Personal Care Agency – Renewal Certification

Contact Email

dhswebmaildqa@wisconsin.gov

Phone

608-266-2702

Fax

608-264-9847
DHS/DQA/BHS
Attn: PCA Certification
P.O. Box 2969
Madison, WI 53701-2969

Type

Renewal

Description

Annual renewal of a personal care agency requires an annual report and fee submission

Duration

Annual

Fees

Fee varies by amount of Medicaid revenue

Prerequisites

Already certified as a Personal Care Agency

WI Administrative Code

Medical Assistance Provider Certification (DHS 105.17) and Covered Services (DHS 107.112)

Additional Information

See DQA Personal Care Agency website for additional information.

Last Revised: November 15, 2016