EIN from the IRS and NPI (Type 2)
Complete DDS Qualified Provider Application process
Maintain liability insurance and staff background screening systems
Develop policies and procedures that align with DDS and Medicaid standards
Train staff in positive behavioral supports, community inclusion practices, and participant rights
4. DDS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Request Habilitation Services provider application packet from DDS
Attend a DDS provider orientation session (recommended)
Application and Documentation Submission:
Submit business license, service delivery model, staffing plan, and sample curricula for skill development
Provide staff qualifications, background check procedures, and training programs
Include participant intake forms, incident reporting protocols, and emergency response policies
Program Readiness Review:
DDS reviews provider operations for alignment with person-centered planning principles and habilitation best practices
May conduct site visits or audits for facility-based providers
Approval & Medicaid Enrollment:
Once approved by DDS, register with DSS Medicaid through the Connecticut MMIS portal
Finalize billing code setup for habilitation services under the applicable HCBS waivers
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN confirmation
NPI confirmation
Proof of general liability insurance coverage
DDS-Compliant Policy & Procedure Manual including:
Participant intake, assessment, and goal-setting procedures
Skill acquisition and habilitation planning protocols
Community integration and safety procedures
Behavioral support and intervention strategies (if applicable)
Client rights, privacy, and informed consent forms
Staff credentialing, background checks, and training logs
Incident reporting and quality assurance tracking
Medicaid billing, service authorization tracking, and documentation retention policies
6. STAFFING REQUIREMENTS
Role: Program Director or Habilitation Services Supervisor
Requirements: Bachelor's degree in social work, education, rehabilitation, or a related field preferred; experience supporting individuals with disabilities; background check clearance
Role: Habilitation Specialist / Direct Support Professional (DSP)
Requirements: High school diploma or GED required; CPR/First Aid certification; background check clearance; experience in skill-building or community integration services preferred
All staff must complete:
Training on person-centered planning and HCBS habilitation goals
Abuse prevention, emergency procedures, and HIPAA confidentiality training
Behavioral support and positive intervention strategies (as needed)
Annual refresher training on skill development techniques and participant safety
7. MEDICAID WAIVER SERVICES
The following Connecticut Medicaid Waivers authorize Habilitation Services:
Comprehensive Supports Medicaid Waiver (DDS)
Individual and Family Supports Medicaid Waiver (DDS)
Employment and Day Supports Medicaid Waiver (DDS)
Approved providers may deliver:
Individual or group habilitation supports
Community-based skill development activities
Day habilitation or center-based learning experiences
Person-centered planning participation and service documentation
8. TIMELINE TO LAUNCH
Phase: Business Formation and Policy Development
Timeline: 2–3 weeks
Phase: DDS Qualified Provider Application and Readiness Review
Timeline: 60–90 days
Phase: Staff Hiring, Training, and Documentation System Setup
Timeline: 30–45 days
Phase: Medicaid Enrollment and Billing Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Connecticut Department of Developmental Services (DDS)
Website: https://portal.ct.gov/DDS
Connecticut Department of Social Services (DSS)
Website: https://portal.ct.gov/DSS
Connecticut Medicaid Provider Enrollment Portal (Gainwell Technologies MMIS)
Website: https://www.ctdssmap.com/CTPortal/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — CONNECTICUT HABILITATION SERVICES PROVIDER
WCG supports disability service agencies and entrepreneurs in launching Medicaid-compliant Habilitation Services under Connecticut’s DDS HCBS Waiver programs.
Scope of Work:
Business registration and EIN/NPI setup
DDS Qualified Provider Application support
Development of Habilitation Policy & Procedure Manual
Staff credentialing templates and participant intake packets
Medicaid enrollment and billing configuration
Website, domain, and email setup
Participant skill development and service documentation templates
Community integration and safety training guides
Quality assurance tracking tools and incident reporting forms
Community outreach and referral development strategies
Supported Employment
EMPLOYMENT SERVICES PROVIDER IN CONNECTICUT
SUPPORTING INDIVIDUALS WITH DISABILITIES IN ACHIEVING COMPETITIVE, INTEGRATED EMPLOYMENT THROUGH PERSON-CENTERED JOB COACHING AND PLACEMENT
Employment Services in Connecticut are designed to help individuals with disabilities explore career interests, develop job skills, and secure and maintain employment in integrated community settings. These services are primarily funded through the Department of Developmental Services (DDS) HCBS Waivers and coordinated with Medicaid, Vocational Rehabilitation (BRS), and state-funded employment initiatives
1. GOVERNING AGENCIES
Agency: Connecticut Department of Developmental Services (DDS)
Role: Authorizes and monitors employment services through DDS Waiver programs and Individual Plans (IPs)
Agency: Connecticut Department of Social Services (DSS)
Role: Manages Medicaid reimbursement and compliance with HCBS requirements
Agency: Connecticut Bureau of Rehabilitation Services (BRS)
Role: Offers short-term employment supports and collaborates on long-term transition to waiver services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures employment services under Medicaid meet federal community integration standards
2. EMPLOYMENT SERVICE OVERVIEW
Employment Services promote meaningful work opportunities and self-sufficiency by helping individuals prepare for, obtain, and retain competitive employment in the community.
Approved providers may deliver:
Vocational assessments and career planning
Job development and placement assistance
On-the-job training and job coaching
Workplace accommodations and employer education
Travel training and support with public transportation
Soft skills instruction (e.g., communication, time management)
Ongoing documentation of employment goals and progress
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Connecticut Secretary of the State
Obtain EIN from the IRS and NPI (Type 2)
Apply to become a qualified Employment Services provider with DDS
Create a service model aligned with Competitive Integrated Employment (CIE) goals
Employ qualified job coaches, employment specialists, and program supervisors
Maintain liability insurance and documentation protocols aligned with HCBS rules
4. PROVIDER ENROLLMENT PROCESS
Step 1: Apply to DDS as a Qualified Provider
Submit program design, staff qualifications, and policies for employment support delivery
Step 2: Receive Service Authorizations
Coordinate with DDS case managers to obtain referrals based on Individual Plans (IPs)
Step 3: Engage with Employers and Job Candidates
Deliver direct services in accordance with participant goals and Medicaid billing codes
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
DDS qualified provider approval letter
Policy & procedure manual including:
Vocational assessments and goal-setting templates
Job development tracking forms and employer contact logs
Coaching progress notes and support strategies
Safety, confidentiality, and HIPAA-compliant records
Incident reporting and problem-solving procedures
Employment Rights, grievance, and consent forms
Staff credentialing, background checks, and training documentation
6. STAFFING REQUIREMENTS
Role: Job Developer / Employment Specialist
Requirements: Experience in vocational rehabilitation, job placement, or workforce development
Role: Job Coach / Support Staff
Requirements:
High school diploma or higher
Background check, TB screening, and CPR/First Aid
Strong communication and interpersonal skills
Training Requirements for All Staff:
Person-centered employment planning
HCBS-compliant service delivery
Workplace accommodations and ADA guidelines
Employer engagement and professionalism
Ongoing CEUs and documentation training
7. MEDICAID WAIVER SERVICES
Employment Services are reimbursed under:
DDS Individual and Family Support (IFS) Waiver
DDS Comprehensive Waiver
BRS funding (initial support, with transition to waiver funding)
State-funded supports for individuals not enrolled in Medicaid (if available)
Approved providers may deliver:
Career assessments and individualized job matching
Job coaching and long-term employment maintenance
Employer engagement and retention support
Documentation aligned with IP outcomes and HCBS community integration expectations
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: DDS Qualified Provider Application
Timeline: 60–90 days
Phase: Staff Hiring and Community Partnerships
Timeline: 2–4 weeks
Phase: Referral Activation and Employment Service Delivery
Timeline: Ongoing
9. CONTACT INFORMATION
Connecticut Department of Developmental Services (DDS)
Email: ddsct.co@ct.gov
Website: https://portal.ct.gov/dds
Connecticut Department of Social Services (DSS)
Email: dss.ctmedical@ct.gov
Website: https://portal.ct.gov/DSS
Connecticut Bureau of Rehabilitation Services (BRS)
Website: https://portal.ct.gov/brs
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CONNECTICUT EMPLOYMENT SERVICES PROVIDER
We help employment agencies, nonprofits, and support professionals launch DDS-approved Employment Services to serve Connecticut’s waiver participants seeking competitive, integrated work.
Scope of Work:
Business registration (LLC, EIN, NPI)
DDS Employment Services provider application support
Policy & procedure manual for job coaching, placement, and compliance
Templates for vocational plans, employer outreach logs, and coaching notes
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and outcome tracking tools
Incident reporting systems and audit preparation tools
Referral networking with DDS case managers, employers, and BRS counselors
Personal Care
PERSONAL CARE ASSISTANT (PCA) SERVICES PROVIDER IN CONNECTICUT
EMPOWERING INDEPENDENCE THROUGH HANDS-ON SUPPORT FOR INDIVIDUALS WITH PHYSICAL AND COGNITIVE DISABILITIES IN THEIR OWN HOMES
Personal Care Assistant (PCA) Services in Connecticut allow individuals with disabilities to live independently at home by providing assistance with daily tasks such as bathing, dressing, and mobility. These services are primarily authorized under the Connecticut Medicaid Personal Care Assistance (PCA) Waiver, as well as through State Plan Medicaid and Community First Choice (CFC)
1. GOVERNING AGENCIES
Agency: Connecticut Department of Social Services (DSS)
Role: Administers the PCA Waiver, CFC program, and Medicaid State Plan services, including provider enrollment and reimbursement
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures services meet Home and Community-Based Services (HCBS) waiver requirements
2. PCA SERVICE OVERVIEW
PCA services are designed to assist eligible Medicaid beneficiaries with activities of daily living (ADLs) and instrumental activities of daily living (IADLs), while promoting autonomy and community living. Participants often select and direct their own assistants through self-directed models or may work with agency-based providers.
Approved providers may deliver:
Bathing, dressing, grooming, and toileting assistance
Mobility and transfer support
Meal preparation and feeding
Medication reminders and health-related task support
Light housekeeping and laundry (related to personal care)
Documentation of tasks completed, hours worked, and individual satisfaction
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Connecticut Secretary of the State (if operating as an agency)
Obtain EIN from the IRS and NPI (Type 2)
Agency Providers must enroll as Medicaid providers with DSS
Individual PCAs working under a participant-directed model must pass background checks and be authorized by the Financial Management Service (FMS)
Maintain general liability and/or worker’s compensation insurance (agency-based)
Ensure PCAs meet training, documentation, and supervision requirements
4. PROVIDER ENROLLMENT PROCESS
Option A: Individual PCA (Self-Directed Model)
Participant selects the PCA
PCA completes background check and onboarding through the Financial Management Service (e.g., Sunset Shores, PCG)
Must meet eligibility and employment verification requirements
Option B: PCA Agency Provider
Apply through the DSS Medicaid Provider Enrollment Portal
Submit agency documentation, staff roles, policies, and task logs
Enroll under the PCA Waiver and/or Community First Choice (CFC) programs
5. REQUIRED DOCUMENTATION
Articles of Incorporation or sole proprietorship filing (for agencies)
IRS EIN Letter
NPI confirmation
DSS Medicaid enrollment confirmation
Background check clearance (for all direct care staff)
Policy & procedure manual including:
Client intake and individual care planning templates
Daily log sheets for ADL/IADL support
Grievance and incident reporting policies
Supervision and quality control measures
Emergency procedures and abuse prevention policies
Staff orientation, timekeeping, and training logs
Participant rights and consent forms
6. STAFFING REQUIREMENTS
Role: Personal Care Assistant (PCA)
Requirements:
High school diploma or equivalent (preferred)
Background check and TB screening
CPR/First Aid certification (recommended)
On-the-job training or experience in caregiving
Role: Program Supervisor / Scheduler (for agencies)
Requirements: Experience in home care coordination, personnel management, and documentation oversight
Training Requirements for All Staff:
Infection control and safety procedures
Confidentiality, client rights, and HIPAA
Elder and disability abuse reporting (mandated reporter training)
Annual review of PCA roles and service documentation
7. MEDICAID WAIVER SERVICES
PCA services are reimbursed under:
Personal Care Assistance (PCA) Waiver
Community First Choice (CFC) (State Plan HCBS option)
Connecticut Home Care Program for Elders (CHCPE) – for related ADL services
Money Follows the Person (MFP) for transitional PCA support
Approved providers may deliver:
In-home assistance with ADLs/IADLs
Self-directed care models (individual PCA) or agency-based staffing
Documentation aligned with participant care plans and DSS billing requirements
Coordination with care managers and interdisciplinary teams
8. TIMELINE TO LAUNCH
Phase: Business Formation (Agency Model)
Timeline: 1–2 weeks
Phase: Medicaid Enrollment (Agency or FMS for Individual PCA)
Timeline: 30–60 days
Phase: Staff Hiring and Background Checks
Timeline: 2–4 weeks
Phase: Care Plan Assignment and Service Delivery
Timeline: Ongoing, based on referrals
9. CONTACT INFORMATION
Connecticut Department of Social Services (DSS)
Email: dss.ctmedical@ct.gov
Website: https://portal.ct.gov/DSS
Connecticut Medicaid Provider Enrollment Portal
Website: https://www.ctdssmap.com
Financial Management Services (FMS) Providers for PCA Waiver
Contact information varies by region and participant; DSS or the assigned case manager can assist
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CONNECTICUT PERSONAL CARE ASSISTANT (PCA) SERVICES PROVIDER
We help individuals, family caregivers, and home care agencies launch Medicaid-compliant PCA services under Connecticut’s waiver and self-directed care programs.
Scope of Work:
Business registration (LLC, EIN, NPI)
DSS Medicaid enrollment or FMS authorization (for individuals)
Policy & procedure manual for PCA task management and compliance
Templates for daily logs, timekeeping, and supervision checklists
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and participant rights
Incident reporting systems and audit preparation tools
Referral networking with DSS case managers, FMS coordinators, and hospitals
Emergency Response
EMERGENCY RESPONSE SYSTEMS (ERS) SERVICES PROVIDER IN CONNECTICUT
ENHANCING SAFETY AND INDEPENDENCE THROUGH 24/7 ACCESS TO EMERGENCY ASSISTANCE FOR INDIVIDUALS LIVING AT HOME
Emergency Response Systems (ERS) Services in Connecticut provide participants with a reliable, 24/7 method to access help in emergencies, particularly falls, health concerns, or safety risks at home. These services are reimbursable under the Connecticut Home Care Program for Elders (CHCPE), the Personal Care Assistance (PCA) Waiver, and other Home and Community-Based Services (HCBS) Waivers managed by the Department of Social Services (DSS)
1. GOVERNING AGENCIES
Agency: Connecticut Department of Social Services (DSS)
Role: Authorizes and reimburses ERS services under Medicaid and state-funded waiver programs
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures ERS services comply with federal HCBS and Medicaid requirements for personal safety and emergency response
2. EMERGENCY RESPONSE SYSTEM SERVICE OVERVIEW
ERS services provide individuals with a wearable or stationary alert system that connects them to a live call center in case of an emergency. These systems are especially helpful for older adults or people with disabilities living alone or without full-time supervision.
Approved providers may deliver:
Installation of personal emergency response equipment (PERS)
24/7 monitoring and live operator support
Fall detection-enabled devices (optional, if authorized)
Cellular or landline-based units depending on the participant’s home setup
System testing, maintenance, and replacement
Participant and caregiver training on device use
Documentation of activations, incidents, and service continuity
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Connecticut Secretary of the State
Obtain EIN from the IRS and NPI (Type 2)
Partner with or operate a 24/7 emergency monitoring center
Enroll as a Medicaid provider through the DSS Medicaid Provider Enrollment Portal
Ensure staff are trained in emergency protocols and device handling
Maintain liability insurance and HIPAA-compliant communication systems
4. PROVIDER ENROLLMENT PROCESS
Step 1: Business Registration and Equipment Procurement
Establish or contract with a monitoring center certified in emergency communication response
Step 2: DSS Medicaid Enrollment
Apply via the Connecticut Medicaid Provider Enrollment Portal
Submit NPI, EIN, service overview, and details on devices offered
Step 3: Authorization Coordination
Receive referrals and authorization for installation and monthly monitoring via DSS case managers or waiver teams
5. REQUIRED DOCUMENTATION
Articles of Incorporation or proof of business registration
IRS EIN Letter
NPI confirmation
Proof of 24/7 call center capability or monitoring partner agreement
DSS Medicaid enrollment approval
Policy & procedure manual including:
Installation and activation protocols
Emergency call handling and incident tracking
Participant intake and consent forms
HIPAA compliance and privacy protection
Service cancellation and device retrieval policy
Monthly testing and equipment maintenance logs
Staff training and response script documentation
6. STAFFING REQUIREMENTS
Role: Installation Technician / Support Staff
Requirements:
Experience in home equipment setup and user training
Background check, device-specific training, and documentation skills
Role: Emergency Response Agent / Operator (via contracted call center)
Requirements:
24/7 availability, trained in emergency call handling, and HIPAA compliance
Training Requirements for All Staff:
Confidentiality and HIPAA
Emergency call protocol and communication training
Fall prevention education
Technical troubleshooting and customer service
7. MEDICAID WAIVER SERVICES
ERS Services are reimbursed under:
Connecticut Home Care Program for Elders (CHCPE)
Personal Care Assistance (PCA) Waiver
Acquired Brain Injury (ABI) Waivers
Other DSS HCBS Waivers (based on care plan necessity)
Approved providers may deliver:
One-time equipment setup and training
Ongoing 24/7 emergency monitoring
Monthly service billing with documentation
Device replacement, maintenance, or upgrades (as authorized)
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Monitoring Center Setup or Contract
Timeline: 2–4 weeks
Phase: DSS Medicaid Enrollment
Timeline: 30–60 days
Phase: Referral Activation and Installations
Timeline: Ongoing
9. CONTACT INFORMATION
Connecticut Department of Social Services (DSS)
Email: dss.ctmedical@ct.gov
Website: https://portal.ct.gov/DSS
Connecticut Medicaid Provider Enrollment Portal
Website: https://www.ctdssmap.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CONNECTICUT EMERGENCY RESPONSE SYSTEMS (ERS) PROVIDER
We help technology vendors and home care service providers launch Medicaid-approved ERS programs across Connecticut’s waiver system, from setup to documentation and billing.
Scope of Work:
Business registration (LLC, EIN, NPI)
DSS Medicaid enrollment and monitoring center partnership support
Policy & procedure manual for emergency response and installation protocols
Templates for consent forms, device logs, and call documentation
Website, domain, and email setup
Staff credentialing trackers and call center script logs
Client intake packet, training materials, and cancellation policy
Incident reporting systems and audit preparation tools
Referral networking with case managers, discharge planners, and support teams
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Skilled Nursing Services
SKILLED NURSING SERVICES PROVIDER IN CONNECTICUT
DELIVERING PROFESSIONAL MEDICAL CARE TO SUPPORT HEALTH, INDEPENDENCE, AND COMMUNITY LIVING FOR INDIVIDUALS WITH COMPLEX NEEDS
Skilled Nursing Services in Connecticut offer medically necessary interventions provided by licensed nurses to individuals with chronic health conditions, disabilities, or recovery needs. These services are authorized under Connecticut’s Medicaid Home and Community-Based Services (HCBS) waiver programs and are designed to promote health stabilization, independence, and reduce unnecessary institutionalization
1. GOVERNING AGENCIES
Agency: Connecticut Department of Social Services (DSS)
Role: Oversees Medicaid enrollment, authorizations, and compliance for Skilled Nursing Services
Agency: Connecticut Department of Public Health (DPH)
Role: Licenses and regulates nursing agencies and home health care providers
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight, ensuring compliance with Medicaid HCBS rules and quality standards
2. SKILLED NURSING SERVICE OVERVIEW
Skilled Nursing Services include medical and nursing interventions ordered by a physician and tailored to meet the specific clinical needs of individuals in their home or community setting.
Approved providers may deliver:
Medication administration and complex medication management
Wound care, pressure ulcer treatment, and post-surgical care
Tracheostomy care and ventilator management
Catheter care and bowel program management
Diabetic care including insulin administration and blood glucose monitoring
Enteral feeding and G-tube management
Clinical assessments and monitoring of chronic conditions
Education and training for participants and caregivers
Care coordination with physicians, therapists, and interdisciplinary teams
All services must be provided by Registered Nurses (RNs) or Licensed Practical Nurses (LPNs) and follow the participant’s individualized service plan.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Connecticut Secretary of the State
Obtain EIN from the IRS and NPI (Type 2)
Obtain a Home Health Care Agency or Nursing Registry license from the Connecticut Department of Public Health (if providing skilled services in participant homes)
Employ Connecticut-licensed RNs and/or LPNs
Maintain professional liability and general business insurance
Develop clinical service policies aligned with Connecticut nursing standards and Medicaid HCBS rules
4. DSS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Request Skilled Nursing Services provider application materials from Connecticut DSS
(Recommended) Attend DSS provider orientation webinars or sessions
Application and Documentation Submission:
Submit agency licensure, organizational documents, staff rosters with licensure verification, and clinical service descriptions
Provide sample care plans, medication administration records, and emergency response protocols
Include background check documentation and staff training records
Program Readiness Review:
DSS reviews licensing, staffing, and documentation processes
May require on-site or virtual audit of compliance systems
Verifies emergency preparedness plans, HIPAA compliance, and participant rights protections
Approval & Medicaid Enrollment:
Upon DSS approval, enroll as a Medicaid provider through Connecticut’s Medicaid Management Information System (MMIS)
Finalize service codes selection and configure claims processing systems
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN confirmation
NPI confirmation
Home Health Agency or Nursing Registry license (if applicable)
Professional liability and general insurance coverage
DSS-Compliant Policy & Procedure Manual including:
Participant intake and nursing assessment procedures
Clinical service delivery and care planning policies
Medication management and administration procedures
Emergency response and incident management protocols
Client rights, privacy policies, and HIPAA compliance documentation
Staff background checks, licensing verification, and annual training logs
Quality assurance and service improvement plans
Medicaid billing, authorization tracking, and documentation retention policies
6. STAFFING REQUIREMENTS
Role: Nursing Services Administrator
Requirements: Active Connecticut RN license; experience in home health management; background check clearance
Role: Registered Nurse (RN)
Requirements: Current Connecticut RN license; CPR certification; background check clearance
Role: Licensed Practical Nurse (LPN)
Requirements: Current Connecticut LPN license; CPR certification; background check clearance
All staff must complete:
DSS and Medicaid service documentation training
Emergency procedures, infection control, and abuse prevention training
Annual competency evaluations and clinical continuing education
HIPAA and confidentiality training
7. MEDICAID WAIVER SERVICES
The following Connecticut Medicaid Waivers authorize Skilled Nursing Services:
Connecticut Home Care Program for Elders (CHCPE)
Acquired Brain Injury (ABI) Waivers I and II
Connecticut Mental Health Waiver
Katie Beckett Waiver (for medically complex children)
Personal Care Assistance Waiver (with skilled nursing components if authorized)
Approved providers may deliver:
In-home skilled nursing services as part of person-centered service plans
Clinical assessments, medication administration, and chronic disease management
Coordination with case managers and healthcare providers
Training and support for family members and informal caregivers
8. TIMELINE TO LAUNCH
Phase: Business Formation and Licensing Setup
Timeline: 3–4 weeks
Phase: Connecticut DPH Licensing and Compliance Review (if required)
Timeline: 90–120 days
Phase: DSS Medicaid Application and Program Readiness Review
Timeline: 60–90 days
Phase: Staff Hiring, Training, and Clinical Systems Implementation
Timeline: 30–45 days
Phase: Medicaid Enrollment and Claims System Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Connecticut Department of Social Services (DSS)
Website: https://portal.ct.gov/DSS
Connecticut Department of Public Health (DPH) – Facility Licensing and Investigation Section
Website: https://portal.ct.gov/DPH
Connecticut Medicaid Provider Enrollment Portal (Gainwell Technologies MMIS)
Website: https://www.ctdssmap.com/CTPortal/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — CONNECTICUT SKILLED NURSING PROVIDER
WCG helps home health agencies and healthcare entrepreneurs launch Medicaid-compliant Skilled Nursing Services under Connecticut’s HCBS Waiver programs.
Scope of Work:
Business registration and EIN/NPI setup
DPH licensing support for Home Health Agencies or Nursing Registries
DSS provider application and Medicaid documentation assistance
Development of Skilled Nursing Policy & Procedure Manual
Staff credentialing templates and clinical documentation forms
Medicaid billing setup and authorization management tools
Website, domain, and email setup
Participant intake and individualized care plan packet creation
Emergency response and quality assurance system templates
Referral networking and healthcare provider outreach strategies
Chores Services
CHORE SERVICES PROVIDER IN CONNECTICUT
HELPING INDIVIDUALS MAINTAIN SAFE AND SANITARY HOMES TO SUPPORT INDEPENDENT LIVING AND DIGNITY
Chore Services in Connecticut provide one-time or occasional heavy-duty household assistance to individuals who are elderly or have disabilities and are unable to maintain a safe and clean living environment. These services are available through the Connecticut Home Care Program for Elders (CHCPE) and other state-funded or Medicaid waiver programs administered by the Department of Social Services (DSS).
1. GOVERNING AGENCIES
Agency: Connecticut Department of Social Services (DSS)
Role: Authorizes and reimburses for chore services through CHCPE and related HCBS waiver programs
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure services meet Medicaid HCBS waiver guidelines
Agency: Connecticut Department of Consumer Protection (DCP)
Role: Registers Homemaker-Companion Agencies (HCAs) if the chore provider performs in-home services for vulnerable populations
2. CHORE SERVICE OVERVIEW
Chore Services help participants live safely in their homes by addressing tasks that pose health or safety risks. These are typically one-time or infrequent tasks that go beyond standard homemaking and may involve physical labor, sanitation, or environmental safety work.
Approved providers may deliver:
Deep cleaning of kitchens, bathrooms, or whole homes
Heavy-duty decluttering and removal of health hazards
Moving furniture to allow safe mobility or accessibility
Yard work necessary for home safety (e.g., clearing walkways)
Trash removal and pest control preparation (not extermination)
Documentation of services performed and home condition
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Connecticut Secretary of the State
Obtain EIN from the IRS and NPI (Type 2)
If entering client homes, register as a Homemaker-Companion Agency (HCA) with the Connecticut Department of Consumer Protection (DCP)
Enroll as a Medicaid provider through DSS if billing directly
Maintain general liability insurance and procedures for staff safety, supervision, and documentation
4. PROVIDER ENROLLMENT PROCESS
Step 1: DCP HCA Registration (if entering homes)
Register via the DCP HCA portal, submit business info, complaint procedures, and proof of insurance
Step 2: DSS Medicaid Enrollment
Apply through the Connecticut Medicaid Provider Enrollment Portal
Submit NPI, EIN, business license, and service descriptions
Step 3: Connect with DSS or Area Agency on Aging (AAA)
Coordinate for referrals and service authorizations for CHCPE-eligible individuals
5. REQUIRED DOCUMENTATION
Articles of Incorporation or proof of business registration
IRS EIN Letter
NPI confirmation
DCP HCA registration (if applicable)
DSS Medicaid enrollment approval
Policy & procedure manual including:
Intake forms and home risk assessment tools
Task-specific service logs and completion checklists
Safety procedures for lifting, waste disposal, and hazardous conditions
Emergency protocols and incident documentation
Confidentiality, rights, and client complaint policies
Staff hiring, background check procedures, and supervision tracking
6. STAFFING REQUIREMENTS
Role: Chore Worker / Environmental Services Aide
Requirements:
Experience in housekeeping, janitorial, or property maintenance
Background check and TB screening
Physical ability to lift, clean, and work in challenging environments
CPR/First Aid certification (recommended)
Role: Supervisor / Scheduler (for agencies)
Requirements: Oversight experience, scheduling, quality assurance, and field support
Training Requirements for All Staff:
Infection control and proper use of cleaning agents
Fall prevention and safe lifting techniques
Emergency and incident reporting
Confidentiality and client rights
Annual refreshers on safety and in-home conduct
7. MEDICAID WAIVER SERVICES
Chore Services are reimbursed under:
Connecticut Home Care Program for Elders (CHCPE)
Other state-funded programs for at-risk seniors and adults with disabilities
Approved providers may deliver:
Time-limited or task-based in-home chore assistance
Services based on assessed health or safety risks
Coordination with care managers for documentation and approval
Before-and-after reports with photos (if required by DSS)
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: DCP HCA Registration (if required)
Timeline: 2–4 weeks
Phase: DSS Medicaid Enrollment
Timeline: 30–60 days
Phase: Staff Hiring and Service Onboarding
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Connecticut Department of Social Services (DSS)
Email: dss.ctmedical@ct.gov
Website: https://portal.ct.gov/DSS
Connecticut Department of Consumer Protection (DCP) – HCA Registration
Phone: (860) 713-6100
Website: https://portal.ct.gov/DCP
Connecticut Medicaid Provider Enrollment Portal
Website: https://www.ctdssmap.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CONNECTICUT CHORE SERVICES PROVIDER
We help individuals and small businesses launch compliant Chore Services to serve Medicaid waiver participants and at-risk adults across Connecticut.
Scope of Work:
Business registration (LLC, EIN, NPI)
DCP HCA registration and DSS Medicaid enrollment support
Policy & procedure manual for chore services and field safety
Templates for task checklists, service logs, and risk assessments
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 DSS, AAAs, and housing assistance programs
Adult Health Services
ADULT DAY HEALTH SERVICES PROVIDER IN CONNECTICUT
PROVIDING HEALTHCARE, SOCIALIZATION, AND DAILY SUPPORT FOR OLDER ADULTS AND INDIVIDUALS WITH DISABILITIES IN A COMMUNITY-BASED SETTING
Adult Day Health Services in Connecticut offer medical monitoring, therapeutic activities, and personal care to individuals who need assistance during the day but wish to remain living at home. These services are provided under Connecticut Medicaid’s Home and Community-Based Services (HCBS) Waivers, especially the Connecticut Home Care Program for Elders (CHCPE) and the Personal Care Assistance Waiver.
1. GOVERNING AGENCIES
Agency: Connecticut Department of Social Services (DSS)
Role: Administers Medicaid and HCBS waiver programs, including Adult Day Health Services under CHCPE and related waivers
Agency: Connecticut Department of Public Health (DPH)
Role: Licenses adult day centers and ensures compliance with health and safety standards
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure services meet HCBS waiver and Medicaid requirements
2. ADULT DAY HEALTH SERVICE OVERVIEW
Adult Day Health Services provide supervised care in a licensed community-based setting during daytime hours. These programs are designed to delay institutional care by supporting individuals with medical and social needs.
Approved providers may deliver:
Nursing services (e.g., monitoring vital signs, medication management)
Physical, occupational, and speech therapies (as authorized)
Personal care services (e.g., hygiene, toileting, mobility assistance)
Nutritional meals and snacks
Social and therapeutic recreational activities
Transportation to and from the day center
Documentation of service delivery, progress, and medical oversight
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Connecticut Secretary of the State
Obtain EIN from the IRS and NPI (Type 2)
Apply for and receive licensure as an Adult Day Center from the Connecticut Department of Public Health (DPH)
Enroll as a Medicaid provider with the Department of Social Services (DSS)
Maintain liability insurance, infection control procedures, and a multidisciplinary staff
4. PROVIDER ENROLLMENT PROCESS
Step 1: DPH Licensing
Submit application including building layout, staff credentials, operating policies, and safety plans
Undergo facility inspection to meet state health codes and fire safety standards
Step 2: Medicaid Enrollment with DSS
Apply through the Medicaid Provider Enrollment Portal
Submit required documentation including DPH license, tax ID, bank information, and NPI
Select waiver programs served (e.g., CHCPE, PCA Waiver)
Step 3: Waiver Service Authorization
Coordinate with case managers to receive participant referrals and service authorizations
5. REQUIRED DOCUMENTATION
Articles of Incorporation or proof of business registration
IRS EIN Letter
NPI confirmation
Connecticut DPH Adult Day Center license
DSS Medicaid enrollment confirmation
Policy & procedure manual including:
Health assessment and medication administration protocols
Activity schedules and therapeutic programming
Nutrition service plans and dietary logs
Client rights, confidentiality, and grievance procedures
Staff training manuals and job descriptions
Daily attendance tracking and service logs
Infection control, emergency response, and evacuation plans
6. STAFFING REQUIREMENTS
Role: Program Director / Nurse Manager
Requirements: RN licensed in Connecticut with experience in geriatrics or disabilities
Role: Licensed Nurses (RN or LPN)
Requirements: Valid Connecticut license, CPR certification, and clinical experience
Role: Certified Nursing Assistants (CNAs) / Personal Care Aides
Requirements: Completion of CNA program or equivalent, background check, and TB test
Role: Activity Coordinator / Therapist (if applicable)
Requirements: Background in recreation therapy, occupational therapy, or human services
Training Requirements for All Staff:
First Aid and CPR
Infection control and universal precautions
Elder abuse recognition and mandated reporting
Documentation procedures and ethics
Annual in-service and continuing education requirements
7. MEDICAID WAIVER SERVICES
Adult Day Health Services are covered under:
Connecticut Home Care Program for Elders (CHCPE)
Personal Care Assistance Waiver (for adults with disabilities)
Acquired Brain Injury (ABI) Waiver (in specific cases)
Approved providers may deliver:
Individualized nursing care and medical monitoring
Supportive personal care and activities of daily living
Nutrition and social engagement
Transportation coordination (if part of care plan)
Progress reporting to DSS or case managers
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Facility Setup and DPH Licensing
Timeline: 60–120 days
Phase: Medicaid Enrollment with DSS
Timeline: 30–60 days
Phase: Staff Hiring and Program Readiness
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Connecticut Department of Social Services (DSS)
Email: dss.ctmedical@ct.gov
Website: https://portal.ct.gov/DSS
Connecticut Department of Public Health (DPH) – Facility Licensing
Phone: (860) 509-7400
Website: https://portal.ct.gov/DPH
Medicaid Provider Enrollment Portal
Website: https://www.ctdssmap.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CONNECTICUT ADULT DAY HEALTH SERVICES PROVIDER
We help providers and healthcare entrepreneurs launch licensed, Medicaid-compliant Adult Day Health Services under Connecticut’s CHCPE and other HCBS waiver programs.
Scope of Work:
Business registration (LLC, EIN, NPI)
DPH Adult Day Center licensing support
Medicaid enrollment and waiver coordination through DSS
Policy & procedure manual for clinical care and daily operations
Templates for care plans, medication logs, and activity tracking
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 care managers, hospitals, and family caregivers
Assistive Technology
ASSISTIVE TECHNOLOGY SERVICES PROVIDER IN CONNECTICUT
ENHANCING INDEPENDENCE THROUGH TECHNOLOGY THAT SUPPORTS COMMUNICATION, MOBILITY, AND DAILY FUNCTIONING
Assistive Technology (AT) Services in Connecticut provide individuals with disabilities the tools and training needed to enhance independence, safety, and quality of life. These services are offered under Connecticut Medicaid Home and Community-Based Services (HCBS) Waivers, including the Personal Care Assistance (PCA) Waiver, Acquired Brain Injury (ABI) Waivers, and the Department of Developmental Services (DDS) Waivers. Assistive technology must be medically necessary and included in the individual’s service plan.
1. GOVERNING AGENCIES
Agency: Connecticut Department of Social Services (DSS)
Role: Authorizes assistive technology purchases and services under PCA, ABI, and other waivers
Agency: Connecticut Department of Developmental Services (DDS)
Role: Oversees AT services for individuals with intellectual/developmental disabilities under DDS HCBS Waivers
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures that AT services under Medicaid meet federal HCBS standards for accessibility and medical necessity
2. ASSISTIVE TECHNOLOGY SERVICE OVERVIEW
Assistive Technology Services involve the evaluation, acquisition, customization, and training necessary for individuals to use technology that increases their functional abilities at home or in the community.
Approved providers may deliver:
Assessments and AT evaluations
Recommendations for devices (e.g., communication tools, mobility aids, smart home tech)
Purchase and customization of equipment
Device setup, training, and troubleshooting
Maintenance and repair of approved devices
Documentation of medical necessity and service outcomes
Examples of eligible equipment:
Augmentative and alternative communication (AAC) devices
Adaptive switches and environmental controls
Wheelchair modifications or seating systems
Smart doorbells, reminders, and medication dispensers
Hearing/vision supports and adaptive computer hardware
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Connecticut Secretary of the State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider through the Connecticut DSS Medicaid Provider Enrollment Portal
For DDS Waivers, become a qualified provider through DDS
Employ or contract professionals such as Assistive Technology Professionals (ATPs), occupational therapists (OTs), or speech-language pathologists (SLPs) as appropriate
Maintain liability insurance and ensure HIPAA compliance in documentation and training
4. PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid or DDS Provider Enrollment
Apply through DSS or DDS based on waiver program served
Submit credentials, resumes, service description, and pricing structure
Step 2: Obtain Service Authorizations
Coordinate with case managers and waiver care teams for client-specific AT authorizations
Step 3: Deliver Services and Submit Documentation
Conduct assessments, install equipment, and train participants
Submit billing and service logs in accordance with DSS or DDS guidance
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
Medicaid provider or DDS qualified provider approval
Policy & procedure manual including:
AT assessment tools and referral intake forms
Service delivery logs and training verification
Documentation of medical necessity and justification for devices
Consent forms and HIPAA privacy policies
Safety, maintenance, and troubleshooting protocols
Staff credentialing, training logs, and continuing education records
Invoices, receipts, and warranty documentation for purchased items
6. STAFFING REQUIREMENTS
Role: Assistive Technology Specialist / Consultant
Requirements: ATP certification, OT/SLP license, or experience in disability technology
Role: Technician / Installer / Trainer
Requirements:
Experience in adaptive equipment setup and support
Background checks and proper vendor insurance
Strong communication and documentation skills
Training Requirements for All Staff:
AT device functionality and usage training
Person-centered care and communication
HIPAA and confidentiality
Equipment safety, maintenance, and documentation protocols
7. MEDICAID WAIVER SERVICES
Assistive Technology is reimbursed under:
Personal Care Assistance (PCA) Waiver
Acquired Brain Injury (ABI) Waivers I & II
Department of Developmental Services (DDS) Waivers
Medically Complex Children’s Waiver (as medically necessary)
Approved providers may deliver:
Evaluations and recommendations based on functional needs
Purchase and setup of approved devices
Participant and caregiver training
Maintenance or replacement services (if authorized)
Documentation supporting need and successful outcomes
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Medicaid or DDS Enrollment
Timeline: 30–60 days
Phase: Credentialing and Equipment Sourcing Setup
Timeline: 2–4 weeks
Phase: Service Delivery and Referral Activation
Timeline: Ongoing
9. CONTACT INFORMATION
Connecticut Department of Social Services (DSS)
Email: dss.ctmedical@ct.gov
Website: https://portal.ct.gov/DSS
Connecticut Department of Developmental Services (DDS)
Email: ddsct.co@ct.gov
Website: https://portal.ct.gov/dds
Connecticut Medicaid Provider Enrollment Portal
Website: https://www.ctdssmap.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CONNECTICUT ASSISTIVE TECHNOLOGY SERVICES PROVIDER
We help technology consultants, rehabilitation specialists, and accessibility experts launch Medicaid-compliant Assistive Technology Services under Connecticut’s waiver and Medicaid programs.
Scope of Work:
Business registration (LLC, EIN, NPI)
DSS or DDS provider enrollment and credentialing support
Policy & procedure manual for device procurement, service delivery, and training
Templates for evaluations, installation logs, and training records
Website, domain, and email setup
Staff credentialing trackers and continuing education logs
Client intake packet, consent forms, and troubleshooting guides
Incident reporting systems and audit preparation tools
Referral networking with therapists, case managers, and discharge planners
Behavioral Health
BEHAVIORAL SERVICES PROVIDER IN CONNECTICUT
SUPPORTING INDIVIDUALS WITH CHALLENGING BEHAVIORS THROUGH EVIDENCE-BASED INTERVENTIONS THAT PROMOTE STABILITY, INDEPENDENCE, AND QUALITY OF LIFE
Behavioral Services in Connecticut focus on assessing, managing, and reducing behaviors that interfere with learning, social participation, or independent living. These services are funded through Connecticut Medicaid Home and Community-Based Services (HCBS) Waivers, including the Department of Developmental Services (DDS) Waivers, and are aligned with individualized goals in the Individual Plan (IP).
1. GOVERNING AGENCIES
Agency: Connecticut Department of Developmental Services (DDS)
Role: Oversees behavioral services for individuals with intellectual/developmental disabilities under DDS HCBS Waivers
Agency: Connecticut Department of Social Services (DSS)
Role: Administers Medicaid and waiver funding, monitors provider reimbursement, and enforces HCBS compliance
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure behavioral services under Medicaid meet clinical and person-centered standards
2. BEHAVIORAL SERVICE OVERVIEW
Behavioral Services address behaviors that place individuals or others at risk or interfere with participation in daily activities. Services may include assessment, planning, staff and caregiver training, and ongoing support based on a Behavior Support Plan (BSP).
Approved providers may deliver:
Functional Behavioral Assessments (FBAs)
Behavior Support Plan (BSP) development and implementation
Crisis intervention strategies and safety planning
Skill replacement strategies and positive behavior supports
Caregiver and staff training on behavior management
Monitoring and revision of intervention plans
Documentation of behavioral data and progress
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Connecticut Secretary of the State
Obtain EIN from the IRS and NPI (Type 2)
Apply as a Qualified Provider with DDS for Behavioral Services
Employ licensed and credentialed professionals (e.g., Board Certified Behavior Analysts - BCBA, Licensed Clinical Social Workers - LCSW, Psychologists)
Carry liability insurance and ensure documentation aligns with HIPAA and HCBS standards
For intensive services, demonstrate clinical oversight and behavior data systems
4. PROVIDER ENROLLMENT PROCESS
Step 1: Apply to DDS as a Qualified Behavioral Services Provider
Submit resumes, licenses, program descriptions, and behavior support protocols
Step 2: Complete Provider Review and Approval
Participate in DDS service orientation and provider onboarding
Step 3: Receive Service Authorizations
Begin service delivery upon referral and inclusion in the participant’s Individual Plan (IP)
5. REQUIRED DOCUMENTATION
Articles of Incorporation or proof of business registration
IRS EIN Letter
NPI confirmation
DDS Qualified Provider Approval
Licensure and certification for all behavioral clinicians
Policy & procedure manual including:
FBA and BSP development templates
Data tracking forms and graphing sheets
Emergency intervention protocols
Client rights, consent forms, and confidentiality policies
Clinical supervision logs and peer review processes
Documentation of staff and caregiver training sessions
Incident reporting procedures and behavioral outcomes reviews
6. STAFFING REQUIREMENTS
Role: Behavior Clinician (e.g., BCBA, LCSW, Psychologist)
Requirements:
Active Connecticut license or certification
Experience in intellectual/developmental disabilities and behavioral analysis
CPR/First Aid certification (recommended)
Role: Behavioral Technician / Support Staff
Requirements:
High school diploma or higher
Trained and supervised by licensed clinician
Background check, TB clearance, and incident documentation training
Training Requirements for All Staff:
Positive behavior supports and person-centered planning
Functional assessment methodology and BSP implementation
HIPAA, abuse prevention, and emergency response
Annual CEUs or in-service training updates
7. MEDICAID WAIVER SERVICES
Behavioral Services are reimbursed under:
DDS Individual and Family Support (IFS) Waiver
DDS Comprehensive Waiver
ABI Waivers (if behavior is linked to acquired injury)
Medicaid State Plan Services (for outpatient therapy)
Approved providers may deliver:
Behavior assessments and ongoing service monitoring
BSP implementation and revision
Crisis support (non-restrictive interventions only)
Staff/family training and data-driven evaluations
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: DDS Behavioral Provider Application
Timeline: 30–60 days
Phase: Staff Credentialing and Clinical Supervision Setup
Timeline: 2–4 weeks
Phase: Service Referrals and Implementation
Timeline: Ongoing
9. CONTACT INFORMATION
Connecticut Department of Developmental Services (DDS)
Email: ddsct.co@ct.gov
Website: https://portal.ct.gov/dds
Connecticut Department of Social Services (DSS)
Email: dss.ctmedical@ct.gov
Website: https://portal.ct.gov/DSS
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CONNECTICUT BEHAVIORAL SERVICES PROVIDER
We help clinicians and agencies launch compliant, person-centered Behavioral Services under Connecticut’s Medicaid and DDS waiver programs.
Scope of Work:
Business registration (LLC, EIN, NPI)
DDS Behavioral Provider application and approval support
Policy & procedure manual for FBA, BSP, and documentation standards
Templates for behavior logs, training forms, and data tracking tools
Website, domain, and email setup
Staff credentialing trackers and supervision documentation
Client intake packet, consent forms, and behavior support protocols
Incident reporting systems and audit preparation tools
Referral networking with case managers, schools, and behavioral health teams
Home Modification
HOME MODIFICATION SERVICES PROVIDER IN CONNECTICUT
ENHANCING SAFETY, ACCESSIBILITY, AND INDEPENDENT LIVING THROUGH CUSTOMIZED IN-HOME ADAPTATIONS
Home Modification Services in Connecticut provide physical adaptations to a person’s residence to support safety, mobility, and independence. These services are covered under several Connecticut Medicaid Home and Community-Based Services (HCBS) Waivers, including the Connecticut Home Care Program for Elders (CHCPE), the Acquired Brain Injury (ABI) Waivers, and the Personal Care Assistance (PCA) Waiver. Home modifications must be necessary, cost-effective, and authorized in the participant’s care plan
1. GOVERNING AGENCIES
Agency: Connecticut Department of Social Services (DSS)
Role: Oversees waiver programs and authorizes funding for home modifications under Medicaid
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures waiver-funded home modifications comply with federal HCBS standards
Agency: Connecticut Department of Consumer Protection (DCP)
Role: Regulates contractors and businesses offering home improvement services
2. HOME MODIFICATION SERVICE OVERVIEW
Home modifications involve physical changes to a person’s home that improve accessibility, promote safety, and support community-based living. Modifications must directly relate to the individual’s medical or functional needs and be outlined in the care plan.
Approved providers may deliver:
Installation of ramps, grab bars, and stair lifts
Bathroom modifications (roll-in showers, raised toilets, widened doors)
Kitchen accessibility improvements (lowered counters, pull-out shelves)
Door widening and threshold adjustments
Visual and auditory alert systems
Adaptive flooring and non-slip surfaces
Pre- and post-installation assessments and documentation
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Connecticut Secretary of the State
Obtain EIN from the IRS and NPI (Type 2)
Obtain a Home Improvement Contractor Registration from the Connecticut Department of Consumer Protection (DCP)
Apply to become an enrolled Medicaid provider through DSS (if billing directly)
Carry general liability and workers' compensation insurance
Use ADA-compliant designs and licensed subcontractors when required
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register as a Home Improvement Contractor with DCP
Submit application, business ownership information, and insurance documents
Step 2: Enroll with DSS (if billing Medicaid directly)
Apply through the Connecticut Medicaid Provider Enrollment Portal
Submit NPI, EIN, contractor registration, and service description
Identify applicable waiver programs served (e.g., CHCPE, ABI, PCA)
Step 3: Coordinate with Care Managers
Receive referrals and service authorizations through care teams managing participant plans
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Fictitious Business Name (FBN)
IRS EIN Letter
NPI confirmation
Home Improvement Contractor registration
Medicaid enrollment approval (if applicable)
Policy & procedure manual including:
Intake and home assessment procedures
Pre-authorization, estimate, and bid documentation
Installation timeline, safety plan, and quality checks
Client consent forms and warranty policies
ADA compliance reference guides and accessibility checklists
Incident reporting and contractor oversight protocols
Final inspection and post-service verification logs
6. STAFFING REQUIREMENTS
Role: Project Manager / Home Modification Coordinator
Requirements: Experience in construction, occupational therapy, or accessibility planning
Role: Contractor / Installer / Technician
Requirements:
Valid Connecticut contractor registration or trade license
Background checks and insurance coverage
Knowledge of ADA guidelines and accessibility best practices
Training Requirements for All Staff:
Safety protocols and installation quality standards
Working in homes of vulnerable populations (confidentiality and respect)
Documentation and Medicaid billing compliance (if enrolled)
7. MEDICAID WAIVER SERVICES
Home Modifications are reimbursed under:
Connecticut Home Care Program for Elders (CHCPE)
Acquired Brain Injury (ABI) Waivers I & II
Personal Care Assistance (PCA) Waiver
Medically Complex Children’s Waiver (for pediatric accessibility needs)
Approved providers may deliver:
Physical adaptations to enhance independence and reduce institutional risk
Coordination with care managers, therapists, and families
Pre- and post-project documentation, including photos and receipts
Cost-effective solutions that align with the participant’s care goals
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: DCP Contractor Registration
Timeline: 2–4 weeks
Phase: DSS Medicaid Enrollment (if applicable)
Timeline: 30–60 days
Phase: Referral Coordination and Readiness
Timeline: Ongoing
9. CONTACT INFORMATION
Connecticut Department of Social Services (DSS)
Email: dss.ctmedical@ct.gov
Website: https://portal.ct.gov/DSS
Connecticut Department of Consumer Protection (DCP)
Phone: (860) 713-6100
Website: https://portal.ct.gov/DCP
Connecticut Medicaid Provider Enrollment Portal
Website: https://www.ctdssmap.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CONNECTICUT HOME MODIFICATION SERVICES PROVIDER
We help contractors, accessibility experts, and home renovation companies launch Medicaid-compliant Home Modification Services under Connecticut’s waiver programs.
Scope of Work:
Business registration (LLC, EIN, NPI)
DCP contractor registration and DSS enrollment support
Policy & procedure manual for accessibility projects and quality control
Templates for estimates, work orders, and completion checklists
Website, domain, and email setup
Staff credentialing trackers and contractor oversight logs
Client intake packet, consent forms, and safety waivers
Incident reporting systems and audit preparation tools
Referral networking with case managers, OTs, and housing advocates
Nursing Facility Transition
NURSING SERVICES PROVIDER IN CONNECTICUT
DELIVERING SKILLED HEALTHCARE AND CLINICAL MONITORING TO INDIVIDUALS IN THEIR HOMES AND COMMUNITY SETTINGS
Nursing Services in Connecticut provide essential medical oversight and skilled care for individuals with chronic health conditions, disabilities, or post-acute care needs. These services are offered through the Connecticut Medicaid State Plan, the Connecticut Home Care Program for Elders (CHCPE), the Personal Care Assistance (PCA) Waiver, the Acquired Brain Injury (ABI) Waivers, and Department of Developmental Services (DDS) Waivers.
1. GOVERNING AGENCIES
Agency: Connecticut Department of Public Health (DPH)
Role: Licenses and regulates Home Health Agencies, Nurse Registries, and individual nursing professionals
Agency: Connecticut Department of Social Services (DSS)
Role: Authorizes and reimburses nursing services under Medicaid and HCBS waiver programs
Agency: Connecticut Department of Developmental Services (DDS)
Role: Oversees nursing services for waiver participants with intellectual/developmental disabilities
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures compliance with federal Medicaid and HCBS standards
2. NURSING SERVICE OVERVIEW
Nursing Services include professional medical care delivered in-home or in community-based settings. Services may be intermittent or continuous, depending on the individual’s condition and level of care required.
Approved providers may deliver:
Skilled nursing visits (e.g., medication administration, wound care, IV therapy)
Health assessments and care plan development
Chronic disease monitoring and education
Medication setup and safety checks
Coordination with physicians and interdisciplinary teams
Delegation and oversight of care tasks to aides or family members
Documentation of clinical outcomes and physician orders
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Connecticut Secretary of the State
Obtain EIN from the IRS and NPI (Type 2)
Obtain licensure from DPH as a Home Health Care Agency or operate under a Nurse Registry (if providing staffing)
Enroll as a Medicaid provider through the DSS Medicaid Provider Enrollment Portal
Employ or contract licensed RNs and LPNs
Maintain general liability, professional liability, and malpractice insurance
Implement HIPAA-compliant documentation and clinical protocols
4. PROVIDER ENROLLMENT PROCESS
Step 1: DPH Licensing
Apply for Home Health Agency or Nurse Registry license
Submit policies, staffing plans, and infection control procedures
Complete site inspection and receive approval
Step 2: DSS Medicaid Enrollment
Apply via the Connecticut Medicaid Provider Enrollment Portal
Submit business credentials, licensure, and service descriptions
Step 3: Connect with Referring Entities
Receive service authorizations from DSS, DDS, or care coordinators under applicable waivers
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
DPH license (Home Health or Nurse Registry)
DSS Medicaid provider enrollment approval
Policy & procedure manual including:
Admission criteria and care planning templates
Medication administration and delegation logs
Clinical documentation protocols and progress notes
HIPAA and patient privacy protections
Emergency and infection control procedures
Incident reporting and change in condition alerts
RN supervision records and delegation guidelines
Staff credentialing, training, and CEU logs
6. STAFFING REQUIREMENTS
Role: Registered Nurse (RN)
Requirements:
Active Connecticut license
Experience in community health, chronic care, or developmental disabilities
CPR certification, background check, and TB screening
Role: Licensed Practical Nurse (LPN)
Requirements:
Active Connecticut license
Works under RN supervision per delegation plan
Role: Nurse Supervisor / Clinical Director
Requirements:
Advanced RN experience, administrative capability, and familiarity with HCBS guidelines
Training Requirements for All Staff:
HIPAA and documentation best practices
Infection control and universal precautions
Abuse prevention and emergency response
Medication safety and client rights
Annual CEUs for license maintenance
7. MEDICAID WAIVER SERVICES
Nursing Services are reimbursed under:
Connecticut Medicaid State Plan
Connecticut Home Care Program for Elders (CHCPE)
Personal Care Assistance (PCA) Waiver
Acquired Brain Injury (ABI) Waivers
DDS Waivers (Comprehensive and IFS)
Medically Complex Children’s Waiver
Approved providers may deliver:
Skilled intermittent or scheduled nursing visits
Monitoring and health teaching
Oversight of direct care staff
Clinical input into care planning and waiver documentation
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: DPH Licensing (Home Health or Nurse Registry)
Timeline: 60–90 days
Phase: DSS Medicaid Enrollment
Timeline: 30–60 days
Phase: Staff Hiring and Referral Activation
Timeline: Ongoing
9. CONTACT INFORMATION
Connecticut Department of Public Health (DPH) – Facility Licensing and Investigations
Phone: (860) 509-7400
Website: https://portal.ct.gov/DPH
Connecticut Department of Social Services (DSS)
Email: dss.ctmedical@ct.gov
Website: https://portal.ct.gov/DSS
Connecticut Medicaid Provider Enrollment Portal
Website: https://www.ctdssmap.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CONNECTICUT NURSING SERVICES PROVIDER
We help nurses and healthcare organizations launch fully licensed, Medicaid-compliant Nursing Services to support home-based care in Connecticut’s waiver system.
Scope of Work:
Business registration (LLC, EIN, NPI)
DPH Home Health or Nurse Registry licensing support
DSS Medicaid provider enrollment assistance
Policy & procedure manual for skilled nursing services
Templates for care plans, nurse visit notes, and delegation logs
Website, domain, and email setup
Staff credentialing trackers and CEU documentation
Client intake packet, consent forms, and clinical policies
Incident reporting systems and audit preparation tools
Referral networking with hospitals, case managers, and waiver teams
Residential Care
RESIDENTIAL CARE SERVICES PROVIDER IN CONNECTICUT
SUPPORTING INDIVIDUALS WITH SAFE, STRUCTURED, AND COMMUNITY-BASED LIVING ARRANGEMENTS
Residential Care Services in Connecticut offer housing and supportive services to individuals with disabilities, chronic health conditions, or aging-related needs in a structured environment. These services are authorized under Connecticut’s Medicaid Home and Community-Based Services (HCBS) waiver programs and state-supported programs, promoting independence, health, and community integration outside of institutional settings.
1. GOVERNING AGENCIES
Agency: Connecticut Department of Social Services (DSS)
Role: Oversees Medicaid provider enrollment, service authorization, and reimbursement for Residential Care Services
Agency: Connecticut Department of Developmental Services (DDS)
Role: Administers HCBS waiver residential programs for individuals with intellectual and developmental disabilities (IDD)
Agency: Connecticut Department of Public Health (DPH)
Role: Licenses Residential Care Homes (RCHs) and monitors regulatory compliance
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Provides federal oversight ensuring Residential Care Services meet Medicaid HCBS community-based standards
2. RESIDENTIAL CARE SERVICE OVERVIEW
Residential Care Services support individuals in community-based settings by providing housing, personal care assistance, supervision, and support with activities of daily living (ADLs) and instrumental activities of daily living (IADLs).
Approved providers may deliver:
Assistance with ADLs (e.g., bathing, dressing, toileting, grooming)
Medication reminders and health monitoring (non-nursing tasks unless licensed)
Meal preparation and nutritional support
Laundry and housekeeping assistance
24-hour supervision and safety monitoring
Recreational, educational, and social activity facilitation
Community integration and skill-building support
Services must align with the participant’s Individualized Service Plan (ISP) and be designed to promote choice, independence, and community participation.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Connecticut Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Obtain Residential Care Home (RCH) license if operating a licensed facility (through DPH)
Enroll as a Medicaid provider through Connecticut’s Medical Assistance Program (CMAP)
Maintain general liability and professional liability insurance
Develop policies for resident intake, service delivery, health and safety, emergency preparedness, and participant rights
4. DSS/DPH PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit application for RCH licensing (if applicable) through the Department of Public Health
Submit Provider Enrollment Application for Residential Care Services through Connecticut’s DSS
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, service models, staffing plans, and sample daily schedules
Provide safety protocols, medication assistance plans, participant intake forms, and incident response procedures
Licensure and Readiness Review:
Undergo a DPH licensure survey (if operating a Residential Care Home)
DSS reviews program structure, participant protections, Medicaid billing readiness, and service documentation systems
Approval & Medicaid Enrollment:
Upon approval, configure billing codes for Residential Care Services under the applicable HCBS waivers and CMAP
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business Registration (Connecticut Secretary of State)
IRS EIN confirmation
NPI confirmation
Residential Care Home License (if applicable, issued by DPH)
Proof of general and professional liability insurance
HCBS-Compliant Policy & Procedure Manual including:
Participant intake, assessment, and service planning procedures
Health monitoring, medication reminders, and personal care assistance protocols
Emergency preparedness, fire safety, and evacuation procedures
Recreational activity planning and community integration supports
HIPAA confidentiality, participant rights, and grievance handling procedures
Staff credentialing, background checks, and training documentation
Medicaid billing, service tracking, and audit readiness documentation
6. STAFFING REQUIREMENTS
Role: Residential Program Manager / Administrator
Requirements: Experience in human services management or healthcare administration preferred; background screening clearance
Role: Direct Support Professionals (DSPs) / Residential Aides
Requirements: High school diploma or GED; CPR/First Aid certification; training in personal care support; background screening clearance
Role: Medication Administration Certified Staff (if providing medication reminders or administration)
Requirements: Certification through Connecticut-approved Medication Administration Program (MAP)
All staff must complete:
HIPAA confidentiality and participant rights training
Abuse prevention, emergency response, and health and safety training
Annual competency evaluations and continuing education in residential care best practices
7. MEDICAID WAIVER PROGRAMS
The following Connecticut Medicaid Waivers authorize Residential Care Services:
Intellectual Disability (ID) Waiver
Autism Waiver (for certain residential support models)
Community First Choice (CFC) Option (for home- and community-based personal care supports)
Personal Care Assistance (PCA) Waiver (in some independent living models)
Approved providers may deliver:
Residential supports tied to daily living skills, personal care, and supervision
Assistance with accessing community activities and supports
Health and safety oversight within community living environments
8. TIMELINE TO LAUNCH
Phase: Business Formation and Licensing Application
Timeline: 2–4 months
Phase: Facility Setup (if required) and Staffing Development
Timeline: 2–3 months
Phase: DSS Provider Enrollment and Program Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing System Setup and Claims Management Readiness
Timeline: 30–45 days
9. CONTACT INFORMATION
Connecticut Department of Social Services (DSS)
Website: https://portal.ct.gov/DSS
Connecticut Department of Developmental Services (DDS)
Website: https://portal.ct.gov/DDS
Connecticut Department of Public Health (DPH)
Website: https://portal.ct.gov/DPH
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — CONNECTICUT RESIDENTIAL CARE SERVICES PROVIDER
WCG supports residential agencies, housing programs, and disability service organizations in launching Medicaid-compliant Residential Care Services under Connecticut’s HCBS waiver programs.
Scope of Work:
Business registration and EIN/NPI setup
Licensing guidance for Residential Care Homes (if applicable)
Medicaid provider enrollment and credentialing support
Development of Residential Care Services Policy & Procedure Manual
Staff credentialing templates and participant intake/service planning documents
Medicaid billing configuration and claims management
Website, domain, and email setup
Participant intake, service coordination, and incident documentation systems
Quality assurance programs for residential service delivery and participant safety monitoring
Community networking and supportive housing partnership strategies
Assisted Living Services
ASSISTED LIVING SERVICES PROVIDER IN CONNECTICUT
SUPPORTING INDEPENDENCE, SAFETY, AND QUALITY OF LIFE IN HOME-LIKE RESIDENTIAL SETTINGS FOR OLDER ADULTS AND INDIVIDUALS WITH DISABILITIES
Residential Care Services in Connecticut offer housing and supportive services to individuals with disabilities, chronic health conditions, or aging-related needs in a structured environment. These services are authorized under Connecticut’s Medicaid Home and Community-Based Services (HCBS) waiver programs and state-supported programs, promoting independence, health, and community integration outside of institutional settings
1. GOVERNING AGENCIES
Agency: Connecticut Department of Public Health (DPH)
Role: Licenses Assisted Living Services Agencies (ALSAs) that deliver care in ALFs or managed residential communities
Agency: Connecticut Department of Social Services (DSS)
Role: Administers the CHCPE waiver and Medicaid payments for eligible Assisted Living Services
Agency: Connecticut Housing Finance Authority (CHFA)
Role: Oversees the Assisted Living Demonstration Project in select affordable housing developments
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures waiver-based Assisted Living Services meet HCBS standards and protect resident rights
2. ASSISTED LIVING SERVICE OVERVIEW
Assisted Living Services are provided to individuals in managed residential communities, allowing them to age in place while receiving help with personal care and daily tasks in a non-institutional setting.
Approved providers may deliver:
Assistance with activities of daily living (ADLs): bathing, dressing, grooming, toileting, and eating
Nursing services: health monitoring, medication administration, and coordination with physicians
Housekeeping, laundry, and meal support (in collaboration with the residential facility)
Emergency response and wellness checks
Documentation of care and participation in interdisciplinary planning
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Connecticut Secretary of the State
Obtain EIN from the IRS and NPI (Type 2)
Apply to DPH for licensure as an Assisted Living Services Agency (ALSA)
Partner with a Managed Residential Community (MRC) or affordable housing program
Enroll as a provider with DSS under the CHCPE or Medicaid demonstration project
Hire a Supervising Registered Nurse (RN) and certified aides
Maintain liability and professional insurance and implement HIPAA-compliant documentation systems
4. PROVIDER ENROLLMENT PROCESS
Step 1: DPH Licensing as an ALSA
Submit application with care policies, nursing protocols, staffing structure, and emergency procedures
Undergo site review and meet compliance with Sections 19-13-D105 of the Public Health Code
Step 2: Medicaid Enrollment through DSS
Apply through the Medicaid Provider Enrollment Portal
Submit your ALSA license, NPI, tax documents, and service agreement with MRC
Specify waiver program participation (e.g., CHCPE, Assisted Living Demonstration)
Step 3: Referral Coordination
Work with DSS case managers and housing authorities to accept Medicaid-eligible residents for services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or proof of business registration
IRS EIN Letter
NPI confirmation
DPH ALSA license
DSS Medicaid enrollment confirmation
Policy & procedure manual including:
Service plans and nurse delegation forms
ADL support logs and medication administration records
Emergency response and fall prevention protocols
HIPAA, privacy, and grievance procedures
Client rights, consent forms, and incident reporting
Staff orientation, training logs, and annual competency reviews
Collaboration policies with MRC operators and healthcare providers
6. STAFFING REQUIREMENTS
Role: Supervising Registered Nurse (RN)
Requirements: Valid Connecticut RN license, experience in home care or geriatric nursing
Role: Aides / Personal Care Assistants
Requirements:
Certified Nurse Aide (CNA) or Home Health Aide (HHA) credential
Background check, TB test, CPR/First Aid certification
Ongoing supervision by RN and documented competency checks
Training Requirements for All Staff:
Infection control and universal precautions
Elder abuse prevention and mandatory reporting
Emergency response and incident documentation
Medication assistance (as delegated)
Annual in-service training and continuing education
7. MEDICAID WAIVER SERVICES
Assisted Living Services are reimbursed under:
Connecticut Home Care Program for Elders (CHCPE)
Assisted Living Demonstration Project (select CHFA-approved housing locations)
Money Follows the Person (MFP) – transitional coverage into ALFs
State-funded Alzheimer’s Respite and Pilot Programs (in limited settings)
Approved providers may deliver:
Personal care and nurse-delegated services within residential communities
Ongoing monitoring, care plan implementation, and coordination
Documentation of services per Medicaid guidelines
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: DPH Licensing as ALSA
Timeline: 90–120 days
Phase: DSS Medicaid Enrollment
Timeline: 30–60 days
Phase: MRC Partnership and Staff Onboarding
Timeline: 30–45 days
9. CONTACT INFORMATION
Connecticut Department of Public Health – Facility Licensing and Investigations
Phone: (860) 509-7400
Website: https://portal.ct.gov/DPH
Connecticut Department of Social Services (DSS)
Email: dss.ctmedical@ct.gov
Website: https://portal.ct.gov/DSS
Medicaid Provider Enrollment Portal
Website: https://www.ctdssmap.com
Connecticut Housing Finance Authority (CHFA)
Website: https://www.chfa.org
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CONNECTICUT ASSISTED LIVING SERVICES PROVIDER
We help nursing professionals and agencies launch Medicaid-compliant Assisted Living Services in partnership with Managed Residential Communities and affordable housing programs across Connecticut.
Scope of Work:
Business registration (LLC, EIN, NPI)
DPH ALSA licensing support and survey preparation
DSS Medicaid enrollment and waiver readiness
Policy & procedure manual for residential health services and compliance
Templates for care plans, medication records, and service tracking
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and resident rights
Incident reporting systems and audit preparation tools
Referral networking with MRCs, CHFA sites, and DSS case managers
Homemaker Services
HOMEMAKER SERVICES PROVIDER IN CONNECTICUT
SUPPORTING INDEPENDENT LIVING FOR OLDER ADULTS AND INDIVIDUALS WITH DISABILITIES THROUGH NON-MEDICAL IN-HOME ASSISTANCE
Homemaker Services in Connecticut provide non-medical, in-home support to individuals who need help maintaining a clean, safe, and functional home environment. These services are offered through Connecticut Medicaid's Home and Community-Based Services (HCBS) Waivers, including the Connecticut Home Care Program for Elders (CHCPE), the Personal Care Assistance (PCA) Waiver, and related state-funded programs administered by the Department of Social Services (DSS).
1. GOVERNING AGENCIES
Agency: Connecticut Department of Social Services (DSS)
Role: Administers Medicaid and waiver programs, authorizes homemaker services through care plans, and monitors provider compliance
Agency: Connecticut Department of Consumer Protection (if registered as a homemaker companion agency)
Role: Registers Homemaker Companion Agencies (HCAs) and maintains oversight of consumer rights protections
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures HCBS waiver services meet federal requirements for community-based care
2. HOMEMAKER SERVICE OVERVIEW
Homemaker Services help individuals who are elderly or have disabilities maintain their independence by assisting with routine household tasks. These services are non-medical and must be documented in the participant’s care plan.
Approved providers may deliver:
Light housekeeping (sweeping, mopping, dusting)
Laundry and linen changes
Meal preparation and light dishwashing
Grocery shopping and errand running
Organization and home safety upkeep
Routine documentation of tasks performed and time spent
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Connecticut Secretary of the State
Obtain EIN from the IRS and NPI (Type 2)
If employing staff to work in client homes, register as a Homemaker Companion Agency (HCA) with the Connecticut Department of Consumer Protection (DCP)
Enroll as a Medicaid provider through DSS for CHCPE or PCA Waiver
Maintain liability insurance and employee records
Implement staff training, background checks, and supervision protocols
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register as a Homemaker Companion Agency (if applicable)
Apply through the DCP online portal
Submit background check policies, agency ownership details, and business practices
Step 2: Medicaid Enrollment via DSS
Enroll through the DSS Medicaid Provider Enrollment Portal
Submit EIN, NPI, business license, and HCA registration (if applicable)
Step 3: Referral Coordination
Upon approval, begin accepting referrals from DSS case managers and waiver care teams
5. REQUIRED DOCUMENTATION
Articles of Incorporation or proof of business registration
IRS EIN Letter
NPI confirmation
DCP Homemaker Companion Agency registration (if applicable)
Medicaid enrollment confirmation
Policy & procedure manual including:
Client intake and service authorization process
Task checklists and homemaker visit logs
Supervision and quality assurance processes
Confidentiality, privacy, and client rights documentation
Complaint and grievance procedures
Emergency protocols and health/safety policies
Staff credentialing, background checks, and ongoing training records
6. STAFFING REQUIREMENTS
Role: Homemaker / Companion
Requirements:
Background check and TB screening
Valid driver’s license (if performing errands)
Experience in housekeeping or senior support preferred
CPR/First Aid certification (recommended)
Role: Supervisor / Scheduler
Requirements: Experience in home care coordination, staff supervision, and scheduling logistics
Training Requirements for All Staff:
Elder abuse recognition and reporting
Infection control and home safety
Documentation and ethical service delivery
Confidentiality and rights of persons served
Annual performance and safety training updates
7. MEDICAID WAIVER SERVICES
Homemaker Services are reimbursed under:
Connecticut Home Care Program for Elders (CHCPE)
Personal Care Assistance (PCA) Waiver
Acquired Brain Injury (ABI) Waivers
State-Funded Connecticut Respite and Community Care Programs
Approved providers may deliver:
Non-medical household task support in participant homes
Documented services per DSS care plan or Medicaid authorization
Coordination with family members, case managers, and community resources
Regular communication with waiver programs for compliance and outcome tracking
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: HCA Registration with DCP (if applicable)
Timeline: 2–4 weeks
Phase: Medicaid Enrollment with DSS
Timeline: 30–60 days
Phase: Staff Hiring, Training, and Referral Onboarding
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Connecticut Department of Social Services (DSS)
Email: dss.ctmedical@ct.gov
Website: https://portal.ct.gov/DSS
Connecticut Department of Consumer Protection (DCP) – Homemaker Companion Agency Registry
Phone: (860) 713-6100
Website: https://portal.ct.gov/DCP
Connecticut Medicaid Provider Enrollment Portal
Website: https://www.ctdssmap.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CONNECTICUT HOMEMAKER SERVICES PROVIDER
We help new providers establish Homemaker Services that meet Connecticut’s Medicaid and waiver compliance standards, from agency setup to staff credentialing and policy development.
Scope of Work:
Business registration (LLC, EIN, NPI)
DCP HCA registration and DSS Medicaid enrollment support
Policy & procedure manual for in-home tasks, safety, and quality control
Templates for service logs, task lists, and client feedback forms
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 case managers and senior resource centers
Case Management
CASE MANAGEMENT SERVICES PROVIDER IN CONNECTICUT
COORDINATING MEDICAID, WAIVER, AND COMMUNITY SERVICES TO SUPPORT INDEPENDENCE AND QUALITY OF LIFE FOR INDIVIDUALS WITH DISABILITIES AND COMPLEX NEEDS
Case Management Services in Connecticut ensure that individuals receiving Medicaid or waiver-based services have access to coordinated care tailored to their goals, needs, and preferences. These services are provided under the Connecticut Home and Community-Based Services (HCBS) Waivers, including the Connecticut Home Care Program for Elders (CHCPE), the Personal Care Assistance (PCA) Waiver, the Acquired Brain Injury (ABI) Waivers, and others.
1. GOVERNING AGENCIES
Agency: Connecticut Department of Social Services (DSS)
Role: Administers Medicaid waiver programs and contracts with or oversees qualified case management providers
Agency: Connecticut Department of Developmental Services (DDS)
Role: Provides case management for individuals with intellectual/developmental disabilities under HCBS IDD Waiver
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures federal compliance with person-centered planning and HCBS service coordination standards
2. CASE MANAGEMENT SERVICE OVERVIEW
Case Management (also called Care Management or Service Coordination) includes individualized support to help Medicaid participants access services, monitor progress, and update care plans in response to changing needs.
Approved providers may deliver:
Comprehensive assessments and person-centered service plans
Coordination of Medicaid and non-Medicaid services (e.g., transportation, housing, meals, nursing, and therapy)
Crisis planning and monitoring of safety and health outcomes
Linkages to behavioral health, home modifications, and durable medical equipment
Communication with providers, families, and state agencies
Documentation of case notes, reassessments, and care team meetings
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Connecticut Secretary of the State
Obtain EIN from the IRS and NPI (Type 2)
Apply to DSS or DDS to become an approved Case Management Agency for a specific waiver (CHCPE, ABI, IDD, PCA)
Employ or contract qualified case managers (licensed professionals or experienced human services personnel)
Maintain HIPAA-compliant documentation systems, staff supervision, and audit-ready service logs
Carry liability and professional insurance
4. PROVIDER ENROLLMENT PROCESS
Step 1: Identify Waiver Program(s)
Determine whether services will be offered under CHCPE, ABI Waiver, PCA Waiver, or IDD Waiver
Step 2: Submit Case Management Provider Application
Contact DSS (or DDS for IDD) to request enrollment materials
Submit agency information, staff credentials, service descriptions, and quality assurance protocols
Step 3: Medicaid Enrollment via DSS
Enroll through the DSS Medicaid Provider Enrollment Portal with NPI, EIN, and direct deposit info
Step 4: Approval and Service Coordination Activation
Begin receiving referrals or authorizations from DSS care teams or waiver participants
5. REQUIRED DOCUMENTATION
Articles of Incorporation or proof of business registration
IRS EIN Letter
NPI confirmation
DSS or DDS approval letter
Policy & procedure manual including:
Initial assessment and care planning tools
Reassessment timelines and service plan updates
Interdisciplinary team communication templates
Consent forms, rights, and confidentiality protections
Complaint and grievance resolution processes
Crisis intervention and emergency planning procedures
Staff training protocols and supervision documentation
Electronic or paper documentation systems for case notes and service logs
6. STAFFING REQUIREMENTS
Role: Case Manager / Care Coordinator
Requirements:
Bachelor’s degree in social work, nursing, public health, or a related field (some waivers may require licensure)
Experience coordinating services for older adults or individuals with disabilities
Valid driver's license and ability to travel for home visits (as needed)
Training Requirements:
Person-centered planning and HCBS waiver compliance
HIPAA, confidentiality, and documentation ethics
Crisis planning and protective services reporting
Cultural competency and client rights
Annual continuing education and supervisory review
7. MEDICAID WAIVER SERVICES
Case Management Services are funded under:
Connecticut Home Care Program for Elders (CHCPE)
Acquired Brain Injury (ABI) Waivers I & II
Personal Care Assistance (PCA) Waiver
Medically Complex Children’s Waiver
IDD Waiver (via DDS)
Money Follows the Person (MFP) Transition Support
Approved providers may deliver:
Initial and ongoing person-centered assessments
Referral, linkage, and monitoring of authorized services
Regular documentation and collaboration with interdisciplinary care teams
Support with Medicaid eligibility, service access, and crisis navigation
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: DSS/DDS Case Management Approval
Timeline: 45–90 days
Phase: Medicaid Enrollment
Timeline: 30–60 days
Phase: Staff Onboarding and System Setup
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Connecticut Department of Social Services (DSS)
Email: dss.ctmedical@ct.gov
Website: https://portal.ct.gov/DSS
Connecticut Department of Developmental Services (DDS)
Email: ddsct.co@ct.gov
Website: https://portal.ct.gov/dds
Connecticut Medicaid Provider Enrollment Portal
Website: https://www.ctdssmap.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CONNECTICUT CASE MANAGEMENT SERVICES PROVIDER
We help healthcare agencies, professionals, and nonprofits launch Medicaid-compliant Case Management Services under Connecticut’s HCBS waivers and state-funded programs.
Scope of Work:
Business registration (LLC, EIN, NPI)
DSS or DDS provider enrollment and waiver authorization support
Policy & procedure manual for service coordination and documentation
Templates for care plans, reassessments, and case notes
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 hospitals, FQHCs, housing authorities, and case managers
Adult Health Transportation
TRANSPORTATION SERVICES PROVIDER IN CONNECTICUT
ENSURING SAFE, RELIABLE ACCESS TO MEDICAL CARE, COMMUNITY PROGRAMS, AND DAILY ACTIVITIES FOR INDIVIDUALS WITH DISABILITIES AND AGING NEEDS
Transportation Services in Connecticut support individuals who are unable to drive or access public transit due to age, disability, or medical condition. These services are available under Connecticut Medicaid, including the Non-Emergency Medical Transportation (NEMT) program, and various Home and Community-Based Services (HCBS) Waivers, such as the Connecticut Home Care Program for Elders (CHCPE), Personal Care Assistance (PCA) Waiver, Acquired Brain Injury (ABI) Waivers, and DDS Waivers
1. GOVERNING AGENCIES
Agency: Connecticut Department of Social Services (DSS)
Role: Oversees Medicaid-funded transportation programs and waiver reimbursements
Agency: Connecticut Department of Developmental Services (DDS)
Role: Authorizes and coordinates transportation services for individuals receiving DDS waiver supports
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures transportation services under Medicaid comply with federal accessibility and HCBS standards
2. TRANSPORTATION SERVICE OVERVIEW
Transportation services help individuals access essential medical appointments, day programs, employment, and community-based activities. Providers must ensure that services are timely, safe, and accessible to all riders.
Approved providers may deliver:
Ambulatory and wheelchair-accessible transportation
Scheduled rides to healthcare appointments or waiver-funded services
Transportation to and from day programs, therapy, or employment sites
Assistance boarding, exiting, and navigating to destination
Documentation of mileage, trip logs, and individual attendance
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Connecticut Secretary of the State
Obtain EIN from the IRS and NPI (Type 2)
Obtain DOT registration and commercial vehicle insurance
Apply as a Medicaid transportation provider (if serving medical trips)
Apply as a qualified DDS or waiver transportation provider (for day or community trips)
Ensure all drivers pass background checks, DMV record screening, and drug testing
4. PROVIDER ENROLLMENT PROCESS
Step 1: Business and Vehicle Setup
Purchase or lease accessible vehicles (if serving wheelchair users)
Install GPS, seatbelts, and emergency equipment as required by CT DOT
Step 2: DSS Medicaid Enrollment (for medical transportation)
Enroll via the CT Medicaid Provider Enrollment Portal
Submit business documents, DOT certification, and driver rosters
Step 3: DDS or Waiver Enrollment (for community/day transportation)
Apply to DDS or waiver care manager teams to become a transportation vendor for clients in day programs, employment, or waiver-funded services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
Commercial vehicle insurance and registration
DOT compliance documentation
DSS or DDS provider approval letter
Policy & procedure manual including:
Trip scheduling, logs, and driver checklists
Rider safety, wheelchair securement, and lift operation protocols
HIPAA-compliant rider confidentiality practices
Emergency and incident response plans
Complaint resolution and service quality review process
Maintenance logs and vehicle inspection reports
Staff credentialing, driving records, and annual evaluations
6. STAFFING REQUIREMENTS
Role: Driver / Transportation Aide
Requirements:
Valid Connecticut driver’s license (Class F or appropriate for vehicle type)
Clean DMV record, background check, and drug screening
CPR/First Aid certification (recommended)
Experience working with older adults or individuals with disabilities preferred
Role: Dispatcher / Scheduler (for agencies)
Requirements: Strong organizational and communication skills; familiarity with Medicaid billing/log requirements
Training Requirements for All Staff:
Passenger assistance and wheelchair securement
Abuse prevention and mandatory reporting
Emergency response and evacuation procedures
Confidentiality and HIPAA compliance
Vehicle safety and defensive driving techniques
7. MEDICAID WAIVER SERVICES
Transportation Services are reimbursed under:
Connecticut Medicaid Non-Emergency Medical Transportation (NEMT)
Connecticut Home Care Program for Elders (CHCPE)
Personal Care Assistance (PCA) Waiver
Acquired Brain Injury (ABI) Waivers I & II
DDS Waivers (IFS and Comprehensive)
Approved providers may deliver:
Transportation to medical services (e.g., doctor visits, dialysis, therapy)
Transportation to and from day programs, job sites, or waiver-funded services
Documentation of trip logs and service authorization compliance
Safe, accessible rides tailored to each individual's needs
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Vehicle Acquisition and DOT Compliance
Timeline: 2–4 weeks
Phase: Medicaid or DDS Provider Enrollment
Timeline: 30–60 days
Phase: Driver Hiring and Route Activation
Timeline: Ongoing
9. CONTACT INFORMATION
Connecticut Department of Social Services (DSS)
Email: dss.ctmedical@ct.gov
Website: https://portal.ct.gov/DSS
Connecticut Medicaid Provider Enrollment Portal
Website: https://www.ctdssmap.com
Connecticut Department of Developmental Services (DDS)
Email: ddsct.co@ct.gov
Website: https://portal.ct.gov/dds
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CONNECTICUT TRANSPORTATION SERVICES PROVIDER
We help transportation companies and independent drivers become compliant Medicaid and DDS providers in Connecticut, supporting safe, accessible rides for vulnerable populations.
Scope of Work:
Business registration (LLC, EIN, NPI)
DOT and commercial compliance guidance
DSS Medicaid and DDS provider enrollment support
Policy & procedure manual for scheduling, safety, and documentation
Templates for trip logs, incident reports, and driver checklists
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and safety instructions
Incident reporting systems and audit preparation tools
Referral networking with hospitals, case managers, and waiver programs
Home Health
HOME HEALTH SERVICES PROVIDER IN CONNECTICUT
DELIVERING SKILLED NURSING, THERAPIES, AND PERSONAL CARE TO INDIVIDUALS IN THEIR OWN HOMES THROUGH LICENSED AND MEDICAID-CERTIFIED CARE
Home Health Services in Connecticut provide skilled nursing, therapy, and home health aide support to individuals recovering from illness or managing chronic conditions. These services are authorized under Connecticut Medicaid, the Connecticut Home Care Program for Elders (CHCPE), the Personal Care Assistance (PCA) Waiver, and traditional Medicare. All providers must be licensed as Home Health Care Agencies (HHCAs) by the Connecticut Department of Public Health (DPH).
1. GOVERNING AGENCIES
Agency: Connecticut Department of Public Health (DPH)
Role: Licenses and monitors Home Health Care Agencies (HHCAs) under Connecticut General Statutes and public health code
Agency: Connecticut Department of Social Services (DSS)
Role: Administers Medicaid, CHCPE, and waiver reimbursements for in-home services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Oversees Medicare-certified home health services and ensures HCBS waiver compliance
2. HOME HEALTH SERVICE OVERVIEW
Home Health Services support individuals with complex medical, rehabilitative, or personal care needs while allowing them to remain safely at home. Services must be ordered by a physician and align with the participant’s plan of care.
Approved providers may deliver:
Skilled nursing (e.g., wound care, medication administration, chronic disease management)
Physical, occupational, and speech therapy
Home health aide assistance with ADLs (bathing, dressing, mobility)
Medical social work and family support
Patient and caregiver education
Care coordination and communication with physicians and waiver teams
Documentation of visits, outcomes, and reassessments
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Connecticut Secretary of the State
Obtain EIN from the IRS and NPI (Type 2)
Apply to DPH for a Home Health Care Agency (HHCA) license
Meet building, policy, and staffing requirements
Apply for Medicare Certification (optional) through CMS
Enroll as a Medicaid provider through DSS and the DSS Medicaid Provider Enrollment Portal
Maintain general and professional liability insurance
4. PROVIDER ENROLLMENT PROCESS
Step 1: Apply for HHCA License with DPH
Submit policies, staff qualifications, patient rights forms, and infection control plans
Pass onsite inspection and receive license number
Step 2: (Optional) Medicare Certification via CMS
Apply using CMS Form 855A and complete a federal survey
Receive CMS Certification Number (CCN)
Step 3: Medicaid Enrollment via DSS
Apply through the CT DSS Medicaid Provider Portal
Provide NPI, EIN, HHCA license, and banking info
Select applicable waiver programs (CHCPE, PCA, etc.)
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
Connecticut DPH HHCA License
Medicare certification (if applicable)
DSS Medicaid enrollment confirmation
Policy & procedure manual including:
Admission criteria and plan of care templates
Nurse and therapy documentation procedures
Medication management and administration logs
HIPAA compliance and patient rights policies
Home health aide task sheets and visit verification
Infection control, emergency response, and incident documentation
Clinical staff supervision plans and performance evaluations
Billing logs and compliance review documentation
6. STAFFING REQUIREMENTS
Role: Administrator / Clinical Director
Requirements: RN license in CT with home health or supervisory experience
Role: Registered Nurse (RN) / Licensed Practical Nurse (LPN)
Requirements: Active CT license, CPR certified, experience in home health preferred
Role: Home Health Aide (HHA)
Requirements: State-approved HHA training completion, background check, TB clearance
Optional Staff:
Physical Therapist (PT)
Occupational Therapist (OT)
Speech-Language Pathologist (SLP)
Medical Social Worker (MSW)
Training Requirements for All Staff:
Initial orientation, HIPAA, infection control, and emergency procedures
Annual skills reviews and in-service training
Specialized training for high-risk populations (e.g., dementia care, wound management)
7. MEDICAID WAIVER SERVICES
Home Health Services are reimbursed under:
Connecticut Home Care Program for Elders (CHCPE)
Personal Care Assistance (PCA) Waiver
Acquired Brain Injury (ABI) Waivers I & II
State Plan Medicaid and Medicare (when medically necessary)
Approved providers may deliver:
In-home skilled care ordered by a physician
ADL support through certified aides
Coordination with case managers and reassessment teams
Documentation aligned with waiver goals and CMS compliance
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: DPH Home Health Agency Licensing
Timeline: 90–150 days
Phase: Medicare Certification (optional)
Timeline: 60–90 days
Phase: Medicaid Enrollment and Waiver Readiness
Timeline: 30–60 days
9. CONTACT INFORMATION
Connecticut Department of Public Health (DPH) – Facility Licensing
Phone: (860) 509-7400
Website: https://portal.ct.gov/DPH
Connecticut Department of Social Services (DSS)
Email: dss.ctmedical@ct.gov
Website: https://portal.ct.gov/DSS
Connecticut Medicaid Provider Enrollment Portal
Website: https://www.ctdssmap.com
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CONNECTICUT HOME HEALTH SERVICES PROVIDER
We support healthcare entrepreneurs and clinical professionals in launching fully licensed, Medicaid-compliant Home Health Agencies in Connecticut—from licensing and staffing to billing and documentation systems.
Scope of Work:
Business registration (LLC, EIN, NPI)
DPH HHCA licensing application and preparation
Medicare and Medicaid enrollment support
Policy & procedure manual for clinical and operational standards
Templates for plans of care, nurse/therapy notes, and aide logs
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and compliance checklists
Incident reporting systems and audit preparation tools
Referral networking with hospitals, MCOs, and case managers
Meal & Nutrition
NUTRITION SERVICES PROVIDER IN CONNECTICUT
IMPROVING HEALTH OUTCOMES THROUGH PERSONALIZED MEAL PLANNING, ASSESSMENTS, AND DIETARY SUPPORT FOR INDIVIDUALS AT HOME
Nutrition Services in Connecticut support individuals who require professional dietary guidance due to chronic illness, developmental disabilities, aging-related needs, or post-acute conditions. These services are available under the Connecticut Home and Community-Based Services (HCBS) Waivers, including the Connecticut Home Care Program for Elders (CHCPE), the Personal Care Assistance (PCA) Waiver, and Acquired Brain Injury (ABI) Waivers, and are overseen by the Department of Social Services (DSS).
1. GOVERNING AGENCIES
Agency: Connecticut Department of Social Services (DSS)
Role: Administers Medicaid waiver programs and authorizes nutrition-related services and supports
Agency: Connecticut Department of Public Health (DPH)
Role: Licenses and registers dietitians and monitors compliance with public health standards
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures waiver-funded services meet federal HCBS and medical necessity standards
2. NUTRITION SERVICE OVERVIEW
Nutrition Services provide individualized assessments, care plans, education, and follow-up support to help individuals maintain or improve their health status through proper diet and nutrition.
Approved providers may deliver:
Comprehensive nutritional assessments
Development of personalized meal plans
Counseling for chronic conditions (e.g., diabetes, hypertension, malnutrition)
Feeding support and caregiver education
Collaboration with care teams and primary care providers
Documentation of progress and outcomes
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Connecticut Secretary of the State
Obtain EIN from the IRS and NPI (Type 2)
Hold a valid Connecticut dietitian-nutritionist license (LDN) from DPH
Enroll as a Medicaid provider through the Connecticut DSS Medicaid Provider Enrollment Portal
Maintain liability insurance and HIPAA-compliant documentation systems
4. PROVIDER ENROLLMENT PROCESS
Step 1: Obtain or Verify LDN Credential
Apply through the Connecticut Department of Public Health with documentation of RD credential and education
Step 2: Medicaid Enrollment via DSS
Apply through the Connecticut Medicaid Provider Enrollment Portal
Submit license, NPI, business registration, and scope of services
Step 3: Coordinate with Care Managers
Receive referrals and authorizations for services as part of CHCPE or other waiver plans
5. REQUIRED DOCUMENTATION
Articles of Incorporation or proof of business registration
IRS EIN Letter
NPI confirmation
Connecticut dietitian-nutritionist license (LDN)
DSS Medicaid provider approval
Policy & procedure manual including:
Assessment templates and nutrition care plans
Documentation of visits, notes, and meal plans
Client rights, HIPAA compliance, and informed consent
Follow-up scheduling, education materials, and outcome tracking
Emergency protocols and referral guidelines
Credentialing and continuing education logs
6. STAFFING REQUIREMENTS
Role: Registered Dietitian Nutritionist (RDN) / Licensed Dietitian-Nutritionist (LDN)
Requirements:
Active Connecticut LDN license and RD credential
Experience in clinical nutrition, home-based care, or long-term services
CPR/First Aid certification (recommended)
Training Requirements:
HIPAA and confidentiality
Cultural competence in dietary counseling
Waiver documentation and person-centered planning
Annual CEUs for license renewal and Medicaid compliance
7. MEDICAID WAIVER SERVICES
Nutrition Services are reimbursed under:
Connecticut Home Care Program for Elders (CHCPE)
Personal Care Assistance (PCA) Waiver
Acquired Brain Injury (ABI) Waivers I & II
Medically Complex Children’s Waiver (for pediatric nutrition support)
Approved providers may deliver:
Home-based assessments and nutrition planning
Dietary interventions aligned with waiver care plans
Nutritional counseling and caregiver education
Documentation that meets DSS and CMS audit requirements
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: LDN Licensing (if not already licensed)
Timeline: 2–4 weeks
Phase: DSS Medicaid Enrollment
Timeline: 30–60 days
Phase: Referral Networking and Readiness
Timeline: Ongoing
9. CONTACT INFORMATION
Connecticut Department of Public Health (DPH) – Dietitian Licensing
Phone: (860) 509-7603
Website: https://portal.ct.gov/DPH
Connecticut Department of Social Services (DSS)
Email: dss.ctmedical@ct.gov
Website: https://portal.ct.gov/DSS
Connecticut Medicaid Provider Enrollment Portal
Website: https://www.ctdssmap.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CONNECTICUT NUTRITION SERVICES PROVIDER
We help registered dietitians and licensed nutritionists establish Medicaid-compliant Nutrition Services for waiver-eligible participants in Connecticut.
Scope of Work:
Business registration (LLC, EIN, NPI)
DPH LDN licensing and DSS Medicaid enrollment support
Policy & procedure manual for assessments, documentation, and follow-up
Templates for care plans, visit logs, and nutrition assessments
Website, domain, and email setup
Staff credentialing trackers and supervision logs
Client intake packet, consent forms, and education materials
Incident reporting systems and audit preparation tools
Referral networking with primary care physicians, care managers, and support teams
Companion Care
COMPANION CARE SERVICES PROVIDER IN CONNECTICUT
DELIVERING NON-MEDICAL SOCIAL SUPPORT AND SUPERVISION TO PROMOTE INDEPENDENCE AND WELL-BEING FOR INDIVIDUALS IN THEIR HOMES
Companion Care Services in Connecticut offer non-medical supervision, companionship, and social interaction to older adults and individuals with disabilities. These services are offered through Connecticut Medicaid Home and Community-Based Services (HCBS) Waivers, such as the Connecticut Home Care Program for Elders (CHCPE), and through state-funded respite and home support programs administered by the Department of Social Services (DSS).
1. GOVERNING AGENCIES
Agency: Connecticut Department of Social Services (DSS)
Role: Administers the CHCPE and other waiver programs, authorizes companion care, and monitors compliance
Agency: Connecticut Department of Consumer Protection (DCP)
Role: Registers Homemaker-Companion Agencies (HCAs) and ensures compliance with state consumer protection laws
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight for HCBS programs and ensures person-centered planning compliance
2. COMPANION CARE SERVICE OVERVIEW
Companion Care Services are non-medical supports intended to reduce isolation and provide supervision and basic assistance in the home. Services are typically authorized in a care plan and are tailored to support community living and reduce caregiver burden.
Approved providers may deliver:
Social companionship, conversation, and cognitive stimulation
Supervision for safety and reassurance
Accompaniment on walks or to appointments
Reading, writing letters, and games
Medication reminders (non-administration)
Light errands or help organizing mail and appointments
Documentation of service hours and participant feedback
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Connecticut Secretary of the State
Obtain EIN from the IRS and NPI (Type 2)
Register as a Homemaker-Companion Agency (HCA) with the Connecticut Department of Consumer Protection (DCP)
Enroll as a Medicaid provider through DSS (if billing through CHCPE)
Ensure staff complete background checks and receive non-medical care training
Maintain general liability insurance and client protection policies
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register as a Homemaker-Companion Agency
Apply through the DCP HCA registration portal
Submit ownership documentation, complaint policy, and proof of insurance
Step 2: Medicaid Enrollment via DSS
Enroll through the Connecticut Medicaid Provider Enrollment Portal
Submit NPI, EIN, HCA registration, and service scope
Step 3: Referral Coordination
Connect with DSS case managers and area agencies on aging for service authorizations under CHCPE and related programs
5. REQUIRED DOCUMENTATION
Articles of Incorporation or proof of business registration
IRS EIN Letter
NPI confirmation
DCP Homemaker-Companion Agency registration
DSS Medicaid provider approval (if applicable)
Policy & procedure manual including:
Client intake and consent forms
Staff screening, training, and supervision protocols
Daily visit logs and service tracking forms
Complaint resolution and client feedback forms
Emergency procedures and incident reporting system
Confidentiality, rights, and privacy protections
Service plan coordination and documentation procedures
6. STAFFING REQUIREMENTS
Role: Companion / Homemaker
Requirements:
Background check and TB screening
Strong interpersonal and communication skills
CPR/First Aid certification (recommended)
Role: Agency Supervisor / Scheduler (for agencies)
Requirements: Experience in scheduling, client coordination, and documentation review
Training Requirements for All Staff:
Confidentiality and HIPAA
Client rights and dignity
Abuse prevention and mandatory reporting
Emergency preparedness
Cultural competence and ethical service delivery
7. MEDICAID WAIVER SERVICES
Companion Care Services are covered under:
Connecticut Home Care Program for Elders (CHCPE)
State-funded Respite Care and Alzheimer’s Support Programs
Self-directed care models under certain HCBS waivers
Approved providers may deliver:
Authorized hours of non-medical social support and supervision
Companionship aligned with individualized care plans
Reports and documentation per DSS and waiver guidelines
Family support and communication to reduce caregiver stress
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: DCP HCA Registration
Timeline: 2–4 weeks
Phase: DSS Medicaid Enrollment (if applicable)
Timeline: 30–60 days
Phase: Staff Hiring and Service Launch
Timeline: 2–4 weeks
9. CONTACT INFORMATION
Connecticut Department of Social Services (DSS)
Email: dss.ctmedical@ct.gov
Website: https://portal.ct.gov/DSS
Connecticut Department of Consumer Protection (DCP) – HCA Registration
Phone: (860) 713-6100
Website: https://portal.ct.gov/DCP
Connecticut Medicaid Provider Enrollment Portal
Website: https://www.ctdssmap.com
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CONNECTICUT COMPANION CARE SERVICES PROVIDER
We assist individuals and agencies in launching Medicaid-compliant Companion Care Services under Connecticut’s CHCPE and related state-funded programs.
Scope of Work:
Business registration (LLC, EIN, NPI)
DCP Homemaker-Companion Agency registration and DSS enrollment
Policy & procedure manual for companion services and staff management
Templates for daily service logs, care notes, and client feedback forms
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 DSS care managers, AAAs, and family caregivers
Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.