Individualized home supports

Compliance and revalidation support for IHS providers

Individualized home supports (IHS) help people build skills and live independently in their own homes. IHS is licensed under 245D and funded through waivers, and it is among the services DHS is revalidating. We help IHS providers keep records, staffing, and billing in order.

Enrollment update

As of July 2026, DHS has paused new Medicaid provider enrollment for several higher-risk services, including CFSS, adult day services, ARMHS, IRTS, EIDBI, and integrated community supports, while it revalidates existing providers. Exceptions are possible and the pause may change. We help existing providers complete revalidation and stay compliant, and we help new agencies plan around the pause.

What's included

Revalidation support

Help completing DHS revalidation for your IHS services.

Service planning

Support with outcomes, service plans, and progress reviews.

Documentation

Session and progress records that support each billed unit.

245D compliance

Policies, training, and records for the 245D standards that apply to your IHS services.

Billing review

Matching authorizations, documentation, and claims.

Staff training

Training so staff document services consistently.

How it works

Getting started is simple

01

Discovery call

A free conversation about your agency, your services, and where you need help.

02

Your plan

We recommend the right support, with clear priorities and a timeline.

03

Ongoing support

We do the work alongside your team and check in so you stay on track.

Frequently asked questions

What are individualized home supports?

IHS is a waiver service that supports people in their own homes, including help with daily living and, in some forms, skill-building training. It is licensed under 245D.

Is IHS a basic or intensive 245D service?

It depends on the type of IHS you provide. We help you confirm which 245D standards apply to your services.

Can new providers enroll for IHS?

New Medicaid enrollment for IHS is currently paused. We help existing providers stay compliant and complete revalidation.

Let's talk about your agency

Book a free discovery call. We'll learn where you need help and recommend the right next step. No pressure.