Under what circumstances may a Brightstar Care franchisee participate in state-sponsored Medicaid and Medicaid Waiver programs?
Brightstar_Care Franchise · 2025 FDDAnswer from 2025 FDD Document
participate in State Medicaid and Medicaid Waiver programs, as well as Medicare Advantage supplemental benefits personal care service programs, under certain conditions; however, you may not participate in Medicaid programs that require a Medicare number or require billing through Medicare, and you alone are responsible for complying with the state Medicaid requirements, which may include compliance with CMS policies and procedures and stand-alone technology required by the state or to meet the state's requirements. See Exhibits D and E for a summary of some of the applicable laws that may apply to your Agency. However, Exhibits D and E do not include all laws that may apply to your Agency. You should also be aware of pending legislation that may affect your Agency in the future.
Source: Item 16 — RESTRICTIONS ON WHAT THE FRANCHISEE MAY SELL (FDD pages 80–81)
What This Means (2025 FDD)
According to Brightstar Care's 2025 Franchise Disclosure Document, franchisees may participate in State Medicaid and Medicaid Waiver programs, as well as Medicare Advantage supplemental benefits personal care service programs, under certain conditions. However, Brightstar Care franchisees may not participate in Medicaid programs that require a Medicare number or require billing through Medicare.
The franchisee is solely responsible for complying with state Medicaid requirements. These requirements may include compliance with CMS (Centers for Medicare & Medicaid Services) policies and procedures and stand-alone technology required by the state to meet the state's requirements.
It is important for prospective Brightstar Care franchisees to carefully review Exhibits D and E of the FDD, which summarize some of the applicable laws. However, these exhibits do not include all laws that may apply to the franchisee's agency. Franchisees should also stay informed about any pending legislation that could affect their agency in the future.