We work with healthcare entrepreneurs, agency operators, and franchise systems across all 50 states. Our services span the full lifecycle of a Medicaid-funded provider organization — from idea to launch, launch to compliance, compliance to growth, and growth to exit or expansion.
**Startup & Launch Services**
- **Healthcare Business Startup Assistance** — End-to-end support for entrepreneurs starting a new healthcare agency, including entity formation guidance, NPI registration, business structure consultation, and the operational foundation needed before licensure.
- **HCBS Provider Licensing** — State-specific licensing for Home and Community-Based Services providers across all 50 states. Includes license application preparation, supporting documentation, regulatory analysis, and submission management.
- **Certificate of Need (CON) Applications** — Full-service CON preparation for states that require it, including Letter of Intent drafting, project narrative development, financial feasibility analysis, and community need documentation.
- **Medicaid & MCO Enrollment** — Provider enrollment with state Medicaid agencies and Managed Care Organizations, including credentialing packets, revalidations, and follow-through until your provider number is active.
**Compliance & Documentation**
- **Policy & Procedure Manual Development** — State-specific policy manuals customized to your service type, state, and operational model. Includes 12 months of updates and delivery within 24–48 hours.
- **Compliance Advisory & Ongoing Support** — Ongoing regulatory guidance for active providers, including settings rule compliance, EVV implementation, conflict-free case management structuring, and HIPAA workflow review.
- **Audit Defense** — Representation and documentation support during state Medicaid audits, MCO audits, OIG reviews, and accreditation surveys.
- **Accreditation Support** — Preparation for CARF, CHAP, ACHC, Joint Commission, and other accreditation bodies.
**Growth & Operations**
- **Program Development** — Design and operational build-out of new service lines for existing providers, including Self-Direction programs, Day Programs, Supported Living, and franchise system rollouts.
- **Strategic Market Intelligence Reports** — Custom research analyzing state-specific Medicaid landscapes, waiver economics, competitive positioning, and entry strategy.
- **Staff Training via The Waiver Academy** — HCBS workforce training and credentialing for Direct Support Professionals, supervisors, and program administrators.
**Specialty & Franchise Services**
- **Franchise Consulting** — Multi-state Medicaid waiver certification strategy and execution, including state-by-state pathway analysis and per-location enrollment support.
- **Self-Direction & Fiscal Intermediary Services** — Strategy and operational documentation for providers entering self-directed service delivery.
- **Transaction Support** — Due diligence, license transfers, change-of-ownership filings, and regulatory clearance for acquisitions, mergers, and exits.
Most clients start with a free consultation to scope what they actually need. From there, we structure engagements as fixed-scope deliverables, retainer-based advisory relationships, or hybrid arrangements.
Social Media
1We're active across several platforms where we share regulatory updates, industry insights, client stories, and behind-the-scenes content from the firm. Follow us wherever you prefer.
LinkedIn is where we post company updates, professional content, and team announcements. Facebook carries community updates and client resources, Instagram has visual stories from the team and our work, and X and TikTok are where we share short-form compliance and industry tips.
We also publish the Waiver Podcast for long-form conversations and walkthroughs, run provider training through the Waiver Academy, and keep step-by-step guides in our Help Center. Use the links below to reach any of them.
Further reading