Application for A Permit
Care Management Organization
Chapter 648, Wis. Stat.
|Note: The following address is a link to the statute in pdf format:|
A care management organization as defined in s. 648.01, Wis. Stat., must obtain a permit as a care management organization. Please complete and return the application for a permit for a care management organization (link provided below). Any questions about the application should be directed to Mr. Richard Hinkel (608-267-7910) or Ms. Amy Malm (608-267-9482).
No application will be considered completed until all items on the application form have been completed.
The application packet is available to be downloaded below. Note, however, that you will need an Adobe Acrobat Reader to view or print the application forms, which you can download at no cost from Adobe .
Please direct questions to: email@example.com (please include your name, phone number, and e-mail address).