The Waiver Consulting Group

Frequently asked questions

Answers about who we are and how we help provider agencies build Medicaid waiver programs, HCBS licensing and certification, and compliance across all 50 states.

122 questions across 18 categories

Getting Started

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Yes — that's actually our most common starting point. Most people who call us are at exactly that stage: they have an idea, maybe they have personal experience in healthcare or caregiving, and they want to know whether they can build a real business around it.

The conversation we have at this stage is about narrowing things down: what state, what population, what service model, what your background and capital position look like. From there we can sketch the realistic path — what licenses you'll need, what the timeline looks like, what the regulatory burden is, and what kind of investment of time and money you're looking at.

The starting point is a free thirty-minute video consultation where we map all of that out for your situation.

No, and in some cases we recommend you don't form one yet. The reason is that the entity structure can matter for your licensing application — some states require specific entity types, some require specific governance structures, and some have ownership disclosure rules that are easier to handle before you've set everything up than after.

Once we understand your service type and state, we'll guide you on entity formation as part of the start-up process. If you've already formed an LLC, that's fine too — we can work with what you have or help you make adjustments.

It depends on the service type and the state. Some service types — like home health or skilled nursing — require a clinical leader, typically an RN, who serves as the Director of Nursing or Clinical Manager. Others, like personal care or non-medical home care, don't require a clinical credential at the ownership level.

Behavioral health agencies usually require a clinical leader with the appropriate licensure for the service. ABA practices need a BCBA. Group homes and day programs typically require a designated administrator with relevant experience but not necessarily a clinical license.

The short answer is: it depends on what you want to provide, and we can map that for you in the consultation.

This varies enormously by state and service type, and any specific number would be misleading without context. As a rough orientation:

- A non-medical home care agency in a state with low barrier-to-entry might launch on tens of thousands of dollars - A Medicare-certified home health agency in a CON state might require hundreds of thousands plus a license you can't simply apply for - Group homes need physical real estate and renovation budgets - Behavioral health programs need clinical staffing from day one

The free consultation includes a realistic capital framing for your specific scenario.

Existing operators come to us for several reasons:

- Multi-state expansion — you're strong in your home state and want to add new states without learning each regulatory environment from scratch - New service line — you run home care and want to add behavioral health, or you run a day program and want to add residential - Compliance remediation — you got cited on a survey or received a deficiency letter - Accreditation prep — you're going for CHAP, ACHC, or Joint Commission - Policy refresh — your P&P manual is out of date or doesn't match current state requirements - MCO contracting — you're licensed but can't get into the right managed care networks

Each of these is a different engagement. The consultation surfaces which one applies.

After the free consultation, we send you an invitation to your Client Portal, typically within a few business days. Inside the portal, you'll complete 4–5 onboarding tasks — confirming scope, providing the documents and details we need to get started, signing your service engagement, and processing your initial payment. Once those steps are done, we begin work on your project the same week and you'll see active deliverables moving through your portal in real time.

If your situation is genuinely urgent — a deadline-driven compliance issue, a CON application window closing, a license renewal at risk, a survey response due, or a Medicaid enrollment correction the state is waiting on — we can compress the front end and get tasks moving within 24 to 48 hours. What we can't compress is the state's side of the equation. Application review windows, MCO credentialing cycles, and surveyor schedules run on their own clock, and no consultant can shorten them. What we can do is make sure nothing on your side is what's holding the timeline up.

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.

The Engagement Process

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Three steps:

**Step 1 — Initial Consultation.** You book a free thirty-minute video call at waivergroup.com/videoappointment, or you fill out the Get Started form. We send an invitation to our Client Portal and follow up by phone. On the call, we confirm what you're trying to build, what state you're in, where you are in the journey, and what challenges you're anticipating.

**Step 2 — Invitation to Collaborate.** Based on the consultation, we update your portal and provide complimentary market research on your service type, location, applicable regulations, competitors, and branding considerations. Then we send a detailed scope of work outlining the engagement, with timeline and pricing.

**Step 3 — Engagement & Collaboration.** Once you complete the onboarding tasks in the portal, the engagement begins. From there it's active collaboration — we work on your licensing, enrollment, policies, training, whatever the scope calls for, and you track progress in the portal.

It's our project management environment, internally called WaiverStryms. You sign in and see all of your active tasks, the documents we've produced for you, the documents we need from you, the status of your applications, and our communication history.

It's where the engagement lives. It replaces what would otherwise be an unmanageable email thread. Once you're a client, you and your team get access; we use it to keep everyone aligned and to keep the audit trail clean.

Yes. Every engagement is assigned a primary consultant — usually a member of the Licensing & Certification team — and that person is your day-to-day point of contact. Behind them are specialists who handle specific tasks: documentation analysts, credentialing specialists, training developers.

Dave Logan, our Waiver Success Coordinator, has visibility across all client engagements and can step in if your primary contact is unavailable. So you're not bouncing between strangers — there's a clear human relationship.

It depends entirely on scope:

- A standalone policy and procedure manual project might be a few weeks - A from-scratch licensing engagement in a typical state runs 3 to 9 months until you have an active license - A complex Medicare-certified home health setup with accreditation can be 12 months or more - Multi-state expansion projects span as long as the expansion plan does - Compliance remediation projects can be intense and short — a few weeks of heavy work

The scoped proposal you receive after the consultation includes a realistic timeline for your situation.

No, and any consultant who guarantees regulatory approval should be viewed skeptically. Approval depends on the regulator's review, which is outside any consultant's control.

What we do guarantee is that the application package we produce is complete, accurate, internally consistent, regulation-compliant, and professionally presented — the things that are within our control and that, in practice, are the difference between approval and a deficiency letter.

We stand behind that work with a written guarantee. If your application is denied due to errors in documentation we produced — factual inaccuracies, missed regulatory requirements, or deficiencies traceable to our work product — we will rectify the issue at no additional cost and resubmit on an expedited timeline, or refund the applicable consulting fees.

The guarantee does not extend to denials caused by applicant-provided information, operational readiness issues, or state policy changes during review.

Our track record across hundreds of engagements speaks to the strength of this approach.

Responsiveness, mostly. Most engagements stall because of waiting on client materials — corporate documents, policies the client wants reviewed, signatures on state forms, copies of leases or floor plans, staff credentials.

We give you a clear task list in the portal, and the timeline assumes those tasks come back within a few business days. The other thing we ask for is honesty about your current state — if you have past licensure issues, ownership complications, or anything that could come up in a state's background review, we need to know up front so we can handle it strategically rather than reactively.

The Service Agreement spells out the cancellation terms specific to your scope. Generally, you can pause or end an engagement, with the financial settlement based on the work completed up to that point. If you have specific questions about an active engagement, those should go to Fatima Koroma on our business team — she handles contracts and billing.

You can track your progress in real-time through the Client Portal. The portal provides comprehensive tracking features including:

- Project status updates with detailed milestone tracking - Pending tasks & deadlines with automated reminders - Secure document uploads with version control - Direct messaging with consultants and support team - Historical timeline of all submissions and communications - Document checklist with completion status - Estimated completion dates for each phase

You will receive notifications and reminders for important updates through both email and the portal system.

Once you have signed the service engagement contract, your Assigned Consultant becomes your primary point of contact. Generally, you can reach us via:

📞 Phone: (302) 888-9172 (Monday-Friday, 8am-6pm EST) 📧 Email: licensing@waivergroup.com 💬 Live Chat: Available in the Client Portal 24/7

For the fastest assistance, use the portal messaging feature. During business hours, you can expect a response within 2-4 hours. For urgent matters outside business hours, we maintain an on-call support team.

Regulatory approvals take time, and each state has its own pace. We track all applications and follow up regularly with state agencies. Delays may occur due to:

- High state processing times — States often process hundreds of applications simultaneously, and review periods can vary from 30-90 days - Request for additional documents — States may require supplementary documentation, which can add 2-4 weeks - Background checks or additional compliance reviews - State system maintenance or updates - Policy changes or new requirements during the application process

If you haven't received an update, it's likely due to state processing delays. You can always track your progress in the Client Portal.

Pricing & Investment

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There isn't a flat rate, because what you need varies hugely by state, service type, and scope. A standalone policy manual is in a different range than full-service start-up support, which is in a different range than multi-state expansion.

The way we figure out the right number is the free thirty-minute video consultation: our team reviews your specific plan, then sends you back a scoped proposal with itemized pricing. That way you're paying for what you actually need, not a generic package.

A few things, yes. Our Massachusetts Assisted Living Residence (ALR) Policy Manual Package is fixed at $4,200 and includes 12 months of ongoing policy updates, with delivery typically within 24 to 48 hours through the Client Portal.

We also offer Market Intelligence Reports at a fixed cost — comprehensive competitive analysis, regulatory landscape assessments, and feasibility studies tailored to your specific service type and state.

Additionally, we have other fixed-price products that are state and service-type specific — those aren't all advertised publicly, but if you ask about a specific situation we can tell you whether there's a fixed-price option for it.

Yes, genuinely free. The thirty-minute video consultation is an actual working call, not a sales pitch. You walk through your situation with a member of our team, you get real feedback on what the path looks like for your service in your state, and we provide complimentary market research as a follow-up — covering your proposed service type, applicable state and federal regulations, competitor density, and branding considerations.

There's no obligation to engage afterward. Many of our long-term clients started with that consultation, and many people who book it ultimately decide to do something different and never engage us, which is also fine.

Yes — we offer flexible payment options to accommodate different budgets:

**Full Payment Discount:** - 10% off for payments above $5,000 - 7% off for payments between $3,000-$4,999 - Immediate access to all consulting services

**Payment Plan:** - 60% upfront initial payment - Remaining balance split over 30-60 days - No interest charges

**Premium Pay Later Option:** - No upfront payment required - Pay after license approval - 30% (15-20% on select services) premium on standard rates - Credit check required

All payment options include our money-back guarantee and unlimited email support.

Generally, professional consulting fees paid for the operation or establishment of a business are deductible as ordinary and necessary business expenses, but we are not your tax advisor, and you should confirm with your accountant. We can provide invoices and engagement documentation for whatever your tax preparer needs.

Most clients pay through Stripe — credit card, debit card, or ACH — invoiced through our billing system. Some clients prefer wire transfers or business ACH for larger payments; we can handle that through Wise Business. For specific payment instructions on an active engagement, contact Fatima Koroma on our business team.

We stand by our process with a 100% Money-Back Guarantee. If your application is denied due to consultant error, we will either:

- Rectify the issue at no additional cost and resubmit your application with priority processing - Refund applicable fees based on project scope

Please note: Refunds are not provided for verified state processing delays, client inaction, or non-compliance issues. We maintain a 98% first-time approval rate across all license types and states.

Yes! We offer a generous Referral Discount Program:

- A $500 service credit toward your next project - A 10% discount on future consulting projects for one year - Refer 3 or more clients and receive a 15% discount on all services

There's no limit to how many referrals you can make, and the rewards stack up with each successful referral.

Yes! We offer comprehensive Bundled Pricing when you combine services:

- Licensing + Medicaid Provider Enrollment — 15% savings - Licensing + Policies & Procedures — 12% savings - Policies & Procedures + Medicaid Provider Enrollment — 10% savings - Multiple state applications — up to 20% savings depending on number of states

The more services you combine, the greater your potential savings. Our bundled packages are customizable to meet your specific needs.

Yes! We proudly offer a 15% discount on certain provider services for veterans and active military personnel. This applies to all licensing assistance services, provider enrollment services, initial consultation fees, and policy and procedure development.

To qualify, simply provide valid military ID or DD-214 documentation. The military discount can be combined with certain bundled service packages for maximum savings.

About WCG

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We are a national healthcare compliance consulting firm. Our work centers on Medicaid waivers and home and community-based services — what people in the industry call HCBS. We help individuals and organizations launch new agencies, expand existing ones into new states or service lines, and stay compliant with the regulators and accreditors who oversee them.

Practically, that means we handle licensing applications, Medicaid and Medicare provider enrollment, MCO credentialing, accreditation through bodies like CHAP and ACHC, customized state-specific policy and procedure manuals, staff training infrastructure, and ongoing compliance support. We work in all fifty states, and our tagline — 'Start Any Program. In Any State.' — is the operating promise.

The Waiver Consulting Group was formally established in 2023, but the experience behind it goes back much further. Our senior partner has 20 years of direct work in the Medicaid waiver space, and our broader team brings 15 to 27 years of individual experience across HCBS licensing, compliance, accreditation, and provider enrollment.

What you're hiring isn't a brand — it's the institutional knowledge our team carries across multiple states and multiple administrations. That's what shows up in your licensing paperwork, policy manuals, your enrollment packets, and your audit responses.

Our Executive Officer is Dr. Michelle Gottlieb. The senior partner team includes Amara Kamara, who runs Licensing & Certification and is a CCEP-credentialed compliance professional. Huo Jin serves as Internal Counsel and Compliance Manager, holding both an MBA and a JD plus the CHCR credential. Fatima Koroma is our Business Development Manager and a registered nurse, and Dave Logan is our Waiver Success Coordinator who tracks active client engagements.

Behind that team is a wider group of licensing specialists, documentation analysts, credentialing specialists, regulatory analysts, and compliance auditors.

Our head office is in Philadelphia, at 1515 Market Street, Suite 1200. We also have an office in Bala Cynwyd, Pennsylvania, at 2 Bala Avenue, Suite 300.

But our work isn't bound by geography — we serve clients in all fifty states, and most of the engagement happens through our Client Portal and video consultations.

No, we're a consulting firm. We have internal counsel on staff who handles regulatory and compliance work for our engagements, but we don't practice law or provide legal representation. For matters that require an attorney — litigation, contract drafting outside of our scope, employment law disputes — we'll point you toward retaining your own counsel, and we're happy to work alongside them on the regulatory side.

Yes. Our compliance and licensing leadership hold credentials including the CCEP — Certified Compliance and Ethics Professional — and the CHCR, Certified Healthcare Compliance and Regulatory. Beyond credentials, our team includes RNs, MBAs, MPMs, MAIS, and JDs.

The credentialing matters because compliance work requires both clinical and regulatory fluency, and a fair amount of legal and operational chops as well.

Yes. We treat all client documentation through secure portals — our internal compliance management system, WaiverStryms, plus encrypted email and document delivery. That same standard of care applies to your personal information as the founder: identity documents, background check results, financial disclosures, ownership records, and residential addresses are stored in access-controlled systems, shared only with the team members assigned to your engagement, and never disclosed to third parties without your written authorization. We don't collect protected health information from individual patients because our clients are agencies, not patients. Where client documentation includes any participant-level information, we handle it under the same HIPAA-grade controls our agency clients use.

Medicaid waivers and HCBS are the center of gravity, but we routinely handle Medicare provider enrollment for home health and hospice agencies, private payer and commercial insurance credentialing, MCO contracting in states where Medicaid runs through managed care, and accreditation prep.

So if your business model touches Medicare-certified home health, dual-Medicare/Medicaid programs, or commercial insurance, we cover that territory too.

No, and this is an important distinction — we work with the providers, agencies, and organizations that deliver care, not with the individuals or families receiving it.

If you're looking for a home care agency, an ABA provider, a group home placement, or Medicaid services for yourself or a family member, the right resources are your state's Aging and Disability Resource Center (ADRC), your state Medicaid office, or 211 for community resources. We can't recommend specific provider agencies, but we can point you to the right starting place.

Most consulting firms in this space run on email, shared drives, and spreadsheets. We've built and licensed an institutional tech stack that lets us move faster, deliver more consistently, and give clients real-time visibility into their engagements.

**Core Platform Tools:**

- **WaiverStryms** — Internal Medicaid compliance intelligence platform with 50-state regulatory knowledge base, document generation workflows, PDF form-filling pipelines, and project management for every active engagement. - **Waiverlyn** — AI compliance assistant trained on Medicaid waiver regulations, HCBS settings rule guidance, state-specific provider requirements, and institutional knowledge base. - **Client Portal** — Real-time engagement tracking where you see active deliverables, review documents in progress, and communicate with your assigned team. - **Triage** — Intake and prioritization system that routes, categorizes, and assigns every new request, document review, and client message. - **Waiver Academy** — HCBS workforce training platform for staff training deliverables and credentialing support across client agencies. - **WaiverConnect** — Scheduling and intake system integrated with secure payment processing for consultations, deposits, and milestone billing. - **Waiver Marketplace** — Where finished deliverables (policy manuals, application packets, audit responses) are released with version control and access logging. - **WaiverMail** — Secured inbox command center, integrated with Gmail and tied directly to client engagement records.

**What this means for you:** faster turnarounds, fewer dropped balls, version-controlled deliverables you can actually find six months later, and a consulting partner whose infrastructure matches the regulatory environment you operate in.

Medicaid Waivers & HCBS

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Medicaid by default covers a defined set of services in defined settings — historically heavily skewed toward institutional care, like nursing homes. A "waiver" is a federal authority — most commonly under Section 1915(c) of the Social Security Act — that lets a state "waive" certain Medicaid rules so it can provide services in home and community settings instead.

In practice, waivers fund services like personal care, respite, supported employment, day habilitation, residential supports, and case management for people who would otherwise need institutional care. Each state designs its own waivers and gets them approved by CMS, so the services, eligibility, and rates vary state by state.

Home and Community-Based Services. It's the umbrella term for the kind of long-term services and supports that get delivered in someone's home or in community settings rather than in an institution. HCBS includes both waiver-funded services and some state plan services.

When industry people talk about "HCBS providers," they generally mean any agency delivering long-term services and supports outside a facility — home care agencies, group homes, day programs, supported employment providers, and so on.

State plan services are the standard Medicaid benefits a state offers to anyone eligible for Medicaid — things like physician visits, hospital stays, prescription drugs, and certain home health benefits.

Waiver services are extras, available only to people who meet specific waiver eligibility criteria (often institutional-level-of-care need) and only up to the slot limit the state has approved with CMS. From a provider perspective, the licensure and enrollment to deliver state plan services and waiver services can be quite different, and we handle both.

It's a CMS rule, finalized in 2014, that defines what qualifies as a "home and community-based" setting for the purposes of waiver funding. The rule pushed back against settings that were technically community-based on paper but operated like institutions in practice.

It requires features like integration into the broader community, individual choice in activities, the right to come and go freely, privacy, and freedom from coercion. For a residential provider, the practical impact is real: you have to demonstrate your setting is integrated, person-centered, and rights-respecting.

Many states have moved their Medicaid programs — including waivers — into managed care, where Medicaid contracts with managed care organizations (MCOs) who then pay providers from a capitated budget. Instead of billing Medicaid directly, you're billing an MCO like Amerigroup, Anthem, Centene, Molina, or a state-specific MCO.

To bill an MCO, you have to be credentialed with that MCO and contracted in their network. This means even after you're Medicaid-enrolled, you may need to go through MCO contracting separately for each MCO operating in your state. We handle MCO contracting as part of our enrollment work.

Most states have a waiver — often called the IDD Waiver, DD Waiver, or by a state-specific name — that serves people with intellectual or developmental disabilities, including autism. Some states have separate autism-specific waivers.

The services typically include residential supports, day programs, supported employment, respite, behavior support, and community integration. ABA is sometimes covered through these waivers, sometimes through state plan EPSDT (for kids), and sometimes through commercial insurance. The exact picture varies by state.

Most states have an Aged and Disabled Waiver (or similar), often run by the state's aging or long-term care agency, that funds services like personal care, respite, adult day care, home modifications, meal delivery, and personal emergency response systems.

Some states have separate Elder Waivers or more specialized waivers for medically fragile populations. The eligibility typically requires both Medicaid financial eligibility and a nursing-facility level of care determination.

About half the states have a Traumatic Brain Injury Waiver specifically, designed for people with brain injury who need community-based supports. The services often include skilled nursing, behavior support, supported living, cognitive rehabilitation, and supported employment.

States without a dedicated TBI waiver may serve this population through their general physical disability or aged-and-disabled waivers. Setting up a TBI provider agency requires understanding both the waiver structure and the clinical and behavioral expertise needed for the population.

Each state sets its own waiver rates, usually through a methodology approved by CMS. Some states use cost-based rate-setting, some use market-based methodology, some use legislatively set rates. The rates can change with state budget cycles and waiver renewal cycles.

As a provider, you don't negotiate rates with Medicaid — they are what they are — but you do choose which services to deliver and which states to operate in based partly on whether the rates work for your business model. Our market intelligence reports include rate analysis as part of the feasibility picture.

Medicare is the federal program for people 65 and older and certain younger people with disabilities. It's administered by CMS directly and the rules are uniform across the country.

Medicaid is a joint federal-state program for low-income individuals, with eligibility and benefits varying state by state. For HCBS providers, Medicare matters mainly for home health and hospice agencies — Medicare pays for short-term, post-acute home health, while Medicaid waivers tend to fund longer-term, ongoing services. Some agencies are dual Medicare/Medicaid.

Provider Types

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Most categories of provider in the Medicaid waiver and HCBS world. The core categories include:

- **Home and Community-Based Services** — personal care, home health, respite, adult day, transportation, meals, case management, assisted living - **Developmental & Intellectual Disability** — group homes, day programs, supported employment, ABA, specialized therapies - **Behavioral Health** — community mental health, substance abuse, IOPs, ACT teams, peer support - **Traumatic Brain Injury** providers - **Aging & Disability Resource Centers** - **Independent Living Centers** - **Personal Care Attendant** agencies

Whatever your model, the answer is almost always yes.

Yes. Home care is the most common service type our clients launch. The exact path depends on whether you're going non-medical (personal care, homemaker, companion) or medical (skilled nursing, home health).

Non-medical home care is licensed at the state level in most states. Medical home health, especially Medicare-certified, requires a more rigorous license and accreditation pathway and often involves Certificate of Need (CON) review in states that still require it. We handle both.

Yes. Group homes are typically licensed under your state's developmental disability or intellectual disability authority — for example, ODP in Pennsylvania (Chapter 6400 community homes), DDA in Maryland, OPWDD in New York.

The setup involves entity formation, license application, physical site approval, staff qualifications and training infrastructure, behavior support and individualized service planning policies, and waiver provider enrollment. The timeline typically runs six to twelve months from start to first approved resident.

Yes, and this category covers a lot of ground — community mental health centers, substance abuse treatment programs, IOPs, PHPs, ACT teams, CPST/PSR providers, MAT clinics, dual diagnosis programs.

Each state has its own behavioral health authority that licenses these services. Some require separate licensure for each level of care. Many require accreditation by COA, CARF, or Joint Commission for certain services. We work with you to figure out exactly which licenses you need.

Yes. Applied Behavior Analysis services are typically funded through a combination of state Medicaid (often through state plan EPSDT for kids), waiver programs, and commercial insurance.

The licensure and enrollment depend on the state — some require BCBA-led organizational credentialing, some require state-specific ABA agency licensure, and Medicaid enrollment varies. The big questions for ABA startups are credentialing your BCBAs and RBTs, getting empaneled with the right payers, and building documentation systems.

Yes. Assisted living regulation varies dramatically by state — different states use different terms (Assisted Living Residence, Residential Care Facility, Personal Care Home, etc.) with different size, staffing, and clinical requirements.

Some states fund assisted living through Medicaid waivers; some don't. Massachusetts ALR is one of our specialty areas — we have a fixed-price policy package for $4,200 specifically for Massachusetts ALRs. For other states, the engagement is scoped to your state's requirements.

Yes — Non-Emergency Medical Transportation. NEMT is funded through Medicaid as an administrative service, typically managed in each state by a transportation broker who contracts with provider transportation companies.

Setup involves the underlying transportation business (vehicles, drivers, insurance, dispatch), state DOT or PUC requirements, the NEMT broker contract, and Medicaid enrollment. Each state's broker is different — Veyo, MTM, Modivcare, LogistiCare — and each has its own credentialing.

Yes. Day habilitation programs serve adults with intellectual or developmental disabilities, providing structured programming during daytime hours focused on community integration, life skills, social engagement, and supported employment.

Licensure is typically through the state DD/ID authority, with HCBS Settings Rule compliance especially relevant given the non-residential community-integration requirements.

Probably yes — call us. Over twenty years we've worked with provider types ranging from supported employment programs to specialized pediatric medical day cares to TBI rehabilitation programs to peer support agencies.

The categories on our website are the most common, not the only ones. If your service touches Medicaid, waivers, or state-licensed healthcare, there's a good chance we've set it up before. If we haven't, we'll tell you honestly during the consultation.

Licensing & Enrollment

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They're two separate things, and you generally need both. A state license is the regulatory authority's permission to operate a particular kind of service in that state. Medicaid enrollment is the financial relationship that lets you bill Medicaid for the services you deliver.

You can have a license without being Medicaid-enrolled (you just won't get reimbursed by Medicaid), and in some service types you can't apply for Medicaid enrollment without already being licensed. The order matters and varies by state. We sequence these correctly as part of the engagement.

NPI stands for National Provider Identifier — a unique 10-digit number assigned by CMS that identifies a healthcare provider. There are two types: Type 1 is for individual providers (a nurse, doctor, or therapist), Type 2 is for organizations (an agency, clinic, or facility).

Most agencies need at least a Type 2 NPI for the organization, plus Type 1 NPIs for individual clinical staff who bill or render services. NPI registration is done through the CMS NPPES system, and it's typically one of the first administrative steps in launching an agency.

The Council for Affordable Quality Healthcare. CAQH ProView is a centralized credentialing platform used by most commercial insurance companies and many MCOs. Instead of filling out a separate credentialing application for every payer, you maintain a single CAQH profile and authorize each payer to access it.

For commercial insurance contracting, CAQH is essentially mandatory. We help clients set up and maintain their CAQH profiles as part of credentialing engagements.

It's the Medicare provider enrollment application. Different versions apply to different provider types: 855A for institutional providers like home health agencies and hospices, 855B for clinics and group practices, 855I for individual physicians and non-physician practitioners.

If you're going to bill Medicare, you're filing one of these. The application is detailed and unforgiving — small errors lead to development requests that delay enrollment for months. We handle these end-to-end.

CON stands for Certificate of Need — a regulatory mechanism that requires healthcare providers to demonstrate community need before they can establish or expand certain services. About 35 states have some form of CON law.

In CON states, you can't simply apply for a license — you have to first win a CON proceeding, which involves filing detailed need analyses, financial projections, and sometimes contested hearings. We handle CON applications and reviewability determinations as a specialty area, particularly in West Virginia, Georgia, North Carolina, and other active CON states.

It's the process of getting on the provider panel of a Medicaid managed care organization. Even after you're Medicaid-enrolled with the state, you have to be credentialed and contracted with each MCO to bill them.

The process typically involves a credentialing application (often through CAQH), proof of license and insurance, ownership disclosures, site visits in some cases, and contract negotiation. Each MCO has its own process and timeline.

It varies by state. Some states process new provider applications in a few weeks if everything is in order. Others can take three to six months. Add to that the MCO credentialing time if your state operates Medicaid through managed care.

The realistic expectation for most states is 90 to 180 days from a complete application to active billing capability, with some upside if you're in a faster state.

It happens regularly, even on well-prepared applications — regulators ask follow-up questions or want documentation clarified. The key is responding promptly and accurately. Slow or incomplete responses are how applications die.

As your consultant, we draft the responses with you, making sure we're addressing what the regulator is actually asking and not creating new problems. RFIs and development requests are a normal part of the process, not a sign your application is in trouble.

Accreditation

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Accreditation is voluntary recognition by a third-party body — like CHAP, ACHC, or The Joint Commission — that your organization meets a defined set of standards beyond minimum state licensure.

Whether you "need" it depends on your service type and state. Medicare-certified home health and hospice agencies are required to either be surveyed by their state's health department or be accredited. Many states increasingly require or prefer accreditation for behavioral health services. MCOs sometimes require it for network participation.

All three are CMS-approved accrediting organizations. CHAP — Community Health Accreditation Partner — focuses on community-based care, primarily home health, hospice, and home medical equipment. ACHC — Accreditation Commission for Health Care — covers a broader range including behavioral health and pharmacy. The Joint Commission is the oldest and largest, accrediting hospitals as well as behavioral health, home care, and ambulatory care.

The right choice depends on your service type, your state's preferences, your payers' preferences, and the cultural fit of the standards.

WCG is one of CHAP's preferred partners, which means our home health policies and procedures are pre-approved by CHAP. The practical benefit: when you go through your CHAP survey, the surveyors don't spend time evaluating whether your policies meet the standards — that's already established — so the survey runs roughly a day shorter.

It also means our P&P manuals start from a position the surveyor already accepts, which reduces preparation time on the front end.

For a startup agency going for initial accreditation, the typical timeline from engagement start to accreditation award is six to twelve months. The major phases are:

- Developing or refining policies and procedures (1-3 months) - Implementing operational systems the standards require (2-4 months running parallel) - Readiness period where you're delivering services and generating evidence (2-6 months) - The survey itself - Any required corrections before the formal award

Yes. Mock surveys are one of the most valuable services we provide. A mock survey simulates the real thing — our consultant works through a thorough document review and staff interviews and identifies gaps before the actual surveyor finds them.

It's far cheaper to find your problems through us than through a real surveyor.

Policies & Procedures

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For three reasons. First, it's legally required — virtually every state license and accreditor mandates that you have written policies covering specific operational areas. Second, it's the document a surveyor or auditor opens first, and a weak manual is a strong predictor of a deficiency-heavy survey.

Third, and most importantly, your manual is the operating manual for your business — the document that tells your staff how things are done, how decisions are made, how exceptions are handled. A real manual makes your agency more consistent, more defensible, and easier to scale.

Two reasons. First, every state's licensing rules cite specific statutes, regulations, and standards — and a generic manual will reference the wrong ones. When a surveyor opens your manual and sees citations to a different state's code, that's a citation right there.

Second, generic manuals tend to over-promise (committing the agency to things the regulations don't require) and under-deliver (missing things the regulations do require). A customized state-specific manual is calibrated to what your state actually expects.

A full manual is usually around 200 pages and covers:

- Governance and organizational structure - Human resources — recruitment, hiring, qualifications, background checks, training, supervision - Clinical operations — intake, assessment, service planning, service delivery, documentation - Quality assurance and quality improvement - Incident management — reporting, investigation, root cause analysis - Infection prevention and control - Emergency preparedness - Person-centered planning and rights protection - Behavior support and restrictive procedures (if applicable) - Medication management (if applicable) - Records management and confidentiality - Financial management and billing integrity - Compliance and ethics

Yes. Our manuals come with ongoing policy maintenance and updates — we monitor regulatory changes in your state and service type and push updates to your manual when something material changes.

The Massachusetts ALR package includes 12 months of updates as part of the $4,200 fixed price. For other engagements, ongoing maintenance is part of the scoped relationship.

Typical delivery is two to six weeks from engagement start, depending on complexity and how quickly you respond to information requests. The Massachusetts ALR package is faster — typical delivery is 24 to 48 hours through the Client Portal because the framework is pre-built and we're customizing for your specific entity.

Staff Training

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Yes. The Waiver Academy at waiveracademy.com is our online training platform, with curricula developed by licensed clinical and compliance professionals. We cover state-mandated topics — abuse and neglect, HIPAA, infection control, CPR/First Aid, medication administration, person-centered services, restrictive procedures — plus specialized content for specific service types and roles.

Courses for direct support professionals, caregivers, nurses, behavior support specialists, administrators, and board members. The catalog includes:

- State-mandated compliance training - Role-specific training (DSP fundamentals, medication administration, behavior support, person-centered planning) - Leadership development for agency owners and executives - Custom curricula tailored to your specific operation

Our curricula are designed to satisfy state and federal training requirements for the relevant jurisdictions. Different states have different specifics — required hours, required topics, required testing — and our courses are mapped against those requirements.

For state-specific verification, we can confirm during the consultation whether our training meets your state's exact requirements for your service type.

Yes — agencies typically purchase volume access for their entire staff. Pricing scales with the number of staff and the courses included. The platform tracks individual completion, generates certificates, and produces reports you can use for internal training records or to show surveyors.

Compliance & Audits

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Call us — quickly. Deficiency responses have hard deadlines, typically ten business days for the initial response. The response is a Plan of Correction that must identify the root cause of each citation, describe the corrective action, explain how the action will be implemented and monitored, and assign accountability.

The standard for an acceptable Plan of Correction is much higher than people realize. Our compliance team — led by Huo Jin — handles this kind of crisis routinely. Get us on the phone.

The surveyor (or team) arrives, often unannounced, and conducts an entrance conference. Then they review documentation — policies, personnel files, participant records, incident reports, training records, QA data. They observe operations. They interview staff and participants.

At the end they conduct an exit conference summarizing findings. A formal survey report follows, typically within a few weeks, and any citations require a Plan of Correction.

The recurring high-frequency citation areas include:

- **Incident reporting** — incidents not reported, reported late, or with insufficient detail - **Behavior support documentation** — plans missing, outdated, or not followed - **Medication administration** — errors, missing documentation, training gaps - **Person-centered planning** — plans not individualized or not updated - **Staff training** — not completed, not documented, or not population-specific - **Background checks** — missing, expired, or staff working before checks cleared - **HCBS Settings Rule** — restrictions on participant rights without proper documentation - **Supervision** — direct support staff working without required oversight

Yes — that's exactly what mock surveys and internal compliance audits are for. We review your operations against the standards your regulators or accreditors will use, identify gaps, and give you a remediation plan.

Better to find your problems on our schedule than on the state's. We do this both as a one-time engagement before a known survey window and as an ongoing relationship for clients who want regular compliance checks.

That's a true emergency that gets routed to Huo Jin immediately. License suspension and revocation typically follow either repeated deficiency findings without correction, or a single severe finding involving health and safety risk or fraud.

The defense involves a fast, comprehensive response that addresses the underlying concern, demonstrates immediate corrective action, and preserves your due process rights. If you're in this situation, do not call us at the end of the deadline — call us at the beginning.

Three things matter most:

1. **Documentation must reflect reality** — fabricated or "tidied up" records are easy to spot and convert a small problem into a big one 2. **Staff must know their basics** — what's the process for reporting an incident, how do I document a service, who's my supervisor, what's the person-centered plan for this individual 3. **Leadership must be present and engaged** during the survey, not hiding

A confident, well-prepared staff is the strongest signal a surveyor gets that your agency is well-run. Mock surveys are how you build that confidence.

State-Specific

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Yes — that's the foundation of our model. We've set up agencies in every state, and our internal knowledge base includes state-specific guides, regulatory citations, and contact-level relationships with state Medicaid offices and licensing authorities.

We have particularly heavy experience in Pennsylvania, New York, California, Texas, Florida, Maryland, Virginia, North Carolina, Georgia, Ohio, Wisconsin, Iowa, Indiana, Massachusetts, West Virginia, Kentucky, Louisiana, Oregon, Maine, and the Carolinas, among others.

California is its own ecosystem. For non-medical home care, the Home Care Services Bureau under the Department of Social Services licenses Home Care Organizations. For medical home health, you're looking at the Department of Public Health licensure plus Medicare certification through one of the accreditors.

CalAIM has reshaped Medicaid waiver-equivalent services into Community Supports administered by managed care plans. For developmental services, Regional Center vendorization is the path. The right next step is a consultation where we map your specific service type.

Texas home care licensing runs through HHSC — the Health and Human Services Commission. The license types are Licensed Home Health Services, Personal Assistance Services, and a combined LHHS/PAS license.

For Medicaid, most home care services are delivered through STAR+PLUS managed care, so you'll need to contract with the MCOs operating in your service area. Timelines are typically several months from application to license issuance.

Pennsylvania group homes for people with intellectual disabilities are licensed by ODP — the Office of Developmental Programs — under Chapter 6400 of the Pennsylvania Code.

The path involves becoming an ODP Qualified Provider, identifying and approving the physical site, staff qualification and training infrastructure, behavior support and individualized service planning, and waiver enrollment. Timeline is typically six to twelve months from start to first approved resident.

OPWDD — Office for People With Developmental Disabilities — is the state agency for people with intellectual and developmental disabilities. You typically need to become either an Approved Provider or use the Registered Provider subcontract pathway.

New York also has LHCSA — Licensed Home Care Services Agency — for home care, which involves a CON-style review of public need plus financial exhibits. Both pathways are areas we work in regularly.

Massachusetts ALR — Assisted Living Residence — is certified by the Executive Office of Elder Affairs. We have a specialty offering for Massachusetts ALRs: a fixed-price policy manual package at $4,200 that includes 12 months of ongoing policy updates and is typically delivered within 24 to 48 hours through the Client Portal.

For full ALR certification engagements going beyond just policies, we scope based on your specific situation.

West Virginia is a CON state, meaning Certificate of Need review is required before you can establish or expand certain healthcare services. The first step is often a reviewability determination — a formal request asking whether your specific project requires CON review. Some projects qualify for exemption.

Others require a full CON application with detailed need analysis, financial projections, and sometimes contested review. We handle both reviewability determinations and full CON applications.

Florida home care is licensed by AHCA — the Agency for Health Care Administration. The main license types are Home Health Agency (medical), Nurse Registry (referral model for nurses), and Home Care Aide License (personal care).

For Medicaid, home care services are delivered through Statewide Medicaid Managed Care Long-Term Care, so MCO contracting matters. Florida has one of the largest aging populations and a competitive market.

SCL — Supported Community Living — is one of Iowa's key Medicaid waiver services for people with intellectual disabilities and brain injuries. The provider enrollment process involves the Iowa HCBS Quality Assurance system and the QIO.

Iowa providers periodically receive QIO deficiency letters that require structured Plans of Correction with strict response windows. We support both initial Iowa SCL provider enrollment and remediation work for existing providers.

Wisconsin Medicaid is unusually rich, with 60+ provider types including HealthCheck, WIMCR, Comprehensive Community Services (CCS) and Community Support Programs (CSP), Food is Medicine, Supportive Housing, and an extensive HCBS waiver structure including Family Care, IRIS, and the children's long-term support system.

Where to start depends on what you want to provide and which population you want to serve. The consultation is the right way to map your idea to the right Wisconsin pathway.

Existing Clients

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For specific project status, the right person is your assigned consultant or Dave Logan, our Waiver Success Coordinator. Project status is tracked in real time in your Client Portal — log in to see your active tasks, completed deliverables, and any pending items.

You can also use our status tracking tools to monitor progress independently — check your overall project milestone completion, review completed deliverables with dates, track pending tasks and their deadlines, and view historical timelines of all submissions and communications.

If you're having trouble getting a status update, reach out and we'll make sure someone gets back to you the same business day.

You should have a login from when you first onboarded. The portal is internally called WaiverStryms. If you've lost your access or you're a new team member who needs access, contact our IT Manager Prakhar Khare at prakhar.khare@waivergroup.com and we'll get you set up.

You can also access the portal through our mobile apps available on iOS and Android, which provide real-time updates and notifications on the go.

It depends. Sometimes adding a service line is a small amendment to your existing engagement; other times it's substantial enough to be its own engagement. The right way to figure that out is to talk to your assigned consultant or get scoped through a fresh consultation.

Either way, you're not starting over from zero — we already have your operational picture.

Billing and payment questions go to Fatima Koroma on our business team. If you have specifics — invoice number, payment date, the question itself — let us know and Fatima will reach back. If it's urgent (a card declined, a payment that didn't process correctly), let us know and we'll flag it as time-sensitive.

We want to make it right. The path depends on the specific concern:

- **Responsiveness or work quality** — Amara Kamara on licensing matters, Huo Jin on compliance, or Dr. Gottlieb for executive escalation - **Billing concerns** — Fatima Koroma

Tell us what's going on and the right person will reach you, today if possible.

Absolutely not! Our consulting relationship extends well beyond initial licensure. We offer:

- **Ongoing compliance advisory** — monthly regulatory updates, policy reviews, staff training, documentation audits - **Audit and accreditation preparation** — mock surveys, documentation organization, staff interview preparation - **Marketing and operational support** — brand development, digital marketing, workflow optimization - **Provider enrollment and payor contracting** — MCO negotiations, Medicare/Medicaid enrollment, rate optimization

Many clients retain us for continuous consulting. The benefit includes priority access to our team, discounted rates on additional services, and proactive compliance monitoring.

While we don't directly provide clients, we do offer comprehensive marketing and branding services:

- Digital marketing strategies and website development - SEO optimization and social media management - Referral network building and local provider introductions - Networking event coordination - Contracting with Managed Care Organizations (MCOs) - Rate analysis and optimization

These services can be bundled with your licensing package or added later as your business grows.

Special Situations

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We understand, and we're glad you reached out. However, we're a consulting firm that helps the agencies who provide home care get licensed — we don't provide care directly and we don't maintain a referral list.

The best resources for finding a home care agency in your area are:

- Your state's Aging and Disability Resource Center (ADRC) - Your local Area Agency on Aging - Call 211 for community resources - Your state Medicaid office if Medicaid coverage may apply

No — and this is an important distinction. We work with the agencies that deliver Medicaid services, not with the individuals who receive them. To apply for Medicaid, contact your state's Medicaid agency directly. To apply for waiver services, your state will have an intake process.

Your state's ADRC, your state Medicaid office, or 211 can connect you to the right starting point.

Our two offices are both in Pennsylvania — at 1515 Market Street in Philadelphia and 2 Bala Avenue in Bala Cynwyd. But our work is national. Most engagements happen through video and the Client Portal, with in-person meetings only where they're actually useful.

Yes — we have multilingual capability on the team. Huo Jin speaks Mandarin. Other team members have West African and French language connections. If English isn't your first language and you'd be more comfortable in another language, let us know and we'll connect you with the right team member.

For positive feedback, the most useful place is Google reviews — search for "Waiver Consulting Group" — or LinkedIn. For service issues or concerns, the most direct path is feedback@waivergroup.com. We take feedback seriously and would rather hear about a problem from you than from a third-party review site.

Referrals are deeply appreciated — most of our long-term clients came through someone they knew. The simplest way to refer someone is to share waivergroup.com/videoappointment and ask them to mention your name when they book their consultation.

When a referral becomes a paying client, you receive a $500 service credit toward future work with us, plus a 10% discount on your next consulting project. There's no cap on how many people you can refer, and credits stack across referrals.

We track every referral personally — no forms to fill out, no points system to manage. We work hard to take care of the people our clients send our way, because your reputation is on the line when you make an introduction, and we treat that seriously.

Yes. We've worked with over 1,200 clients across all 50 states — individual practitioners launching their first agency, established group practices expanding into new service lines, multi-state healthcare organizations, and franchise systems standardizing operations across dozens of locations.

Upon request, we can connect you with providers who have completed engagements similar to yours — same state, same license type, or same service category — so the reference is actually relevant to what you're trying to do. We'll match the reference to your situation rather than handing you a generic list.

References can speak to the quality of our work, our responsiveness, how we handled the unexpected (because something always comes up), and what it's like to work with our team start to finish. We coordinate the introduction with the referring provider's permission, typically within a few business days of your request.

Support

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There are several ways to reach us depending on whether you're an existing client or exploring an engagement:

- **Phone:** (302) 888-9172 — Waiverlyn, our virtual assistant, answers 24/7. It reads the live project file and gives the verified caller an actual status update on the spot, can send a progress email, and can reopen a deactivated Client Portal. Human consultants are available Monday–Friday, 10am–4pm EST. - **Email:** licensing@waivergroup.com for licensing and enrollment questions; bills@waivergroup.com for billing - **Client Portal messaging:** The portal is open 24/7, but the messaging feature is not staffed around the clock — that's why we check it twice a day, at 10am and 3pm Eastern, and respond in the order messages were received. - **Free consultation:** waivergroup.com/videoappointment to book a thirty-minute video call

If you're already a client, the portal message is the path your assigned consultant sees directly.

Phone lines are answered 24/7 by Waiverlyn, our virtual assistant, while human consultants are available Monday through Friday, 10am to 4pm Eastern. The Client Portal is checked twice a day — at 10am and 3pm — and email is answered in the order received.

For urgent matters outside business hours — a compliance deadline, a survey response, a license at risk — we maintain an on-call support team. Flag the urgency in your message and the right person will be paged.

We check the Client Portal twice a day — at 10am and again at 3pm Eastern — and respond to messages in the order they were received. Phone calls are answered live during business hours.

Emails are answered in the order they're received — no more than 24 to 48 hours, even on weekends or during peak periods.

If you haven't heard back within one business day, something fell through — reach out again and ask for Dave Logan, our Waiver Success Coordinator, who tracks every active engagement and can make sure someone gets back to you the same day.

Call us right away at (302) 888-9172 and flag it as urgent. Compliance emergencies — a deficiency letter with a deadline, a survey finding, a license suspension threat — get routed immediately to Huo Jin, our Compliance Manager, who handles crisis response routinely.

Do not wait until the end of a deadline window to call. The earlier we're involved, the more options we have. If it's outside business hours, send an email to licensing@waivergroup.com marked URGENT and our on-call team will be paged.

For portal access problems, login issues, or technical glitches, contact our IT Manager Prakhar Khare at prakhar.khare@waivergroup.com. Include a short description of what's happening, what you expected, and any error message you saw.

If you've lost your portal access entirely or you're a new team member who needs to be added, Prakhar will get you set up.

Tools

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We've built a suite of platforms to support clients and providers throughout their engagement and beyond. Each one serves a distinct purpose in the WCG ecosystem:

- **Waiver Podcast** — Our podcast covering Medicaid waivers, HCBS, compliance, and the business of care delivery - **Watch & Launch** — Video library with walkthroughs, tutorials, and launch guidance for new agency owners - **Help Center** — This searchable FAQ and knowledge base - **Incubator** — Program supporting early-stage healthcare entrepreneurs building provider agencies - **Client Portal** — Real-time project tracking, document sharing, and communication for active engagements - **Waiver Marketplace** — Where finished deliverables (policy manuals, application packets, audit responses) are released with version control and access logging

We offer mobile applications so clients can stay connected on the go:

- **Waiver-On-The-Go** — Real-time engagement tracking, notifications, and Client Portal access from your phone. Available on both the App Store and Google Play. - **WaiverCare Pro** — An EVV (Electronic Visit Verification) and EHR (Electronic Health Record) app for active clients managing visit verification, clinical documentation, and service delivery. Available on both the App Store and Google Play.

Our consulting work is powered by proprietary platforms built and licensed for institutional-scale delivery. These tools are for **internal staff use only** and are not available to the public:

- **WaiverStryms** — Our proprietary SaaS platform for HCBS provider operations, with a 50-state regulatory knowledge base, document generation workflows, PDF form-filling pipelines, and project management for every active engagement - **WaiverMail** — Proprietary integrated communication and inbox management tool, tied directly to client engagement records - **Waiver Meet** — Secure video meeting platform for client consultations and internal collaboration

What this means for clients: faster turnarounds, fewer dropped balls, version-controlled deliverables you can actually find six months later, and a consulting partner whose infrastructure matches the regulatory environment you operate in.

Social Media

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We'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.

Didn't find your answer?

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licensing@waivergroup.com · Serving all 50 states

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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