The Division of Quality Assurance (DQA) in the Department of Health Services (DHS) 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 DQA. DQA is responsible for administering Wisconsin Administrative Code DHS 83 as required by Chapter 50 of the Wisconsin Statutes, which governs licensure of a community-based residential care facility (CBRF).
DQA does not refer residents for placement in assisted living facilities nor does the DQA provide funding to facilities to care for residents. Residents may be eligible to receive waiver funding through county Departments of Health or Human Services or Family Care Managed Care Organization. For more information regarding funding for residents in assisted living, please visit the following websites:
"Community-based residential facility" means a place where 5 or more adults who are not related to the operator or administrator and who do not require care above intermediate level nursing care reside and receive care, treatment or services that are above the level of room and board but that include no more than 3 hours of nursing care per week per resident. (See Ch. 50.01(1g), Wis. Stats.)
Prior to Submission of CBRF License Application:
All CBRFs, regardless of size, shall have a plan submittal (1) prepared by a design professional, (2) submitted to DHS, and (3) reviewed prior to construction. Existing structures seeking CBRF licensure shall also have completed the plan review process prior to licensure. If an existing CBRF is being considered for purchase, it is important to note that there is no transfer of licensure. Additional information regarding plan review is available on the DHS Plan Review website.
Licensing Process Seminar
Essential Steps to the Assisted Living Licensing Process
The Bureau of Assisted Living (BAL), Southeastern Regional Office and licensing staff are pleased to announce a free informational seminar for potential CBRF and adult family home (AFH) providers in the Milwaukee area. Seminar participants will learn:
- How to navigate the DHS website (www.dhs.wisconsin.gov).
- Information about Wisconsin Statute Chapter 50, Wisconsin Administrative Codes DHS 83 and DHS 88, and other regulations that impact assisted living facilities.
- An understanding of the complete community-based residential facility and adult family home initial application process.
If you plan on starting an AFH or CBRF, please plan on attending. There is no cost for the seminar.
The seminar will be offered on two dates:
- Tuesday, January 24, 2017 (1 p.m. – 4 p.m.)
- Tuesday, March 28, 2017 (1 p.m. – 4 p.m.) ** FULL ** Additional sessions will be posted when scheduled.
Space is limited. Please register by calling 414-227-2005. Seminar location will be provided upon registration.
2017 Initial Licensing Webinar Schedule
The Bureau of Assisted Living (BAL) is pleased to announce informational webinars to provide information about what prospective providers must know when starting a CBRF or adult family home (AFH).
These interactive webinars will be conducted utilizing Adobe Connect Pro software. Adobe Connect software is a web conferencing product that allows users to conduct live meetings and presentations over the Internet. For information on required software you will need in order to attend an Adobe Connect Meeting and how to test your computer prior to attending the webinar, refer to the Adobe Connect Meeting Technical Information (PDF, 11 KB).
Webinar participants will learn:
- How to submit a licensure application.
- Considerations in choosing a building.
- Policies and procedures – why they are important and how to use them.
- Key elements of AFH/CBRF operations: program statement, individual service plans, medications and more.
Please use the following link to join the Adobe Connect Webinar: https://connect.wisconsin.gov/initiallicensingwebinar and print the BAL-CBRF licensing slides (PDF, 4 MB) prior to participating in the webinar.
|Webinar Date||Time||Provider Type|
|January 9, 2017 (This webinar has been canceled. New licensing information will be shared during the January 10, 2017 Assisted Living Forum)||9:00 a.m. – 10:30 a.m.||CBRF|
|1:00 p.m. – 2:30 p.m.||AFH|
|April 10, 2017||9:00 a.m. – 10:30 a.m.||CBRF|
|1:00 p.m. – 2:30 p.m.||AFH|
|July 10, 2017||9:00 a.m. – 10:30 a.m.||CBRF|
|1:00 p.m. – 2:30 p.m.||AFH|
|October 9, 2016||9:00 a.m. – 10:30 a.m.||CBRF|
|1:00 p.m. – 2:30 p.m.||AFH|
To Apply for a License:
Review Chapter DHS 83 Wisconsin Administrative Code (PDF, 262 KB).
Review Chapter 50 of the Wisconsin Statutes (PDF, 323 KB).
View the "Opening and Operating a Community-Based Residential Facility", which is a 2-part webcast and is required viewing if you are a new CBRF provider:
- Print the Opening and Operating a Community-Based Residential Facility Speaker Slides prior to viewing the webcast:
Part 1 speaker slides (PDF, 463 KB)
Part 2 speaker slides (PDF, 257 KB)
- After viewing both Parts 1 and 2 of the webcast, print and sign the Verification of Completion – CBRF Webcast that is displayed on a slide at the end of Part 2. This Verification of Completion must be submitted with your application materials for licensure.
An initial licensing process is used for first time licensee applicants. A complete application is necessary to begin the process. Wis. Admin Code § DHS 83.05(2) identifies the required content of a complete application.
When the Department determines that the application is complete, an on-site licensing visit will be scheduled. The Department has 70 days to approve or deny a license.
This 70 days for processing begins after a complete license application packet is received and the department completes the on-site survey.
In addition to a signed CBRF Initial Licensure Application, F-60287 (PDF, 92 KB) and license fee, the documents listed in section B of the CBRF Initial Licensure Checklist, F-62416 (PDF, 36 KB) must be submitted.
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. DQA 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.
Caregiver Background Checks:
Caregiver background checks must be completed at a minimum of every four years.
- The Caregiver Background Check Process website includes information on Wisconsin Administrative Codes Chapter DHS 12 Caregiver Background Checks; Chapter DHS 13 Reporting and Investigation of Caregiver Misconduct; copies of forms and answers to frequently asked questions.
The Department will complete caregiver background checks on the following persons prior to initial licensure and every four years thereafter:
1) Non-government entities
The owner of the entity, whether or not the person has regular, direct contact with clients.
If the owner is a corporation or other type of business that does not have a single owner, then the organization may designate one principal officer to legally represent the organization for the purposes of fulfilling the background check requirement. For new applicants, the individual who signs the application fulfills this requirement.
Principal officers, corporation or board members of the business organization, who have regular, direct contact with clients.
- Non-client residents (over age 10) of the entity who have regular, direct contact with clients.
2) Government and tribal entities
An individual, e.g. the entity administrator designated by the government agency or tribe who operates the entity, whether or not the person has regular, direct contact with clients.
Non-client residents (over age 10) of the entity who have regular, direct contact with clients.
New applicants for licensure must submit a Background Information Disclosure (BID) form and BID Appendix form for each individual as described above, following the Caregiver Background Check Process.
The entity must complete a caregiver background check on all caregivers. A caregiver is a person who is all of the following:
- Employed by or under contract with an entity;
- Has regular, direct contact with the entity's clients or the personal property of the clients; and is under the entity's control.
"Direct contact" is defined as face-to-face physical proximity to a client that affords the opportunity to commit abuse or neglect or misappropriation of a clients property.
A completed caregiver background check consists of:
A completed Background Information Disclosure (BID);
Response from the entity's inquiry to the Department of Justice; and
The letter from DHS containing information regarding any government findings of misconduct or credential limitations.
Copies of background checks for anyone covered under this rule must be available for review upon Department request.
A licensing fee of $389.00 + $50.25 per resident based on capacity of facility is charged every two years. The fee for the twelve-month probationary license is 1/2 this amount. The fee is submitted with the application and made payable to "DQA."
Initial application fees and/or license/certification continuation fees are NON-REFUNDABLE.
Exception: community-based residential facilities where the total monthly charges for each resident do not exceed the monthly state supplemental payment rate under s. 49.77(3s) are exempt from the licensing fee.
Address any questions to the Licensing Associates at DHSDQABALLicensing@dhs.wisconsin.gov or 608-266-8482. Return the application, other materials and checks to:
Division of Quality Assurance
Attn: Licensing Associates
P.O. Box 7940
Madison, WI 53707-7940
Refer to the DHS CBRF website for CBRF operators, management and staff related information.
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