COVID-19: Home Care and Home and Community-Based Service Providers
This guidance applies to the following:
- 1–2 bed adult family homes
- Supported living apartments
- Adult day services
- Adult day care centers
- Adult day programs
- Adult employment and prevocational programs
- Home care agencies
- Supportive home care agencies
- Home health agencies
- Personal care agencies
- Private duty nursing services
These homes, facilities, agencies, and services are collectively referred to as "providers." Individuals receiving services from these providers are referred to as "participants." By helping providers improve their infection prevention and control practices in order to prevent the transmission of COVID-19, together, we can flatten the curve.
Providers should monitor the Centers for Disease Control and Prevention (CDC), Centers for Medicare & Medicaid Services (CMS), and Wisconsin Department of Health Services (DHS) websites for the most current information and resources related to COVID-19 and also contact their local public health department when needed.
- Community Congregate Living Settings (Group Homes, Assisted Living)
- Guidance for COVID-19
- COVID-19 by County
- COVID-19 Vaccines for Long-term Care Residents
DHS recommends the following actions in accordance with Wis. Stat. Chs. 50 and 252, Wis. Admin. Code Ch. DHS 145, and CMS guidance.
- Coronavirus Disease 2019 (COVID-19)
- Print Resources
- Video Resources
- Reopening guidance for cleaning and disinfecting public spaces, workplaces, businesses, schools, and homes, plus cleaning and disinfecting your facility
- Information for healthcare professionals about Coronavirus (COVID-19
- Clinician Outreach and Communication Activity (COCA) Calls and Webinars
- Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic
- Communication board from the Technology for Our Whole Lives (printable)
- Wisconsin Council on Physical Disabilities: Emergency Preparedness Toolkit
- DHS Print Resources
- The Institute for Community Inclusion: COVID-19 Publications and Resources
- Administration for Community Living: COVID-19
- ForwardHealth: COVID-19 news and resources
Regulatory and policy changes
The DHS Division of Quality Assurance (DQA) will notify providers through its existing notification process if any waivers of Wisconsin Administrative Code are issued. DQA-regulated home health agencies, hospices, and personal care agencies can apply for an individual waiver or variance to Wisconsin Administrative Code by completing and submitting the Waiver or Variance Request form, F-02527. Home health agencies, hospices, and personal care agencies are encouraged to notify the managed care organizations with which they contract if they receive DQA approval for an individual waiver or variance. Visit Waivers and Variances: Health and Residential Care Providers to learn more.
The Wisconsin Department of Safety and Professional Services (DSPS) is responsible for licensing requirements for registered nurses (RNs) and other health care professionals. Refer to the DSPS website for the most current information on waivers and more.
Providers should review the ForwardHealth Portal for information about ForwardHealth (Medicaid) policies that may have changed as a result of the COVID-19 outbreak. For specific questions about COVID-19 as it relates to ForwardHealth (Medicaid) coverage and policy, please contact DHS.
CMS has issued blanket waivers of some federal regulations. Federal requirements without a blanket waiver remain in effect. To request a waiver of a federal requirement not covered under a blanket waiver, a provider must submit a request for a Section 1135 waiver on an individual basis to CMS. Providers should review the CMS 1135 waiver guide to ensure their request contains all necessary information and elements. Questions regarding Section 1135 waivers should be emailed to CMS 1135 waiver. Providers are encouraged to notify the managed care organizations with which they contract if they receive CMS approval for an individual waiver.
Note: A federal waiver does not necessarily waive Wisconsin Administrative Code. Providers should review state policy pertaining to the services rendered.