Homemaker Services in Florida assist individuals enrolled in Medicaid Home and Community-Based Services (HCBS) waiver programs by providing help with household tasks necessary to maintain a clean, safe, and healthy living environment. These services allow individuals to continue living independently in their homes and participating fully in their communities.

1. GOVERNING AGENCIES

Agency: Florida Agency for Health Care Administration (AHCA)
Role: Oversees Medicaid enrollment, service authorization, and reimbursement for Homemaker Services

Agency: Florida Agency for Persons with Disabilities (APD)
Role: Coordinates homemaker service delivery for individuals with developmental disabilities enrolled in the iBudget Florida Waiver

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Homemaker Services meet HCBS compliance and person-centered service standards

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2. HOMEMAKER SERVICE OVERVIEW

Homemaker Services assist individuals who are unable to complete household tasks themselves due to disability, medical condition, or age-related limitations.

Approved providers may deliver:

• Light housekeeping tasks (sweeping, dusting, mopping, vacuuming)
• Laundry and linen changing
• Grocery shopping assistance
• Meal preparation and kitchen cleanup
• Basic organization and home maintenance to ensure a safe environment
• Trash removal and home sanitation tasks

Homemaker services do not include hands-on personal care such as bathing or dressing (which are covered under Personal Care Assistance Services).

All services must be consistent with the participant’s individualized service plan and focus on maintaining a healthy, sanitary home.

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3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register business with the Florida Division of Corporations (Sunbiz)
• Obtain EIN from the IRS and NPI (Type 2)
• Obtain a Homemaker and Companion Services License from AHCA (mandatory unless exempt under certain limited circumstances)
• Maintain general liability insurance coverage
• Develop policies for service delivery, documentation, participant rights, and emergency procedures
• Complete background screenings for owners and direct service staff

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4. AHCA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

• Request Homemaker and Companion Services License application materials from AHCA
• Complete background screening submissions for administrators and employees

Application and Documentation Submission:

• Submit Articles of Incorporation, proof of liability insurance, organizational chart, and business plan
• Provide participant intake forms, daily task logs, and emergency response protocols

Licensing Inspection:

• AHCA may conduct a pre-licensure inspection to verify readiness for service delivery

Medicaid Enrollment:

• After licensing approval, complete Medicaid provider enrollment through the Florida Medicaid Provider Enrollment Portal
• Select billing codes appropriate for Homemaker Services

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5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business License (Sunbiz)
• IRS EIN confirmation
• NPI confirmation
• Florida Homemaker and Companion Services License
• Proof of general liability insurance

AHCA-Compliant Policy & Procedure Manual including:

• Participant intake and service planning protocols
• Documentation of tasks performed and participant satisfaction tracking
• Emergency preparedness, incident reporting, and home safety procedures
• Client rights, grievance resolution, and HIPAA confidentiality policies
• Staff credentialing, background screening, and ongoing training records
• Medicaid billing, service authorization tracking, and documentation retention systems

6. STAFFING REQUIREMENTS

Role: Homemaker Services Supervisor / Program Manager
Requirements: Experience managing supportive services or healthcare operations preferred, background screening clearance

Role: Homemaker Service Workers
Requirements: High school diploma or GED recommended, CPR/First Aid certification recommended, background screening clearance

All staff must complete:

• Participant rights, abuse prevention, and confidentiality training
• Basic emergency response and infection control training
• Annual training on homemaker tasks, home safety, and documentation standards
• Medicaid documentation and service compliance training

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7. MEDICAID WAIVER SERVICES

The following Florida Medicaid Waivers authorize Homemaker Services:

• iBudget Florida Waiver (for individuals with intellectual and developmental disabilities)
• Statewide Medicaid Managed Care (SMMC) Long-Term Care (LTC) Program (for elderly and disabled adults)

Approved providers may deliver:

• Scheduled in-home household support
• Emergency home sanitation support
• Basic shopping and meal preparation services

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8. TIMELINE TO LAUNCH

Phase: Business Formation and Licensing Application
Timeline: 1–2 weeks

Phase: AHCA Homemaker License Processing and Approval
Timeline: 60–90 days

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

Phase: Medicaid Enrollment and Billing Configuration
Timeline: 45–60 days

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9. CONTACT INFORMATION

Florida Agency for Health Care Administration (AHCA)
Website: https://ahca.myflorida.com/

Florida Agency for Persons with Disabilities (APD)
Website: https://apd.myflorida.com/

Florida Medicaid Provider Enrollment Portal
Website: https://home.flmedicaidmanagedcare.com/

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10. SCOPE OF WORK

• Business registration and EIN/NPI setup
• AHCA licensing and Medicaid provider enrollment support
• Development of Homemaker Services Policy & Procedure Manual
• Staff credentialing templates and participant service documentation
• Medicaid billing setup and claims configuration
• Website, domain, and email setup
• Participant intake, service scheduling, and home safety templates
• Emergency response and incident reporting systems
• Quality assurance and compliance management tools
• Community outreach and referral development strategies

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — FLORIDA HOMEMAKER SERVICES PROVIDER

We help agencies and entrepreneurs launch Medicaid-compliant Homemaker Services under Florida’s Medicaid and HCBS waiver programs.