It should feel achievable to start or expand a care agency in Wisconsin. CarePolicy provides you with useful licensing assistance in the areas of home health, hospice, behavioral health, assisted living, adult day care, and community-based services, as well as policy and procedure kits that are ready for Wisconsin. To help you proceed with confidence, we include templates in the first steps that correspond with Division of Quality Assurance checklists, caregiver background requirements, and ForwardHealth enrollment. Time is saved during the application, survey, and payer setup processes with our Wisconsin Provider Policies, Procedures, and Solutions. In order for your team to concentrate on people rather than paperwork, pair policies with consultations for staffing planning, documentation workflows, and clean file audits.

Wisconsin Licensing Overview

The Division of Quality Assurance of the Department of Health Services (DHS) in Wisconsin is responsible for licensing or certifying the majority of provider categories. The state administrative code governs home health and hospice care, the Bureau of Assisted Living is responsible for assisted living, and DHS approval is necessary for some types of behavioral health services. Wisconsin's provider portal, ForwardHealth, handles the majority of Medicaid payments, with distinct enrollments for every service set. The DHS application, policy and form submission, caregiver background checks, fees, first surveys, and ForwardHealth registration are typical procedures. Statutes and regulations are converted into detailed duties specific to your service model during our Wisconsin Care Provider Licensing Consultations.

Wisconsin Policies & Procedures Solutions

We map each collection to the sections of the Wisconsin Administrative Code and the DQA forms that surveyors use. Policies, procedures, necessary forms, infection control, emergency operations, incident reporting, documentation templates, staff training matrices, quality and performance improvement tools, and editable policies are all included in the packages. Our resources help agencies standardize daily procedures, expedite approvals, and show that they are prepared for surveys. CarePolicy provides you with a clear foundation that inspectors and payers recognize, whether you are introducing a new license, adding a service like outpatient mental health or personal care, or upgrading manuals to the most recent rule.

Wisconsin Provider Types We Support

The following are Wisconsin-recognized categories that we provide consultation and policy support for. In accordance with Wisconsin statutes, administrative code, and DHS program instructions, we give preference to licensed or certified types.

  • Home Health Agencies—licensed under Wisconsin Administrative Code for skilled nursing and therapies.
  • Hospice Agencies—licensed with state hospice standards for home-based and inpatient respite services.
  • Personal Care Agencies—Medicaid-certified under DHS requirements for personal care services provided by RN-supervised workers.
  • Outpatient Mental Health Clinics—DHS 35 certified clinics providing psychotherapy and related services.
  • Emergency Mental Health Service Programs - DHS 34 certified crisis programs, including mobile response and stabilization.
  • Comprehensive Community Services Programs - DHS 36 certified psychosocial rehabilitation programs operated by counties and tribes.
  • Substance Use Treatment Programs—DHS 75 certified services across levels of care.
  • Adult Family Homes—DHS licensed 88 3- to 4-bed homes and county-certified 1- to 2-bed homes.
  • Community-Based Residential Facilities (CBRF)—DHS 83 licensed assisted living.
  • Residential Care Apartment Complexes (RCAC)—DHS 89 registered or certified.
  • Nursing Homes—DHS 132 licensed skilled nursing facilities.
  • Adult Day Care Centers—DHS 105.14 certification for Medicaid-funded programs.
  • Ambulatory Surgical Centers—Medicare-certified ASCs recognized for Medicaid participation.

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Wisconsin State Specific FAQs

How long does initial licensing or certification take in Wisconsin?

Timelines vary by program and survey volume. Behavioral health and supported living credentials are often issued within a few months after completing background checks and a thorough package. Home health and hospice services require document review and an initial survey before approval. Once your acceptance letter and paperwork are complete, you can start enrolling as a ForwardHealth provider. Our project plans and templates help you submit survey-ready documents correctly the first time.

Does Wisconsin require a Certificate of Need for new agencies or beds?

Wisconsin has no traditional Certificate of Need program, though certain hospital modifications and long-term care bed additions require specific statutory approvals or moratorium procedures. Our team helps you set realistic timelines and clarifies if your planned service needs additional authorization.

What background checks are required for caregivers and staff?

Under Wisconsin’s Caregiver Law, caregivers in licensed or certified settings must complete background checks before and during employment, with records maintained by the organization. Additional fingerprint or out-of-state checks may be required based on residency history. Our packages include adverse action decision trees, personnel file forms, and legally compliant checklists to ensure documented compliance.

What training is required for personal care workers, aides, or crisis staff?

Before working independently with clients, personal care providers must receive training and supervision from a registered nurse, with documented competency. Home health aides follow state and federal competency standards, while CBRF caregivers complete role-specific training modules. Crisis program staff complete DHS 34–focused training. We provide code-aligned annual education trackers, competency checklists, and role-based training matrices.

How do we enroll for Medicaid and managed care contracting?

Most providers obtain a Medicaid number by enrolling through the ForwardHealth Portal. After enrollment, many community and mental health services bill via IRIS fiscal agents, Family Care managed care organizations, or county-managed contracts. We provide payer credentialing lists, Core Provider Agreement reminders, portal setup steps, and enrollment checklists to ensure billing can start as soon as certification is complete.

Wisconsin Compliance Guarantee & Support

Each program has a unique set of requirements. We will put together state-compliant policies and a licensing action plan for Wisconsin if you let us know your provider type, counties covered, and go-live objective. CarePolicy provides practical templates, mock surveys, and one-on-one support from the initial application through survey and ForwardHealth enrollment, reducing the burden associated with opening, growing, and maintaining compliance.

Explore Other States

Not operating only in this state? We also support providers across the U.S. with state-specific policies, procedures, and licensing help.