How to Become a CCS Contracted Provider

The Walworth County Department of Health and Human Services purchases an array of services to meet the needs of consumers, to advance prevention efforts, and to provide specialized administrative and facility support. If you are interested, the information below will help you get started…

Required Information to Initiate a Contract with Walworth County Human Services

Provider/Staff Maintenance Request 

Request for Taxpayer Identification Number (TIN) and Certification (W9)

JRW 2021 Rate Sheet

Regional Orientation Checklist                              

Caregiver Background checks

Wisconsin Online Record Check System

State of Wisconsin Civil Rights Compliance Information

Jefferson, Rock and Walworth Counties (JRW) CCS Training binder

Additional Training Opportunities

Person-Centered Planning (PCP) online training

Policy & Procedure