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Community Services Licensure and Certification

Community Services Licensure and Certification

The Office of Community Services issues and regulates licenses and certifications for a variety of provider-types. Please review the manual for the provider type that you are interested in on our rules page.

A list of applications can be found below and can be submitted to

Completed applications are entered in to our work queue and assigned to a specialist within 2 business days. Some manuals will outline timeframes for processing as well as requirements of what should be sent with an application. Additionally, those who want to enroll as a provider to Medicaid clients also should understand these licenses and certifications are only part of the prerequisites to the Medicaid Provider Enrollment process.

Please review the information on our page about becoming a Medicaid provider for more information. If you have any questions about applying, your application, or the regulating of an already issued license/certification, please contact us so that we may review your concerns.

Note: Prospective BHA and CES providers may instead apply to enroll as a Community Support System Provider (CSSP). CSSP agencies are certified to provide home and community-based services for Medicaid beneficiaries with behavioral health and intellectual and developmental disability (IDD) service needs. For additional information, please visit the DHS CSSP webpage.


Adult Day Care (ADC)
Adult Developmental Day Treatment (ADDT)
Adult Day Health Care (ADHC)
ARChoices Provider Certification Application
Assisted Living Facility (ALF)
Behavioral Health Agency (BHA)
Community Support Systems Provider
Early Intervention Day Treatment (EIDT)
Partial Hospitalization
Post Acute Head Injury (PAHI)
Program of All-Inclusive Care for the Elderly (PACE)
Residential Care Facility (RCF)
Targeted Case Management Provider Application
Therapeutic Communities


SA Licensure Site Information


Division of Provider Services & Quality Assurance – Rules