For Racine County, Kenosha County and Milwaukee County, Community Care, Inc. is ONLY accepting pre- application documents from qualified providers who are currently licensed as a 3-4 Bed Adult Family Home or currently Certified as a 1-2 Bed Adult Family Homes. Consideration will only be given to providers who have services that match the needs of specific members.
Current needs in Milwaukee, Racine and Kenosha Counties include homes that are:
- State approved 3-4 Bed AFHs (DQA) or Certified 1-2 Bed AFHs for non-ambulatory residents and/or
- Capable of serving members with a background that includes any of these service specialties;
- Drug and/or alcohol use
- Correctional history
- Sex offender history
- Complex medical needs requiring RN oversight.
To be considered all of the following pre-application documents must be submitted:
- Current Adult Family Home License (DQA issued) with HCBS compliance or 1-2 Bed Certificate
- Program Statement demonstrating programming capable of serving members with backgrounds described above,
- Summary of management and direct staff expertise, experience and credentials related to the specific services being offered,
- Summary of experience writing and adhering to Behavioral Support Plans including the submission of a sample BSP/ISP that has been de-identified,
- A written Training Plan including detailed training for the specific target groups identified above,
- Credentials and experience of any specialty staff including Registered Nurses if applicable,
- Contact information, including name, phone and email
If, after review, your pre-application materials align with current member placement needs, you will receive an invitation to submit a full application. If no need is identified, your pre-application materials will be kept for potential future need. If the information is not complete, no consideration will be given. (updated 8-25-23)
For Dane County, Community Care, Inc. is ONLY accepting pre-application documents from qualified, Certified 1-2 Bed Adult Family Home. Consideration will only be given to providers who have services that match the needs of specific members
For a currently Certified 1-2 Bed Adult Family Home located in Dane County to be considered for contract, all of the following pre-application documents must be submitted:
- Program Statement demonstrating programming capabilities
- Summary of management and direct staff expertise, experience and credentials related to the specific services being offered/program capabilities,
- Summary of experience writing and adhering to Behavioral Support Plans including the submission of a sample BSP/ISP that has been de-identified,
- A written Training Plan including detailed training for the services being offered
- Credentials and experience of any specialty staff including Registered Nurses if applicable,
- Contact information, including name, phone and email
If, after review, your pre-application materials align with current member placement needs, you will receive an invitation to submit a full application. If no need is identified your pre-application materials will be kept for potential future need. If the information is not complete, no consideration will be given (updated 8-25-23)
Checklist of Materials to Send With Your Application
All required items (on the application checklist) must be submitted with general application, transportation application or OOAFH application to be considered. If all required items are not submitted at time of application, applications will be denied and providers will need to reapply at a future date.
Community Care requires all providers who have had an application denied attend an Application Training session prior to reapplying. More information on training sessions is found on our Provider Education page.
Submit Your Completed Application To:
Mail: Community Care, Inc.
ATTN: Provider Management
1801 Dolphin Drive
Waukesha, WI 53186
Email: [email protected]
Fax: (262) 446-6707