Division of Quality Assurance Information
- e-SOD/e-POC Provider Information
- Survey Guide: Home Health and Hospice Licensure and Certification, P-63075 (PDF, 50 KB)
- Cross-walk between State Administrative Rules and Medicare Requirement, F-62519 (PDF, 177 KB)
- Hospice Application Process
- Construction/Remodeling of Health Care Facilities - Plan Review Requirements
- Reporting Client / Patient Death Attributable to Suicide, Restraint, or Psychotropic Medication
- Facilities Seeking to Perform Laboratory Testing - Information
- DQA Numbered Memos for Hospices
- Care Coordination between Hospice and Other Providers
- Hospice / Residential Care Apartment Complex Interface (PDF, 88 KB)
- Guidelines for Care Coordination for Hospice Patients Who Reside in Nursing Homes
- Hospice/CBRF Interface (PDF, 88 KB) - Guideline to Care Coordination for Hospice Patients in Community Based Residential Facilities.
PLEASE NOTE: This document was prepared by the Hospice Organization of Wisconsin (HOW) and is not a product of the Wisconsin Department of Health Services. We are making this available as a service to the public. This document should not be construed as Department policy in any way.
- Quality Improvement Information
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- Care Planning 2000 (PDF, 293 KB)
- Hospice Facility Directories
- RAI/MDS 3.0 Information
- Filing a Complaint Resource Sheet (consumer information) (PDF, 55 KB)
Other Wisconsin Information
- DHS Provider Information
- Medicaid Hospice Provider Information
- The Diabetes Prevention & Control Program in Wisconsin
Federal Links - Centers for Medicare and Medicaid Services (including S&C letters), HIPAA, Civil Rights, US Department of Labor, etc.
- S&C Letter 02-44 (PDF, 36 KB) "Impact of Nursing Shortage on Hospice Care", 9/12/02 - Temporary measure allowing hospices to contract for nursing care
- S&C Letter 02-29 (PDF, 51 KB) "Promising Practices in the Implementation of the Medicare Hospice Benefit in Nursing Homes", 5/10/02
- CMS Provider Center - Hospice Resource
- Hospice Conditions of Participation
Licensee Change of Ownership
If operation of the hospice is later transferred to another owner, ownership group, or to a lessee, the licensee is required to notify the Division of Quality Assurance at the time they are planning a change-of-ownership transfer as the license is non-transferable.
Documentation must be submitted to the Division of Quality Assurance to officiate the change of owner.
If operation of the hospice is later transferred to another owner, ownership group, or to a lessee, the Health Insurance Benefits Agreement will be transferred.
- You are required to notify the Division of Quality Assurance at the time you are planning a change-of-ownership transfer as your license is non-transferable.
- Complete all applicable sections of application, including Section B. which may be obtained from the Hospice Licensing Specialist who can be reached at 608-266-2702
See Rules & Regulations for hospices:
- Wisconsin Statutes, Chapter 50.90
- Wisconsin Administrative Code, DHS 131 - Hospice Rules
- Please review and submit Policies and Procedures Necessary to meet DHS 131
- A nonrefundable fee of $300.00 must be included with your application as required under DHS 131.14(1), except that:
- The fee for a hospice that is a nonprofit corporation and is served entirely by uncompensated volunteers or employs persons in not more than 1.5 positions at 40 hours of employment per week shall be $25; and
- The fee for a hospice that is a nonprofit organization, that is served entirely by uncompensated volunteers and that charges no fees may be waived by the department upon request.
Caregiver Background Check Process - A background check is completed on all signatories and interested parties having access to clients.
- Select the appropriate section, "New Applicant" or "Existing."
- Complete and required Background Information Disclosure (BID) forms.
- Review Chapters 1 and 2 in the "Caregiver Program Manual" concerning the fees and process of employees' background checks.
Safety in Healthcare
- Provider resources for Safety in Healthcare
- The Centers for Disease Control and Prevention (CDC) Emergency Preparedness and Response website includes preparedness resources for healthcare facilities.
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. Fact Sheet topics include: Health Care, Nursing Care Facilities, Nurses, Recordkeeping, Home Health Care, Hours Worked, Overtime, and additional areas.
- Wisconsin's Flu Resource website
- Influenza and Pneumococcal Immunization
- Winter Safety: Hypothermia, Indoor/Outdoor Safety, Clear Exits, Holiday Decorations
- Summertime Safety: Heat-Related Illness, Power Outages, Tornadoes and Severe Weather
- National Weather Service Chart: Wind Chill