Opening an Adult Day Care Facility
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The following is the text of response sent to all inquiries about
opening an Adult Day Care facility in Wisconsin:
Thank you for your interest in Adult Day Care facility certification.
Adult Day Care certification is voluntary. You do not need certification
unless you plan to serve one or more participants who receive Medicaid
Waiver funding from a county. The Medicaid Waivers are CIP I, CIP II and
The Department of Health Services (DHS) has within its
administration the Division of Quality Assurance (DQA)
which serves the frail elderly, persons with developmental disabilities,
mental illness, physical disabilities, sensory disabilities, and persons
with substance abuse problems. Regulation of facilities primarily serving
adults is the responsibility of the Division of Quality Assurance (DQA).
is responsible for certifying Adult Day Care Facilities.
An Adult Day Care facility means a facility that provides services for
part of a day in a group setting to adults who need an enriched social or
health-supportive experience, or who may need assistance with activities
of daily living (ADL), supervision and/or protection. Services may include
personal care and supervision, provision of meals, medical care,
transportation, and activities designed to meet physical, social, and
leisure time needs.
The Division of Quality Assurance (DQA) does not refer participants for
placement in adult day care settings nor does the DQA provide funding
to adult day care providers to care for participants. Participants may be eligible
to receive waiver funding through county Departments of Health or
Human Services. For more information regarding funding for
participants in adult day care settings, please visit the following websites:
Options Program (COP and COP-W)
Integration Program (CIP II)
Adult day care may be provided in family homes, free standing centers,
and multi-use facilities such as churches, schools and senior centers.
Adult day care must meet any federal, state and local laws/codes that
govern the operation of the facility.
Adult day care is categorized as follows:
Adult Day Care Center. Care provided for part of a day, e.g., less
than 24 hours, in a group facility for adults.
Family Adult Day Center. Care provided for part of a day for small
groups of no more than six adults in the home of a provider.
Wis. Stat. 49.45(47)(c). The biennial fee for the certification
required under par. (b) of an adult day care center is $127.
"Initial application fees and/or license/certification
continuation fees are NON - REFUNDABLE."
The following materials must be submitted prior to certification:
Application materials should be sent to the appropriate Bureau of Assisted Living/Division of Quality Assurance regional office assigned to the county
in which the facility is located. DQA regional office locations are found
Applications not acted upon by the applicant will be closed after
one (1) year.
For more information about operating an Adult Day Care program in
Wisconsin, please go to:
Wisconsin Economic Development Corporation: Starting
a Business in Wisconsin (exit DHS)
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February 18, 2013