Waiverlyn answers and addresses most things, including:
Medicaid Waiver · HCBS · All 50 States
Licensing, provider enrollment, and compliance for home and community-based services—whether you're opening your first program or adding your fifth state. Twenty years of knowing which office reviews your file, what it rejects, and in what order — so your application is built to clear the first time, and your program opens on schedule.
20+ years in HCBS regulatory practice / 900 providers licensed and enrolled / Preferred partner: CHAP · ACHC · Joint Commission
Watch outThe 120-day window is hard. Miss it and you restart orientation.
Six pathways, fifty-one jurisdictions. Yours is in here.
See the full Pennsylvania pathway →Two ways in
New providers need the right sequence. Established operators need expansion, remediation, and survey-tested regulatory judgment.
Start a program in any state. From entity formation to your first billable claim, in the sequence the state actually requires.
Expand, remediate, or defend. You're already licensed. Now you need a second state, a corrective action plan, or a survey you'll pass.
Reviews
4.8 from 20 Google reviews
When our ownership group first made the strategic decision to launch a non-medical personal care and senior home care agency, we completely underestimated the sheer volume of bureaucratic red tape involved. We were immediately hit with a wall of state authorization mandates, corporate structuring requirements, local business registrations, and hyper-specific state compliance guidelines. In the past, we have worked with traditional healthcare consulting groups, and the experience was always the same: you write a massive upfront check, you exchange a few initial pleasantries, and then the consultants completely vanish into thin air. You end up spending half your operational time chasing them down via email just to get a basic update on your application, leaving your leadership team feeling completely disconnected from your own financial investment and stuck in a state of constant limbo. The Waiver Consulting Group completely flipped that broken script on its head the moment we signed our engagement letter. The literal minute we kicked off our initial planning phase, corporate registration, and policy drafting, WCG assigned our agency a dedicated, single point of contact and established a rigid, predictable check-in rhythm that was mutually agreed upon before any work even began. Throughout the multi-month process, I never once had to guess where our state application stood, whether our customized policy manuals were finalized, or what the next steps were for our staff onboarding infrastructure. They over-communicated every single micro-step of the process. If a state licensing board was experiencing delays, WCG was already on top of it, notifying us before we could even ask. If you are tired of being left on the outside looking in on your own agency's launch, and if you want to build a senior care business with a partner who respects your timeline and your capital, WCG is the only real choice. They proved that communication isn’t just a courtesy to them—it is a core pillar of how they conduct business."
For any healthcare organization operating at scale, navigating the fragmented, inconsistent landscape of state-by-state regulations is an absolute minefield. What works perfectly for a 1915(c) Medicaid waiver or an HCBS licensing application in one state is completely irrelevant in another, making cross-border expansion an incredibly slow and risky endeavor for corporate operators. As a rapidly growing multi-state operator and national franchise partner, we realized very early on that we couldn't rely on local, single-state consultants if we wanted to scale efficiently. We needed a partner with massive national reach, institutional infrastructure, and deep regulatory muscle. That is why we partner with The Waiver Consulting Group, and they have solidifed themselves as the absolute gold standard. WCG is truly the firm that providers trust to **Start Any Program. In Any State.®** They don't just talk a big game; they back it up with over 15 years of uninterrupted national expertise and a phenomenal, industry-leading 94% first-round application approval rate that held remarkably true across every single new state market we targeted for expansion. From provider enrollments and complex MCO negotiations to the rapid development of state-compliant corporate policy manuals, WCG has handled our high-volume expansion needs seamlessly. Whether you are a local, single-site startup trying to get your very first license or a massive national franchise network looking to deploy capital and scale a healthcare brand across the entire country, WCG possesses the national scale, deep regulatory insights, and corporate sophisticated required to stand up your program without friction. They are, without question, the premier authority in the nation.
As a founder trying to establish a new residential group home for individuals with intellectual and developmental disabilities, I quickly realized that the path from a passion project to a fully licensed, operating facility is paved with an overwhelming amount of regulatory landmines. The physical site compliance requirements, local zoning laws, state fire marshal clearances, and HCBS provider enrollment processes are enough to make even the most seasoned entrepreneur want to give up. It is incredibly rare to find a consulting firm in this industry that demonstrates real follow-through, unwavering integrity, and genuine accountability, but that is exactly what we found in WCG. WCG didn't just assign a random, automated ticketing system to our account; they gave us a named project lead who took total, unyielding ownership of our scope of work from day one. They didn't just sit back, watch the clock tick, and send us monthly invoices for billable hours logged. Instead, they measured their firm's success exclusively by whether our group home application was actively moving forward through the state’s bureaucratic pipeline. When we hit an incredibly frustrating roadblock regarding local township zoning interpretations and physical site modifications, the team at WCG didn't point fingers, shrug their shoulders, or claim it was 'outside their scope of work.' They rolled up their sleeves, got on the phone with us, reviewed the local ordinances, and helped us navigate the hurdle until we cleared it. They stand behind their work with a level of dedication that is practically extinct in professional consulting. They ensured that absolutely nothing fell through the cracks, and I can confidently say our group home doors are open today because of WCG's radical commitment to our success. I recommend The Waiver Consulting Group with 100% confidence.
I sincerely appreciate Waiver Consulting Group LLC for their outstanding support throughout my provider enrollment and facility approval journey. Their professionalism, guidance, responsiveness, and expertise greatly contributed to the successful approval of my agency, Community Enhanced Living Solutions LLC (CELS).
had an exceptional experience with this company from start to finish. The team was knowledgeable, professional, and truly took the time to answer all of my questions thoroughly. They made the entire process smooth and stress-free. I felt supported every step of the way and couldn’t be more pleased with the service I received. Highly recommend!
When our ownership group first made the strategic decision to launch a non-medical personal care and senior home care agency, we completely underestimated the sheer volume of bureaucratic red tape involved. We were immediately hit with a wall of state authorization mandates, corporate structuring requirements, local business registrations, and hyper-specific state compliance guidelines. In the past, we have worked with traditional healthcare consulting groups, and the experience was always the same: you write a massive upfront check, you exchange a few initial pleasantries, and then the consultants completely vanish into thin air. You end up spending half your operational time chasing them down via email just to get a basic update on your application, leaving your leadership team feeling completely disconnected from your own financial investment and stuck in a state of constant limbo. The Waiver Consulting Group completely flipped that broken script on its head the moment we signed our engagement letter. The literal minute we kicked off our initial planning phase, corporate registration, and policy drafting, WCG assigned our agency a dedicated, single point of contact and established a rigid, predictable check-in rhythm that was mutually agreed upon before any work even began. Throughout the multi-month process, I never once had to guess where our state application stood, whether our customized policy manuals were finalized, or what the next steps were for our staff onboarding infrastructure. They over-communicated every single micro-step of the process. If a state licensing board was experiencing delays, WCG was already on top of it, notifying us before we could even ask. If you are tired of being left on the outside looking in on your own agency's launch, and if you want to build a senior care business with a partner who respects your timeline and your capital, WCG is the only real choice. They proved that communication isn’t just a courtesy to them—it is a core pillar of how they conduct business."
For any healthcare organization operating at scale, navigating the fragmented, inconsistent landscape of state-by-state regulations is an absolute minefield. What works perfectly for a 1915(c) Medicaid waiver or an HCBS licensing application in one state is completely irrelevant in another, making cross-border expansion an incredibly slow and risky endeavor for corporate operators. As a rapidly growing multi-state operator and national franchise partner, we realized very early on that we couldn't rely on local, single-state consultants if we wanted to scale efficiently. We needed a partner with massive national reach, institutional infrastructure, and deep regulatory muscle. That is why we partner with The Waiver Consulting Group, and they have solidifed themselves as the absolute gold standard. WCG is truly the firm that providers trust to **Start Any Program. In Any State.®** They don't just talk a big game; they back it up with over 15 years of uninterrupted national expertise and a phenomenal, industry-leading 94% first-round application approval rate that held remarkably true across every single new state market we targeted for expansion. From provider enrollments and complex MCO negotiations to the rapid development of state-compliant corporate policy manuals, WCG has handled our high-volume expansion needs seamlessly. Whether you are a local, single-site startup trying to get your very first license or a massive national franchise network looking to deploy capital and scale a healthcare brand across the entire country, WCG possesses the national scale, deep regulatory insights, and corporate sophisticated required to stand up your program without friction. They are, without question, the premier authority in the nation.
As a founder trying to establish a new residential group home for individuals with intellectual and developmental disabilities, I quickly realized that the path from a passion project to a fully licensed, operating facility is paved with an overwhelming amount of regulatory landmines. The physical site compliance requirements, local zoning laws, state fire marshal clearances, and HCBS provider enrollment processes are enough to make even the most seasoned entrepreneur want to give up. It is incredibly rare to find a consulting firm in this industry that demonstrates real follow-through, unwavering integrity, and genuine accountability, but that is exactly what we found in WCG. WCG didn't just assign a random, automated ticketing system to our account; they gave us a named project lead who took total, unyielding ownership of our scope of work from day one. They didn't just sit back, watch the clock tick, and send us monthly invoices for billable hours logged. Instead, they measured their firm's success exclusively by whether our group home application was actively moving forward through the state’s bureaucratic pipeline. When we hit an incredibly frustrating roadblock regarding local township zoning interpretations and physical site modifications, the team at WCG didn't point fingers, shrug their shoulders, or claim it was 'outside their scope of work.' They rolled up their sleeves, got on the phone with us, reviewed the local ordinances, and helped us navigate the hurdle until we cleared it. They stand behind their work with a level of dedication that is practically extinct in professional consulting. They ensured that absolutely nothing fell through the cracks, and I can confidently say our group home doors are open today because of WCG's radical commitment to our success. I recommend The Waiver Consulting Group with 100% confidence.
I sincerely appreciate Waiver Consulting Group LLC for their outstanding support throughout my provider enrollment and facility approval journey. Their professionalism, guidance, responsiveness, and expertise greatly contributed to the successful approval of my agency, Community Enhanced Living Solutions LLC (CELS).
had an exceptional experience with this company from start to finish. The team was knowledgeable, professional, and truly took the time to answer all of my questions thoroughly. They made the entire process smooth and stress-free. I felt supported every step of the way and couldn’t be more pleased with the service I received. Highly recommend!
WCG tools
The full toolset providers use to run licensure, enrollment, policy, and training from one place — with the same records an auditor will ask for.
Watch & Launch
State-by-state service explainers, licensure walkthroughs, and provider Q&A — free to watch, no account required.
Homemaker Provider Services in PennsylvaniaPA · Homemaker Services
Nursing Facility Transition Provider Services in PennsylvaniaPA · Nursing Facility Transition
Respite Care Provider Services in PennsylvaniaPA · Respite Care Services
Behavioral Health Services Provider in PennsylvaniaPA · Behavioral Health ServicesWhere it actually counts
We build programs to survive state review because documents that read well and programs that pass surveys are different things.
We audit your program against the citation patterns your state actually writes—not a generic checklist.
Chart review, personnel file audit, staff interviews, and an environment walk-through, scored the way a surveyor scores it.
We build the document package that closes each finding on the record.
Root-cause statement, corrective action, responsible party, monitoring method, and completion evidence—for every tag cited.
When your state rewrites a chapter, your manual changes with it.
Rule-change tracking, redlined policy updates, and a staff in-service record showing when the change was trained.
A retained line to a credentialed compliance practice for hard questions.
Incident reporting judgment calls, billing documentation defensibility, and pre-submission review before anything goes to the state.
“Twenty years of knowing what a surveyor will accept—which is different from knowing what the regulation says.”Amara Kamara, MHS, MPM, MAIS, CCEP®Explore compliance advisory
Exclusive preferred partner
Waiver Consulting Group is the exclusive preferred partner of We Rock The Spectrum, nationwide — a partnership established by WRTS to support their franchise owners in every state. We handle the waiver application, certification, program design, billing and documentation systems, and ongoing technical assistance, taking sensory gym owners from private-pay-only to Medicaid-funded.
Share of autism families a location can serve
Waiver-funded sensory gym services map onto day habilitation, social recreation, community integration, and respite. The obstacle is navigating fifty different enrollment pathways.
We handle the waiver application, certification, program design, billing and documentation systems, and ongoing technical assistance.
Practically, that means matching existing sensory programming to billable service definitions, writing the service descriptions the state will approve, and building the session documentation that survives a post-payment review.
Franchise systems: talk to usWaiverlyn Voice
Call or text and get routed to the right specialist for your state and service type — no phone tree, no waiting for business hours.
Monday–Friday, 8:30 AM–4:30 PM ET with a licensing specialist; after-hours messages returned next business day.
Send BOOK to schedule a free 30-minute consultation without filling out a form.
How we work
Every engagement follows the same documented path, so you always know what happens next and what we need from you.
Existing providers
We handle regulatory mapping, program design, enrollment, documentation systems, and ongoing technical assistance so your team can keep operating.
Side-by-side rule comparison between your home state and the target, so you know what transfers and what has to be rebuilt.
Open the multi-state expansion planner →Survey-readyOperational systemsDocumentation, incident reporting, and QA cycles designed to produce evidence before a surveyor asks for it.
Get survey-ready with compliance support →Payer-readyEnrollment supportMedicaid enrollment plus MCO credentialing and contracting—because approval and getting paid are separate milestones.
Start Medicaid & MCO enrollment →Accreditation
Pre-approved home health policies and procedures support a more efficient survey process.
Best fit when a state accepts deemed status for home health or hospice and you want the shortest defensible path to it.
Gap analysis, documentation development, and accreditation readiness.
Common where home care, DME, or behavioral health licensure requires accreditation within a fixed window after enrollment.
Preparation and evidence packaging for home care and behavioral health accreditation.
Chosen when payers or health-system referral partners specifically require it in network contracts.
Waiver Academy
Staff training that produces completion records auditors accept, kept current with each state's rule changes.
Direct support, incident reporting, rights and dignity, medication administration, and HCBS Settings Rule modules.
Required hours, renewal cycles, and documentation your state surveyor asks to see.
Policy Center
State-compliant clinical policy and procedure packets, written against the regulation your surveyor cites.
Clinical and administrative packets mapped to your state rule citations.
Service-specific policies for waiver, behavioral health, residential, and NEMT programs.
The Waiver Consulting Group
The HCBS
Operator'sPlaybook
Launch / Comply / Expand
New book — just published
Launching, sustaining, and scaling a Medicaid waiver program in any state — the structure we build with clients, now in a book.
Built in-house
We built the platform so clients can follow the work instead of waiting for status emails.
Every task, document, deadline, and submission in one live project portal.
Open →State-mandated staff training with certificates built for survey readiness.
Open →Vetted vendors, tools, and services for HCBS provider agencies.
Open →State-specific policy packets, forms, templates, and customization.
Open →Free, and specific
State-by-state guidance on who licenses what and in what order.
Which service definitions trigger accreditation, and how LME/MCO contracting sits on top of NCTracks enrollment.
Read the North Carolina guide →
PennsylvaniaThe license, the ODP qualification packet, and PROMISe enrollment are three separate approvals in a fixed order.
Read the Pennsylvania guide →
MissouriHow DMH certification and DHSS licensure divide by population served, and which one your bed count puts you under.
Read the Missouri guide →
Provider scheduling, EVV, and compliance — all in your caregiver's pocket.
One app for the field, one console for the office. Caregivers clock in and capture every visit — and it all flows straight to your agency dashboard, ready to bill.
Support & resources
Documented guidance on the steps, the agencies, and the forms — whether you hire us or file on your own.
Answers on licensure sequence, enrollment status, and document requirements.
Checklists and requirement maps for providers handling their own filings.
Regulatory changes and operating guidance for provider agencies.
State-approved staff training with records surveyors accept.
Learn
The Help Center, the video library, the podcast, and our FAQ library are open to everyone — no account, no consultation required.
Homemaker Provider Services in PennsylvaniaPA · Homemaker ServicesNursing Facility Transition Provider Services in PennsylvaniaPA · Nursing Facility Transition
Skilled Nursing Services Provider in WashingtonWA · Skilled Nursing ServicesCommunity
Regulatory updates and state-by-state guidance posted where provider agencies are already talking.
A members-only space for agency owners and administrators working through licensure, enrollment, and survey prep.
Answers
Type a state, a form number, or a service — 122 documented answers on licensure, Medicaid enrollment, policies, accreditation, and audits.
Most asked
Thirty minutes, free, with someone who understands the pathway. You'll leave with the agency, sequence, and a realistic timeline.
