Administrative & Fiscal Services

For questions regarding Provider Audits or Audit confirmations:

Rachel Morgan
Fiscal Support Supervisor
Walworth County Department of Health and Human Services
P.O. Box 1005
Elkhorn, WI 53121
Phone:  (262) 741-3200
Email HHS contracts

Audit Requirements:

If a provider receives $100,000 or more from purchase for services provided in a calendar year period, the provider shall arrange for an independent financial and compliance audit pursuant to applicable federal guidelines plus those guidelines provided by the Wisconsin Department of Health Services and Wisconsin Department of Children & Families.  

The provider is responsible for ensuring that the complete audit report is received within six months of the end of the fiscal period covered by the audit. If the audit report will be late, the provider must request a formal extension of the audit deadline.  

Key elements of the audit include, but are not limited to: 

• Auditor's opinion
• Complete financial statements with related notes
• Report on Compliance
• Schedule of Findings and questioned costs
• Schedule of expenditures of Federal and State awards
• Reserve Supplemental schedule/allowable profit schedule 
• Supplementary schedule of revenues and expenses by program 
• Assurance the audit was performed in accordance with the Provider Agency Audit Guidelines (PAAG)
• Inclusion of Management letter, if issued 
• Auditor's contact information with email address

Other Links:

WI DCF Provider Agency Audit Guide 
WI DHS Audit Guide
DHS Allowable Cost Policy Manual

Fee Information: Walworth County Department of Health & Human Services does not discriminate on ability to pay. Costs for services are covered by a variety of sources such as Medicare, Medicaid and private insurance or HMO. We also provide a sliding scale fee based on ability to pay. A financial assessment will be completed prior to starting services.

For all questions regarding contracts and related forms please contact: 

Rachel Morgan
Fiscal Support Supervisor
Walworth County Department of Health and Human Services
P.O. Box 1005
Elkhorn, WI 53121
Phone:  (262) 741-3200
Email:  HHS contracts

Civil Rights and Compliance:

Vendors who have over $50,000 in funding from Walworth County Health & Human Services AND more than 50 employees must complete a Civil Rights Compliance CRC Plan. 

Letter of Assurance: 

All Vendors MUST complete and return a Letter of Assurance annually.  

To report a Health Insurance Portability and Accountability Act (HIPAA) or Civil Rights concern anonymously.  The website will direct you to the Office for Civil Rights complaint portal.  

If you wish to file a complaint directly with Walworth County Department of Health and Human Services, please contact us directly at (262) 741-3200 or email HHS.  

An Authorization for Disclosure form is required when you request copies of your medical/consumer records be sent to another healthcare provider or third party. If you are requesting your own medical records, you can use the following contact information, or simply complete an Authorization for Disclosure form.  

To Request Records: 

Complete the Authorization for Disclosure form

Mail, fax, email or hand-deliver form to:
Walworth County Department of Health and Human Services
W4051 County Road NN
P.O. Box 1005
Elkhorn, WI 53121
(262) 741-3200
Email HHS

For assistance obtaining records, call 262-741-3200 between 8:00 am and 4:30 pm and ask for Medical Records. 

Review the Walworth County Health & Human Services' Notice of Privacy Practice (PDF) and the Spanish version (PDF)