Contact Email
Phone
608-266-2702
Fax
608-264-9847
DHS/DQA/BHS
Attn: PCA Certification
P.O. Box 2969
Madison, WI 53701-2969
Certification does not expire unless revoked, suspended or a voluntary closure. Annual renewal requires the completion of an annual report and fee submission.
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 Personal Care Agency website for additional information.
Last Revised: April 2, 2018
