Homecare Startup Kit

7-Month Homecare Startup & Medicaid Waiver Program outline for Arizona, structured the way Coach Brown usually organizes coaching/mentorship programs.

It’s paced so participants can launch and begin Medicaid billing by Month 7.

 

 

 

 

🏡 7-Month Homecare Startup & Medicaid Waiver Coaching Program (Arizona)

 

 

 

Month 1 — Vision, Entity Setup & Market Positioning

 

 

• Clarify your mission, target population (seniors, disabled adults, veterans, etc.).
• Choose & register business structure (LLC, Corp), obtain EIN, state tax ID.
• Set up basic business systems (banking, bookkeeping, insurances).
• Market research: service gaps in your county/region, rate benchmarking.
• Deliverables: Business formation documents, startup checklist, mission/vision/values statement.

 

 

 

 

 

Month 2 — Compliance & Operations Infrastructure

 

 

• Arizona home care regulatory overview (non-medical vs skilled, fingerprint clearance, AHCCCS vendor setup).
• Liability & workers comp insurance requirements.
• Draft policies & procedures manual (HR, service delivery, QA, safety).
• Set up electronic recordkeeping & scheduling systems.
• Deliverables: Customizable P&P Manual + compliance checklist.

 

 

 

 

 

Month 3 — Human Resources & Training

 

 

• Recruiting caregivers, background checks, orientation/onboarding.
• Required staff training (CPR/First Aid, abuse/neglect prevention, HIPAA).
• Job descriptions, employee files, supervision/discipline policy.
• Mock HR audit prep.
• Deliverables: Staff handbook, job descriptions, onboarding packet.

 

 

 

 

 

Month 4 — Medicaid Waiver Provider Application

 

 

• Deep dive on Arizona’s AHCCCS/ALTCS & HCBS waiver system.
• Step-by-step: creating your provider profile, gathering required attachments (insurance, P&P, financials).
• Completing and submitting the Medicaid Waiver (HCBS) provider application.
• Setting up secure payer portals & credentialing follow-up.
• Deliverables: Completed waiver application package + submission checklist.

 

 

 

 

 

Month 5 — Billing, Documentation & QA Systems

 

 

• Service codes & reimbursement rates for personal care, attendant care, respite, habilitation.
• Timesheets, visit verification, EVV (Electronic Visit Verification) compliance.
• Billing workflow: claims, remits, denials/appeals.
• Quality Assurance/Performance Improvement (QAPI) setup.
• Deliverables: Billing SOP + EVV workflow template + QA plan.

 

 

 

 

 

Month 6 — Marketing, Referrals & Partnerships

 

 

• Building referral streams: case managers, discharge planners, Area Agencies on Aging, VA contacts.
• Branding: logo, website, social media plan, brochures.
• Networking with senior centers, rehab, hospitals, insurance reps.
• Pricing private pay vs Medicaid to maximize revenue.
• Deliverables: Marketing packet (flyer, intake/referral forms, pitch script).

 

 

 

 

 

Month 7 — Launch, Scale & Audit Readiness

 

 

• Final pre-launch compliance review & mock survey.
• Setting KPIs (client census, caregiver retention, revenue).
• Expansion planning: adding additional waiver services or other payers (Medicare Advantage, VA).
• Preparing for first state audit/site visit.
• Deliverables: Launch checklist, 90-day growth plan, audit prep binder.

 

 

 

 

 

Program Extras

 

 

• Live group calls + Q&A with Coach Brown each month
• Document templates (policies, HR, billing forms, marketing)
• Medicaid waiver application review & feedback
• Private peer community / accountability group
• Launch “hot seat” at Month 7 to finalize and troubleshoot