Becoming a Provider of Home and Community-Based Services (HCBS)

Completing the registry is the first step in becoming a provider of HCBS waiver services. After completing the registry, please contact your county waiver agency (CWA). For more details, see Ch. IV of the HCBS Waiver Manual.

  1. Complete the online Wisconsin Medicaid Waiver Provider Registration process.
  2. Complete and sign the appropriate Medicaid Waiver Provider Agreement form. (If you are not sure which form you need, your CWA can help you to decide which form to fill out.)
  1. Email the completed and signed form to the DHS Provider Registry.

Placement on the registry does not establish approval as a qualified provider.

Waiver Service Rates Initiative

The State of Wisconsin is creating a uniform rate-setting methodology for most waiver services. This may affect payment for providers. Please see the Waiver Service Rates Initiative page for more information.

Information for Counties

CWAs can find more information about their role in provider registration here.

Last Revised: December 13, 2017