Request to Assign Permit CMO

​​​​Last updated:  March 23, 2016​​​

Request for Approval to Assign a Permit
Care Management Organization
Chapter 648, Wis. Stat.

Note: The following addresses are links to the statutes in pdf format: http://docs.legis.wisconsin.gov/statutes/statutes/46.pdf
http://docs.legis.wisconsin.gov/statutes/statutes/648.pdf

A care management organization requesting approval to assign their permit pursuant to s. 46.2895 (4) (r), and ch. 648, Wis. Stat., must obtain OCI approval. Please complete and return the request for approval to assign a permit for a care management organization (link provided below). Any questions about the request should be directed to Mr. Richard Hinkel (608-267-7910) or Ms. Amy Malm (608-267-9482).

No request will be considered completed until all items on the request form have been completed.


Request for Approval Packet

The request for approval packet is available to be downloaded below.

Request for Approval Packet

Permit Assignment - Balance Sheet and Obligation Listing (Excel)​​


Please direct questions to: ocifinancial@wisconsin.gov​ (please include your name, phone number, and e-mail address).