The following is the text provided 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 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 DQA. 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 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 or Family Care Managed Care Organization.
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.
In an effort to ensure the Bureau of Assisted Living (BAL) is utilizing resources effectively, the Bureau conducted a systems analysis of the initial application process for community-based residential facilities (CBRFs), 3-4 bed adult family homes (AFHs), residential care apartment complexes (RCACs), and adult day care center providers.
Subsequent to the analysis, BAL determined that revision of the application materials and processes for the above provider types was needed to increase the efficiency of the licensing/certification/registration process.
Effective July 17, 2017, assisted living applicants will utilize the revised application materials and processes for any initial license/certification/registration or change of ownership.
Review DQA Revised Licensing, Certification, and Registration Licensing Information, P-01854 (PDF) for additional information.
Established Provider: A provider who currently operates the facility type for which an application for licensure or certification is being made.
New Provider: A provider who has never held a license or certification for the facility type for which an application for licensure or certification is currently being made.
Attestation Prior to Initial Certification Survey: BAL will require every applicant to complete an applicant compliance statement prior to scheduling an initial certification survey.
Fit and Qualified Application: Applicants will submit a completed fit and qualified application with the application.
Inactive Application: Applications not completed within six months of submission will be closed out.
Incomplete Application: If the application does not include the required documents, the application packet will be returned to the applicant without further processing. BAL will include a checklist identifying the missing item(s). The applicant may choose to resubmit the application with the required documentation. After a second unsuccessful submission, no further applications will be accepted from this applicant for the specified location for a period of one year.
Two Revisions: An application is not considered complete until all required documentation that meets regulations have been submitted. If the required documents do not meet the licensing/certification regulations, BAL will only send two revision letters per application. After a second unsuccessful revision, no further applications will be accepted from this applicant for the specified location for a period of one year.
Prior to Applying for Certification
Review the following:
- 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.
An initial certification process is used for first time licensee applicants.
When DHS determines that the application is complete, an initial certification survey will be scheduled. DHS has 70 days to approve or deny a license. This 70 days for processing begins after a complete application packet is received and DHS completes the initial certification survey.
The following certification information must be submitted:
Adult Day Care Center
- Signed Established Provider Certification Application, F-02106A (Word) or a New Provider Certification Application, F-02106C (Word)
- Documents listed in section A of the Established Provider Certification Application Checklist, F-02106B (Word) or New Provider Certification Application Checklist, F-02106D (Word)
- Certification fee of $127.00
Family Adult Day Care Center
- Signed Established Provider Certification Application, F-02107A (Word) or a New Provider Certification Application, F-02107C (Word)
- Documents listed in section A of the Established Provider Certification Application Checklist, F-02107B (Word) or New Provider Certification Application Checklist, F-02107D (Word)
- Certification fee of $127.00
Applications not completed within six months of submission will be closed out.
If the application does not include the required documents, the application packet will be returned to the applicant without further processing. BAL will include a checklist identifying what item(s) are missing. The applicant may choose to resubmit the application with the required documentation. After a second unsuccessful submission, no further applications will be accepted from this applicant for a period of one year from the date the application was received.
Once the application is deemed complete, the BAL central licensing unit will send an Adult Day Care (ADC) – Applicant Compliance Statement, F-02106 (Word) or Family Adult Day Care (ADC) – Application Compliance Statement, F-02107 (Word) to the applicant. When the applicant is ready for an initial certification survey, the applicant will return the completed compliance statement to central licensing and an assisted living surveyor will be assigned.
The assisted living surveyor will review the items listed on the Adult Day Care (ADC) Initial Survey Checklist, F-02634 (Word) during the initial certification survey and tour of the facility.
A certification fee of $127.00 is charged every two years. The fee is submitted with the application and made payable to "DQA."
"Initial application fees and/or license/certification continuation fees are NON - REFUNDABLE."
Return the application, other materials and fee to:
Division of Quality Assurance
Attn: Licensing Associates
PO Box 7940
Madison, WI 53707-7940
Address any questions to the Licensing Associates at DHSDQABALLicensing@dhs.wisconsin.gov or 608-266-8482.
Questions about the licensing process may be directed to BAL licensing associates at DHSDQABALLicensing@dhs.wisconsin.gov or 608-266-8482.