Specialties for Home and Community Based Services Waiver for the Frail Elderly (Provider Type 48)
To see which documents must be submitted with your Provider Enrollment Packet, click the name of your provider specialty in the list below. Out of state providers must also submit proof of Medicaid eligibility in the state that services are/were rendered.
| Specialty | Description | Updated Date |
|---|---|---|
| 039 | Homemaker Services | 01/22/24 |
| 191 | Respite | 01/22/24 |
| 199 | Chore Services | 01/22/24 |
| 202 | Personal Emergency Response System (PERS) | 01/22/24 |
| 208 | Adult Companion Service | 01/22/24 |
| 209 | Social Adult Day Care | 10/30/19 |
| 303 | Private Case Management Services | 04/07/23 |
Return to Provider Enrollment Checklists page.
If you have any questions, please contact the Provider Enrollment Unit at (877) 638-3472 from 8:00AM to 5:00PM, Monday through Friday