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.

1. GOVERNING AGENCIES

Agency: Connecticut Department of Public Health (DPH)
Role: Licenses and regulates Home Health Agencies, Nurse Registries, and individual nursing professionals

Agency: Connecticut Department of Social Services (DSS)
Role: Authorizes and reimburses nursing services under Medicaid and HCBS waiver programs

Agency: Connecticut Department of Developmental Services (DDS)
Role: Oversees nursing services for waiver participants with intellectual/developmental disabilities

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

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2. NURSING SERVICE OVERVIEW

Nursing Services include professional medical care delivered in-home or in community-based settings. Services may be intermittent or continuous, depending on the individual’s condition and level of care required.

Approved providers may deliver:

• Skilled nursing visits ( medication administration, wound care, IV therapy)
• Health assessments and care plan development
• Chronic disease monitoring and education
• Medication setup and safety checks
• Coordination with physicians and interdisciplinary teams
• Delegation and oversight of care tasks to aides or family members

Documentation of clinical outcomes and physician orders

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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)
• Obtain licensure from DPH as a Home Health Care Agency or operate under a Nurse Registry (if providing staffing)
• Enroll as a Medicaid provider through the DSS Medicaid Provider Enrollment Portal
• Employ or contract licensed RNs and LPNs
• Maintain general liability, professional liability, and malpractice insurance
• Implement HIPAA-compliant documentation and clinical protocols

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4. PROVIDER ENROLLMENT PROCESS

Step 1: DPH Licensing

• Apply for Home Health Agency or Nurse Registry license
• Submit policies, staffing plans, and infection control procedures
• Complete site inspection and receive approval

Step 2: DSS Medicaid Enrollment

• Apply via the Connecticut Medicaid Provider Enrollment Portal
• Submit business credentials, licensure, and service descriptions

Step 3: Connect with Referring Entities

• Receive service authorizations from DSS, DDS, or care coordinators under applicable waivers

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or business registration
• IRS EIN Letter
• NPI confirmation
• DPH license (Home Health or Nurse Registry)
• DSS Medicaid provider enrollment approval

Policy & procedure manual including:

• Admission criteria and care planning templates
• Medication administration and delegation logs
• Clinical documentation protocols and progress notes
• HIPAA and patient privacy protections
• Emergency and infection control procedures
• Incident reporting and change in condition alerts
• RN supervision records and delegation guidelines
• Staff credentialing, training, and CEU logs

6. STAFFING REQUIREMENTS

Role: Registered Nurse (RN)
Requirements:

• Active Connecticut license
• Experience in community health, chronic care, or developmental disabilities
• CPR certification, background check, and TB screening

Role: Licensed Practical Nurse (LPN)
Requirements:

• Active Connecticut license
• Works under RN supervision per delegation plan

Role: Nurse Supervisor / Clinical Director
Requirements:

• Advanced RN experience, administrative capability, and familiarity with HCBS guidelines

Training Requirements for All Staff:

• HIPAA and documentation best practices
• Infection control and universal precautions
• Abuse prevention and emergency response
• Medication safety and client rights
• Annual CEUs for license maintenance

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7. MEDICAID WAIVER SERVICES

Nursing Services are reimbursed under:

• Connecticut Medicaid State Plan
• Connecticut Home Care Program for Elders (CHCPE)
• Personal Care Assistance (PCA) Waiver
• Acquired Brain Injury (ABI) Waivers
• DDS Waivers (Comprehensive and IFS)
• Medically Complex Children’s Waiver

Approved providers may deliver:

• Skilled intermittent or scheduled nursing visits
• Monitoring and health teaching
• Oversight of direct care staff
• Clinical input into care planning and waiver documentation

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 1–2 weeks

Phase: DPH Licensing (Home Health or Nurse Registry)
Timeline: 60–90 days

Phase: DSS Medicaid Enrollment
Timeline: 30–60 days

Phase: Staff Hiring and Referral Activation
Timeline: Ongoing

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9. CONTACT INFORMATION

Connecticut Department of Public Health (DPH) – Facility Licensing and Investigations
Phone: (860) 509-7400
Website: https://portal.ct.gov/DPH

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

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

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10. SCOPE OF WORK

• Business registration (LLC, EIN, NPI)
• DPH Home Health or Nurse Registry licensing support
• DSS Medicaid provider enrollment assistance
• Policy & procedure manual for skilled nursing services
• Templates for care plans, nurse visit notes, and delegation logs
• Website, domain, and email setup
• Staff credentialing trackers and CEU documentation
• Client intake packet, consent forms, and clinical policies
• Incident reporting systems and audit preparation tools
• Referral networking with hospitals, case managers, and waiver teams

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

We help nurses and healthcare organizations launch fully licensed, Medicaid-compliant Nursing Services to support home-based care in Connecticut’s waiver system.

​​​​​​​​​​​​​​​​​​To get started, click the link to request portal access.