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Wisconsin Department of Health Services

If You Have Complaints about Wisconsin Health Care

Information about Division of Quality Assurance (DQA)

Consumer & Provider Information

Provider Types Regulated by DQA

DQA Listservs

Provider Search

Facility Directories

Provider Training

DQA Numbered Memos

DHS Forms

Construction/
Remodeling of Health Care Facilities

WI Nurse Aide Training and Registry Info

Caregiver Program/ Background Checks

WI Adult Programs Caregiver Misconduct Registry

Personal Care Agencies (PCAs) - Information for Providers

Introduction | Rules_&_Regulations | Providers | Contacts | Publications | Related Sites


General Information

Personal Care Handbook (PDF, 670 KB) -- Contains useful details for personal care agencies.

new icon Online Training for PCAs

new icon PCA Application and Certification Processes

Check the status of a PCA application by reviewing the PCA Application Status Report. (PDF, 35 KB)

e-SOD/e-POC Provider Information

Compliance Review Tools

Providers of personal care services may find the following forms useful in conducting an agency self-evaluation of compliance with Wisconsin Administrative Rule requirements. Some of these forms are used by surveyors during an on-site performance review.

P-00191 Survey Guide (PDF, 68 KB)

F-00261 Personnel Record Review (PDF, 10 KB)

F-00262 Pre-Approval Desk Review Checklist (PDF, 25 KB)

F-00262a Regulatory Guidance Checklist (PDF, 251 KB)

F-00263 Record Review (PDF, 18 KB)

F-00264 Surveyor Guide (PDF, 62 KB)

F-00784 Client Rights (PDF, 20 KB)

F-62069A Complaint Report (PDF, 28 KB)

F-62274A Consent for Home Visit (PDF, 17 KB)

F-62648A Sample Selection (PDF, 12 KB)

F-62651A Calendar Worksheet - Prescribed Visits (PDF, 13 KB)

F-62652A Home Visit Guide (PDF, 24 KB)

Safety in Healthcare

Provider resources for Safety in Healthcare

Emergency Preparedness

Emergency Preparedness for Long Term Care and Assisted Living Facilities

The Centers for Disease Control and Prevention (CDC) Emergency Preparedness and Response website includes preparedness resources for healthcare facilities. (exit DHS) 

U.S. Department of Labor

The United States Department of Labor, Wage and Hour Division Fact Sheet website provides information by topic of the Fair Labor Standards Act. (exit DHS)  Fact Sheet topics include: Health Care, Nursing Care Facilities, Nurses, Recordkeeping, Home Health Care, Hours Worked, Overtime, and additional areas. 

Wisconsin's Flu Resource

Wisconsin's Flu Resource website (exit DHS)

Wisconsin License, Permit and Registration Services Portal

Wisconsin License, Permit and Registration Services - Category: Health/Medicine (exit DHS)

Seasonal Information

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Last Updated: August 12, 2014