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Community Care Program Online Application
The applications will be submitted online through DocuSign. As a cost-saving measure for you, we ask that you NOT mail the application to the department.
Starting the Application Process
To learn more about the process before submitting an application, visit:
If you have questions about the Rules and Regulations for the Community Care Program, visit the Statutes and Rules page.
This online application is for NEW applicants only! Current providers can NOT use this application.
This is a 3 Step Application Process
- Step 1: Legal Entity Application
- Step 2: In-Home Service Application and/or Adult Day Service Application
- Step 3: Application Complete Submission Form
Once all of the required parts of the application are completed, a representative will review the application and contact you.
