Starting an HCBS Agency in Arizona

What You Need to Know About Starting a Specific HCBS Agency in Arizona

These videos give an overview of the various Home and Community-Based Services (HCBS) available in Arizona 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 Arizona. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers. Explore each section to find the service that best matches your goals or area of interest.

Respite Care Services

RESPITE CARE SERVICES PROVIDER IN ARIZONA
PROVIDING TEMPORARY RELIEF FOR CAREGIVERS WHILE ENSURING SAFE AND COMPASSIONATE SUPPORT FOR INDIVIDUALS WITH DISABILITIES

Respite Care Services in Arizona are short-term care services designed to offer relief to primary caregivers of individuals with developmental disabilities, chronic health conditions, or significant care needs. Under Arizona’s Medicaid program—specifically the Arizona Long Term Care System (ALTCS) and Home and Community-Based Services (HCBS)—respite ensures that caregivers can rest, manage personal responsibilities, or prevent burnout, while their loved ones continue to receive appropriate care in a safe environment.

1. GOVERNING AGENCIES

Agency: Arizona Health Care Cost Containment System (AHCCCS)
Role: Administers Medicaid and ALTCS, oversees HCBS waiver programs, sets billing and provider requirements

Agency: Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD)
Role: Manages HCBS services for individuals with developmental disabilities, approves and monitors providers

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures compliance with Medicaid waiver standards

2. RESPITE CARE SERVICE OVERVIEW

Respite Care Services offer short-term, intermittent care that can be delivered in the individual’s home or a qualified alternative setting. The goal is to maintain the health and well-being of both the caregiver and the individual receiving services.

Approved providers may deliver:

Supervision and assistance with Activities of Daily Living (ADLs), including bathing, dressing, and eating

Recreational or therapeutic engagement

Overnight or daytime care (planned or emergency)

Medication reminders and monitoring of general well-being (non-clinical)

Documentation of services delivered, incidents, and any changes in the individual’s condition

Respite services must align with the participant’s person-centered service plan and cannot replace regular services like habilitation or attendant care.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Obtain EIN from the IRS and NPI (Type 2)

Apply to become a Qualified Vendor through the Arizona Department of Economic Security (DES) – DDD

Maintain a physical office or service location in Arizona

Comply with Arizona Administrative Code (AAC) rules for HCBS providers

Ensure staff meet all training, background check, and CPR/First Aid certification requirements

Establish policies for health, safety, privacy, and documentation

4. DDD QUALIFIED VENDOR ENROLLMENT PROCESS

Initial Interest and Pre-Application Steps:

Review the Qualified Vendor Application and Directory System (QVADS)

Attend a DDD Qualified Vendor orientation (required for new vendors)

Application Submission:

Submit the Qualified Vendor Application via QVADS

Include service descriptions, staff qualifications, financial viability documentation, and required policies/procedures

Provide proof of liability insurance, Article of Incorporation, and background check compliance

Review and Contracting:

DDD reviews application, may request clarification or corrections

Upon approval, provider signs a Qualified Vendor Agreement

Services and rates are published in the Qualified Vendor Directory

Approval & Medicaid Enrollment:

Providers must enroll with AHCCCS as a Medicaid provider

Activate billing codes for respite care and configure claims processing

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License

IRS EIN Letter

NPI confirmation

AHCCCS and QVADS registration

Proof of Arizona office or service location

Qualified Vendor-Compliant Policy & Procedure Manual including:

Participant intake and caregiver relief coordination

Daily service delivery and supervision guidelines

Incident reporting and emergency response policies

ADL/IADL assistance procedures

Participant rights, consent forms, and confidentiality policies

Staff training, background check, and CPR/First Aid documentation

Transportation and community engagement guidelines (if applicable)

Billing, scheduling, and service note tracking systems

6. STAFFING REQUIREMENTS

Role: Respite Program Manager / Coordinator
Requirements: Experience with HCBS, service coordination, and DDD documentation

Role: Respite Care Worker / Direct Support Staff
Requirements: Minimum age 18, high school diploma or GED, CPR/First Aid certification, Article 9 training, background check

All staff must complete:

Arizona DES/DDD-approved training

Article 9 (rights and behavioral interventions)

CPR/First Aid and abuse prevention

Emergency response, documentation, and ethics training

Annual refreshers per Arizona Administrative Code

7. MEDICAID WAIVER SERVICES

The following Arizona Medicaid Waiver Programs authorize Respite Care Services:

ALTCS – Elderly and Physically Disabled (EPD) Waiver

ALTCS – Division of Developmental Disabilities (DDD) Waiver

Arizona Early Intervention Program (AzEIP) (limited respite cases)

Approved providers may deliver:

Intermittent, short-term care to relieve unpaid caregivers

Supervised, in-home or community-based support

ADL/IADL assistance, safety monitoring, and therapeutic interaction

Documentation of all care provided during the respite episode

8. TIMELINE TO LAUNCH

Phase: Business Formation and Initial Setup
Timeline: 1–2 weeks

Phase: QVADS Application and Review
Timeline: 60–90 days

Phase: Staff Hiring and Training Compliance
Timeline: 30–45 days

Phase: AHCCCS Medicaid Enrollment and Billing Setup
Timeline: 45–60 days

9. CONTACT INFORMATION

Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD)
Email: DDDProviderRegistration@azdes.gov
Phone: (602) 542-6874
Website: https://des.az.gov/services/disabilities/developmental-disabilities

Arizona Health Care Cost Containment System (AHCCCS)
Email: ProviderRegistration@azahcccs.gov
Phone: (602) 417-7670
Website: https://www.azahcccs.gov

Qualified Vendor Application Portal (QVADS): https://vendorhub.azdes.gov/

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARIZONA RESPITE CARE SERVICES PROVIDER

We help new providers navigate the licensing, contracting, and enrollment processes to launch compliant and high-quality Respite Care Services under Arizona's Medicaid HCBS system.

Scope of Work:

Business registration (LLC, EIN, NPI)

DES DDD Qualified Vendor application and QVADS support

Policy & Procedure Manual development tailored to Arizona requirements

Templates for service logs, incident reports, caregiver notes, and documentation

AHCCCS Medicaid enrollment and billing setup

WEBSITE, DOMAIN, AND EMAIL SETUP

CLIENT INTAKE AND RESPITE SERVICE PLAN PACKET

STAFF ONBOARDING CHECKLIST AND TRAINING TRACKERS

QUALITY ASSURANCE SYSTEMS AND COMPLIANCE MONITORING TOOLS

REFERRAL NETWORKING WITH SUPPORT COORDINATORS AND DDD CASE MANAGERS

Residential Care

RESIDENTIAL CARE SERVICES PROVIDER IN ARIZONA
PROVIDING SAFE, COMMUNITY-INTEGRATED HOUSING AND SUPPORT FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES

Residential Care Services in Arizona offer structured, 24/7 care and supervision for individuals with developmental disabilities who cannot safely live alone or with family. Delivered under Arizona’s Medicaid program through the Arizona Long Term Care System (ALTCS) and the Division of Developmental Disabilities (DDD), Residential Care Services support individuals in licensed homes or group settings that foster independence, dignity, and personal growth.

1. GOVERNING AGENCIES

Agency: Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD)
Role: Oversees provider approval, licensing, and monitoring of residential service providers

Agency: Arizona Health Care Cost Containment System (AHCCCS)
Role: Administers Medicaid enrollment and reimbursement under ALTCS/DDD

Agency: Arizona Department of Health Services (ADHS) – Office of Assisted Living Licensing
Role: Licenses residential care homes and ensures compliance with health and safety standards (when applicable)

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight of Medicaid waiver compliance and home- and community-based settings (HCBS) standards

2. RESIDENTIAL CARE SERVICE OVERVIEW

Residential Care Services support individuals living in a provider-operated or licensed residential setting, such as group homes. Services are person-centered and aim to help individuals gain life skills, engage in their communities, and live as independently as possible in a structured, safe environment.

Approved providers may deliver:

24-hour supervision and care in a residential setting

Assistance with Activities of Daily Living (ADLs) like bathing, dressing, and mobility

Medication management and health monitoring (non-nursing)

Meal planning, preparation, and nutrition support

Life skills training (e.g., personal hygiene, laundry, budgeting)

Behavioral support services

Social, recreational, and community integration activities

Documentation of daily activities, progress, and incidents

All services must align with the individual’s person-centered service plan and be documented accordingly.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Obtain EIN from the IRS and NPI (Type 2)

Apply as a Qualified Vendor through the Arizona Department of Economic Security (DES) – DDD

Obtain a Residential License through the Arizona Department of Health Services (ADHS), if applicable (depending on home size and services)

Secure compliant housing that meets zoning, fire, and health codes

Maintain liability insurance, workers’ compensation, and staff supervision systems

Ensure homes meet Home and Community-Based Settings (HCBS) Final Rule requirements

4. DDD QUALIFIED VENDOR ENROLLMENT PROCESS

Initial Interest and Pre-Application:

Attend the required DDD Qualified Vendor orientation

Application Submission:

Submit a Qualified Vendor Application through QVADS, including:

Business and service delivery plan

Facility information and floor plan

Staff qualifications and training procedures

Emergency response, health, and behavior support policies

Financial and administrative capability

Home Licensing:

Apply for a residential license through ADHS (if required)

Complete fire inspections, safety checks, and occupancy approvals

Review and Approval:

DDD conducts review and site visits as necessary

Finalize Qualified Vendor Agreement upon approval

Medicaid Enrollment with AHCCCS:

Enroll with AHCCCS and obtain a Medicaid provider ID

Activate billing codes for Residential Habilitation and related services

Set up electronic claims through AHCCCS Online

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License

IRS EIN Letter

NPI confirmation

QVADS registration and DDD approval

Residential license (if applicable)

SDS-Compliant Policy & Procedure Manual including:

Admission and intake procedures

Emergency preparedness and fire safety plans

ADL and behavioral support documentation

Medication administration and health support protocols

Participant rights and informed consent forms

Staff hiring, background check, and training documentation

Incident reporting and resolution processes

Shift logs, progress tracking, and service billing forms

6. STAFFING REQUIREMENTS

Role: Residential Program Manager / House Manager
Requirements: Experience supervising residential programs and coordinating HCBS services

Role: Direct Support Professional (DSP)
Requirements: Minimum age 18, high school diploma or GED, background check, CPR/First Aid, Article 9 training

All staff must complete:

CPR/First Aid and Article 9 Training (required by DDD)

Prevention and Support (if supporting individuals with behavioral needs)

DDD orientation and HCBS standards

Medication administration and documentation training

Annual refresher training and continuing education

7. MEDICAID WAIVER SERVICES

The following Arizona Medicaid Waivers authorize Residential Care Services:

ALTCS – Division of Developmental Disabilities (DDD) Waiver

ALTCS – Elderly and Physically Disabled (EPD) Waiver (under specific licensing models)

Approved providers may deliver:

24-hour residential habilitation in group home settings

Individualized support for community participation

Life skills coaching and behavior support

Documentation and communication with care teams and support coordinators

8. TIMELINE TO LAUNCH

Phase: Business Formation and Home Setup
Timeline: 2–3 weeks

Phase: QVADS Application and Licensing Review
Timeline: 60–120 days

Phase: Staff Onboarding and Home Readiness
Timeline: 30–60 days

Phase: AHCCCS Medicaid Enrollment and Billing Setup
Timeline: 45–60 days

9. CONTACT INFORMATION

Arizona Department of Health Services (ADHS) – Licensing Services
Phone: (602) 364-3030
Website: https://www.azdhs.gov

Arizona Health Care Cost Containment System (AHCCCS)
Website: https://www.azahcccs.gov

QVADS Vendor Portal: https://vendorhub.azdes.gov

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARIZONA RESIDENTIAL CARE SERVICES PROVIDER

We guide providers through the full launch of licensed, Medicaid-approved Residential Care Services under Arizona’s HCBS and ALTCS waiver systems.

Scope of Work:

Business formation (LLC, EIN, NPI)

QVADS and DDD Qualified Vendor Application Support

ADHS residential licensing guidance and inspection prep

Policy & Procedure Manual tailored to Arizona residential care regulations

Templates for shift notes, behavior tracking, incident reports, and care logs

Medicaid enrollment and AHCCCS billing setup

WEBSITE, DOMAIN, AND EMAIL SETUP

CLIENT ADMISSION PACKET AND INDIVIDUALIZED SERVICE PLAN TEMPLATES

STAFF RECRUITMENT, ORIENTATION, AND TRAINING MATERIALS

HOME SAFETY CHECKLISTS AND LICENSING READINESS TOOLS

QUALITY ASSURANCE SYSTEMS AND REFERRAL NETWORKING STRATEGIES

Supported Employment

SUPPORTED EMPLOYMENT SERVICES PROVIDER IN ARIZONA
EMPOWERING INDIVIDUALS WITH DISABILITIES TO ACHIEVE COMPETITIVE, COMMUNITY-BASED EMPLOYMENT

Supported Employment Services in Arizona assist individuals with disabilities in finding, obtaining, and maintaining competitive employment in integrated settings. These services are authorized under Arizona’s Home and Community-Based Services (HCBS) Medicaid Waiver programs and are designed to promote self-sufficiency, independence, and full participation in the workforce.

1. GOVERNING AGENCIES

Agency: Arizona Health Care Cost Containment System (AHCCCS)
Role: Oversees provider enrollment, service authorization, and reimbursement under HCBS waiver programs

Agency: Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD)
Role: Manages Supported Employment services for individuals with developmental disabilities enrolled in DDD programs

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures Medicaid-funded employment services comply with HCBS rules and person-centered planning requirements

2. SUPPORTED EMPLOYMENT SERVICE OVERVIEW

Supported Employment Services focus on helping individuals with disabilities prepare for, secure, and sustain employment opportunities that align with their skills, interests, and goals.

Approved providers may deliver:

Job development and customized job search assistance

Interview preparation and employer engagement

On-the-job coaching and skills training

Assistance with workplace accommodations and natural supports

Career advancement planning

Ongoing monitoring to promote job stability and satisfaction

Assistance transitioning to independent employment without paid supports when possible

Supported Employment can be provided as Individual Supported Employment (one-on-one support) or Group Supported Employment (small group employment in an integrated community setting).

All services must follow the participant’s person-centered employment plan and must comply with Employment First principles, promoting competitive, integrated employment.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Obtain EIN from the IRS and NPI (Type 2)

Meet DDD Qualified Vendor Application (QVA) requirements for Supported Employment Services

Maintain liability insurance

Develop policies and procedures for employment supports, employer engagement, and client rights

Ensure staff have training and experience in vocational rehabilitation, employment services, or related fields

4. AHCCCS/DDD PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Request Supported Employment Provider application materials from DDD

(Recommended) Attend DDD or AHCCCS provider orientation sessions

Application and Documentation Submission:

Submit business license, service delivery description, staffing plan, and staff qualifications

Provide sample person-centered employment plans, job coaching procedures, and progress tracking tools

Submit documentation of insurance, background check policies, and emergency response plans

Program Readiness Review:

DDD reviews applicant compliance with program standards and service model expectations

May conduct interviews, audits, or facility inspections (for providers offering Group Supported Employment)

Approval & Medicaid Enrollment:

After DDD approval, complete registration with AHCCCS as a Medicaid provider

Contract with applicable Managed Care Organizations (MCOs) under AHCCCS or DDD

Configure billing and service authorization systems

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License

IRS EIN confirmation

NPI confirmation

Liability insurance documentation

DDD Qualified Vendor Agreement (QVA) approval documentation

Policy & Procedure Manual including:

Participant intake and employment planning procedures

Job development, placement, and coaching protocols

Confidentiality, client rights, and informed consent policies

Incident reporting and health/safety protocols

Staff background checks, credentialing records, and annual training logs

Progress documentation templates and reporting schedules

Medicaid billing, authorization tracking, and service logging systems

6. STAFFING REQUIREMENTS

Role: Supported Employment Services Coordinator
Requirements: Bachelor’s degree in rehabilitation, social work, special education, or related fields preferred; background check clearance

Role: Job Coach / Employment Specialist
Requirements: High school diploma or GED required; experience in employment supports; CPR/First Aid certification recommended; background check clearance

All staff must complete:

Orientation on HCBS waiver employment services and Medicaid documentation

Employment First principles and person-centered planning training

Workplace safety and emergency preparedness training

Confidentiality, abuse prevention, and rights protection training

Annual continuing education related to vocational supports and best practices

7. MEDICAID WAIVER SERVICES

The following Arizona Medicaid Waivers authorize Supported Employment Services:

Arizona Long Term Care System (ALTCS) – Developmental Disabilities (DD) Program

Division of Developmental Disabilities (DDD) HCBS Programs

ALTCS Elderly and Physically Disabled (EPD) Program (in some cases for younger adults with disabilities)

Approved providers may deliver:

Individual Supported Employment (one-on-one job development and support)

Group Supported Employment (small group employment with integrated community participation)

Ongoing career development support under person-centered employment goals

8. TIMELINE TO LAUNCH

Phase: Business Formation and Staffing Setup
Timeline: 2–3 weeks

Phase: DDD Qualified Vendor Application Submission and Review
Timeline: 60–90 days

Phase: Staff Hiring, Training, and System Setup
Timeline: 30–45 days

Phase: AHCCCS Enrollment and MCO Contracting
Timeline: 45–60 days

9. CONTACT INFORMATION

Arizona Department of Economic Security – Division of Developmental Disabilities (DDD)
Website: https://des.az.gov/services/disabilities/developmental-disabilities

Arizona Health Care Cost Containment System (AHCCCS)
Website: https://www.azahcccs.gov/

Arizona Medicaid Provider Enrollment Portal
Website: https://www.azahcccs.gov/PlansProviders/NewProviders/

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — ARIZONA SUPPORTED EMPLOYMENT PROVIDER

WCG helps employment service agencies and entrepreneurs establish Medicaid-compliant Supported Employment Services under Arizona’s DDD and HCBS Waiver programs.

Scope of Work:

Business registration and EIN/NPI setup

DDD Qualified Vendor Application (QVA) support and documentation development

Development of Supported Employment Policy & Procedure Manual

Staff credentialing and training templates

Medicaid and MCO billing and claims system setup

Website, domain, and email setup

Participant intake and person-centered employment planning packet

Job development and employer engagement strategy templates

Service progress tracking forms and incident reporting tools

Community networking and employer partnership development strategies.

Personal Assistance

PERSONAL ASSISTANCE SERVICES (PAS) PROVIDER IN ARIZONA
SUPPORTING INDEPENDENCE BY ASSISTING WITH DAILY ACTIVITIES IN HOME AND COMMUNITY SETTINGS

Personal Assistance Services (PAS) in Arizona provide individuals with disabilities, chronic illnesses, or aging-related needs with hands-on support to complete essential daily activities. These services are authorized under Arizona’s Home and Community-Based Services (HCBS) Medicaid Waiver programs and are designed to help individuals maintain independence, avoid institutional care, and participate fully in their communities.

1. GOVERNING AGENCIES

Agency: Arizona Health Care Cost Containment System (AHCCCS)
Role: Oversees provider enrollment, authorization, and reimbursement for Personal Assistance Services under Medicaid HCBS programs

Agency: Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD)
Role: Manages PAS delivery for DDD members under HCBS service models

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure PAS services comply with HCBS standards and person-centered care principles

2. PERSONAL ASSISTANCE SERVICE OVERVIEW

Personal Assistance Services provide direct support with daily living activities that individuals would normally perform themselves if they were physically able.

Approved providers may deliver:

Assistance with Activities of Daily Living (ADLs), including bathing, dressing, grooming, toileting, and mobility

Support with Instrumental Activities of Daily Living (IADLs) such as meal preparation, housekeeping, laundry, and shopping

Medication reminders (non-nursing)

Assistance with health-related tasks as allowed under Arizona regulations

Supervision and protective oversight to ensure participant safety

Accompaniment to medical appointments and community activities

All services must be based on the participant’s person-centered service plan and focus on maintaining or improving independence.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Obtain EIN from the IRS and NPI (Type 2)

Meet AHCCCS and/or DDD Qualified Vendor Application (QVA) requirements

Maintain liability insurance

Develop clear policies and procedures for personal care, health-related tasks, and participant rights

Ensure staff meet competency and training requirements set by Arizona administrative codes

4. AHCCCS/DDD PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Request PAS Provider application materials from DDD or AHCCCS

(Recommended) Attend HCBS or DDD provider orientation sessions

Application and Documentation Submission:

Submit business license, staffing structure, and service delivery model

Provide participant intake forms, care plans, and daily documentation templates

Submit staff background check policies, CPR/First Aid certification verification, and training plans

Program Readiness Review:

AHCCCS and/or DDD review provider readiness for service delivery

Evaluation of staff training, documentation systems, and participant safety protocols

Approval & Medicaid Enrollment:

Upon approval, complete registration with AHCCCS as a Medicaid provider

Contract with Medicaid Managed Care Organizations (MCOs) or DDD if applicable

Configure billing and service authorization tracking systems

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License

IRS EIN confirmation

NPI confirmation

Liability insurance coverage

Policy & Procedure Manual including:

Participant intake and person-centered planning

ADL/IADL assistance procedures

Health-related task protocols (non-nursing)

Emergency response and safety procedures

Client rights, privacy policies, and grievance resolution

Staff background checks, credentialing, and ongoing training records

Incident reporting, infection control, and quality assurance protocols

Medicaid billing, service tracking, and authorization management

6. STAFFING REQUIREMENTS

Role: Personal Assistance Supervisor (optional depending on program size)
Requirements: Experience in personal care services, Medicaid documentation, background check clearance

Role: Personal Care Assistant / Direct Support Worker
Requirements: High school diploma or GED recommended; CPR/First Aid certification; background check clearance

All staff must complete:

Orientation on Medicaid HCBS services and documentation requirements

Training in ADL/IADL support, participant rights, and confidentiality

Abuse prevention, emergency response, and infection control training

Annual continuing education and competency evaluations

7. MEDICAID WAIVER SERVICES

The following Arizona Medicaid Waivers authorize Personal Assistance Services:

Arizona Long Term Care System (ALTCS) – Elderly and Physically Disabled (EPD) Program

ALTCS – Developmental Disabilities (DD) Program

Division of Developmental Disabilities (DDD) HCBS Programs

Approved providers may deliver:

ADL and IADL support services tailored to individual needs

Supervision and safety monitoring

Support for community integration and participation

Documentation of all services in accordance with the person-centered plan

8. TIMELINE TO LAUNCH

Phase: Business Formation and Initial Setup
Timeline: 1–2 weeks

Phase: DDD Qualified Vendor Application or AHCCCS Enrollment
Timeline: 60–90 days

Phase: Staff Hiring, Training, and Policy Finalization
Timeline: 30–45 days

Phase: MCO Contracting and Medicaid Billing Setup
Timeline: 45–60 days

9. CONTACT INFORMATION

Arizona Health Care Cost Containment System (AHCCCS)
Website: https://www.azahcccs.gov/

Arizona Department of Economic Security – Division of Developmental Disabilities (DDD)
Website: https://des.az.gov/services/disabilities/developmental-disabilities

Arizona Medicaid Provider Enrollment Portal
Website: https://www.azahcccs.gov/PlansProviders/NewProviders/

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — ARIZONA PERSONAL ASSISTANCE SERVICES PROVIDER

WCG helps agencies and entrepreneurs launch Medicaid-compliant Personal Assistance Services under Arizona’s HCBS Waiver programs.

Scope of Work:

Business registration and EIN/NPI setup

AHCCCS and/or DDD application and documentation support

Development of Personal Assistance Policy & Procedure Manual

Staff credentialing templates and participant intake forms

Medicaid billing and claims configuration

Website, domain, and email setup

Participant service authorization and care plan templates

Staff training materials and incident tracking tools

Quality assurance and participant satisfaction survey templates

Community networking and referral development strategies

Nursing Facility Services

NURSING FACILITY (NF) PROVIDER IN ARIZONA
DELIVERING SKILLED, LONG-TERM CARE SERVICES FOR INDIVIDUALS WITH COMPLEX MEDICAL NEEDS

Nursing Facility (NF) Services in Arizona provide 24-hour skilled nursing care, rehabilitation, and assistance with daily living activities for individuals who have complex health conditions and require a higher level of care than can be provided in home or community settings. These services are authorized under Arizona’s Medicaid Long-Term Care system and are designed to support individuals who meet nursing facility level-of-care criteria.

1. GOVERNING AGENCIES

Agency: Arizona Department of Health Services (ADHS) – Division of Licensing Services
Role: Licenses Nursing Facilities and ensures compliance with state health and safety standards

Agency: Arizona Health Care Cost Containment System (AHCCCS)
Role: Manages Medicaid enrollment, reimbursement, and oversight for Nursing Facility services

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight of Medicaid and Medicare certification for Nursing Facilities and ensures compliance with federal regulations

2. NURSING FACILITY SERVICE OVERVIEW

Nursing Facilities offer long-term residential care with access to professional medical and personal support services, available 24/7.

Approved providers may deliver:

Skilled nursing care (RN or LPN services)

Administration of prescribed medications and treatments

Physical, occupational, and speech therapy services

Health monitoring and chronic disease management

Assistance with Activities of Daily Living (ADLs) such as bathing, toileting, eating, and mobility

Nutritional services, meal planning, and therapeutic diets

Social services coordination and discharge planning

Recreational and therapeutic activities

Hospice coordination services if needed

All services must be delivered according to individualized care plans and in compliance with Medicaid and Medicare standards.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Obtain EIN from the IRS and NPI (Type 2)

Obtain a Nursing Care Institution License from ADHS

Meet CMS certification requirements (for facilities seeking Medicaid and Medicare reimbursement)

Maintain liability insurance and meet minimum staffing ratio requirements

Develop comprehensive policies for nursing services, emergency preparedness, infection control, and resident rights

4. AHCCCS PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Request Medicaid Nursing Facility enrollment packet from AHCCCS

Attend any required AHCCCS or Managed Care Organization (MCO) training sessions

Application and Documentation Submission:

Submit proof of licensure, staffing plans, facility operating procedures, and CMS survey results (if certified)

Provide sample resident service agreements, emergency procedures, and care plans

Submit staff credentialing documentation, background checks, and insurance policies

Program Readiness Review:

AHCCCS and/or MCOs review facility readiness, staffing qualifications, service delivery models, and compliance with care standards

Facility inspections and audits may be conducted before final approval

Approval & Medicaid Enrollment:

After approval, contract with AHCCCS and/or Medicaid Managed Care Organizations serving ALTCS members

Finalize billing setup and Medicaid claims system configuration

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License

IRS EIN confirmation

NPI confirmation

Nursing Care Institution License from ADHS

CMS Certification of Participation (if applicable)

Liability insurance coverage documentation

Policy & Procedure Manual including:

Admission and discharge processes

Person-centered care planning protocols

Medication administration and skilled nursing service procedures

Resident rights and grievance resolution processes

Emergency preparedness and fire safety protocols

Staff background checks, training records, and annual competency reviews

Incident reporting, infection control, and quality assurance programs

Medicaid and Medicare billing, documentation, and authorization tracking systems

6. STAFFING REQUIREMENTS

Role: Nursing Facility Administrator
Requirements: Active Arizona Nursing Care Institution Administrator License, background check clearance, experience managing long-term care operations

Role: Director of Nursing (DON)
Requirements: Active Arizona Registered Nurse (RN) license, supervisory experience in skilled nursing facilities

Role: Licensed Nurses (RNs/LPNs) and Certified Nursing Assistants (CNAs)
Requirements: Arizona licensure/certification, CPR certification, background check clearance

All staff must complete:

Initial and annual resident rights, abuse prevention, and confidentiality training

Infection control and emergency preparedness training

Clinical skills assessments and ongoing competency evaluations

7. MEDICAID WAIVER SERVICES

While Nursing Facility services fall primarily under the Arizona Long Term Care System (ALTCS) rather than traditional HCBS waivers, services are covered under these programs:

ALTCS – Elderly and Physically Disabled (EPD) Program

ALTCS – Developmental Disabilities (DD) Program (when nursing facility level of care is appropriate)

Approved Nursing Facilities may deliver:

24/7 skilled nursing and personal care services

Therapy services to support rehabilitation and functional improvement

Care coordination with ALTCS case managers and medical teams

Transitional care planning when residents can return to less restrictive settings

8. TIMELINE TO LAUNCH

Phase: Business Formation and Licensing Setup
Timeline: 2–4 weeks

Phase: Facility Readiness and CMS Certification Survey (if seeking certification)
Timeline: 90–180 days

Phase: Staff Hiring, Training, and Facility Systems Setup
Timeline: 60–90 days

Phase: AHCCCS Enrollment and MCO Contracting
Timeline: 60–90 days

9. CONTACT INFORMATION

Arizona Department of Health Services – Division of Licensing Services
Website: https://www.azdhs.gov/licensing/

Arizona Health Care Cost Containment System (AHCCCS)
Website: https://www.azahcccs.gov/

Arizona Medicaid Provider Enrollment Portal
Website: https://www.azahcccs.gov/PlansProviders/NewProviders/

Centers for Medicare & Medicaid Services (CMS) Nursing Home Provider Enrollment
Website: https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/NHs

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — ARIZONA NURSING FACILITY PROVIDER

WCG supports healthcare entrepreneurs and facility owners in establishing Medicaid- and Medicare-compliant Nursing Facilities under Arizona’s ALTCS program.

Scope of Work:

Business registration and EIN/NPI setup

ADHS licensing guidance and CMS certification preparation

AHCCCS provider enrollment and MCO contracting assistance

Development of Nursing Facility Policy & Procedure Manual

Staff credentialing and training system setup

Medicaid and Medicare claims system configuration

Website, domain, and email setup

Resident admission and discharge packet creation

Emergency preparedness and quality assurance program templates

Referral networking and healthcare partnership development strategies

Skilled Nursing

SKILLED NURSING SERVICES PROVIDER IN ARIZONA
DELIVERING PROFESSIONAL MEDICAL CARE TO SUPPORT HEALTH, SAFETY, AND INDEPENDENCE IN HOME AND COMMUNITY SETTINGS

Skilled Nursing Services in Arizona deliver medically necessary care provided by licensed nurses to individuals with chronic conditions, disabilities, or significant health needs. These services are authorized under Arizona’s Home and Community-Based Services (HCBS) Medicaid Waiver programs and the Arizona Long Term Care System (ALTCS), aiming to maintain health and prevent unnecessary hospitalization or institutionalization.

1. GOVERNING AGENCIES

Agency: Arizona Health Care Cost Containment System (AHCCCS)
Role: Oversees Medicaid enrollment, service authorization, and reimbursement for Skilled Nursing Services

Agency: Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD) (for DDD members)
Role: Coordinates skilled nursing supports for individuals with developmental disabilities

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring that skilled nursing services comply with Medicaid HCBS guidelines

2. SKILLED NURSING SERVICE OVERVIEW

Skilled Nursing Services provide clinical interventions based on physician orders, designed to address specific health conditions and promote individual health, wellness, and stability.

Approved providers may deliver:

Medication administration and complex medication management

Wound care and treatment of pressure ulcers

Tracheostomy care and ventilator support

Catheter care and management

Gastrostomy (G-tube) care and enteral nutrition

Diabetes management, including insulin administration

Chronic disease monitoring and clinical assessments

Training caregivers on health support procedures

Coordination with physicians, therapists, and case managers

Services must be provided by licensed nurses (Registered Nurses [RNs] or Licensed Practical Nurses [LPNs]) and comply with an individualized person-centered service plan.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Obtain EIN from the IRS and NPI (Type 2)

Employ licensed RNs and/or LPNs with active Arizona Board of Nursing licenses

Secure malpractice insurance and liability coverage

Develop clinical protocols and policies aligned with Arizona nursing standards

Ensure compliance with HIPAA and Medicaid documentation standards

4. AHCCCS/DDD PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Request Skilled Nursing Provider application materials from AHCCCS or DDD

(Recommended) Attend Medicaid or HCBS provider orientation sessions

Application and Documentation Submission:

Submit business documents, staffing rosters, clinical service descriptions, and liability insurance proof

Provide sample nursing care plans, incident reporting protocols, and emergency procedures

Submit background checks and licensing verification for all clinical staff

Program Readiness Review:

AHCCCS and/or DDD review staffing qualifications, policies, and operational readiness

May require demonstration of clinical documentation systems and quality assurance processes

Approval & Medicaid Enrollment:

Upon approval, complete Medicaid enrollment with AHCCCS

Contract with Medicaid Managed Care Organizations (MCOs) and/or DDD for service delivery

Configure billing systems and Medicaid claims processes

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License

IRS EIN confirmation

NPI confirmation

RN and/or LPN licensure verification

Liability insurance and malpractice coverage proof

Policy & Procedure Manual including:

Participant intake and clinical assessment protocols

Skilled service documentation procedures

Medication administration policies

Emergency medical response and reporting procedures

Resident/client rights, HIPAA privacy compliance, and informed consent policies

Staff background checks, credentials, and continuing education records

Incident tracking, infection control policies, and quality assurance systems

Medicaid billing, service authorization, and claim tracking systems

6. STAFFING REQUIREMENTS

Role: Nursing Supervisor (RN)
Requirements: Active Arizona RN license, supervisory experience in clinical care settings, Medicaid familiarity

Role: Skilled Nurse (RN or LPN)
Requirements: Current Arizona nursing license, CPR certification, background check clearance

All staff must complete:

Medicaid HCBS and DDD service documentation training

Emergency preparedness and infection control training

Annual continuing education and skills competency assessments

Training in person-centered planning and client rights protection

7. MEDICAID WAIVER SERVICES

The following Arizona Medicaid Waivers authorize Skilled Nursing Services:

Arizona Long Term Care System (ALTCS) – Elderly and Physically Disabled (EPD) Program

ALTCS – Developmental Disabilities (DD) Program

HCBS Waivers under AHCCCS and DDD programs

Approved providers may deliver:

In-home or facility-based skilled nursing interventions

Clinical assessments and ongoing health monitoring

Training for family members and caregivers

Participation in interdisciplinary care team meetings and service plan updates

8. TIMELINE TO LAUNCH

Phase: Business Formation and Initial Setup
Timeline: 2–3 weeks

Phase: AHCCCS/DDD Application and Readiness Review
Timeline: 60–90 days

Phase: Staff Hiring, Training, and Clinical Protocol Finalization
Timeline: 30–45 days

Phase: MCO Contracting and Medicaid Claims Configuration
Timeline: 45–60 days

9. CONTACT INFORMATION

Arizona Health Care Cost Containment System (AHCCCS)
Website: https://www.azahcccs.gov/

Arizona Department of Economic Security – Division of Developmental Disabilities (DDD)
Website: https://des.az.gov/services/disabilities/developmental-disabilities

Arizona Medicaid Provider Enrollment Portal
Website: https://www.azahcccs.gov/PlansProviders/NewProviders/

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — ARIZONA SKILLED NURSING PROVIDER

WCG supports healthcare entrepreneurs, clinicians, and home health agencies in launching Medicaid-compliant Skilled Nursing Services under Arizona’s HCBS Waiver programs and ALTCS.

Scope of Work:

Business registration and EIN/NPI setup

AHCCCS/DDD provider application and documentation support

Development of Skilled Nursing Policy & Procedure Manual

Staff credentialing, tracking, and clinical documentation templates

Medicaid enrollment, MCO contracting, and billing configuration

Website, domain, and email setup

Client intake and care plan documentation packets

Emergency response and incident reporting templates

Quality assurance and compliance management tools

Referral networking and clinical service expansion strategies

Habilitation Services

HABILITATION SERVICES PROVIDER IN ARIZONA
BUILDING DAILY LIVING SKILLS FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES TO PROMOTE INDEPENDENCE AND COMMUNITY INTEGRATION

Habilitation Services in Arizona are designed to support individuals with developmental disabilities in developing and maintaining essential life skills. Under the Arizona Long Term Care System (ALTCS) and the Division of Developmental Disabilities (DDD), these services are delivered through Home and Community-Based Services (HCBS) and are customized to meet individual goals in areas like communication, self-care, and social interaction.

1. GOVERNING AGENCIES

Agency: Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD)
Role: Oversees service delivery, approves Qualified Vendors, and ensures compliance with individualized service plans (ISPs)

Agency: Arizona Health Care Cost Containment System (AHCCCS)
Role: Manages Medicaid enrollment and provider reimbursement

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures compliance with federal HCBS standards

2. HABILITATION SERVICE OVERVIEW

Habilitation services help individuals acquire, improve, and retain skills needed for daily living. Services are person-centered and goal-oriented, delivered in the individual’s home or community.

Approved providers may deliver:

Support with personal hygiene, grooming, and dressing

Assistance with cooking, cleaning, and household tasks

Communication skill development

Behavior coaching and social skills training

Community engagement and recreational support

Documentation of progress and participation aligned with the ISP

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

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

Apply to become a Qualified Vendor through the Qualified Vendor Application and Directory System (QVADS)

Maintain a physical office location in Arizona

Carry general liability and workers’ compensation insurance

Ensure compliance with Arizona Administrative Code (AAC) Title 6, Chapter 6

Hire and train staff in Article 9, CPR/First Aid, and habilitation principles

4. DDD QUALIFIED VENDOR ENROLLMENT PROCESS

Step 1: Pre-Application

Attend a mandatory DDD Qualified Vendor orientation

Review training requirements and administrative documentation

Step 2: QVADS Application Submission

Submit a Qualified Vendor Application including:

Staff training protocols

Sample service documentation and policies

Proof of insurance, business registration, and background checks

Financial and operational procedures

Step 3: Review and Approval

DDD will review and request clarifications as needed

Once approved, you will sign a Qualified Vendor Agreement and be listed in the directory

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License

IRS EIN Letter

NPI confirmation

QVADS registration confirmation

Policy & Procedure Manual including:

Client intake and habilitation planning

Skill-building strategies and documentation tools

Health and safety protocols

Participant rights and grievance procedures

Staff supervision, training logs, and background check documentation

Emergency procedures and incident reporting

Scheduling, billing, and data tracking systems

6. STAFFING REQUIREMENTS

Role: Habilitation Program Coordinator / Supervisor
Requirements: Experience in developmental disabilities services and supervision

Role: Direct Support Professional (DSP)
Requirements:

High school diploma or GED

CPR/First Aid certification

Article 9 training

Background check clearance

Training Requirements for All Staff:

Abuse prevention and reporting

Behavioral coaching techniques

Daily documentation and ISP goal tracking

Annual refreshers on safety and compliance

7. MEDICAID WAIVER SERVICES

Habilitation services are authorized under the following Medicaid Waiver Programs:

ALTCS – Division of Developmental Disabilities (DDD) Waiver

Approved providers may deliver:

In-home and community-based skill-building

Daily living and communication support

Documentation of service outcomes and behavioral progress

Coordination with the support coordinator and care team

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 1–2 weeks

Phase: QVADS Application and Review
Timeline: 60–90 days

Phase: Staff Hiring and Training
Timeline: 30–45 days

Phase: AHCCCS Medicaid Enrollment
Timeline: 45–60 days

9. CONTACT INFORMATION

Arizona Health Care Cost Containment System (AHCCCS)
Email: ProviderRegistration@azahcccs.gov
Website: https://www.azahcccs.gov

Qualified Vendor Application Portal (QVADS): https://vendorhub.azdes.gov

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARIZONA HABILITATION SERVICES PROVIDER

We guide providers through every step of launching a DDD-compliant Habilitation Services agency under Arizona’s Medicaid waiver system.

Scope of Work:

Business registration (LLC, EIN, NPI)

QVADS application support and policy development

Development of Habilitation Services Policy & Procedure Manual

Client intake forms, skill tracking logs, and service notes

AHCCCS enrollment and billing setup

WEBSITE, DOMAIN, AND EMAIL SETUP

CLIENT GOAL PLANNING AND DAILY DOCUMENTATION TEMPLATES

STAFF ONBOARDING, TRAINING TRACKERS, AND BACKGROUND CHECK GUIDES

INCIDENT REPORTING TOOLS AND COMPLIANCE CHECKLISTS

CASE MANAGER OUTREACH STRATEGIES AND REFERRAL NETWORKING

Behavioral Health Services

BEHAVIORAL HEALTH SERVICES PROVIDER IN ARIZONA
SUPPORTING INDIVIDUALS WITH MENTAL HEALTH AND BEHAVIORAL NEEDS THROUGH INTEGRATED, COMMUNITY-BASED INTERVENTIONS

Behavioral Health Services in Arizona focus on improving emotional, psychological, and behavioral well-being for individuals with developmental disabilities, chronic conditions, or mental health diagnoses. These services are authorized under Arizona’s Medicaid system (AHCCCS) and provided through the Arizona Long Term Care System (ALTCS) and the Division of Developmental Disabilities (DDD) under HCBS waivers. The goal is to help individuals live stable, empowered lives in the least restrictive environment possible.

1. GOVERNING AGENCIES

Agency: Arizona Health Care Cost Containment System (AHCCCS)
Role: Oversees Medicaid and behavioral health service reimbursements

Agency: Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD)
Role: Manages Qualified Vendor contracts and coordinates behavioral supports for individuals with developmental disabilities

Agency: Arizona Department of Health Services (ADHS) – Division of Licensing Services
Role: Licenses behavioral health outpatient treatment centers and agencies

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures HCBS services meet federal quality and community integration standards

2. BEHAVIORAL HEALTH SERVICE OVERVIEW

Behavioral Health Services support individuals with emotional, behavioral, or psychiatric challenges. Services are individualized, evidence-based, and may be delivered in a home, clinic, school, or community setting.

Approved providers may deliver:

Behavioral assessments and treatment planning

Counseling and psychotherapy (individual, group, or family)

Positive behavior support interventions

Crisis intervention and stabilization

Skill-building in emotional regulation, communication, and coping

Psychiatric evaluations and medication management (if licensed for clinical services)

Documentation and coordination with care teams and case managers

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Obtain EIN from the IRS and NPI (Type 2)

Obtain an Outpatient Behavioral Health Facility License through the Arizona Department of Health Services (ADHS)

Apply through the Qualified Vendor Application and Directory System (QVADS) (if serving DDD members)

Maintain liability and professional malpractice insurance

Hire licensed behavioral health professionals (e.g., LPC, LCSW, BCBA, Psychologist)

4. LICENSING & ENROLLMENT PROCESS

Step 1: ADHS Behavioral Health Facility Licensing

Submit application for an Outpatient Behavioral Health Facility or Agency License

Include staffing plan, clinical supervision protocols, and safety policies

Prepare for ADHS survey and inspection

Step 2: AHCCCS Medicaid Enrollment

Submit license, NPI, and required documentation

Configure billing codes for counseling, behavior analysis, and related services

Step 3 (If applicable): QVADS Application

Apply through QVADS if serving individuals under the DDD Waiver

Submit service descriptions, policies, credentialing info, and documentation templates

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License

IRS EIN Letter

NPI confirmation

ADHS Behavioral Health Facility License

AHCCCS enrollment approval

QVADS registration (if serving DDD)

Policy & Procedure Manual must include:

Clinical intake, risk screening, and service planning

Behavioral support plans and data collection tools

Emergency response and de-escalation protocols

Client rights, informed consent, and privacy practices (HIPAA)

Documentation, billing, and progress note templates

Staff credentialing, supervision, and continuing education logs

Crisis management and incident reporting procedures

Cultural competency and trauma-informed care policies

6. STAFFING REQUIREMENTS

Role: Clinical Director / Behavioral Health Supervisor
Requirements: Must hold a valid Arizona license (LCSW, LPC, LMFT, Psychologist)

Role: Behavioral Health Technician / Counselor / BCBA
Requirements:

Minimum education and supervised experience required by ADHS

Licensure or certification when applicable (BCBA, LAC, etc.)

Article 9 (required for DDD services)

Training Requirements for All Staff:

Crisis intervention and de-escalation

Confidentiality, HIPAA, and client rights

Behavioral documentation and incident reporting

Suicide prevention, abuse reporting, and ethics

Annual refreshers on clinical and regulatory compliance

7. MEDICAID WAIVER SERVICES

Behavioral Health Services are authorized under the following Medicaid Waivers:

ALTCS – Division of Developmental Disabilities (DDD) Waiver

ALTCS – Elderly and Physically Disabled (EPD) Waiver

General Mental Health and Substance Use Services (via AHCCCS RBHA system)

Approved providers may deliver:

Counseling and therapy services

Behavioral intervention and crisis stabilization

Psychiatric services (if clinically licensed)

Coordination with support coordinators, families, and school teams

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 1–2 weeks

Phase: ADHS Licensing and Inspection
Timeline: 60–90 days

Phase: QVADS Application (if DDD)
Timeline: 45–60 days

Phase: AHCCCS Medicaid Enrollment
Timeline: 45–60 days

9. CONTACT INFORMATION

Arizona Department of Health Services (ADHS) – Behavioral Health Licensing
Phone: (602) 364-3030
Website: https://www.azdhs.gov

Arizona Health Care Cost Containment System (AHCCCS)
Email: ProviderRegistration@azahcccs.gov
Website: https://www.azahcccs.gov

Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD)
Email: DDDProviderRegistration@azdes.gov
Website: https://des.az.gov/services/disabilities/developmental-disabilities

Qualified Vendor Application Portal (QVADS): https://vendorhub.azdes.gov

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARIZONA BEHAVIORAL HEALTH SERVICES PROVIDER

We help behavioral health professionals and organizations launch fully licensed, Medicaid-enrolled agencies under Arizona’s ALTCS and HCBS programs.

Scope of Work:

Business registration (LLC, EIN, NPI)

ADHS licensing application and survey preparation

AHCCCS enrollment and billing configuration

Development of behavioral health policy & procedure manual

Clinical intake, therapy logs, and crisis documentation templates

Website, domain, and email setup

Staff credentialing trackers and supervision logs

Client intake packet, consent forms, and behavior plans

Incident reporting systems and audit preparation tools

Referral networking with schools, families, and support coordinators

Assistive Technology

ASSISTIVE TECHNOLOGY SERVICES PROVIDER IN ARIZONA
SUPPORTING ACCESS AND INDEPENDENCE THROUGH CUSTOMIZED DEVICES AND TECHNOLOGY FOR INDIVIDUALS WITH DISABILITIES

Assistive Technology Services in Arizona help individuals with developmental or physical disabilities acquire, use, and maintain equipment and devices that support their functional needs. These services are provided under the Arizona Long Term Care System (ALTCS) and the Division of Developmental Disabilities (DDD) as part of Home and Community-Based Services (HCBS), allowing people to live more independently and engage in daily life with greater ease.

1. GOVERNING AGENCIES

Agency: Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD)
Role: Approves Qualified Vendors, authorizes services, and monitors the delivery and appropriateness of assistive devices

Agency: Arizona Health Care Cost Containment System (AHCCCS)
Role: Administers Medicaid reimbursement and provider enrollment for assistive technology services

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight of HCBS services and ensures compliance with Medicaid standards

2. ASSISTIVE TECHNOLOGY SERVICE OVERVIEW

Assistive Technology (AT) Services include the evaluation, purchase, customization, training, and maintenance of technology solutions that improve an individual’s functional abilities in areas like mobility, communication, vision, and learning.

Approved providers may deliver:

Functional needs assessments for AT

Identification and recommendation of appropriate devices

Purchase or rental of assistive technology equipment

Device fitting, customization, and setup

Training on device usage for individuals and caregivers

Maintenance, repair, or replacement of AT items

Documentation of service delivery and impact on independence

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Obtain EIN from the IRS and NPI (Type 2)

Apply through the Qualified Vendor Application and Directory System (QVADS)

Demonstrate experience in AT assessment and equipment sourcing

Carry liability insurance and establish written service procedures

Hire or contract professionals (e.g., occupational therapists, rehab techs) as needed based on device type

4. DDD QUALIFIED VENDOR ENROLLMENT PROCESS

Step 1: Attend Orientation and Review AT Scope

Complete the required DDD Qualified Vendor orientation

Understand limitations and billing rules for AT through HCBS

Step 2: Submit QVADS Application

Include:

Business and service plan

Staff credentials and training

Sample assessment tools and service logs

Policy on device warranties, repairs, and replacements

Intake and participant consent forms

Step 3: Contracting and Directory Listing

Upon approval, providers sign a Qualified Vendor Agreement

Services become available in the Qualified Vendor Directory

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License

IRS EIN Letter

NPI confirmation

Proof of QVADS registration and DDD approval

Policy & Procedure Manual including:

Participant intake, referral, and assessment policies

Documentation of device recommendations and installation

Training protocols for individuals and caregivers

Warranty, repair, and support procedures

Safety, data privacy, and client consent forms

Staff qualifications, continuing education, and supervision plans

Inventory tracking and reporting systems

Billing and claims submission workflow

6. STAFFING REQUIREMENTS

Role: Assistive Technology Specialist / Coordinator
Requirements: Background in rehabilitation, occupational therapy, special education, or assistive technology

Role: Support Technician / Service Provider
Requirements:

Experience with equipment configuration and installation

Training in disability-related AT solutions

Background check and training in confidentiality

Training Requirements for All Staff:

Device safety, sanitation, and maintenance

Documentation and reporting procedures

HIPAA, participant rights, and consent practices

Annual refresher and technical skill updates

7. MEDICAID WAIVER SERVICES

The following Arizona Medicaid Waivers authorize Assistive Technology Services:

ALTCS – Division of Developmental Disabilities (DDD) Waiver

ALTCS – Elderly and Physically Disabled (EPD) Waiver (in limited cases)

Arizona Early Intervention Program (AzEIP) (when approved)

Approved providers may deliver:

AT assessments, device procurement, and setup

Technical assistance, maintenance, and caregiver training

Written documentation of functional goals and technology outcomes

Coordination with case managers and other HCBS services

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 1–2 weeks

Phase: QVADS Application and Service Plan Submission
Timeline: 60–90 days

Phase: Staff Onboarding and Credentialing
Timeline: 30–45 days

Phase: AHCCCS Medicaid Enrollment and Claims Setup
Timeline: 45–60 days

9. CONTACT INFORMATION

Arizona Health Care Cost Containment System (AHCCCS)
Email: ProviderRegistration@azahcccs.gov
Website: https://www.azahcccs.gov

Qualified Vendor Application Portal (QVADS): https://vendorhub.azdes.gov

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARIZONA ASSISTIVE TECHNOLOGY SERVICES PROVIDER

We support providers in launching fully compliant Assistive Technology Services under Arizona’s Medicaid HCBS and ALTCS programs.

Scope of Work:

Business registration (LLC, EIN, NPI)

QVADS application and assistive tech documentation development

Policy & Procedure Manual for AT device delivery and tracking

Templates for needs assessments, service logs, and participant consent

AHCCCS enrollment and billing setup

WEBSITE, DOMAIN, AND EMAIL SETUP

DEVICE INVENTORY TRACKERS AND WARRANTY MANAGEMENT TOOLS

STAFF TRAINING GUIDES AND TECHNICAL CERTIFICATION PLANS

CLIENT INTAKE PACKET AND FUNCTIONAL NEEDS FORM

REFERRAL NETWORKING WITH OT/PT PROVIDERS, CASE MANAGERS, AND SUPPORT COORDINATORS

Adult Health Services

ADULT HEALTH SERVICES PROVIDER IN ARIZONA
PROMOTING WELLNESS AND INDEPENDENCE THROUGH NON-INSTITUTIONAL HEALTH SUPPORT FOR ADULTS WITH CHRONIC ILLNESSES AND DISABILITIES

Adult Health Services in Arizona are designed to support adults who need routine health monitoring, therapeutic supervision, and assistance with managing chronic conditions—while remaining in a home or community-based setting. These services are part of Arizona’s Long Term Care System (ALTCS) and are delivered through Home and Community-Based Services (HCBS) to delay or prevent institutional care.

1. GOVERNING AGENCIES

Agency: Arizona Health Care Cost Containment System (AHCCCS)
Role: Administers Arizona Medicaid and oversees service reimbursements and provider enrollment

Agency: Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD)
Role: Approves Qualified Vendors and monitors Adult Health Service delivery for individuals with developmental disabilities

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures federal compliance with HCBS and person-centered service standards

2. ADULT HEALTH SERVICE OVERVIEW

Adult Health Services help individuals manage chronic health conditions and improve quality of life through wellness-focused supports. These services are non-emergency and must be included in the person’s care or support plan.

Approved providers may deliver:

Health-related supports and condition monitoring

Non-clinical assistance with mobility, personal hygiene, and nutrition

Health education and chronic illness self-management

Supervision to maintain safety and avoid health deterioration

Routine wellness checks and documentation of health status

Coordination with physicians and support coordinators as needed

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Obtain EIN from the IRS and NPI (Type 2)

Apply through the Qualified Vendor Application and Directory System (QVADS)

Maintain liability insurance and staff background checks

Develop written policies that support person-centered health monitoring

Hire trained staff (CNA, DSP, or wellness aides depending on setting and plan)

4. DDD QUALIFIED VENDOR ENROLLMENT PROCESS

Step 1: Pre-Application & Orientation

Attend the required DDD Qualified Vendor orientation

Review adult health service scope and delivery guidelines

Step 2: QVADS Application Submission

Submit documentation via QVADS including:

Staff credentials and training protocols

Sample health monitoring logs and progress note templates

Emergency policies, wellness protocols, and safety systems

Step 3: Approval & Contracting

Upon review, providers sign a Qualified Vendor Agreement

Services and rates will be listed in the Qualified Vendor Directory

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License

IRS EIN Letter

NPI confirmation

QVADS registration and DDD approval

Policy & Procedure Manual including:

Intake, eligibility, and health service coordination

Daily health monitoring forms and reporting tools

Staff qualifications and wellness oversight plans

Safety protocols, infection control, and emergency planning

Documentation procedures and HIPAA compliance

Participant rights and grievance processes

Communication protocols with family and care teams

6. STAFFING REQUIREMENTS

Role: Adult Health Program Supervisor
Requirements: Background in nursing, public health, or direct care supervision

Role: Wellness Assistant / Direct Support Staff
Requirements:

High school diploma or GED

CPR/First Aid certification

Background check and Article 9 training (if serving DDD)

CNA certification (optional but preferred for enhanced services)

Training Requirements for All Staff:

Chronic illness and disability support

Observation and documentation protocols

Confidentiality, HIPAA, and abuse prevention

Annual refresher and compliance training

7. MEDICAID WAIVER SERVICES

The following Arizona Medicaid Waivers authorize Adult Health Services:

ALTCS – Elderly and Physically Disabled (EPD) Waiver

ALTCS – Division of Developmental Disabilities (DDD) Waiver

Approved providers may deliver:

Non-clinical health supervision and daily wellness checks

Nutrition support, hygiene assistance, and personal care

Chronic illness support based on care plan goals

Coordination with other service providers and reporting to case managers

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 1–2 weeks

Phase: QVADS Application and Documentation Review
Timeline: 60–90 days

Phase: Staff Hiring and Training
Timeline: 30–45 days

Phase: AHCCCS Medicaid Enrollment and Billing Setup
Timeline: 45–60 days

9. CONTACT INFORMATION

Arizona Health Care Cost Containment System (AHCCCS)
Email: ProviderRegistration@azahcccs.gov
Website: https://www.azahcccs.gov

Qualified Vendor Application Portal (QVADS): https://vendorhub.azdes.gov

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARIZONA ADULT HEALTH SERVICES PROVIDER

We help providers build, launch, and operate compliant Adult Health Services agencies under Arizona’s HCBS Medicaid programs.

Scope of Work:

Business formation (LLC, EIN, NPI)

QVADS application and documentation guidance

Adult Health Services Policy & Procedure Manual development

Templates for wellness logs, emergency forms, and service notes

AHCCCS enrollment and billing setup

WEBSITE, DOMAIN, AND EMAIL SETUP

CLIENT WELLNESS MONITORING PACKETS AND INTAKE FORMS

STAFF TRAINING GUIDES AND CREDENTIALING TEMPLATES

INCIDENT TRACKING TOOLS AND REPORTING SYSTEMS

CASE MANAGER OUTREACH STRATEGIES AND PARTNER NETWORKING

Community Integration

COMMUNITY INTEGRATION SERVICES PROVIDER IN ARIZONA
EMPOWERING INDIVIDUALS WITH DISABILITIES TO PARTICIPATE IN THEIR COMMUNITIES THROUGH PERSON-CENTERED ENGAGEMENT AND SUPPORT

Community Integration Services in Arizona help individuals with developmental and physical disabilities build meaningful connections, gain independence, and participate actively in their communities. These services are delivered under the Arizona Long Term Care System (ALTCS) and Home and Community-Based Services (HCBS) Waivers, and coordinated through the Division of Developmental Disabilities (DDD) or Managed Care Organizations (MCOs).

1. GOVERNING AGENCIES

Agency: Arizona Health Care Cost Containment System (AHCCCS)
Role: Oversees Medicaid reimbursement and provider compliance for community-based services

Agency: Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD)
Role: Authorizes and monitors providers of community integration services for individuals with developmental disabilities

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Enforces HCBS Final Rule standards for community integration, inclusion, and person-centered practices

2. COMMUNITY INTEGRATION SERVICE OVERVIEW

Community Integration Services promote inclusion and participation in everyday community life. Services are individualized, goal-oriented, and provided in non-institutional settings. They support individuals in building skills, confidence, and social networks.

Approved providers may deliver:

Support to attend recreational, cultural, and educational events

Volunteer or community engagement coordination

Social skill-building in real-world settings

Assistance navigating public spaces, transportation, and community resources

One-on-one or group-based community support

Documentation of progress aligned with the individual’s person-centered service plan

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Obtain EIN from the IRS and NPI (Type 2)

Apply through the Qualified Vendor Application and Directory System (QVADS) (if serving DDD members)

Carry general liability and auto insurance (if transporting clients)

Hire staff with community support experience

Develop clear documentation and person-centered planning procedures

4. DDD QUALIFIED VENDOR ENROLLMENT PROCESS

Step 1: Orientation and Application Prep

Attend a required DDD Qualified Vendor orientation

Prepare documents outlining your approach to community inclusion and individualized supports

Step 2: Submit QVADS Application

Include:

Service delivery plans and documentation templates

Staffing plan and training protocols

Sample activity calendars and community outing plans

Safety protocols and emergency response procedures

Step 3: Review and Contract Finalization

Upon approval, sign the Qualified Vendor Agreement

Services are listed in the public directory for case manager referrals

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License

IRS EIN Letter

NPI confirmation

QVADS registration confirmation

Policy & procedure manual including:

Intake procedures and service planning

Community activity guidelines and tracking logs

Staff training and supervision structure

Transportation policies and risk management

Emergency preparedness and incident reporting

Documentation of participation, goals, and outcomes

Participant rights, informed consent, and grievance procedures

6. STAFFING REQUIREMENTS

Role: Community Integration Coordinator
Requirements: Experience in disability support services, case management, or community outreach

Role: Community Support Specialist / Direct Support Staff
Requirements:

High school diploma or GED

CPR/First Aid and Article 9 training (required for DDD)

Background check clearance

Knowledge of community resources and social coaching

Training Requirements for All Staff:

Person-centered planning and activity support

Community safety and transportation supervision

Documentation and progress tracking

Ethics, confidentiality, and participant rights

7. MEDICAID WAIVER SERVICES

Community Integration Services are authorized under:

ALTCS – Division of Developmental Disabilities (DDD) Waiver

ALTCS – Elderly and Physically Disabled (EPD) Waiver (in limited cases)

Approved providers may deliver:

One-on-one or small-group support in community settings

Life enrichment and socialization activities

Goal-based coaching and confidence-building

Documentation of services and progress toward ISP outcomes

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 1–2 weeks

Phase: QVADS Application and Policy Submission
Timeline: 60–90 days

Phase: Staff Hiring and Training
Timeline: 30–45 days

Phase: AHCCCS Medicaid Enrollment and Billing Setup
Timeline: 45–60 days

9. CONTACT INFORMATION

Arizona Health Care Cost Containment System (AHCCCS)
Email: ProviderRegistration@azahcccs.gov
Website: https://www.azahcccs.gov

Qualified Vendor Application Portal (QVADS): https://vendorhub.azdes.gov

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARIZONA COMMUNITY INTEGRATION SERVICES PROVIDER

We help providers launch high-impact, Medicaid-compliant Community Integration Services that promote inclusion, independence, and social engagement across Arizona.

Scope of Work:

Business registration (LLC, EIN, NPI)

QVADS application and documentation support

Policy & procedure manual for community integration

Templates for daily logs, activity calendars, and outcome reporting

AHCCCS enrollment and billing setup

Website, domain, and email setup

Staff credentialing trackers and supervision logs

Client intake packet, consent forms, and behavior plans

Incident reporting systems and audit preparation tools

Referral networking with support coordinators, centers, and advocacy groups

Homemaker Services

HOMEMAKER SERVICES PROVIDER IN ARIZONA
SUPPORTING HEALTH AND SAFETY THROUGH NON-MEDICAL HOUSEHOLD ASSISTANCE FOR INDIVIDUALS RECEIVING LONG-TERM CARE SERVICES

Homemaker Services in Arizona help individuals who are elderly or have disabilities remain safely in their homes by providing assistance with routine household tasks. These services are authorized under Arizona Long Term Care System (ALTCS) through Arizona Health Care Cost Containment System (AHCCCS) and are part of the state’s Home and Community-Based Services (HCBS) offerings.

1. GOVERNING AGENCIES

Agency: Arizona Health Care Cost Containment System (AHCCCS)
Role: Administers Medicaid and ALTCS; authorizes and reimburses HCBS providers

Agency: Arizona Department of Economic Security – Division of Developmental Disabilities (DES/DDD)
Role: Manages services for individuals with developmental disabilities enrolled in ALTCS

Agency: Managed Care Organizations (MCOs) / Program Contractors (e.g., Mercy Care, UnitedHealthcare Community Plan, Banner – University Family Care)
Role: Coordinate services, conduct monitoring, and issue service authorizations

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight for Medicaid HCBS program compliance

2. HOMEMAKER SERVICE OVERVIEW

Homemaker Services include non-medical assistance with routine household activities to maintain a clean, safe, and functional home. These services support individuals who are unable to manage tasks independently due to physical, cognitive, or behavioral limitations.

Approved providers may deliver:

Light housekeeping (sweeping, mopping, vacuuming, dusting)

Laundry, bed-making, and changing linens

Dishwashing, kitchen cleanup, and organization

Trash removal and sanitation of common areas

Meal preparation support (non-medical)

Shopping assistance and errands (if approved by MCO)

Service documentation and communication with care managers

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Obtain EIN from the IRS and NPI (Type 2)

Apply to become an AHCCCS-registered provider under ALTCS

Complete contracting with one or more AHCCCS Program Contractors (MCOs)

Ensure staff meet fingerprinting, background checks, and training standards

Maintain general liability and workers’ comp insurance

Comply with AHCCCS policies and quality management standards

4. PROVIDER ENROLLMENT PROCESS

Step 1: Register your business and obtain an NPI
Step 2: Apply to become an AHCCCS provider through the AHCCCS Online Provider Enrollment Portal
Step 3: Contract with one or more ALTCS Managed Care Organizations (e.g., Mercy Care, UHC, Banner)
Step 4: Submit administrative documents, staffing plan, and quality assurance policies
Step 5: Receive approval and begin receiving service referrals through case managers

5. REQUIRED DOCUMENTATION

Articles of Incorporation or business registration (Arizona Corporation Commission)

IRS EIN Letter

NPI confirmation

Certificate of liability and workers’ comp insurance

AHCCCS provider approval

MCO contracts and credentialing confirmations

Policy & procedure manual including:

Client intake and service scheduling procedures

Daily documentation logs and task checklists

Staff training records and supervision plans

Confidentiality and HIPAA compliance

Emergency protocols and safety procedures

Incident reporting and grievance process

Cultural competency and abuse prevention policies

6. STAFFING REQUIREMENTS

Role: Homemaker / Home Care Aide
Requirements:

High school diploma or GED preferred

Background check and fingerprint clearance (Level I)

CPR/First Aid certification

Ability to document services and follow individualized service plans (ISPs)

Role: Supervisor / Administrator
Requirements:

Responsible for scheduling, training, and quality assurance

Familiarity with AHCCCS and MCO documentation standards

Training Requirements for All Staff:

Infection control and home safety

Confidentiality and HIPAA

Abuse, neglect, and exploitation prevention

Documentation accuracy and incident reporting

Cultural competence and respectful communication

7. MEDICAID WAIVER SERVICES

Homemaker Services are reimbursed under:

Arizona Long Term Care System (ALTCS)

Division of Developmental Disabilities (DDD) ALTCS program

AHCCCS HCBS waivers and managed care plans

Approved providers may deliver:

Housekeeping and support services per the member’s service plan

Time-tracked, task-specific documentation for billing

Ongoing coordination with MCOs and case managers

Person-centered service delivery that supports independence

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 1–2 weeks

Phase: AHCCCS Provider Enrollment
Timeline: 30–60 days

Phase: MCO Contracting and Credentialing
Timeline: 30–90 days

Phase: Staff Hiring and Service Delivery Setup
Timeline: Ongoing

9. CONTACT INFORMATION

Arizona Health Care Cost Containment System (AHCCCS)
Phone: (602) 417-4000
Website: https://www.azahcccs.gov

AHCCCS Provider Enrollment
Website: https://www.azahcccs.gov/PlansProviders/NewProviders

Arizona DES – Division of Developmental Disabilities (DDD)
Phone: (844) 770-9500
Website: https://des.az.gov/services/disabilities/developmental-disabilities

ALTCS Managed Care Plans (e.g., Mercy Care, Banner, UHC)
Contact links available on each MCO’s website

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARIZONA HOMEMAKER SERVICES PROVIDER

We guide direct care professionals and agencies in launching AHCCCS-compliant Homemaker Services programs under ALTCS and DDD.

Scope of Work:

Business registration (LLC, EIN, NPI)

AHCCCS provider enrollment and MCO contracting support

Policy & procedure manual for task-based care, documentation, and compliance

Templates for task logs, daily checklists, and incident reports

Website, domain, and email setup

Staff credentialing trackers and training records

Client intake packet, consent forms, and safety checklists

Incident reporting systems and audit readiness tools

Referral networking with case managers and managed care organizations

Case Management

CASE MANAGEMENT SERVICES PROVIDER IN ARIZONA
COORDINATING PERSON-CENTERED SUPPORTS TO ENSURE QUALITY CARE AND ACCESS TO RESOURCES FOR INDIVIDUALS WITH DISABILITIES

Case Management Services in Arizona play a vital role in assessing needs, coordinating services, monitoring progress, and advocating for individuals receiving long-term care under Medicaid. These services are a core component of the Arizona Long Term Care System (ALTCS) and are provided through Home and Community-Based Services (HCBS) Waivers for eligible populations. Depending on the program, case management may be delivered directly by Managed Care Organizations (MCOs) or by contracted community-based providers.

1. GOVERNING AGENCIES

Agency: Arizona Health Care Cost Containment System (AHCCCS)
Role: Oversees ALTCS, HCBS, and case management standards across all Medicaid-funded programs

Agency: Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD)
Role: Directly employs Support Coordinators and monitors Qualified Vendor performance related to case collaboration

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures Medicaid case management services follow federal person-centered planning and care coordination guidelines

2. CASE MANAGEMENT SERVICE OVERVIEW

Case Management Services involve identifying needs, linking individuals to appropriate services, coordinating providers, monitoring care delivery, and advocating on behalf of the person receiving services. The case manager acts as the central point of communication among all stakeholders.

Approved providers may deliver:

Functional assessments and reassessments

Development and updating of person-centered service plans (ISPs)

Coordination of HCBS services, providers, and community supports

Monitoring of service delivery, satisfaction, and health/safety

Crisis planning and emergency response coordination

Documentation of services, progress, and changes in condition

Advocacy and linkage to non-Medicaid resources when appropriate

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Obtain EIN from the IRS and NPI (Type 2)

Contract with MCOs or ALTCS health plans (e.g., Mercy Care, Banner, UnitedHealthcare)

For DDD vendors: maintain QVADS registration and collaborate with DDD Support Coordinators

Hire qualified staff with social work, nursing, or case coordination experience

Maintain professional liability insurance and data security systems

4. ENROLLMENT & CONTRACTING PROCESS

Step 1: Identify Program Path

Determine if your agency will serve ALTCS/MCO members or support DDD member coordination

Contact the relevant MCO provider relations department or DDD vendor unit

Step 2: Submit Application

Include business details, case management model, staff credentials, and quality assurance plan

Provide sample service plans, tracking tools, and follow-up procedures

Step 3: Credentialing and Contract Execution

Complete credentialing and system access setup

Receive case assignments or authorization process training

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License

IRS EIN Letter

NPI confirmation

MCO or DDD vendor contract

Policy & procedure manual including:

Assessment tools and service planning workflow

Communication protocols with providers and families

Risk and safety planning templates

Case notes, service logs, and monitoring reports

HIPAA compliance and record retention policies

Client rights and informed consent documents

Staff supervision, continuing education, and caseload tracking

Critical incident management and reporting procedures

6. STAFFING REQUIREMENTS

Role: Case Manager / Service Coordinator
Requirements:

Bachelor’s degree in social work, nursing, psychology, or related field (Master’s preferred for complex populations)

1–2 years of experience in human services, case management, or HCBS coordination

CPR/First Aid and background check clearance

Role: Clinical Supervisor (if applicable)
Requirements: Licensed professional (e.g., LMSW, RN, LCSW) with supervisory experience

Training Requirements for All Staff:

Person-centered planning and motivational interviewing

HCBS waiver program knowledge

Cultural competence and disability awareness

Crisis prevention and emergency protocols

Annual refreshers on documentation, ethics, and care coordination

7. MEDICAID WAIVER SERVICES

Case Management Services are typically embedded in the following Arizona Medicaid Waivers and MCO-managed programs:

ALTCS – Elderly and Physically Disabled (EPD) Waiver

ALTCS – Division of Developmental Disabilities (DDD) Waiver

Children’s Rehabilitative Services (CRS)

Arizona Early Intervention Program (AzEIP)

MCO Care Coordination and Transition Programs

Approved providers may deliver:

Needs assessments and service plan development

Direct care coordination across multiple providers

Community resource linkage and problem-solving

Ongoing documentation of member progress and risk management

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 1–2 weeks

Phase: MCO or DDD Contracting Process
Timeline: 60–90 days

Phase: Staff Hiring, Credentialing, and System Access
Timeline: 30–45 days

Phase: AHCCCS Billing Configuration (if applicable)
Timeline: 30–60 days

9. CONTACT INFORMATION

Arizona Health Care Cost Containment System (AHCCCS)
Email: ProviderRegistration@azahcccs.gov
Website: https://www.azahcccs.gov

Mercy Care Provider Relations: https://www.mercycareaz.org

Banner University Health Plans – Provider Info: https://www.banneruhp.com

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARIZONA CASE MANAGEMENT SERVICES PROVIDER

We help agencies and professionals establish Medicaid-compliant Case Management Services under Arizona’s ALTCS, HCBS, and managed care systems.

Scope of Work:

Business registration (LLC, EIN, NPI)

Contracting guidance with DDD and/or MCOs

Policy & procedure manual for case management and documentation

Templates for service plans, progress notes, and assessments

AHCCCS billing setup (if applicable)

Website, domain, and email setup

Staff credentialing trackers and supervision logs

Client intake packet, consent forms, and behavior plans

Incident reporting systems and audit preparation tools

Referral networking with providers, hospitals, and community organizations

Transportation Services

TRANSPORTATION ASSISTANCE SERVICES PROVIDER IN ARIZONA
HELPING INDIVIDUALS ACCESS ESSENTIAL SERVICES SAFELY AND RELIABLY THROUGH NON-EMERGENCY MEDICAL TRANSPORTATION SUPPORT

Transportation Assistance Services in Arizona ensure that individuals receiving long-term care through Medicaid have access to healthcare appointments, community programs, and essential daily activities. These services are offered under the Arizona Long Term Care System (ALTCS) and Home and Community-Based Services (HCBS) Waivers. Services can be provided through the individual’s Managed Care Organization (MCO) or under the Division of Developmental Disabilities (DDD) for qualified members.

1. GOVERNING AGENCIES

Agency: Arizona Health Care Cost Containment System (AHCCCS)
Role: Oversees Medicaid transportation benefits, including Non-Emergency Medical Transportation (NEMT)

Agency: Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD)
Role: Authorizes vendors for transportation of individuals with developmental disabilities

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Sets federal standards for transportation services under Medicaid HCBS

2. TRANSPORTATION ASSISTANCE SERVICE OVERVIEW

Transportation services provide non-emergency, door-to-door travel support for individuals who need help accessing medical appointments, waiver services, employment programs, and other approved activities. Transportation is essential for promoting independence, community integration, and continuity of care.

Approved providers may deliver:

One-way or roundtrip transportation to and from Medicaid-approved services

Ambulatory or wheelchair-accessible rides

Group or individual transport depending on need

Vehicle safety inspections and documentation

Trip logs, pick-up/drop-off verification, and mileage tracking

Coordination with case managers and scheduling teams

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Obtain EIN from the IRS and NPI (Type 2)

Apply through the Qualified Vendor Application and Directory System (QVADS) (if serving DDD members)

Apply to become a transportation provider with MCOs (e.g., Mercy Care, Banner, UnitedHealthcare)

Obtain and maintain commercial vehicle insurance and auto liability coverage

Conduct background checks and driver’s license verification for all drivers

4. PROVIDER ENROLLMENT PROCESS

Option 1: Serving DDD Members (QVADS)
Step 1: Attend DDD Qualified Vendor orientation
Step 2: Submit QVADS application with vehicle logs, driver policies, and service routes
Step 3: Upon approval, receive referrals from support coordinators

Option 2: Serving ALTCS Members via MCOs
Step 1: Contact MCO provider relations for application instructions
Step 2: Submit business license, vehicle and insurance documentation, driver rosters
Step 3: Complete credentialing, then begin receiving trip authorizations

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License

IRS EIN Letter

NPI confirmation

Vehicle registration and insurance documentation

Policy & procedure manual including:

Vehicle maintenance and daily inspection logs

Driver training and background verification

Trip authorization and route scheduling

Pick-up/drop-off verification processes

Passenger safety protocols

Emergency and incident reporting procedures

HIPAA, client rights, and communication policies

Billing and mileage tracking tools

6. STAFFING REQUIREMENTS

Role: Transportation Coordinator / Scheduler
Requirements: Experience managing transportation logistics and Medicaid appointments

Role: Driver
Requirements:

Valid Arizona driver’s license

CPR/First Aid certification

Article 9 training (for DDD trips)

Background check and motor vehicle record (MVR) clearance

Defensive driving and passenger assistance training

Training Requirements for All Staff:

Passenger safety and emergency response

Client confidentiality and professionalism

ADA compliance and mobility device handling

Documentation and billing procedures

7. MEDICAID WAIVER SERVICES

Transportation Assistance Services are authorized under:

ALTCS – Division of Developmental Disabilities (DDD) Waiver

ALTCS – Elderly and Physically Disabled (EPD) Waiver

Children’s Rehabilitative Services (CRS)

Non-Emergency Medical Transportation (NEMT) under AHCCCS health plans

Approved providers may deliver:

Medicaid-authorized rides to service appointments

Community access transportation for approved activities

Group transport to day programs or employment supports

Service documentation and trip verification logs

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 1–2 weeks

Phase: Vehicle Licensing and Insurance Setup
Timeline: 2–3 weeks

Phase: QVADS or MCO Application and Credentialing
Timeline: 45–90 days

Phase: AHCCCS Billing Enrollment (if applicable)
Timeline: 30–60 days

9. CONTACT INFORMATION

Arizona Health Care Cost Containment System (AHCCCS)
Email: ProviderRegistration@azahcccs.gov
Website: https://www.azahcccs.gov

Qualified Vendor Application Portal (QVADS): https://vendorhub.azdes.gov

Mercy Care MCO Transportation Info: https://www.mercycareaz.org

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARIZONA TRANSPORTATION ASSISTANCE PROVIDER

We help new transportation providers launch Medicaid-compliant services to support community mobility and health access across Arizona.

Scope of Work:

Business registration (LLC, EIN, NPI)

QVADS and/or MCO transportation application guidance

Policy & procedure manual for transportation services

Templates for vehicle inspection logs, trip sheets, and pick-up logs

AHCCCS billing setup (if applicable)

Website, domain, and email setup

Staff credentialing trackers and supervision logs

Client intake packet, consent forms, and behavior plans

Incident reporting systems and audit preparation tools

Referral networking with MCOs, day programs, and support coordinators

Home Health

HOME HEALTH SERVICES PROVIDER IN ARIZONA
DELIVERING SKILLED MEDICAL CARE AND PERSONALIZED SUPPORT TO INDIVIDUALS IN THE COMFORT OF THEIR OWN HOMES

Home Health Services in Arizona provide medically necessary care and therapeutic support to individuals in their home setting. These services help people with chronic conditions, disabilities, or recent hospitalization needs avoid institutional care and maintain independence. Under the Arizona Long Term Care System (ALTCS) and Home and Community-Based Services (HCBS) Waivers, providers deliver these services through licensed home health agencies and Medicaid-authorized staff.

1. GOVERNING AGENCIES

Agency: Arizona Department of Health Services (ADHS) – Bureau of Medical Facilities Licensing
Role: Licenses home health agencies and ensures compliance with medical care standards and safety protocols

Agency: Arizona Health Care Cost Containment System (AHCCCS)
Role: Oversees Medicaid enrollment, reimbursement, and program compliance

Agency: Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD)
Role: Coordinates waiver services for individuals with developmental disabilities and manages Qualified Vendor authorizations

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight for home health services under Medicaid and HCBS waivers

2. HOME HEALTH SERVICE OVERVIEW

Home Health Services provide skilled care and health-related assistance in an individual’s residence. These services must be ordered by a physician or included in the person’s care plan and are delivered by licensed professionals under the supervision of a registered nurse or medical director.

Approved providers may deliver:

Skilled nursing care (e.g., wound care, injections, catheter care, medication administration)

Licensed Practical Nurse (LPN) services under RN supervision

Home Health Aide services for ADL support and basic personal care

Physical, occupational, or speech therapy (if offered)

Medical monitoring and care coordination

Health education and support for families or caregivers

Documentation of visits, vital signs, interventions, and physician coordination

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Obtain EIN from the IRS and NPI (Type 2)

Apply for a Home Health Agency License through the Arizona Department of Health Services (ADHS)

Apply through the Qualified Vendor Application and Directory System (QVADS) (if serving DDD members)

Maintain liability and malpractice insurance

Hire licensed nurses and clinical staff

Develop HIPAA-compliant documentation and care tracking systems

4. LICENSING & MEDICAID ENROLLMENT PROCESS

Step 1: ADHS Licensing

Submit a Home Health Agency license application

Prepare for an inspection covering documentation, staff files, safety procedures, and clinical protocols

Submit administrative policies, staffing plans, and client rights documentation

Step 2: AHCCCS Enrollment

Submit license, NPI, and staff credential documentation

Set up AHCCCS Online portal access for claims submission

Step 3 (if applicable): QVADS Application for DDD

Submit staffing plans, documentation templates, and agency profile

Complete contract approval and receive vendor listing

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License

IRS EIN Letter

NPI confirmation

ADHS home health agency license

AHCCCS enrollment documentation

QVADS registration (if serving DDD)

Policy & procedure manual including:

Clinical intake and physician order management

RN and LPN documentation standards

Medication administration and care tracking

Infection control and universal precautions

HIPAA, consent forms, and privacy procedures

Client rights, grievance process, and service plan templates

Staff supervision and continuing education protocols

Incident documentation and emergency response policies

6. STAFFING REQUIREMENTS

Role: Director of Nursing / Clinical Administrator
Requirements: Licensed RN in Arizona with supervisory experience and home health background

Role: Registered Nurse (RN)
Requirements: Arizona license, CPR certification, experience in home-based medical care

Role: Licensed Practical Nurse (LPN)
Requirements: Arizona license under RN supervision

Role: Certified Home Health Aide (HHA)
Requirements: State certification, background check, and in-service training

Optional:

Physical, occupational, or speech therapists

Medical social workers (if agency provides interdisciplinary care)

Training Requirements for All Staff:

Infection control and PPE

Documentation, ethics, and confidentiality

Emergency response procedures

Annual skills assessments and regulatory updates

7. MEDICAID WAIVER SERVICES

Home Health Services are authorized under:

ALTCS – Elderly and Physically Disabled (EPD) Waiver

ALTCS – Division of Developmental Disabilities (DDD) Waiver

Children’s Rehabilitative Services (CRS)

Arizona Early Intervention Program (AzEIP)

Approved providers may deliver:

Intermittent skilled nursing and therapy services

In-home health aide support

Ongoing documentation and coordination with the care team

Monitoring of chronic conditions and early detection of health concerns

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 1–2 weeks

Phase: ADHS Application and Survey Preparation
Timeline: 60–90 days

Phase: AHCCCS Enrollment and Credentialing
Timeline: 45–60 days

Phase: QVADS Application (if applicable)
Timeline: 30–60 days

9. CONTACT INFORMATION

Arizona Department of Health Services (ADHS) – Bureau of Medical Facilities Licensing
Phone: (602) 364-3030
Website: https://www.azdhs.gov

Arizona Health Care Cost Containment System (AHCCCS)
Email: ProviderRegistration@azahcccs.gov
Website: https://www.azahcccs.gov

Qualified Vendor Application Portal (QVADS): https://vendorhub.azdes.gov

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARIZONA HOME HEALTH SERVICES PROVIDER

We support agencies in launching fully licensed and Medicaid-compliant Home Health Services under Arizona’s ALTCS and HCBS waiver programs.

Scope of Work:

Business registration (LLC, EIN, NPI)

ADHS license application and inspection prep

AHCCCS enrollment and Medicaid billing setup

Policy & procedure manual for skilled and non-skilled services

Templates for RN care notes, medication logs, and physician orders

Website, domain, and email setup

Staff credentialing trackers and supervision logs

Client intake packet, consent forms, and behavior plans

Incident reporting systems and audit preparation tools

Referral networking with hospitals, doctors, and support coordinators

Home Modification

HOME MODIFICATION SERVICES PROVIDER IN ARIZONA
ENHANCING SAFETY AND ACCESSIBILITY THROUGH STRUCTURAL MODIFICATIONS FOR INDIVIDUALS WITH DISABILITIES

Home Modification Services in Arizona help individuals with disabilities maintain independence by making structural changes to their homes. These services are available under the Arizona Long Term Care System (ALTCS) and Home and Community-Based Services (HCBS) Waivers, and are coordinated through the Division of Developmental Disabilities (DDD) or the individual’s Managed Care Organization (MCO).

1. GOVERNING AGENCIES

Agency: Arizona Health Care Cost Containment System (AHCCCS)
Role: Oversees Medicaid enrollment, authorizes reimbursement, and monitors compliance for home modification services

Agency: Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD)
Role: Approves providers serving individuals with developmental disabilities and coordinates home modification referrals

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight and ensures modifications comply with HCBS community integration standards

2. HOME MODIFICATION SERVICE OVERVIEW

Home Modification Services include physical adaptations to an individual’s primary residence to ensure accessibility, safety, and continued community living. These modifications must be medically necessary and align with the participant’s person-centered service plan.

Approved providers may deliver:

Installation of wheelchair ramps and grab bars

Widening of doorways and hallways

Roll-in shower conversions or accessible tubs

Lowering of countertops or cabinetry

Installation of stair lifts, handrails, and non-slip flooring

Modifications to improve access to bedrooms, bathrooms, and entrances/exits

Coordination with contractors, inspectors, and funding sources

Documentation of completed work and client satisfaction

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Obtain EIN from the IRS and NPI (Type 2)

Apply to become a Qualified Vendor through the Qualified Vendor Application and Directory System (QVADS) (if serving DDD members)

Obtain necessary local construction licenses and insurance

Hire licensed and bonded contractors or subcontractors

Maintain general liability and workers' compensation insurance

Develop service tracking and documentation systems

4. DDD QUALIFIED VENDOR ENROLLMENT PROCESS

Step 1: Orientation and Pre-Application

Attend the DDD Qualified Vendor orientation

Review policies on home safety, project scope, and allowable modifications

Step 2: Submit QVADS Application

Include documentation such as:

Business and service plan

Contractor licensing and bonding information

Sample modification approval and completion forms

Safety inspection protocols and participant feedback forms

Step 3: Review and Agreement

Upon approval, provider signs a Qualified Vendor Agreement

Services are listed in the Qualified Vendor Directory

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License

IRS EIN Letter

NPI confirmation

QVADS registration (if applicable)

Local or state contracting license(s)

Policy & Procedure Manual including:

Intake and assessment coordination

Contractor vetting and construction standards

Safety, ADA, and building code compliance

Incident prevention and emergency response

Informed consent, project tracking, and quality control

Client rights and grievance procedures

Documentation of cost estimates, before/after photos, and sign-off forms

Warranty, repair, and follow-up procedures

6. STAFFING REQUIREMENTS

Role: Home Modification Project Coordinator
Requirements: Experience with home renovations, ADA compliance, or disability services

Role: Contractor / Construction Technician
Requirements:

Arizona general contractor license or subcontractor agreement

Bonded and insured

Background check (especially if working in participant homes)

Training Requirements for All Staff:

ADA standards and accessible construction

Health and safety compliance

Incident documentation and reporting

Customer service and disability awareness training

7. MEDICAID WAIVER SERVICES

The following Arizona Medicaid Waivers authorize Home Modification Services:

ALTCS – Division of Developmental Disabilities (DDD) Waiver

ALTCS – Elderly and Physically Disabled (EPD) Waiver

Children with Chronic Conditions (CCC) Waiver (case-by-case)

Approved providers may deliver:

Environmental accessibility adaptations (non-luxury)

Pre-approved structural modifications based on need

Coordination with support coordinators and MCOs

Documentation and verification of completed modifications

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 1–2 weeks

Phase: Contractor Licensing and Bonding
Timeline: 2–4 weeks

Phase: QVADS Application and Review
Timeline: 60–90 days

Phase: AHCCCS Medicaid Enrollment and Billing Setup
Timeline: 45–60 days

9. CONTACT INFORMATION

Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD)
Email: DDDProviderRegistration@azdes.gov
Phone: (602) 542-6874
Website: https://des.az.gov/services/disabilities/developmental-disabilities

Arizona Health Care Cost Containment System (AHCCCS)
Email: ProviderRegistration@azahcccs.gov
Website: https://www.azahcccs.gov

Qualified Vendor Application Portal (QVADS): https://vendorhub.azdes.gov

Arizona Registrar of Contractors: https://roc.az.gov

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARIZONA HOME MODIFICATION SERVICES PROVIDER

We help builders, contractors, and community-based agencies become approved providers of Medicaid-funded Home Modification Services under Arizona’s HCBS and ALTCS systems.

Scope of Work:

Business registration (LLC, EIN, NPI)

QVADS application and licensing support

Policy & procedure manual for home modifications

Templates for cost estimates, client consent, and inspection forms

AHCCCS enrollment and billing setup

Website, domain, and email setup

Staff credentialing trackers and supervision logs

Client intake packet, consent forms, and behavior plans

Incident reporting systems and audit preparation tools

Referral networking with schools, families, and support coordinators

Meal & Nutrition Services

MEAL & NUTRITION SERVICES PROVIDER IN ARIZONA
PROMOTING HEALTH AND INDEPENDENCE THROUGH NUTRITIONAL SUPPORT AND HOME-DELIVERED MEALS FOR INDIVIDUALS WITH DISABILITIES

Meal & Nutrition Services in Arizona help eligible individuals maintain their health, independence, and well-being by ensuring access to nutritious meals. Provided under the Arizona Long Term Care System (ALTCS) and Home and Community-Based Services (HCBS) Waivers, these services support individuals who may be unable to prepare their own meals or who require special dietary accommodations.

1. GOVERNING AGENCIES

Agency: Arizona Health Care Cost Containment System (AHCCCS)
Role: Administers Medicaid funding and ensures nutritional services meet medical necessity and HCBS guidelines

Agency: Arizona Department of Economic Security (DES) – Division of Developmental Disabilities (DDD)
Role: Authorizes vendors to provide meals for individuals with developmental disabilities

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Enforces federal Medicaid standards and oversees waiver service compliance

2. MEAL & NUTRITION SERVICE OVERVIEW

Meal & Nutrition Services provide direct access to regular, healthy meals that support dietary needs and overall wellness. Services may be delivered in the home or at a designated site and are often tailored to accommodate health conditions or disability-related limitations.

Approved providers may deliver:

Home-delivered meals (daily or weekly delivery)

Congregate meals (if offered at program locations)

Nutritionally balanced menus designed by a registered dietitian

Specialized meals for diabetes, renal, low-sodium, or allergy-sensitive diets

Education on food preparation and nutrition (as applicable)

Documentation of delivery, meal preferences, and dietary compliance

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Obtain EIN from the IRS and NPI (Type 2)

Apply through the Qualified Vendor Application and Directory System (QVADS) (if serving DDD members)

Meet local food safety and handling regulations (Maricopa County or local jurisdiction)

Maintain kitchen inspection records, food handler certifications, and delivery logs

Hire or contract with a registered dietitian (for menu development and compliance)

4. DDD QUALIFIED VENDOR ENROLLMENT PROCESS

Step 1: Orientation and Application

Attend DDD Qualified Vendor orientation

Submit QVADS application, including service plan, dietary protocols, and delivery systems

Step 2: Documentation Submission

Include kitchen licenses, sample menus, and food safety training records

Submit intake and tracking forms for delivery and consumer satisfaction

Step 3: Contract Execution

Once approved, provider signs Qualified Vendor Agreement

Begin receiving meal referrals from support coordinators

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License

IRS EIN Letter

NPI confirmation

Food establishment license or kitchen inspection approval

QVADS registration (if applicable)

Policy & procedure manual including:

Menu planning and diet compliance guidelines

Meal prep, packaging, and delivery protocols

Emergency meal planning and delivery backup procedures

HIPAA compliance, client consent, and intake forms

Food handler training and supervision records

Complaint resolution, allergen risk procedures, and incident reporting

Weekly delivery logs and nutritional monitoring tools

6. STAFFING REQUIREMENTS

Role: Nutrition Program Coordinator / Supervisor
Requirements: Experience in food service, health programs, or meal planning; ServSafe Manager or equivalent

Role: Meal Prep Staff / Drivers
Requirements:

Valid food handler card

Clean driving record and background check

Knowledge of dietary restrictions and safe food transport

Optional:

Registered Dietitian (required if offering therapeutic meal plans)

Training Requirements for All Staff:

Food safety and sanitation

Special diet handling and allergen awareness

Client interaction and confidentiality

Incident reporting and meal tracking

7. MEDICAID WAIVER SERVICES

Meal & Nutrition Services are authorized under:

ALTCS – Division of Developmental Disabilities (DDD) Waiver

ALTCS – Elderly and Physically Disabled (EPD) Waiver

Approved providers may deliver:

Meal preparation and home delivery

Menu planning tailored to medical needs

Client education (if included in the ISP)

Tracking of nutritional goals and preferences

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 1–2 weeks

Phase: Food License Application and Kitchen Setup
Timeline: 30–45 days

Phase: QVADS Application and Submission
Timeline: 60–90 days

Phase: AHCCCS Enrollment and Claims Setup (if applicable)
Timeline: 30–60 days

9. CONTACT INFORMATION

Arizona Health Care Cost Containment System (AHCCCS)
Email: ProviderRegistration@azahcccs.gov
Website: https://www.azahcccs.gov

Arizona Department of Health Services (ADHS) – Food Safety
Website: https://www.azdhs.gov/preparedness/epidemiology-disease-control/food-safety-environmental-services/index.php

Qualified Vendor Application Portal (QVADS): https://vendorhub.azdes.gov

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — ARIZONA MEAL & NUTRITION SERVICES PROVIDER

We help food service professionals and community providers launch Medicaid-compliant Meal & Nutrition Services under Arizona’s ALTCS and HCBS waiver programs.

Scope of Work:

Business registration (LLC, EIN, NPI)

Food license application and kitchen compliance prep

QVADS application and documentation support

Policy & procedure manual for meal prep, delivery, and tracking

Templates for menus, delivery logs, and consent forms

Website, domain, and email setup

Staff credentialing trackers and supervision logs

Client intake packet, consent forms, and behavior plans

Incident reporting systems and audit preparation tools

Referral networking with MCOs, case managers, and senior centers

Assisted Living Facility

ASSISTED LIVING FACILITY (ALF) PROVIDER IN ARIZONA
DELIVERING PERSONALIZED RESIDENTIAL SUPPORT FOR INDIVIDUALS WITH DISABILITIES, CHRONIC CONDITIONS, OR AGE-RELATED NEEDS

Assisted Living Facility (ALF) Services in Arizona offer residential care and support to individuals who require help with daily living activities but do not need the intensive medical care provided in nursing homes. These services are authorized under Arizona’s Home and Community-Based Services (HCBS) Medicaid Waiver programs and are designed to promote independence, person-centered living, and community integration.

1. GOVERNING AGENCIES

Agency: Arizona Department of Health Services (ADHS) – Division of Licensing Services
Role: Licenses and regulates Assisted Living Facilities, ensuring compliance with state rules

Agency: Arizona Health Care Cost Containment System (AHCCCS)
Role: Oversees Medicaid provider enrollment and manages HCBS Waiver services

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight, ensuring that HCBS waiver programs meet Medicaid and participant-centered care standards

2. ASSISTED LIVING FACILITY SERVICE OVERVIEW

Assisted Living Facility Services provide residential support designed to meet the social, physical, and personal care needs of individuals in a community setting.

Approved providers may deliver:

Assistance with Activities of Daily Living (ADLs) such as bathing, dressing, grooming, toileting, eating, and mobility

Medication administration or assistance

Health monitoring and coordination with external healthcare providers

Housekeeping, laundry, and personal errands assistance

Daily meals and nutritional support

Organized recreational and social activities

24-hour supervision and emergency response services

All services must be delivered according to the resident’s person-centered plan and must comply with Arizona's Assisted Living Facility licensing standards.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Obtain EIN from the IRS and NPI (Type 2)

Obtain Assisted Living Facility License from ADHS

Secure liability insurance and worker’s compensation coverage

Establish policies and procedures aligned with Arizona Administrative Code Title 9, Chapter 10

Ensure facility meets physical plant standards (fire safety, accessibility, occupancy permits)

Complete background checks and required staff training

4. AHCCCS PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Request application packet from AHCCCS or from an AHCCCS Managed Care Organization (MCO)

Attend provider orientation sessions (highly recommended)

Application and Documentation Submission:

Submit Assisted Living Facility license, business organizational documents, and staffing plan

Provide sample resident agreements, service plans, and emergency protocols

Submit staff credential documentation and background check policies

Program Readiness Review:

AHCCCS or contracted health plans evaluate facility readiness, staff qualifications, and service delivery models

Facility inspections may occur to confirm compliance with environmental and safety requirements

Participant intake and person-centered planning processes are reviewed

Approval & Medicaid Enrollment:

After approval, register with AHCCCS as a Medicaid provider

Contract with appropriate Medicaid Managed Care Organizations (MCOs) that serve ALTCS (Arizona Long Term Care System) populations

Complete Medicaid agreements and configure billing systems

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License

IRS EIN confirmation

NPI confirmation

Assisted Living Facility License

Proof of facility compliance with zoning and occupancy laws

Policy & Procedure Manual aligned with Arizona licensing standards, including:

Resident admission and discharge procedures

Individualized service planning and documentation

Medication management policies

Emergency evacuation and disaster preparedness plans

Client rights, privacy practices, and grievance procedures

Staff background checks, training records, and supervision policies

Incident reporting, infection control, and quality assurance tracking

Medicaid billing, scheduling, and service authorization tracking systems

6. STAFFING REQUIREMENTS

Role: Administrator / Manager
Requirements: Completion of Arizona Assisted Living Facility Manager Training Program, active Manager Certificate issued by ADHS, background check clearance

Role: Direct Care Worker / Personal Care Assistant
Requirements: Arizona-approved caregiver training program completion, CPR/First Aid certification, background check clearance

Role: Medication Technician (optional if providing medication administration)
Requirements: Medication Assistant Training Program completion and competency evaluation

All staff must complete:

Orientation on resident rights, elder abuse prevention, and HCBS person-centered principles

Emergency procedures, safety, and infection control training

Ongoing annual in-service education and competency reviews

7. MEDICAID WAIVER SERVICES

The following Arizona Medicaid programs authorize Assisted Living Facility Services:

Arizona Long Term Care System (ALTCS) – Elderly and Physically Disabled (EPD) Program

ALTCS – Developmental Disabilities (DD) Program

Arizona HCBS Waivers under AHCCCS MCO contracts

Approved providers may deliver:

Residential supportive services under HCBS-authorized person-centered plans

Medication oversight, nutrition, ADL support, and recreational activities

Daily service documentation and communication with care coordinators and case managers

8. TIMELINE TO LAUNCH

Phase: Business Formation and Facility Licensing Preparation
Timeline: 2–4 weeks

Phase: Facility Inspection and Licensing by ADHS
Timeline: 60–90 days

Phase: Staff Hiring, Training, and Service Setup
Timeline: 30–45 days

Phase: AHCCCS Enrollment and MCO Contracting
Timeline: 60–90 days

9. CONTACT INFORMATION

Arizona Department of Health Services – Division of Licensing Services
Website: https://www.azdhs.gov/licensing/

Arizona Health Care Cost Containment System (AHCCCS)
Website: https://www.azahcccs.gov/

Arizona Medicaid Provider Enrollment Portal
Website: https://www.azahcccs.gov/PlansProviders/NewProviders/

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — ARIZONA ASSISTED LIVING FACILITY PROVIDER

WCG supports healthcare entrepreneurs in launching Medicaid-approved Assisted Living Facilities under Arizona’s HCBS Waiver programs.

Scope of Work:

Business registration and EIN/NPI setup

ADHS ALF licensing guidance and inspection preparation

AHCCCS application and documentation support

Development of ALF-specific Policy & Procedure Manual

Staff credentialing systems and resident intake templates

Medicaid enrollment and claims system configuration

Website, domain, and email setup

Resident intake packets and emergency planning forms

Staff training materials and compliance tracking tools

Referral networking and community outreach strategies

Continue To Our Client Portal To Get Started

Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.

Respite Care Services

Residential Care

Supported Employment

Personal Assistance

Nursing Facility Services

Skilled Nursing

Habilitation Services

Behavioral Health Services

Assistive Technology

Adult Health Services

Community Integration

Homemaker Services

Case Management

Transportation Services

Home Health

Home Modification

Meal & Nutrition Services

Assisted Living Facility

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