Compliance advisory · HCBS and waiver providers
Medicaid waiver providers are reviewed against 42 CFR 441.301 settings requirements, state licensure regulations, and payer-specific documentation rules — and most recoupments trace to service notes that do not match the authorized plan of care. We audit policies, personnel files, and claims documentation against those standards, write the corrective action plan, and represent the agency through state and MCO audits and accreditation surveys (CHAP, ACHC, COA).
Core compliance services
A framework that addresses every regulatory requirement facing a Medicaid waiver provider.
Be audit-ready, always. Mock audits, gap identification, and corrective action before any state or federal review.
CHAP, ACHC, and Joint Commission readiness with evidence packaged the way surveyors expect.
Initial licensure and renewal handled against your state’s exact regulatory language.
Keep licenses, enrollments, and certifications current so nothing lapses.
Protections that hold up under scrutiny — incidents, medication, emergencies, and individual rights.
A live QA program that produces evidence instead of paperwork.
Policy review service
Don't risk rejection or delay. We review your documentation against state requirements using an 84-point compliance checklist.
Upload your current policy manual or documentation for comprehensive review.
Our compliance team runs an 84-point check against your state regulations.
You receive a report highlighting gaps, risks, and recommendations.
We provide corrected policies ready for immediate implementation.
84-point compliance checklist
Who runs the checklist above
The readiness checklist isn't software output. A specialist opens your policy manual, personnel files, and service notes and reads them the way the state reviewer will — then hands you the findings by compliance domain, which is what the section below is organized around.
See the compliance domains →Compliance areas
Advisory across the full spectrum of regulatory and operational requirements.
Audit defense
Don't face a survey alone. We protect your license, minimize citations, and manage the process end to end.
FAQ
Same-day emergency response. Our on-call compliance experts begin preparing your defense strategy and coordinating with your team immediately.
Reference
Each category below answers the regulatory questions that come up during this service, with agency names, form numbers, and sequence.
I just got a deficiency letter from the state. What should I do?
Read the answers →
5 questionsWhat is healthcare accreditation and do I need it?
Read the answers →
5 questionsWhy do I need a policy and procedure manual?
Read the answers →
4 questionsDo you provide staff training?
Read the answers →
Related services
Most engagements combine two or three of these. Follow the one that matches where you are.
State-cited manuals and forms libraries — the documents a surveyor asks for first.
Licensure, qualification, enrollment, credentialing, and contracting, in the right order.
Service lines built to the state definition, so compliance is designed in rather than corrected later.
Competency and training records structured for survey, through Waiver Academy.
Protect your license
Start with a compliance assessment — we'll tell you what a surveyor would find today and what to fix first.
licensing@waivergroup.com · Serving all 50 states
Thirty minutes, free, with someone who understands the pathway. You'll leave with the agency, sequence, and a realistic timeline.
