Starting an HCBS Agency in Connecticut

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


These videos give an overview of the various Home and Community-Based Services (HCBS) available in Connecticut for providers who want to learn how to start or operate an HCBS agency in the state. Each video explains the purpose of the service, provider requirements, licensing process, and how the program functions in Connecticut. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers in Connecticut. Explore each section to find the service that best matches your goals or area of interest.

 

Respite Care

Respite Care Services in Connecticut provide short-term, temporary relief to unpaid caregivers of individuals with disabilities, chronic health conditions, or age-related needs. These services are available through various Connecticut Medicaid Home and Community-Based Services (HCBS) Waivers, including the Personal Care Assistance (PCA) Waiver, the Acquired Brain Injury (ABI) Waivers, the Connecticut Home Care Program for Elders (CHCPE), and the Department of Developmental Services (DDS) Waiver programs.

 
 

Habilitation Services

Habilitation Services in Connecticut are designed to help individuals with intellectual and developmental disabilities (I/DD) acquire, maintain, and improve self-help, socialization, and adaptive skills needed for daily living and community participation. These services are authorized under Connecticut’s Medicaid Home and Community-Based Services (HCBS) waiver programs and focus on person-centered outcomes that promote independence and quality of life

 
 

Supported Employment

Employment Services in Connecticut are designed to help individuals with disabilities explore career interests, develop job skills, and secure and maintain employment in integrated community settings. These services are primarily funded through the Department of Developmental Services (DDS) HCBS Waivers and coordinated with Medicaid, Vocational Rehabilitation (BRS), and state-funded employment initiatives

 
 

Personal Care

Personal Care Assistant (PCA) Services in Connecticut allow individuals with disabilities to live independently at home by providing assistance with daily tasks such as bathing, dressing, and mobility. These services are primarily authorized under the Connecticut Medicaid Personal Care Assistance (PCA) Waiver, as well as through State Plan Medicaid and Community First Choice (CFC)

 
 

Emergency Response

Emergency Response Systems (ERS) Services in Connecticut provide participants with a reliable, 24/7 method to access help in emergencies, particularly falls, health concerns, or safety risks at home. These services are reimbursable under the Connecticut Home Care Program for Elders (CHCPE), the Personal Care Assistance (PCA) Waiver, and other Home and Community-Based Services (HCBS) Waivers managed by the Department of Social Services (DSS)

 
 

Skilled Nursing Services

Skilled Nursing Services in Connecticut offer medically necessary interventions provided by licensed nurses to individuals with chronic health conditions, disabilities, or recovery needs. These services are authorized under Connecticut’s Medicaid Home and Community-Based Services (HCBS) waiver programs and are designed to promote health stabilization, independence, and reduce unnecessary institutionalization

 
 

Chores Services

Chore Services in Connecticut provide one-time or occasional heavy-duty household assistance to individuals who are elderly or have disabilities and are unable to maintain a safe and clean living environment. These services are available through the Connecticut Home Care Program for Elders (CHCPE) and other state-funded or Medicaid waiver programs administered by the Department of Social Services (DSS).

 
 

Adult Health Services

Adult Day Health Services in Connecticut offer medical monitoring, therapeutic activities, and personal care to individuals who need assistance during the day but wish to remain living at home. These services are provided under Connecticut Medicaid’s Home and Community-Based Services (HCBS) Waivers, especially the Connecticut Home Care Program for Elders (CHCPE) and the Personal Care Assistance Waiver.

 
 

Assistive Technology

Assistive Technology (AT) Services in Connecticut provide individuals with disabilities the tools and training needed to enhance independence, safety, and quality of life. These services are offered under Connecticut Medicaid Home and Community-Based Services (HCBS) Waivers, including the Personal Care Assistance (PCA) Waiver, Acquired Brain Injury (ABI) Waivers, and the Department of Developmental Services (DDS) Waivers. Assistive technology must be medically necessary and included in the individual’s service plan.

 
 

Behavioral Health

Behavioral Services in Connecticut focus on assessing, managing, and reducing behaviors that interfere with learning, social participation, or independent living. These services are funded through Connecticut Medicaid Home and Community-Based Services (HCBS) Waivers, including the Department of Developmental Services (DDS) Waivers, and are aligned with individualized goals in the Individual Plan (IP).
 

 
 

Home Modification

Home Modification Services in Connecticut provide physical adaptations to a person’s residence to support safety, mobility, and independence. These services are covered under several Connecticut Medicaid Home and Community-Based Services (HCBS) Waivers, including the Connecticut Home Care Program for Elders (CHCPE), the Acquired Brain Injury (ABI) Waivers, and the Personal Care Assistance (PCA) Waiver. Home modifications must be necessary, cost-effective, and authorized in the participant’s care plan

 
 

Nursing Facility Transition

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

 
 

Residential Care

Residential Care Services in Connecticut offer housing and supportive services to individuals with disabilities, chronic health conditions, or aging-related needs in a structured environment. These services are authorized under Connecticut’s Medicaid Home and Community-Based Services (HCBS) waiver programs and state-supported programs, promoting independence, health, and community integration outside of institutional settings.

 
 

Assisted Living Services

Residential Care Services in Connecticut offer housing and supportive services to individuals with disabilities, chronic health conditions, or aging-related needs in a structured environment. These services are authorized under Connecticut’s Medicaid Home and Community-Based Services (HCBS) waiver programs and state-supported programs, promoting independence, health, and community integration outside of institutional settings

 
 

Homemaker Services

Homemaker Services in Connecticut provide non-medical, in-home support to individuals who need help maintaining a clean, safe, and functional home environment. These services are offered through Connecticut Medicaid's Home and Community-Based Services (HCBS) Waivers, including the Connecticut Home Care Program for Elders (CHCPE), the Personal Care Assistance (PCA) Waiver, and related state-funded programs administered by the Department of Social Services (DSS).
 

 
 

Case Management

Case Management Services in Connecticut ensure that individuals receiving Medicaid or waiver-based services have access to coordinated care tailored to their goals, needs, and preferences. These services are provided under the Connecticut Home and Community-Based Services (HCBS) Waivers, including the Connecticut Home Care Program for Elders (CHCPE), the Personal Care Assistance (PCA) Waiver, the Acquired Brain Injury (ABI) Waivers, and others.

 
 

Adult Health Transportation

Transportation Services in Connecticut support individuals who are unable to drive or access public transit due to age, disability, or medical condition. These services are available under Connecticut Medicaid, including the Non-Emergency Medical Transportation (NEMT) program, and various Home and Community-Based Services (HCBS) Waivers, such as the Connecticut Home Care Program for Elders (CHCPE), Personal Care Assistance (PCA) Waiver, Acquired Brain Injury (ABI) Waivers, and DDS Waivers

 
 

Home Health

Home Health Services in Connecticut provide skilled nursing, therapy, and home health aide support to individuals recovering from illness or managing chronic conditions. These services are authorized under Connecticut Medicaid, the Connecticut Home Care Program for Elders (CHCPE), the Personal Care Assistance (PCA) Waiver, and traditional Medicare. All providers must be licensed as Home Health Care Agencies (HHCAs) by the Connecticut Department of Public Health (DPH).

 
 

Meal & Nutrition

Nutrition Services in Connecticut support individuals who require professional dietary guidance due to chronic illness, developmental disabilities, aging-related needs, or post-acute conditions. These services are available under the Connecticut Home and Community-Based Services (HCBS) Waivers, including the Connecticut Home Care Program for Elders (CHCPE), the Personal Care Assistance (PCA) Waiver, and Acquired Brain Injury (ABI) Waivers, and are overseen by the Department of Social Services (DSS).

 
 

Companion Care

Companion Care Services in Connecticut offer non-medical supervision, companionship, and social interaction to older adults and individuals with disabilities. These services are offered through Connecticut Medicaid Home and Community-Based Services (HCBS) Waivers, such as the Connecticut Home Care Program for Elders (CHCPE), and through state-funded respite and home support programs administered by the Department of Social Services (DSS)