The Wisconsin Medicaid Standards for Certified 1-2 Bed Adult Family Homes (AFHs) help protect and promote the health, safety, and welfare of people living and getting support, services, and supervision in 1-2 bed AFHs.
These certification standards affect:
The standards apply to 1-2 bed AFH providers, operators, substitute or respite care providers, staff who work in an AFH, and the residents served in the AFH and their legal decision-makers.
Each 1-2 bed AFH must be certified by one MCO, county human service agency, or the IRIS program before serving residents in the AFH. An AFH can only be certified by one agency. Once the AFH has been certified, they may be eligible to admit residents from other MCOs, IRIS consultant agencies (ICAs), or county human service agencies.
AFH applicants must:
| Managed care organization certifying agency | Contact information |
|---|---|
| Community Care, Inc. | contractinquiries@communitycareinc.org |
| iCare and Inclusa | Family Care: InclusaAFH@inclusa.org Family Care Partnership: netdev@icarehealthplan.org |
| Lakeland Care Inc. | certifiedAFH@lakelandcareinc.com |
| My Choice WI | shfamccontracts@mychoicewi.org |
After agreeing to complete a certification review, the agency will supply the AFH applicant with the forms and instructions required by that agency for the completion of a certification review.
A certifying agency or the placement agency responsible for placement of the resident into the AFH may apply for an exception to certain 1-2 bed AFH certification requirements on behalf of the AFH, resident, or legal decision-maker. This process is outlined in the Wisconsin Medicaid Standards for Certified 1-2 Bed Adult Family Homes. DHS will review and decide whether to grant exceptions to the requirements in these standards. If an exception is granted it may be unconditional or with conditions.
For certifying or placing agencies only: AFH Exceptions Request Form (F-02220)
If you have questions about the standards, please call 608-261-6393 or email the appropriate program:
If you are interested in opening a 3-4 bed adult family home, you must be licensed. To find out more, go to the Division of Quality Assurance's Adult Family Home webpage.
Starting September 2024, adult long-term care waiver services providers must enroll with Wisconsin Medicaid through the ForwardHealth Portal. The Portal centralized enrollment system will comply with federal requirements and standardize, streamline, and automate the process. Please note, this change does not affect individual self-directed support and participant-hired workers.
Here’s how to get informed and stay in-the-know: