Residential Care Apartment Complexes: Opening a Residential Care Apartment Complex

Established provider

A provider who currently operates an RCAC.

New provider

A provider who currently does not operate an RCAC.

Attestation before initial certification/registration survey

BAL requires every applicant to complete a compliance statement before scheduling an initial certification survey.

Inactive application

Applications not completed within six months of submission will be closed due to inactivity.

Two revisions

An application is not considered complete until all required documentation has been submitted. If the required documents don't meet the registration/certification regulations, BAL will only send two revision letters per application. After a second unsuccessful revision, no further applications will be accepted from the applicant for the specified location for one year.

Conversion

Any applicant seeking to convert an area that is a nursing home or community-based residential facility to an RCAC must submit additional information as specified in Wis. Admin. Code § DHS 89.61.

To apply for certification or registration as an RCAC, review:

• Wisconsin Admin. Code ch. DHS 89
• Wisconsin Stat. ch. 50

As part of the application process, you will be required to upload documents, including the facility's:

• Floor plan.
• Service agreement.
• Fire inspection.

The following checklists will help you identify the required documents for submitting your application:

• Established Provider Certification or Registration Application Checklist, F-02110B (Word)
• New Provider Certification or Registration Application Checklist, F-02110D (Word)

Plan review

RCACs are multifamily dwellings according to the Wisconsin Department of Safety and Professional Services (DSPS). Therefore, RCACs are subject to the State Building Code. New construction "stand-alone buildings" must comply with the requirements of DSPS. You can obtain a Plan Submittal Kit by calling DSPS at 608-266-3151 or your local DSPS field office.

RCACs connected to community-based residential facilities, nursing homes, or hospitals require building plan review and approval by DHS.

For questions about plan review and approval, you may:

• Visit the Construction Project Plan Review for Health Care Facilities webpage
• Send questions about codes to dhsdqaopribldgtech@dhs.wisconsin.gov
• Send questions about plan submittals to dhsdqaplanreview@dhs.wisconsin.gov
• See the Office of Plan Review and Inspection (OPRI) Staff and Plan Intake Office webpage to find contact information for a specific staff

All RCACs must comply with applicable statutes, rules, and regulations including local zoning ordinances.

Once you have your MyWisconsin ID, you're ready to apply for your RCAC using the DHS DQA Provider Portal.

Please refer to documents listed in section A of the Established Provider Licensure Application Checklist, F-02110B (Word) or New Provider Licensure Application Checklist, F-02110D (Word) that will need to be uploaded during the application process.

DHS will schedule an initial licensing visit when the application is complete. DHS has 70 days to approve or deny a license. This processing period begins after DHS receives the complete certification application packet and completes the initial onsite survey.

To be eligible to receive Medicaid waiver funding, upload a completed Home and Community-Based Services (HCBS) Compliance Review Request, F-02138 with the application.

Once the application is complete, an assisted living surveyor will be assigned to conduct the initial onsite visit.

The assisted living surveyor will review the items listed on the Residential Care Apartment Complex (RCAC) Initial Survey Checklist, F-02634C (Word) during the initial onsite survey and tour of the facility.

Once you have your MyWisconsin ID, you're ready to apply for your RCAC using the DHS DQA Provider Portal.

Please refer to documents listed in section A of the Established Provider Licensure Application Checklist, F-02110B (Word) or New Provider Licensure Application Checklist, F-02110D (Word) that will need to be uploaded during the application process.

DHS will issue a statement of registration upon receipt of a completed application and other requested documents.

DHS will complete caregiver background checks on the following individuals before initial registration or certification and every four years after. New applicants for registration or certification must submit a Background Information Disclosure (BID) form and BID Appendix form for each individual following the caregiver background check process.

For non-government entities:

• The owner of the entity. If the owner is a corporation or other type of business that doesn't 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, corporations, or board members of the business organization who have regular, direct contact with clients.
• Nonclient residents (over age 10) of the entity who have regular, direct contact with clients.

For government and tribal entities:

• An individual (e.g., the entity administrator designated by the government agency or tribe who operates the entity) regardless of interaction with clients.
• Nonclient residents (over age 10) of the entity who have regular, direct contact with clients.

The entity must complete a caregiver background check on all caregivers. A caregiver is a person who meets all the following requirements:

• Employed by or under contract with an entity
• Has regular, direct contact with the entity's clients or the personal property of the clients
• Under the entity's control

Direct contact is defined as face-to-face physical proximity to a client with the opportunity to commit abuse or neglect or misappropriation of a client's property.

Copies of background checks for anyone covered under this rule must be available for review upon DHS request.

There is no fee for RCAC registration.

For certification, the base fee is $445, plus $7.60 for each apartment unit every year.

Fees are non-refundable.