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Consulting · Waiver Applications

Medicaid Waiver Applications in All 50 States

WCG's expert consultants guide healthcare providers through every step of the Medicaid waiver application process — from state selection and program design to submission and approval.

Medicaid Waiver Applications in All 50 States

Who We Help

Built for Every Stage of Growth

First-Time Agency Owners

New Entrepreneurs

Transform your vision into a fully operational Medicaid waiver agency — no prior healthcare experience required. We provide comprehensive education, hands-on guidance, and ongoing mentorship from concept through your first client.

  • Complete industry training & education
  • Step-by-step launch roadmap
  • Business formation & entity setup
  • Ongoing mentorship & support

Expanding Into New Programs

Experienced Operators

Already operating a healthcare business? Expand your reach with new waiver programs, additional states, or new service lines. We fast-track your expansion using your existing infrastructure.

  • Parallel multi-state applications
  • New waiver program access
  • Rate optimization strategies
  • Reduced timeline vs. new applicants

Complete Launch Services

Six Pillars of Agency Launch

Our comprehensive startup framework covers every aspect of launching a successful Medicaid waiver service provider agency.

Business Formation

Legal foundation for sustainable growth

LLC or Corporation setup
EIN & federal registrations
Business banking & merchant setup
Operating agreements & bylaws
Insurance planning & risk protection

Your Roadmap

Your Launch Roadmap: A Structured 28-Week Process

Our expert-guided process takes you from discovery to serving your first client in 16–28 weeks — while we manage state approval timelines in parallel.

Weeks 1–2

Discovery & Planning

Comprehensive needs assessment, state selection, service model design, and launch roadmap development.

Weeks 3–6

Business Formation

Entity formation, EIN, banking setup, insurance, and all foundational registrations completed.

Weeks 5–12

Licensing & Enrollment

State license application submission, Medicaid provider enrollment, and waiver program access.

Weeks 8–16

Policies & Compliance

Custom policy manuals, HIPAA program, employee handbook, and quality assurance systems.

Weeks 12–20

Staff & Training

DSP training programs, supervisor development, documentation systems, and certification tracking.

Weeks 16–28

Launch & Growth

Marketing launch, referral network activation, client intake, and first client onboarding.

What We Do

End-to-End Waiver Application Support

Our team has successfully navigated hundreds of waiver applications across every state Medicaid system. We handle the complexity so you can focus on delivering care.

HCBS 1915(c) Waiver Applications

Full preparation and submission of Home & Community Based Services waiver applications.

  • Narrative development
  • Assurance compliance
  • CMS submission support

1915(i) State Plan Amendments

Strategic guidance on state plan amendments for expanded HCBS eligibility and services.

  • Eligibility design
  • Service definition
  • State negotiation

1115 Demonstration Waivers

Complex demonstration waiver applications for innovative Medicaid service delivery models.

  • Program design
  • Evaluation planning
  • Federal approval strategy

PACE Program Applications

Complete support for Programs of All-inclusive Care for the Elderly (PACE) applications.

  • Organizational assessment
  • Service area analysis
  • CMS/state coordination

Renewal & Amendment Filings

Timely and accurate waiver renewals and amendments to maintain program continuity.

  • Deadline management
  • Performance data integration
  • Change documentation

CMS Review Navigation

Expert guidance through CMS technical review, clarifications, and approval process.

  • Response preparation
  • Negotiation support
  • Timeline management

50

States Covered

500+

Applications Filed

94%

Approval Rate

15+

Years Experience

Choose Your Support Level

Flexible packages designed to meet your agency's specific needs.

Application Ready

$5,500

4-6 weeks

  • Initial eligibility assessment
  • Application narrative drafting
  • Document checklist
  • State submission prep
Most Popular

Full Submission

$12,000

8-12 weeks

  • Everything in Application Ready
  • Complete application development
  • State agency liaison
  • CMS coordination
  • Revision support

End-to-End Management

$22,000

12-18 months

  • Everything in Full Submission
  • CMS review navigation
  • Negotiation representation
  • Approval through implementation
  • 12-month post-approval support

Frequently Asked Questions

Let's get started

Ready to Start Your Waiver Application?

Schedule a free consultation with our waiver specialists today.