Who we serve

Start Any Program.
In Any State.®

Eight provider categories. Fifty states plus the District of Columbia. Every one of them approves providers through a different agency, under a different name, in a different order. Find your category below — each guide maps the authority, the waiver, and the sequence for all 51 jurisdictions.

CoverageAll 51 jurisdictions
Experience20+ years in HCBS
Accreditation partnersCHAP · ACHC · The Joint Commission
The Waiver Consulting Group team at a provider conference booth

The WCG team — provider conference

Start here if you're not sure

Most providers don't fit in one box

Your provider type is defined by the state's service definitions, not by how you describe yourself. Three common cases:

You serve more than one population

An agency running both I/DD residential and behavioral health services usually needs two separate approvals from two separate authorities — and in some states, two separate entities.

Sort out which approvals apply →

Your state uses a different name

What one state calls supported living, another calls residential habilitation, and a third splits it into three billable services. The category matters less than the service definition you’ll qualify against.

Match your service to the definition →

You’re expanding into a new state

Approval in one state carries almost no weight in another. The provider type may be the same; the agency, the waiver, and the sequence generally are not.

Map the new state’s pathway →

Provider types

The eight categories we work in

Each guide covers the state-by-state authority table, the approval sequence, the service definitions, and the documentation set reviewers expect.

01Home & Community-Based Services (HCBS)The broadest waiver category — supports that let people with disabilities and older adults live in the community instead of an institution.Personal care · Home health · Respite · Adult day · Home modifications · Homemaker & chore · Transportation · Case management · Assisted livingTypically approved by State Medicaid agency or aging/disability division, often with a separate licensure body for in-home and residential services.02Intellectual & Developmental Disability ProvidersResidential, day, behavioral support, and employment services — usually the most heavily regulated category, with site-specific licensure on top of waiver qualification.Group homes · Supported living · Day habilitation · Prevocational · Supported employment · ABA · Behavioral supports · Specialized therapyTypically approved by A dedicated I/DD authority — ODP in Pennsylvania, OPWDD in New York, DODD in Ohio, Regional Centers in California — separate from the Medicaid agency.03Traumatic Brain Injury AgenciesCommunity-based programs for people living with acquired and traumatic brain injury — often a standalone waiver with its own provider standards.Rehabilitation · Brain injury centers · Community reintegration · Supported living · Cognitive rehab · Speech & language · Occupational therapyTypically approved by The state Medicaid agency under a dedicated TBI waiver, frequently with credentialing requirements for cognitive rehabilitation staff.04Independent Living CentersConsumer-controlled, cross-disability organizations delivering the federally required core services — a different funding and governance model from waiver providers.Skills training · Advocacy & self-advocacy · Transition services · Accessibility assessments · Disability rights education · Transition to employmentTypically approved by The state Independent Living Council and designated state entity, with ACL requirements including a majority-disability board — often alongside waiver contracts.05Personal Care Attendant AgenciesHands-on assistance with daily living, delivered through agency-directed or consumer-directed models — where EVV compliance and payroll structure decide viability.Consumer-directed · Private duty · Non-medical in-home · Fiscal intermediary · Attendant careTypically approved by The Medicaid agency, with home care licensure in many states and mandatory electronic visit verification before the first claim.06Aging & Disability Resource CentersThe no-wrong-door entry point for long-term services — information, options counseling, and coordinated access, usually contracted rather than licensed.Information & referral · Benefits counseling · Options counseling · Care coordination · In-home care · Housing assistance · Caregiver supportTypically approved by The State Unit on Aging through Area Agencies on Aging, generally by contract or subgrant rather than provider licensure.07Behavioral Health ProvidersMental health, substance use, and recovery-oriented services — where practitioner licensure, program certification, and payer credentialing all run in parallel.CMHCs · SUD treatment · Dual diagnosis · Outpatient counseling · ACT teams · IOP · Peer support · Psychiatric facilitiesTypically approved by The state behavioral health authority — in New York, OMH and OASAS operate as two separate licensing bodies with distinct applications.08Home Health & Home Care AgenciesClinical and non-clinical in-home care — the category where Medicare certification, accreditation, and state licensure most often intersect.Skilled nursing · Therapy services · Home health aide · Private duty nursing · Medicare certification · CON statesTypically approved by State health department licensure, with Medicare certification through an approved accrediting organization — and certificate of need in states that require it.
The Waiver Consulting Group team standing together beside the firm branded reception wall

Behind every category above

One team across all of these provider types

Whichever category you picked from the grid, the licensure filing, the waiver application, and the enrollment packet are handled by these people — in-house, in Philadelphia. Nothing is passed to a subcontractor you never meet, which is what the credentials below are there to back up.

See the stats →

What stays the same across all eight

The work doesn't change. The rulebook does.

  1. Pathway mappingWhich agency, which waiver, which sequence, and what has to be true before each filing.
  2. Entity and licensure preparationFormation, foreign qualification, site control, and the licensure application built to survive desk review without a request for information.
  3. Policy and procedure developmentManuals written to your state’s citations and describing how your agency actually operates — not a restatement of the regulation.
  4. Forms library and documentation setEvery policy given an operational artifact, cross-referenced so a surveyor can move from rule to policy to form without asking you for anything.
  5. Enrollment, credentialing, and contractingMedicaid enrollment plus the MCO, PIHP, county board, or Regional Center relationship that actually lets you bill.
  6. Survey readiness and ongoing complianceMock survey, plan of correction support, and policy maintenance as state rules change.

How we work

  • 51jurisdictions covered — every state plus the District of Columbia
  • 20+years working inside Medicaid waiver and HCBS programs
  • 3accreditation partners: CHAP, ACHC, and The Joint Commission
  • 1project portal where every deliverable, deadline, and document lives

See how we work →

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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