Supported Independent Living Services

Support people with disabilities living independently in community

Startup Cost
$80,000-$300,000
Difficulty
Advanced
Time to Profit
18-30 months
Profit Potential
$33,000-$167,000/month

Overview

Supported living agencies generate $400,000-$2,000,000 annually with 25-40% margins.

In 2025, community living model replaces institutions.

Services include independent living skills training, community integration support, employment and education support, financial management assistance, housing search and maintenance, and 24/7 on-call support.

Successful agencies promote self-determination and choice, provide individualized supports, enable community participation, work with person-centered planning, and maximize independence.

Medicaid Home and Community Based Services (HCBS) funded.

Marketing through disability services, case managers, state agencies, and families.

Required Skills

  • Supported Living
  • Person-Centered Planning
  • Medicaid HCBS
  • Staff Training
  • Community Integration
  • Regulations/Compliance

Pros and Cons

Pros

  • Growing supported living movement
  • Medicaid HCBS funding
  • Enables independent community living
  • Long-term client relationships
  • Meaningful empowering work

Cons

  • Complex HCBS regulations
  • Low Medicaid reimbursement
  • Staff recruitment challenges
  • Licensing and oversight intensive
  • Thin margins

How to Get Started

  1. Get HCBS provider certification
  2. Develop supported living program
  3. Hire and train support staff
  4. Partner with state disability services
  5. Provide individualized supports
  6. Enable community living and participation
  7. Promote self-determination and choice

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