MEDICAID WAIVER NETWORK

Is your agency considering the opportunities for patient referrals that can be provided through Medicaid Waiver Programs?

Did you know that Medicaid waiver programs typically have minimum startup fees and can be an excellent source of revenue?

With the federal government’s approval of State Medicaid Waiver programs allowing in home care treatment for consumers with intellectual and related disabilities, traumatic brain injury and spinal cord injury and other types of disabilities, your home health care agency can provide much needed services to consumers in their homes and in their communities. Nearly all States and DC offer services through home and community-based services waivers (HCBS Waivers). States can operate as many HCBS Waivers as they want, currently more than 300 HCBS Waiver programs are active nationwide.

Your state may offer a variety of unlimited services under an HCBS Waiver program. Programs can provide a combination of standard medical services and non-medical services.

Standard services include but are not limited to:

  • Case Management (i.e. supports and service coordination)
  • Homemaker
  • Home Health Aide
  • Personal Care
  • Adult Day Health Services
  • Rehabilitation (both day and residential)
  • Respite Care.
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States can also propose “other” types of services that may assist in diverting and/or transitioning individuals from institutional settings into their homes and community.

To avoid confusion, it is worth mentioning that waivers are also referred to as 1915 waivers (for the Social Security Act), HCBS waivers, waiver services, waiver programs and by any number of other state-specific names such as the New Jersey Global Options (GO) waiver or the Texas STAR Plus.

Trust the experts with over twenty years of experience navigating Home Care Agencies through the process of Medicare and Medicaid & Medicaid Waiver provider enrollment opportunities for patient referrals.

Medicaid Waiver Programs vary by state. Our clinical team has over twenty years of experience with state specific Medicaid waiver programs. We know what every state offers. We can explain to you the benefits of enrollment with each and every Medicaid waiver program. Your states offers a variety of services under the HCBS and LTLS services. They includes medical and non-medical Home Community Base Services and Long Term Living Supports services.

We will get your agency approved and contracted to provide Medicaid Waiver Services. We will enroll your agency with the programs that works best for you according to your state license. We will complete all the required documents and provide all necessary policy and procedure attachment’s for a speedy approval process.

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You supply us with your agency’s information and we will do all the rest. We provide you with guidance, support and professional consultations until your agency is fully contracted with your state Medicaid Waiver Programs.

Home Health Agencies are not required to have been Medicare Accredited to be approved for Medicaid waiver programs. Whether you are in a state that requires a license or one that does not, we can get your agency qualified and enrolled with your states Medicaid wavier program. When qualified, your agency will be part of a region directory and have access to patient referrals in your entire services area. Our clinical team will coach you about the reimbursement rates and how to negotiate with any of your contracted or full time employees when you provide Medicaid services.

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Call us for a no obligation consultation about the Medicaid Waiver Programs that are available in your state.

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