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Caregiver Background Check Update

PDF Version of DQA 08-007 (PDF, 24 KB)

Date: March 18, 2008 -- DQA Memo 08-007
To: Certified Mental Health and AODA CMHA 01
Community Based Residential Facilities
Facilities for the Developmentally Disabled
FDD 04
Home Health Agencies
HHA 03
Licensed Adult Family Homes AFH 04
Nurse Aide Training Programs
Nursing Homes
NH 05
Residential Care Apartment Complexes
Rural Health Clinics
RHC 02
From: Shari Busse, Director
Office of Caregiver Quality

Otis Woods, Administrator
Division of Quality Assurance

Caregiver Background Check Update

The purpose of this memo is to share information regarding the upcoming caregiver background check fee increase and the revised Background Information Disclosure Form. If you have questions, please e mail the Office of Caregiver Quality at, or call (608) 261-8319.

Caregiver Background Check Fee

Effective April 1, 2008, the Department will charge $3.00 for the Response to Caregiver Background Check letter that is included in a caregiver background check request. This is the first increase in the DHS fee since it was implemented in May 2000. The increase will be reflected on the Department's website at, as well as the Department of Justice's (DOJ) website at  

DOJ will return any criminal history requests received beginning April 1, 2008, that do not include payment at the increased rate. Account holders will automatically be billed at the increased rate. Please access either the DHS or DOJ website on or after April 1, 2008, to obtain updated copies of the Wisconsin Criminal History Request Form(s).

Background Information Disclosure Form Updates

The Background Information Disclosure Form, DHS-64, has been updated. Please access the Department's website at to obtain a copy of the January 2008 version of the form.


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