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

• Licensing & Provider Approval Requirements

03. PREREQUISITES

• Register your business with the Arizona Corporation Commission
• 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

04. 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

05. 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

06. 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

07. 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

10. 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

 

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

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