Certifying Agency an agency authorized by the Wisconsin Medicaid Standards for Certified 1-2 Bed Adult Family Homes or by the Department to certify and recertify Adult Family Homes. Agencies authorized to certify AFHs using these standards include MCOs, county agencies, the Department, or approved Department subcontractors.
Certifying Agency. CAPACITY: ----------------- --------- ___ Department of Central Management Services ___ Minority ___ Women's Business Development Center ___ Female ___ Chicago Minority Business Development Council ___ Person with Disability ___ Illinois Department of Transportation ___ Disadvantaged ___ Other (identify)
Certifying Agency. Capacity: ------------------ --------- ___ Department of Central Management Services ___ Minority ___ Women's Business Development Center ___ Female ___ Chicago Minority Business Development Council ___ Person with Disability ___ Illinois Department of Transportation ___ Disadvantaged ___ Other (identify)____________________________________ 2 If the "Capacity" blank is not checked, do you have a written policy or goal regarding contracting with BEPs? Yes______ No______ - If "Yes", please attach a copy - If "No", will you make a commitment to contact XXXx and consider their proposals? Yes______ No______
