Wisconsin Home Care Agency Complete Startup Package

The private-pay non-medical home care business model differs from a separately licensed health facility. Wisconsin Department of Health Services, Division of Quality Assurance is the state reference for the health facility or program distinctions described below. Business, employment, professional, registration, and program requirements still apply as appropriate.

Wisconsin's DQA Personal Care Agency certification process is associated with the public-program provider route. A private-pay non-medical business is not automatically a DQA-certified PCA. This package supports the private-pay operating model unless a separate certification service is included in writing.

Wisconsin does not charge a separate agency licensing fee for the private-pay non-medical home care model described here, so that agency licensing fee is $0. DQA Personal Care Agency certification for public-program participation is a separate process; business, background-check, and program costs are not included in our package.

The business may arrange assistance with personal needs and daily activities such as bathing, dressing, grooming, toileting, meals, transportation, and errands. Assign only tasks the worker may lawfully perform and document the service limits.

The certification process includes a complete application, ownership and background information, financial and management review, appropriate RN involvement, and policies addressing DHS 105.17 and DHS 107.112. This is a separate provider approval process rather than a general business registration.

No. After the DQA process and required recommendation, the applicant completes the separate ForwardHealth provider enrollment process. The agency cannot bill a program simply because it has submitted a certification application.

For the DQA certification route, the agency must have served at least five clients and have at least two current clients to demonstrate care during the survey. DQA instructs applicants to request the survey within nine months of the initial approval. These conditions apply to that certification route, not every private-pay business.

The DQA-certified program model includes nursing assessment, care planning, and supervision under the applicable personal care rules. The agency must document the RN arrangements and worker qualifications that support those services.

Use signed client agreements, service plans, visit documentation, incident and complaint records, personnel screening, training, competency records, and supervision notes. Keep private-pay business records separate from any program-specific billing and certification records.

Complete the employment and caregiver screening required for the operation and any selected program. Verify role-specific credentials and document orientation, competency, abuse reporting, infection prevention, privacy, and emergency procedures.

Establish written emergency contacts, staff escalation, backup coverage, weather and travel procedures, and instructions for clients when a scheduled visit cannot occur. For an immediate medical emergency, staff should activate emergency services. Keep the response appropriate to the Wisconsin services your agency is authorized to provide.

Provide a clear contact for concerns, record each complaint, assign follow-up, document the response, and review patterns that call for changes. Preserve client confidentiality and follow applicable abuse, neglect, and incident-reporting requirements.

This service model does not have a separate agency-license quality-program requirement. Written policies and documented quality reviews remain sound operating practices; professional standards and any selected provider program can impose additional requirements. Use client feedback, incidents, missed visits, and record reviews to identify and correct service problems.

Home Health Forms provides Wisconsin-specific quality improvement and written policies.

The Wisconsin Home Care Agency Complete Startup Package may include:

• A professionally designed company logo.
• A customized WordPress business website.
• One year of website hosting.
• One year of domain registration.
• 500 customized business cards.
• 500 customized tri-fold brochures.
• Wisconsin-specific policies and procedures for private-pay non-medical home care business.
• Human-resources and personnel documents.
• New-client admission documents.
• Operational and administrative forms.
• Preparation of your Wisconsin non-medical home care business and operational startup documents.
• Access to the Home Health Forms members' area.
• Customization of documents to the purchaser's agency.
• Ongoing guidance and applicable document updates.

Home Health Forms provides startup guidance, customized documents, and preparation of the business or approval materials listed in the package. This service model does not have a separate state agency license application. The relevant agencies and payers make any required approval decisions.

The applicant remains responsible for accurate company information, professional qualifications where applicable, staffing, insurance, employment screening, business registrations, and operational compliance. Home Health Forms provides guidance and state-specific documents to support your success.

Customized policy manuals, forms, and related digital documents are generally emailed within five business days after Home Health Forms receives all company information needed to complete the customization.

logo creation, website development, domain registration, printing, shipping, and other package components may have separate production timelines.

Cancellation and refund eligibility depends on the work already completed, customized materials produced, digital products delivered, third-party expenses paid, printing ordered, and other services already performed.

Select a payment option. After purchase, complete the company questionnaire linked on the thank-you page. We use your company details to customize the selected documents and coordinate the remaining work.