1. GOVERNING AGENCIES

Agency: Connecticut Department of Social Services (DSS)
Role: Authorizes and reimburses for chore services through CHCPE and related HCBS waiver programs

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure services meet Medicaid HCBS waiver guidelines

Agency: Connecticut Department of Consumer Protection (DCP)
Role: Registers Homemaker-Companion Agencies (HCAs) if the chore provider performs in-home services for vulnerable populations

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2. CHORE SERVICE OVERVIEW

Chore Services help participants live safely in their homes by addressing tasks that pose health or safety risks. These are typically one-time or infrequent tasks that go beyond standard homemaking and may involve physical labor, sanitation, or environmental safety work.

Approved providers may deliver:

• Deep cleaning of kitchens, bathrooms, or whole homes
• Heavy-duty decluttering and removal of health hazards
• Moving furniture to allow safe mobility or accessibility
• Yard work necessary for home safety (e.g., clearing walkways)
• Trash removal and pest control preparation (not extermination)
• Documentation of services performed and home condition

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3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register business with the Connecticut Secretary of the State
• Obtain EIN from the IRS and NPI (Type 2)
• If entering client homes, register as a Homemaker-Companion Agency (HCA) with the Connecticut Department of Consumer Protection (DCP)
• Enroll as a Medicaid provider through DSS if billing directly
• Maintain general liability insurance and procedures for staff safety, supervision, and documentation

4. PROVIDER ENROLLMENT PROCESS

Step 1: DCP HCA Registration (if entering homes)

• Register via the DCP HCA portal, submit business info, complaint procedures, and proof of insurance

Step 2: DSS Medicaid Enrollment

• Apply through the Connecticut Medicaid Provider Enrollment Portal
• Submit NPI, EIN, business license, and service descriptions

Step 3: Connect with DSS or Area Agency on Aging (AAA)

• Coordinate for referrals and service authorizations for CHCPE-eligible individuals

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5. REQUIRED DOCUMENTATION

• Articles of Incorporation or proof of business registration
• IRS EIN Letter
• NPI confirmation
• DCP HCA registration (if applicable)
• DSS Medicaid enrollment approval

Policy & procedure manual including:

• Intake forms and home risk assessment tools
• Task-specific service logs and completion checklists
• Safety procedures for lifting, waste disposal, and hazardous conditions
• Emergency protocols and incident documentation
• Confidentiality, rights, and client complaint policies
• Staff hiring, background check procedures, and supervision tracking

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6. STAFFING REQUIREMENTS

Role: Chore Worker / Environmental Services Aide
Requirements:

• Experience in housekeeping, janitorial, or property maintenance
• Background check and TB screening
• Physical ability to lift, clean, and work in challenging environments
• CPR/First Aid certification (recommended)

Role: Supervisor / Scheduler (for agencies)
Requirements: Oversight experience, scheduling, quality assurance, and field support

Training Requirements for All Staff:

• Infection control and proper use of cleaning agents
• Fall prevention and safe lifting techniques
• Emergency and incident reporting
• Confidentiality and client rights
• Annual refreshers on safety and in-home conduct

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7. MEDICAID WAIVER SERVICES

Chore Services are reimbursed under:

• Connecticut Home Care Program for Elders (CHCPE)
• Other state-funded programs for at-risk seniors and adults with disabilities

Approved providers may deliver:

• Time-limited or task-based in-home chore assistance
• Services based on assessed health or safety risks
• Coordination with care managers for documentation and approval
• Before-and-after reports with photos (if required by DSS)

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8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 1–2 weeks

Phase: DCP HCA Registration (if required)
Timeline: 2–4 weeks

Phase: DSS Medicaid Enrollment
Timeline: 30–60 days

Phase: Staff Hiring and Service Onboarding
Timeline: 2–4 weeks

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9. CONTACT INFORMATION

Connecticut Department of Social Services (DSS)
Email: dss.ctmedical@ct.gov
Website: https://portal.ct.gov/DSS

Connecticut Department of Consumer Protection (DCP) – HCA Registration
Phone: (860) 713-6100
Website: https://portal.ct.gov/DCP

Connecticut Medicaid Provider Enrollment Portal
Website: https://www.ctdssmap.com

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10. SCOPE OF WORK

• Business registration (LLC, EIN, NPI)
• DCP HCA registration and DSS Medicaid enrollment support
• Policy & procedure manual for chore services and field safety
• Templates for task checklists, service logs, and risk assessments
• Website, domain, and email setup
• Staff credentialing trackers and supervision logs
• Client intake packet, consent forms, and service agreements
• Incident reporting systems and audit preparation tools
• Referral networking with DSS, AAAs, and housing assistance programs

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CONNECTICUT CHORE SERVICES PROVIDER

We help individuals and small businesses launch compliant Chore Services to serve Medicaid waiver participants and at-risk adults across Connecticut.