Start-up guidance · new HCBS provider agencies
Becoming a Medicaid provider is three separate approvals, not one: entity formation and state licensure or certification, Medicaid provider enrollment (CMS-855B or the state equivalent through the Medicaid portal), and waiver or managed-care contracting. We complete each step in the required order — typically 12 to 28 weeks depending on the state agency's processing queue — and deliver the policy manual, forms, and personnel files a first survey requires.
Complete start-up services
Our framework covers every aspect of launching a successful Medicaid waiver provider agency.
Establish a rock-solid legal foundation for sustainable growth.
Navigate complex regulations with expert guidance.
Secure provider status and maximize reimbursement.
Build an audit-ready operational framework.
Develop a skilled, certified, compliant workforce.
Build brand awareness and generate qualified referrals.
For every entrepreneur
Turnkey solutions designed to meet you where you are and take you where you want to go.
Turn your vision into reality with zero healthcare experience required. Education, hands-on guidance, and mentorship from launch through your first year of operations.
Leverage your clinical expertise while we handle the business complexity. Our streamlined process removes bureaucratic delays and gets you operational roughly 40% faster.
Start-up packages
Starting fresh or expanding — there's a package matched to your goals.
Everything you need to get started with your first healthcare agency.
Comprehensive support for entrepreneurs serious about success.
The white-glove turnkey solution for serious entrepreneurs.
Need something tailored? We'll build a custom package around your state, service types, and budget.
How the start-up work begins
Before anything is filed, we sit down with you the way you see here: which state, which service, what you already have, and what the approving agency will ask for. That session is what sets the sequence and timeline you'll follow through the journey below.
See the start-up journey →Your journey
A proven six-step process takes you from concept to a fully operational agency in 12–28 weeks.
We learn about your vision, goals, and experience level to recommend the best path forward.
Our experts create a customized roadmap based on your state requirements and target services.
We establish your legal entity, secure your EIN, and set up your business foundation.
We handle all state licensing applications and Medicaid provider enrollment paperwork.
Your custom policies are developed and your team receives comprehensive training.
Your agency goes live with ongoing support to ensure a successful start.
Why turnkey?
Why hundreds of entrepreneurs choose the complete solution over costly trial and error.
The average DIY start-up takes 18+ months and costs $15,000+ in mistakes.
One team, one sequence, and a launch date you can plan around.
Reference
Each category below answers the regulatory questions that come up during this service, with agency names, form numbers, and sequence.
I want to start an agency but I don't know where to begin. Can you help?
Read the answers →
8 questionsWhat's the difference between a license and a Medicaid enrollment?
Read the answers →
10 questionsHow much does it cost to work with WCG?
Read the answers →
10 questionsHow does your process work, end to end?
Read the answers →
Related services
Most engagements combine two or three of these. Follow the one that matches where you are.
The five approvals between licensure and your first paid claim.
Design the service line to the state definition before you build to it.
Survey readiness before the first surveyor arrives.
Pick your state and service to see the pathway.
Get started
Book a free discovery call and leave with a state-specific sequence, timeline, and package recommendation.
licensing@waivergroup.com · Serving all 50 states
Thirty minutes, free, with someone who understands the pathway. You'll leave with the agency, sequence, and a realistic timeline.
