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Medicaid Standards for Certified 1-2 Bed Adult Family Homes

Managed care organizations (MCOs), IRIS consultant agencies (ICAs), and Wisconsin Department of Health Services (DHS) staff can use this page to find standards for certified 1-2 bed adult family homes. These standards apply to Family Care MCOs, the IRIS program, and county human service agencies.

Standards and related resources


If you have questions about the standards, please email the appropriate program:

If you are interested in opening a 3-4 bed adult family home, go to the Division of Quality Assurance's Adult Family Home webpage.

Adult Long-term Care Provider Management Project

Starting September 2024, adult long-term care waiver services providers must enroll with Wisconsin Medicaid through the ForwardHealth Portal. The Portal centralized enrollment system will comply with federal requirements and standardize, streamline, and automate the process.

The Wisconsin Department of Health Services will be communicating about this change through messaging to providers through the ForwardHealth Portal. Adult long-term care waiver services providers should sign up to receive emails about the new Medicaid provider enrollment process as soon as possible.

Visit the New Provider Enrollment System for Adult Long-term Care Portal page for more information.

Please note, this change does not affect individual self-directed support and participant-hired workers.

Last revised February 12, 2024