Get a clear roadmap for your business model, licensing pathway, policies, staffing and launch priorities, with guidance tailored to your state and stage.
Each model has a different regulator, payer and scope boundary. Choose yours to see where the work starts.
Companion, homemaker and safety-presence services kept inside a lawful nonclinical scope. Often the fastest controllable launch.
Typical starting point: Foundation Advisory
Hands-on help with bathing, dressing, mobility, attendant care and respite, built for survey and Electronic Visit Verification from day one.
Typical starting point: Launch Preparation
Skilled nursing and therapy under a plan of care, requiring state licensure, Medicare certification and survey.
Typical starting point: Comprehensive Launch Support
W-2 clinical and support staffing for facilities, with credentialing, burdened bill rates and payroll float planned before recruiting.
Typical starting point: Launch Preparation
Passenger trips to covered medical care, including AHCCCS PT 28 enrollment, driver and vehicle standards and broker contracting.
Typical starting point: Launch Preparation
Specimen, pharmacy and supply delivery with the chain-of-custody, privacy and vehicle controls labs expect.
Typical starting point: Foundation Advisory
Community skill building and supports through the DDD Qualified Vendor pathway, with a separate private pay option.
Typical starting point: Launch Preparation
Recovery housing, not treatment. Arizona requires ADHS licensure when a home meets the statutory definition.
Typical starting point: Launch Preparation
Each link has to be active before you deliver or bill the related service. We plan the whole chain in order.
LLC, EIN, bank account and operating agreement.
≠ Not a license to serve anyone
State authorization for the exact service and setting.
≠ Not LLC formation
Registration with Medicaid or Medicare under the right provider type.
≠ Not a contract with every plan
Verification of ownership, staff, insurance and compliance.
≠ Not guaranteed network entry
A signed agreement with a payer, agency, facility or program.
≠ Not a referral
Approval for a named client, service, units and dates.
≠ Not permission to bill any amount
Payment after a correct claim is adjudicated.
≠ Not guaranteed revenue
Sober living, shared living and residential programs can stall for months on property questions.
Your roadmap confirms license type, zoning and occupancy questions before you commit to a property.
Services delivered or billed before authorization create repayment and licensing risk.
You see which approval unlocks which service, and in what order to pursue them.
Workers are paid weekly while facilities pay in 30 to 60 days.
Your budget and bill rates account for taxes, insurance, screening and overhead.
Policies that do not match the license, payer or forms cannot be shown in practice.
Each policy has an owner, a review date and a form that proves it is followed.
Excerpts from our current planning documents. Your versions are built from your model, state and numbers.
| Category | Planning range |
|---|---|
| Formation, contracts, registrations | $3,000–$18,000 |
| Insurance and bonds (annual) | $8,000–$40,000+ |
| ATS, payroll, scheduling systems | $3,000–$18,000 |
| Screening per ready worker | $300–$1,500 |
| Payroll float | $50,000–$250,000+ |
From our Healthcare Staffing Agency package. Ranges, not quotes; your plan uses your roles, states and payroll.
| Component | Per hour |
|---|---|
| Base wage | $24.00 |
| Payroll taxes and statutory burden (11%) | $2.64 |
| Workers’ comp and insurance allocation | $2.40 |
| Recruiting, training, technology, overhead | $5.50 |
| Estimated burdened cost | $34.54 |
Illustrative example. Bill rates are set above burdened cost, never from competitor rates alone.
Contents of our national core manual. Customized to your state license and Medicaid provider type.
Introductory fees are 20% below the standard consulting fee. Final pricing is confirmed in your written proposal.
Founders choosing a model, a state pathway and a realistic budget before spending on leases, vehicles or staff.
Founders ready to prepare a first license or provider application with policies that match their state.
Founders who want a partner coordinating implementation from application through readiness review and first referrals.
Consulting fees exclude government fees, insurance, background checks, accreditation, property, vehicles, legal services, CPA services and other third-party costs unless expressly included. Offer terms
It depends on the model. A private pay companion agency can start lean; a staffing agency needs payroll float that often runs $50,000 to $250,000 or more because facilities pay in 30 to 60 days; a Medicare-certified home health agency needs capital to carry it through licensure, certification and survey. Foundation Advisory includes a startup budget and 12-month cash plan built from your own numbers.
Each package lists its deliverables, sessions and support period, and your written proposal confirms them before payment. Consulting fees exclude government and licensing fees, insurance, background checks, accreditation, property, vehicles, legal services, CPA services and other third-party costs unless the proposal expressly includes them.
Regulators and payers set the timeline, and it varies by state, model and how complete the application is. We give you a sequence with dependencies so you know what can run in parallel. We do not promise approval dates.
We prepare the roadmap, budget, policies, forms and application documents, and we coordinate the work. You own the business: you sign and submit applications, hire staff, buy insurance and make final decisions. Your attorney and CPA handle legal opinions and tax filings.
Generally no. Medicare does not pay for most long-term custodial care or ordinary nonmedical support. Nonmedical agencies usually start with private pay and build a separate Medicaid waiver pathway.
A 45-minute video strategy call maps your business model, payer, licensing pathway and startup budget.