Contact Email
Phone
Provisional license to operate a home health agency.
Type
Description
License required to open and operate a home health agency, which provides part-time and intermittent skilled nursing and other therapeutic services on a visiting basis to persons in their homes.
Duration
90-Days. However, the agency may request to renew their provisional license for additional 90-day terms not to exceed one year from the original issuance date of the provisional license.
Fees
One-time application fee of $300.
Application Process
Contact the Division of Quality Assurance at 608-266-7297 or via email for application materials.
WI Statutes
Chapter 50.49, Licensing and Regulation of Home Health Agencies
WI Administrative Code
Chapter DHS 133, Home Health Agencies
Chapter DHS 12, Caregiver Background Checks
Federal Regulations
42 CFR 484 Code of Federal Regulations, Conditions of Participation, if the agency is certified for Medicare and/or Medicaid.
Additional Information
See DHS Home Health website for additional information.
