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Consulting for every kind of care business.

Each model below has a different regulator, payer and scope boundary. Pick yours to see the pathway and exactly what we deliver.

A support worker folding laundry with an older womanCompanion and homemaker agencies

Nonmedical home care

Companionship, meal preparation, light housekeeping, errands and a safety presence. Often the fastest controllable launch when the scope stays nonclinical.

Usual payer
Private pay, long-term care insurance, some waiver programs
Main regulatory issue
State home care or personal assistance licensing varies
Watch closely
Scope must remain nonclinical

What we deliver

  • Service classification and written scope
  • Private pay rate card and service agreement
  • Caregiver job descriptions and screening
  • Client intake, care plan and visit notes
  • Marketing language checked against scope
  • Referral partner plan

We will not help market nursing, medication administration or home health services through an ordinary nonmedical agency.

Book My Strategy Call Full nonmedical home care guide
A caregiver helping an older woman with her cardiganPersonal assistance services

PAS home care

Hands-on help with bathing, dressing, toileting, mobility, attendant care and respite. Payer and workforce rules are stricter, so the agency is built for survey and EVV from the start.

Usual payer
Private pay, Medicaid waiver (ALTCS, DDD), VA programs
Main regulatory issue
State license plus Medicaid provider type and EVV
Watch closely
Survey readiness and supervision

What we deliver

  • PAS policy and procedure manual
  • Forms and survey readiness package
  • Medicaid provider type selection and enrollment planning
  • EVV and visit documentation controls
  • Supervisor visit and competency program
  • Managed care contracting plan

A PAS manual does not authorize skilled nursing, therapy or medication administration.

Book My Strategy Call Full pas home care guide
A clinician guiding a client through a balance exerciseMedicare-certified skilled care

Home health agency

Intermittent skilled nursing, therapy, medical social work and home health aide services under a physician-ordered plan of care.

Usual payer
Medicare, Medicaid, Medicare Advantage, commercial
Main regulatory issue
State home health license plus Medicare certification
Watch closely
Conditions of Participation and survey

What we deliver

  • Home health policy and procedure manual
  • Clinical forms and survey readiness package
  • Administrator and clinical leadership requirements
  • Accreditation or state survey preparation
  • Plan of care and quality program structure
  • Capital and cash runway planning

This is the most capital-intensive model we support. We test the business case before you commit.

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A team discussing schedules and documents around a tableClinical and support staffing

Healthcare staffing agency

Contract caregivers, CNAs, LPNs, RNs, behavioral health and direct support staff placed with facilities. We recommend a W-2 employer model with a narrow first market.

Usual payer
Facility and business contracts
Main regulatory issue
Staffing or registry rules, credentials, employer accounts
Watch closely
Payroll float and joint-employment risk

What we deliver

  • Staffing license and registration review
  • Master services agreement, rate schedule and work orders
  • Fully burdened bill rate model
  • Credentialing, health screening and exclusion checks
  • Timekeeping, invoicing and collections workflow
  • Sales plan for your first five facilities

Workers are often paid weekly while facilities pay in 30 to 60 days. We size payroll float before you recruit.

Book My Strategy Call Full healthcare staffing agency guide
A driver helping an older woman toward an accessible vanNEMT and AHCCCS PT 28

Nonemergency medical transportation

Passenger trips to covered medical care. We stage the launch with one or two properly insured, inspected vehicles and validate trip demand before you buy a fleet.

Usual payer
AHCCCS fee-for-service, managed care, facilities, private pay
Main regulatory issue
PT 28 enrollment, driver and vehicle standards
Watch closely
Commercial insurance and trip records

What we deliver

  • AHCCCS PT 28 enrollment and required training
  • Driver qualification and vehicle inspection files
  • Trip logs, signatures and billing controls
  • Broker and health plan network applications
  • Facility contracts with dialysis and behavioral health
  • Medical transportation licensing directory by state

Medical courier authority does not authorize passenger transportation, and personal auto insurance is not sufficient.

Book My Strategy Call Full nonemergency medical transportation guide
Staff organizing supplies on a counterSpecimens, pharmacy and supplies

Medical courier

Delivery of specimens, records, pharmaceuticals and equipment without passengers, run with the chain-of-custody and privacy controls labs and pharmacies expect.

Usual payer
Laboratory, pharmacy, hospital and business contracts
Main regulatory issue
Chain of custody, hazardous materials, HIPAA
Watch closely
Vehicle insurance and temperature control

What we deliver

  • Chain-of-custody and handoff procedures
  • Privacy and business associate agreements
  • Bloodborne pathogen and spill training
  • Route, proof-of-delivery and incident logs
  • Contract pricing for routes and STAT runs
  • Outreach list for labs and pharmacies

Courier work is a separate line of business from NEMT, with its own contracts and insurance.

Book My Strategy Call Full medical courier guide
A support worker helping a young man choose items in a storeDDD HCBS and private support

Independent living services

Community-based skill building for people with developmental disabilities, through the DDD Qualified Vendor pathway, with a separate private pay option.

Usual payer
DDD home and community-based services, private pay
Main regulatory issue
DDD Qualified Vendor application and credentialing
Watch closely
Service authorization and documentation

What we deliver

  • Service definition for habilitation, attendant care and respite
  • DDD Qualified Vendor application package
  • Implementation toolkit with forms and logs
  • Person-centered plan and progress notes
  • Staff training and supervision structure
  • Private pay support offer

Housing, clinical services and licensed residential care need a separate licensing analysis.

Book My Strategy Call
Residents and staff gardening together in a courtyardAdult developmental homes

Shared living

A licensed provider shares their own home with adults with developmental disabilities. We start with a contracted licensing agency, not a large lease.

Usual payer
DDD
Main regulatory issue
Home study, training, inspection, capacity
Watch closely
Annual renewal and resident safety

What we deliver

  • Model classification: developmental home or group home
  • Licensing agency selection and application
  • Home safety, inspection and capacity readiness
  • Resident rights, incident and medication records
  • Reimbursement and referral strategy
  • Implementation toolkit and startup blueprint

Do not advertise beds or treat this as a group home. If the operator does not live in the home, the license analysis changes.

Book My Strategy Call
Adults sharing a meal around a kitchen tableArizona recovery housing

Sober living homes

Housing and recovery support, not treatment. We confirm the property can legally and safely operate as a sober living home before you sign a long lease.

Usual payer
Resident fees, program and referral partners
Main regulatory issue
ADHS sober living home license before opening
Watch closely
Zoning, occupancy and house rules

What we deliver

  • Property, zoning and occupancy review
  • ADHS licensing application package
  • House rules, resident agreements and drug testing policy
  • Relapse, overdose and emergency procedures
  • Resident fee model and occupancy forecast
  • Referral partner outreach plan

Do not assume AHCCCS or Medicare pays rent or room and board. Treatment services need a separate licensed structure.

Book My Strategy Call
Two people reviewing a notebook and laptop at a kitchen tableAny care model, any state

Startup and compliance

Model selection, startup cost ranges, payer identification and the order of licensing and enrollment, for founders outside Arizona or adding a new line.

Usual payer
Depends on model
Main regulatory issue
State supplement for every operating state
Watch closely
Correct order of approvals

What we deliver

  • United States healthcare business startup and compliance guide
  • All-state licensing and enrollment directory
  • Startup budget and working capital model
  • Payer and enrollment roadmap
  • Compliance calendar and document control
  • Medical billing and revenue cycle setup

An NPI or a submitted payer application does not authorize services.

Book My Strategy Call
Next step

Not sure which category your idea falls into?

That is the first question we answer. Classification decides your regulator, payer and budget.

Book My Strategy Call Compare Launch Packages
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