_edited.png)
OUR SERVICES
OUR SERVICES
The Help You Need. When You Need It.
Click on each service for a detailed description
OUR SERVICE ON MEDICAID WAIVER
START-UP GUIDANCE SERVICE
PACKAGE FOR NEW ENTERPRENUERS
Our Start Up Assistance services are designed to support and guide entrepreneurs who are interested in launching their own waiver-funded healthcare agency. We understand that starting a new venture can be daunting, which is why we offer comprehensive assistance throughout the entire startup process.
Initial Planning
What You Get:
-
Market research to identify opportunities and assess the demand for waiver-funded healthcare services in your target area.
-
Defining your agency's unique value proposition and developing a compelling business concept.
-
Assisting with the creation of a comprehensive business plan that outlines your goals, target population, services, and financial projections.
Licensing, Provider Enrollment, and Accreditation
What You Get:
-
Guidance through the licensing and accreditation process specific to your state or region.
-
Development of policies and procedures, operational forms and templates.
-
Complete preparation and submission of applications, ensuring compliance with all regulatory requirements.
-
Provision of ongoing support and advice to help you meet the necessary qualifications for participation in waiver programs.
Operational
Setup
What You Get:
-
Guidance on the establishment and quality management of administrative systems, policies, and procedures to ensure smooth operations from the start.
-
Support with the development of operational workflows, documentation templates, and quality assurance protocols.
-
Guidance on staffing requirements, recruitment strategies, and training programs to build a skilled and competent team.
Marketing & Branding
What You Get:
-
A tailored marketing strategy to promote your agency and attract clients.
-
Complete brand development, including logo design, website creation, and marketing collateral.
-
Guidance on marketing tactics, digital presence, and community outreach to raise awareness and generate referrals.
Compliance & Regulatory Support
What You Get:
-
Our assurance, backed by 20 years of experience, to align your agency with all regulatory and compliance requirements specific to waiver-funded healthcare services in your State.
-
Development of policies and procedures that align with industry standards and regulatory guidelines.
-
Ongoing guidance on compliance audits, documentation, and reporting to maintain regulatory compliance.
PROVIDER ENROLLMENT SERVICE
PACKAGE FOR PROVIDER TYPES
Provider enrollment is the process of enrolling a provider with insurance payers so that they can request payment from those payers.
Provider credentialing is typically done before a healthcare provider is allowed to participate in an insurance network. Provider enrollment is done after a healthcare provider has been approved to participate in an insurance network. Provider credentialing ensures claims don't get denied. Provider enrollment establishes the provider's eligibility to bill a particular payer.
MEDICAID PROVIDER ENROLLMENT
What You Get:
-
MEDICAID APPLICATION PREPARATION: We help clients complete and submit the necessary Medicaid provider applications, ensuring that all required information is accurate and up-to-date.
​
-
FOLLOW-UP COMMUNICATION: We liaise with Medicaid agencies on behalf of our clients, facilitating communication and addressing any inquiries or requests for additional information during the enrollment process.
​
-
PROVIDER CREDENTIALING: We assist clients in the credentialing process, which may involve verification of qualifications, background checks, and ensuring compliance with Medicaid provider standards.
​
-
MEDICAID BILLING SETUP: We help clients set up their billing systems and procedures to ensure accurate and efficient claims processing and reimbursement.
​
-
MEDICAID COMPLIANCE: We provide guidance on Medicaid compliance requirements, helping clients understand and meet the regulatory standards necessary for provider enrollment.
​
-
PROVIDER EDUCATION: We offer training and education to help clients stay informed about changes in Medicaid regulations and requirements.
MEDICARE PROVIDER ENROLLMENT
What You Get:
-
MEDICARE APPLICATION ASSISTANCE: We guide clients through the Medicare provider application process, ensuring all necessary forms are completed accurately and submitted on time.
​
-
DOCUMENT PREPARATIOIN: We help gather and organize the required documents and credentials, such as licenses, certifications, and insurance, to meet Medicare's standards.
​
-
COMPLIANCE GUIDANCE: We ensure that healthcare agencies are compliant with all Medicare regulations and requirements, including the Centers for Medicare & Medicaid Services (CMS) guidelines.
​
-
REDENTIALING SUPPORT: Our team assists with the credentialing process, including the enrollment of individual healthcare providers to ensure they can bill Medicare for services.
​
-
BILLING SYSTEM SETUP: We help clients establish effective billing systems and procedures to submit claims to Medicare accurately and efficiently.
PRIVATE PAYER/INSURANCE ENROLLMENT
What You Get:
-
INSURANCE VERIFICATION: We help healthcare agencies determine which private insurance payers they should enroll with based on their services and target patient population.
​
-
APPLICATIOIN ASSISTANCE: We guide clients through the application process for each selected private insurance payer, ensuring all required forms and documents are completed accurately and submitted on time.
​
-
CREDENTIALING SUPPORT: We assist with the credentialing process, ensuring that individual healthcare providers within the agency are properly enrolled with private payers to bill for services.
​
-
DOCUMENT PREPARATION: We help gather and organize the necessary documents and credentials, such as licenses, certifications, and insurance, to meet each private payer's standards.
​
-
COMPLIANCE GUIDANCE: We ensure that healthcare agencies are compliant with the specific requirements and regulations of each private insurance payer.
​​
-
BILLING SYSTEM SETUP: Our team helps clients establish effective billing systems and procedures to submit claims to private payers accurately and efficiently.
ACHC ACCREDITATION
What You Get:
-
INITIAL ASSESSMENT: We conduct a comprehensive assessment of the healthcare agency's current operations and policies to identify areas that need improvement to meet ACHC standards.
​
-
POLICY & PROCEDURE DEVELOPMENT: We assist in the development and customization of policies and procedures to align with ACHC accreditation standards.
​
-
STAFF TRAINING: We provide training programs for agency staff to ensure they understand and can implement ACHC compliance requirements effectively.
​
-
MOCK SURVEYS & READINESS REVIEW: We conduct mock surveys and readiness reviews to prepare healthcare agencies for the official ACHC accreditation survey.
​
-
DOCUMENTATION REVIEW: We review and organize all required documentation, ensuring it meets ACHC standards for submission.
​
-
ACCREDITATION APPLICATION ASSISTANCE: We assist in completing the accreditation application, ensuring that all necessary information is included.
​
-
ONSITE SURVEY PREPARATION: We help healthcare agencies prepare for the onsite survey conducted by ACHC surveyors.
​
-
SURVEY SUPPORT: We offer support during the official accreditation survey, assisting in responding to surveyor inquiries and addressing any concerns.
​
-
CONTINUOUS COMPLIANCE MONITORING: We provide ongoing support to maintain compliance with ACHC standards after accreditation is achieved.
​
-
CORRECTIVE ACTION PLANS: If deficiencies are identified during the survey, we assist in developing and implementing corrective action plans to address them.
​
-
ACCREDITATIOIN RENEWAL: We help agencies prepare for the renewal of their ACHC accreditation, ensuring continued compliance.
THE JOINT COMMISSION ACCREDITATION
What You Get:
-
INITIAL ASSESSMENT: We conduct a thorough assessment of the healthcare agency's current operations and policies to identify areas that need improvement to meet The Joint Commission standards.
-
POLICY & PROCEDURE DEVELOPMENT: We assist in the development and customization of policies and procedures to align with The Joint Commission's accreditation standards.
-
STAFF TRAINING: We provide training programs for agency staff to ensure they understand and can implement The Joint Commission's compliance requirements effectively.
-
MOCK SURVEYS & READINESS REVIEWS: We conduct mock surveys and readiness reviews to prepare healthcare agencies for the official Joint Commission accreditation survey.
-
DOCUMENTATION REVIEW: We review and organize all required documentation, ensuring it meets The Joint Commission's standards for submission.
-
ACCREDITATIOIN APPLICATION ASSITANCE: We assist in completing the accreditation application, ensuring that all necessary information is included.
​
-
ONSITE SURVEY PREPARATION: We help healthcare agencies prepare for the onsite survey conducted by Joint Commission surveyors.
-
SURVEY SUPPORT: We offer support during the official accreditation survey, assisting in responding to surveyor inquiries and addressing any concerns.
​
-
CONTINUOUS COMPLIANCE MONITORING: We provide ongoing support to maintain compliance with The Joint Commission's standards after accreditation is achieved.
-
CORRECTIVE ACTION PLANS: If deficiencies are identified during the survey, we assist in developing and implementing corrective action plans to address them.
​
-
ACCREDITATION RENEWALS: We help agencies prepare for the renewal of their Joint Commission accreditation, ensuring continued compliance.
Program Development For Medicaid Waiver Services
PACKAGE FOR PROGRAMS ALREADY IN OPERATION
Our Program Development services are designed to assist individuals and agencies in designing and developing effective programs that align with their vision and goals. Whether you are looking to expand your services, increase service utilization, or improve and add on to an existing system, our team is here to support you. We offer a comprehensive range of services to optimize service delivery, ensure regulatory compliance, and enhance the overall effectiveness of your programs.
Needs Assessment/ Program or Service Audit
What You Get:
-
Comprehensive needs assessment or program audit to understand the specific requirements for improvement or internal deficiency as well as evaluation of the effectiveness of existing programs or services.
-
Analysis of data, conducting interviews, and gathering feedback from stakeholders to gain insights into service gaps, areas for improvement, and emerging needs.
-
Identification of opportunities for innovation, expansion, or enhancement based on the findings of the assessment or audit.
Program Design & Planning
What You Get:
-
Clear definition of program objectives, outcomes, and performance indicators that align with your organization's mission and strategic goals.
-
Development of a customized program design that addresses identified needs, incorporates evidence-based practices, and optimizes service delivery.
-
Creation of a detailed implementation plan with timelines, resource requirements, and a framework for monitoring and evaluation.
Regulatory Compliance & Quality Management
What You Get:
-
Our assurance, backed by 20 years of experience, to align your program with all regulatory requirements and standards set by relevant authorities.
-
Implementation of a comprehensive review of policies, procedures, and documentation to ensure compliance and adherence to industry best practices.
-
Implementation quality assurance mechanisms, including regular audits, evaluations, and performance monitoring, to ensure consistent and high-quality service delivery.
Resource Development & Partnership Building
What You Get:
-
Assistance with identifying and securing funding opportunities to support program development, expansion, or improvement.
-
Facilitation partnerships and collaborations with community organizations, healthcare providers, and stakeholders to enhance service integration and access.
-
Supporting you in developing strategic alliances, referral networks, and partnerships to maximize resources and improve outcomes.
Implementation Supports & Training
What You Get:
-
Guidance and support during the implementation phase to ensure a smooth transition and successful program launch.
-
Offering training programs and workshops to equip staff and stakeholders with the necessary knowledge and skills to effectively implement and deliver program services.
-
Providing ongoing support, consultation, and troubleshooting to address any challenges or issues that may arise during program implementation.
Compliance Advisory Service For Medicaid Waiver Services
PACKAGE FOR ALL PROGRAMS
Our Compliance Advisory service is designed to support owners, managers, and agencies in navigating the complex regulatory landscape. We understand the challenges of maintaining compliance with state and federal regulations, and we are here to provide comprehensive assistance.
Regulatory Guidance
What You Get:
-
Keeping abreast of the latest regulatory updates and changes in the industry to provide you with accurate and up-to-date guidance.
-
Interpreting and explaining complex regulations in a clear and understandable manner, ensuring you have a solid understanding of your compliance obligations.
-
Assisting in identifying the specific regulations that apply to your agency and developing a compliance roadmap tailored to your unique needs.
Compliance Assessment/ Internal Audit
What You Get:
-
Conducting thorough compliance assessments to identify areas of non-compliance and potential vulnerabilities.
-
Reviewing your policies, procedures, and documentation to ensure they align with regulatory requirements.
-
Identifying gaps and recommending appropriate corrective actions to bring your agency into full compliance.
Compliance Planning & Implementation
What You Get:
-
Developing customized compliance plans and strategies that outline step-by-step actions to achieve and maintain compliance.
-
Assisting in the implementation of compliance initiatives, including policy and procedure development, training programs, and documentation management systems.
-
Providing tools and resources such as audit templates, regulatory checks, quality assurance forms, and more to support your compliance efforts.
Ongoing Compliance Support
What You Get:
-
Offering ongoing support and guidance to address any compliance concerns or questions that arise.
-
Conducting regular compliance reviews and audits to ensure ongoing adherence to regulations.
-
Assisting with the development of internal monitoring and quality assurance processes to maintain compliance on an ongoing basis.
Regulatory Documentation & Reporting
What You Get:
-
Assisting in the development and maintenance of regulatory documentation, including policies, procedures, and compliance records.
-
Providing guidance on reporting requirements and assisting with the preparation of necessary reports to regulatory agencies.
-
Ensuring that your agency's documentation and reporting processes align with regulatory standards and meet the necessary deadlines.
Training & Professional Development Service For Medicaid Waiver Providers
PACKAGE FOR ALL PROGRAMS
Our Training and Professional Development services are specifically designed to empower agency staff and management with the knowledge and skills necessary to excel in their roles. We recognize the importance of continuous growth and development in the ever-evolving healthcare industry.
Training Needs Assessment
What You Get:
-
Conducting a comprehensive assessment of your agency's training needs, identifying areas where skill enhancement and knowledge development are required.
-
Gathering feedback from staff, management, and stakeholders to understand specific training requirements and desired outcomes.
-
Analyzing regulatory requirements and industry best practices to ensure training programs align with current standards.
Customized Training Programs
What You Get:
-
Designing and delivering customized face-to-face and online training programs tailored to the unique needs of your agency.
-
Developing training modules and materials that cover a wide range of topics, including compliance, regulatory updates, best practices, leadership development, and specialized skills.
-
Incorporating interactive and engaging training methodologies to enhance participant learning and retention.
Compliance Training
What You Get:
-
Providing comprehensive training on regulatory compliance, ensuring staff and management have a thorough understanding of the relevant rules and regulations.
-
Covering topics such as HIPAA compliance, documentation standards, ethical considerations, and risk management.
-
Equipping participants with the necessary tools and knowledge to maintain compliance in their daily operations.
Staff Development
What You Get:
-
Offering professional development programs to enhance the skills and capabilities of agency staff across various roles and functions.
-
Providing training on effective communication, customer service, cultural competency, teamwork, and conflict resolution.
-
Fostering personal growth and professional advancement through skill-building workshops and coaching sessions.
Leadership Development
What You Get:
-
Developing leadership training programs to empower managers and supervisors with the necessary skills to effectively lead and inspire their teams.
-
Covering topics such as strategic planning, performance management, effective communication, and change management.
-
Providing tools and resources to support leadership development, including mentoring programs and executive coaching.
Online Training Platform
What You Get:
-
Offering access to our comprehensive online training platform, which provides convenient and flexible learning opportunities for agency staff.
-
Providing a library of training resources, including e-learning modules, videos, webinars, and downloadable materials.
-
Tracking and reporting capabilities to monitor staff training progress and compliance.
Marketing & Branding Service For Medicaid Waiver Providers
PACKAGE FOR ALL PROGRAMS
Our Marketing and Branding services are designed to help waiver-funded agencies establish a strong presence in the industry and effectively reach their target audience. We recognize the significance of effective marketing strategies and compelling branding in driving awareness, attracting clients, and fostering credibility.
Marketing Strategy & Planning
What You Get:
-
Conducting a thorough analysis of your agency's target audience, competition, and market trends to develop a comprehensive marketing strategy.
-
Defining clear marketing objectives and key performance indicators to measure the success of your marketing efforts.
-
Creating a customized marketing plan that outlines the specific tactics, channels, and messaging to effectively promote your agency's services.
Brand Development & Positioning
What You Get:
-
Assisting in the development of a strong and compelling brand identity that resonates with your target audience.
-
Defining your agency's unique value proposition and positioning in the market to differentiate from competitors.
-
Creating brand guidelines that ensure consistency across all marketing materials and touchpoints.
Messaging & Content Development
What You Get:
-
Crafting compelling and persuasive messaging that effectively communicates the value and benefits of your agency's services.
-
Developing content for various marketing channels, including website copy, social media posts, blog articles, and marketing collateral.
-
Ensuring that your messaging aligns with your agency's brand and resonates with your target audience.
Website Development & Optimization
What You Get:
-
Designing and developing a professional, user-friendly, and visually appealing website that showcases your agency's services and expertise.
-
Optimizing your website for search engines (SEO) to improve visibility and organic traffic.
-
Ensuring your website is mobile-responsive, fast-loading, and provides a seamless user experience.
Social Media Presence
What You Get:
-
Creating and managing social media accounts on relevant platforms to engage with your target audience and build brand awareness.
-
Developing a social media content strategy and calendar to consistently share valuable and engaging content.
-
Monitoring and responding to social media interactions, comments, and inquiries to maintain a strong online presence.
Marketing Collateral & Materials
What You Get:
-
Designing and producing professional marketing materials, such as brochures, flyers, business cards, and presentations, that effectively represent your agency's brand.
-
Ensuring your marketing materials are visually appealing, informative, and aligned with your agency's messaging.
MEDICAID WAIVER PROVIDER TYPES WE WORK WITH
At Waiver Consulting Group, we take pride in our diverse range of clients within the Medicaid Waiver provider landscape. We understand that each provider type comes with its unique challenges and opportunities, and our expertise is tailored to meet the specific needs of our valued clients. Whether you're established in your field or seeking to embark on a new venture, our dedicated team is here to guide you through every step of your journey in the Medicaid Waiver program.
1. Personal Care Agencies
2. Home Health Agencies
3. Respite Care Providers
4. Adult Day Care Centers
5. Home Modifications and Assistive Technology Providers
6. Homemaker and Chore Services
7. Transportation Services
8. Meals and Nutrition Services
9. Case Management Agencies
10. Independent Living Centers​
11. Residential /Community (Group) Homes
1. Residential Group Homes
2. Community Living Supports
3. Day Programs or Day Habilitation Centers
4. Vocational Rehabilitation Services
5. Behavior Therapy and Applied Behavior Analysis (ABA) Providers
6. Specialized Therapy Providers
7. Case Management Agencies
8. Respite Care Provider
9. Assistive Technology Providers
10. Advocacy and Support Organizations​
1. Information and Referral
2. Benefits Counseling
3. Long-Term Care Options Counseling
4. Care Coordination
5. In-Home Care Services
6. Transportation Assistance
7. Housing Assistance
8. Caregiver Support and Respite Services
9. Health and Wellness Programs
10. Assistance with Waiver Programs​
1. Rehabilitation Centers
2. Brain Injury Centers
3. Community Reintegration Programs
4. Supported Living Arrangements
5. Cognitive Rehabilitation Programs
6. Speech and Language Therapy
7. Occupational Therapy Services
8. Case Management Services
9. Support and Advocacy Organizations​
1. Home Care Agencies
2. Private Duty Agencies
3. Medicaid Waiver Programs
4. Consumer-Directed Programs
5. Disability Services Organizations
6. Home Health Care Agencies
7. Hospice Agencies
8. Independent Living Centers​
1. Community Mental Health Centers
2. Substance Abuse Treatment Centers
3. Dual Diagnosis Treatment Centers
4. Outpatient Counseling Centers
5. Psychiatric Facilities
6. Case Management Agencies
7. Assertive Community Treatment (ACT) Teams
8. Intensive Outpatient Programs (IOPs)
9. Peer Support Programs​
Contact Us
Our Start Up Assistance services are designed to empower you with the knowledge, resources, and support needed to successfully launch your waiver-funded healthcare agency.