Agency
An agency is a business or organization enrolled to provide a waiver service(s) that has two or more employees to carry out the enrolled service(s), including the agency owner. An agency or group provider for rate purposes is a provider that employs staff to perform waiver services. A provider that hires only subcontractors to perform waiver services is not considered to be an agency provider for rate purposes. This definition is not applicable to Waiver Support Coordination Qualified Organizations.
All employees of an agency or group provider must meet the qualifications and requirements specified in the provider’s agreement and those specified for enrolled service(s). The provider must maintain personnel files documenting the qualifications of all employees and their background screening results. Agencies may have subcontractors but must retain the required employees to maintain agency status. Employees of an agency do not have to submit an individual APD provider application to APD.
Solo
A solo or independent provider is a provider who personally renders waiver services directly to recipients and does not employ others to render waiver services for which the rate is being paid. If the provider incorporates, they are still considered a solo provider for rate purposes, unless they hire at least two employees including the owner and meet the definition of agency. Providers of Waiver Support Coordination services cannot be solo providers and must be enrolled with a Qualified Organization.
