About

We know what the state is going to ask for.

Most consultants know one or two states well. We work across all fifty-one jurisdictions and nine provider categories — which means we've watched the same kind of application reviewed under fifty-one different sets of rules, and we know where each of them is strict.

The Waiver Consulting Group team

The WCG team · Market Street office, Philadelphia

51
Jurisdictions — every state plus DC
9
Provider categories served
3
Accreditation bodies we prepare for
1
Portal holding every deliverable
The Waiver Consulting Group team in a full boardroom review meeting overlooking Philadelphia
Weekly case review — every open state file, in one room.

A consultant who works in one state learns that state's answers. A consultant who works in fifty-one learns which answers are federal, which are state discretion, and which are one reviewer's preference — and that distinction is most of the job.

What we do differently

Four things that separate us

Stated plainly, including what the alternative usually looks like.

01

We write to citations, not to templates

A manual that restates the regulation tells a reviewer nothing. Ours describe how your agency actually operates — who does it, when, on what form, and what happens when it doesn't happen — against your state's specific citations.

The alternativeA generic manual with the state name swapped in. It's among the most common reasons an application comes back on desk review.
02

You own everything we produce

The manuals, forms, job descriptions, and models are yours. Edit them, reuse them in another state, keep using them after the engagement ends. Nothing is locked to a subscription or a platform we control.

The alternativeDocuments that live in someone else's system and stop working when you stop paying.
03

We tell you when it doesn't work

Feasibility modelling occasionally ends a project — a service line that doesn't pencil at the current rate, or a pathway effectively closed to new providers in that state. We say so before you've hired for it.

The alternativeAn engagement that proceeds because it was sold, and a provider who finds out a year in.
04

The whole pathway, not one piece

Licensure, qualification, enrollment, credentialing, and contracting are five separate approvals from five different bodies. Firms that handle only enrollment leave you to discover the other four, usually in the wrong order.

The alternativeApproved, enrolled, and still unable to bill because no network contract was ever executed.

The range

Nine provider categories, fifty-one jurisdictions

Breadth isn't a marketing claim here — it's the mechanism. Working across categories is how you recognise that a state has borrowed a service definition from another program, that a setting question is about to surface, or that a rule which looks state-specific is actually federal and therefore not negotiable.

It also makes expansion routine rather than a first attempt. A provider moving from Pennsylvania to Ohio is asking a question we've answered before, in both directions.

See the provider type guides

Home & Community-Based ServicesThe broadest waiver category
Intellectual & Developmental DisabilityResidential, day, employment, behavioral
Behavioral HealthMental health and substance use
Home Health & Home CareClinical and non-clinical in-home
Personal Care AttendantAgency and consumer-directed
Traumatic Brain InjuryCommunity-based TBI programs
Independent Living CentersConsumer-controlled, cross-disability
Aging & Disability Resource CentersNo-wrong-door access points
Assisted Living & Residential CareLicensed residential settings
Accreditation preparationCHAP · ACHC · The Joint Commission

The people

Who does the work

Not a directory of account managers. The people named here are the ones on your file.

Dr. Michelle Gottlieb

Dr. Michelle Gottlieb

Executive Officer

Oversees firm strategy and quality across engagements, bringing a clinical and executive background in community-based services.

Focus — organizational strategy, clinical program oversight

Amara Kamara

Amara Kamara

Administrator & Senior Partner

Leads licensing and certification work across all 51 jurisdictions, after years managing direct support operations before advising on them — the perspective behind The HCBS Operator's Playbook.

MHS, MPM, MAIS, CCEP® — Certified Compliance & Ethics Professional

Fatima Koroma

Fatima Koroma

Business Development Manager

Works with providers at the earliest stage — feasibility, market entry, and matching a service concept to the state pathway that actually supports it.

BSN, RN — Registered Nurse

Cllr. Huo Jin

Cllr. Huo Jin

Internal Counsel & Compliance Manager

Reviews regulatory positions, contracts, and compliance exposure — the reason our documents hold up when a surveyor or an auditor reads them closely.

MBA, JD, CHCR® — Certified Healthcare Compliance

Dave Logan

Dave Logan

Waiver Success Coordinator

Keeps engagements moving — deliverables, deadlines, and the follow-through on state requests that decides whether an application clears in one cycle or three.

MBA, CCEP® — Certified Compliance & Ethics Professional

The bench behind them

Engagements also draw on specialists who work your jurisdiction and service type daily.

  • Licensing analystsState-specific application and survey preparation
  • Policy writersManuals drafted to your state's citations
  • Enrollment specialistsPortal filings, revalidations, and CAQH
  • Credentialing teamPayer and MCO network contracting
  • Accreditation coachesCHAP · ACHC · Joint Commission readiness
Waiver Consulting Group consultants smiling in the office lobby
The people named above — licensing, credentialing, compliance, and provider success.

How we're built

Infrastructure, not just advice

The tooling exists because consulting delivered as email threads and attachments falls apart by the second state.

WaiverStryms

The project portal. Every deliverable, deadline, document, and status in one place, so nobody reconstructs a project from an inbox.

Waiverlyn

Our assistant handles status questions, scheduling, and routine enquiries outside business hours, so specialist time goes to specialist work.

Waiver Academy

Online training, so staff competency documentation exists before a surveyor asks for it rather than being assembled afterward.

The regulatory library

Agency, waiver, and service definition references maintained across 51 jurisdictions — the reason a new state isn't a research project.

Published references

The HCBS Operator's Playbook and Direct Support: From a Manager's Viewpoint — our thinking in the open, where it can be checked.

Help Center

Guides, tutorials, and state agency contacts, so routine questions don't require an appointment to answer.

How we work

Commitments we'll hold to

01

A written scope, every time

Deliverables named, sequence stated, and what we need from you set out before work begins. No open-ended retainers.

02

No promises about outcomes we don't control

We don't guarantee approval, and we don't quote processing times as though they were ours to set. What we control is whether the submission is complete, correct, and filed in the right order.

03

You see drafts before anything is filed

Your operation shapes the documents. We make sure the documents satisfy the state.

04

The first conversation is free and useful

Thirty minutes, and most people leave knowing the agency, the sequence, and whether the timeline is realistic — whether or not they engage us.

Tell us the state and the service. We'll tell you what it takes.

Thirty minutes, free, with someone who understands the pathway. You'll leave with the agency, sequence, and a realistic timeline.

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