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WISCONSIN · CARE PROGRAM

Home Health Agency

Employees and contractors with regular, direct patient contact at a home health agency licensed under ch. DHS 133 (Medicare-certified agencies also under 42 CFR 484). Each worker is also reported to ForwardHealth for screening before Medicaid will pay for their services.

HOME HEALTH · ON FILE
Registries named
7
Required
7
Expected
0
Screened by ezOIG
2 of 7
Rules checked
October 16, 2026

Required checks

Named by a regulation, a statute or the state's Medicaid agency

  1. List of Excluded Individuals/Entities

    HHS Office of Inspector General

    SCREENED BY EZOIG Federal exclusion check against the HHS-OIG list
    WHEN
    AT HIRE At hire: the agency reports each worker to ForwardHealth, which screens them; services by a worker who has not passed are not reimbursable
    BASIS
    ForwardHealth Online Handbook, Home Health, Topic #14358

    any person employed by, contracted by, or employed by an agency under contract with a Wisconsin Medicaid home health and/or personal care agency who provides home health and/or personal care services to members is required to supply a valid SSN in order for Wisconsin Medicaid to conduct screenings via the following databases: The SSA's Death Master File OIG LEIE The EPLS

    Read the source forwardhealth.wi.gov

  2. Wisconsin Online Record Check System (WORCS), caregiver background check

    Wisconsin Department of Justice, Crime Information Bureau

    NOT SCREENED YET Paid access
    WHEN
    AT HIRE Before hire (a clean Background Information Disclosure allows up to 60 days of supervised work pending results), and every 4 years
    BASIS
    Wis. Stat. § 50.065(2)(b)1, (3)(b), (4m)(c); Wis. Admin. Code § DHS 133.06(4)(g)

    Every entity shall obtain all of the following with respect to a caregiver of the entity: 1. A criminal history search from the records maintained by the department of justice.

    Read the source docs.legis.wisconsin.gov

  3. Wisconsin Caregiver Misconduct Registry (Wisconsin Misconduct Registry Search)

    Wisconsin Department of Health Services, Division of Quality Assurance, Office of Caregiver Quality

    NOT SCREENED YET The registry's terms forbid automated searches
    WHEN
    MONTHLY At hire and every 4 years; monthly review of new registry additions, which DHS posts by the 15th
    BASIS
    Wis. Stat. § 50.065(2)(b)2, (3)(b); Wis. Admin. Code § DHS 133.06(4)(g); DHS Background Check and Misconduct Investigation Program Manual, P-00038, § 6.7.0

    Some individuals, who upon hire did not have a finding, may receive one while employed and may not report that to the entity. Therefore, entities must check the updated Misconduct Registry each month.

    Read the source dhs.wisconsin.gov

  4. Wisconsin Nurse Aide Registry

    Wisconsin Department of Health Services, Division of Quality Assurance

    NOT SCREENED YET The registry's terms forbid automated searches
    WHEN
    AT HIRE At hire, home health aides: the aide's name must be on the registry
    BASIS
    Wis. Admin. Code § DHS 133.02(4); 42 CFR 484.80(a)(1)(iii); P-00038, § 2.4.0

    “Home health aide” means an individual whose name is on the registry and who is eligible for employment in a home health agency

    Read the source docs.legis.wisconsin.gov

  5. DSPS license lookup (LicensE)

    Wisconsin Department of Safety and Professional Services

    NOT SCREENED YET The registry blocks automated access
    WHEN
    AT HIRE At hire, nurses, therapists and other licensed staff; keep current (also every 4 years under Wis. Stat. § 50.065(2)(b)3, (3)(b))
    BASIS
    42 CFR 484.100(b); Wis. Stat. § 50.065(2)(b)3

    The HHA, its branches, and all persons furnishing services to patients must be licensed, certified, or registered, as applicable, in accordance with the state licensing authority as meeting those requirements.

    Read the source ecfr.gov

  6. Child abuse and neglect determinations (Wis. Stat. § 48.981(3)(c)5m)

    Wisconsin Department of Children and Families

    NOT SCREENED YET Not open to the public
    WHEN
    AT HIRE At hire and every 4 years
    BASIS
    Wis. Stat. § 50.065(2)(b)4, (3)(b); Wis. Admin. Code § DHS 133.06(4)(g)

    Information maintained by the department regarding any final determination under s. 48.981 (3) (c) 5m. or, if a contested case hearing is held on such a determination, any final decision under s. 48.981 (3) (c) 5p. that the person has abused or neglected a child.

    Read the source docs.legis.wisconsin.gov

  7. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    AT HIRE At hire, in the same ForwardHealth worker screening (the EPLS named there moved into SAM.gov as its exclusion records in 2012)
    BASIS
    ForwardHealth Online Handbook, Home Health, Topic #14358

    any person employed by, contracted by, or employed by an agency under contract with a Wisconsin Medicaid home health and/or personal care agency who provides home health and/or personal care services to members is required to supply a valid SSN in order for Wisconsin Medicaid to conduct screenings via the following databases: The SSA's Death Master File OIG LEIE The EPLS

    Read the source forwardhealth.wi.gov

Expected checks

Standard practice, or implied by a provider's enrollment duties; no rule names them outright

None for this program.

Also required

Not registry lookups; ezOIG doesn't run these
  • Background Information Disclosure form F-82064 completed at hire and every 4 years, or a written self-disclosure policy with annual notice (Wis. Stat. § 50.065(6)(am))
  • Good-faith effort to obtain other states' criminal records for anyone who lived outside Wisconsin in the 3 years before the search (Wis. Stat. § 50.065(2)(bm))
  • Clerk of courts records (criminal complaint and disposition) when a serious-crime charge has no final disposition or certain recent convictions appear (Wis. Stat. § 50.065(2)(bb))
  • Caregivers must report new convictions or investigations to their supervisor by the next working day (Wis. Admin. Code § DHS 12.07(1))
  • TB and communicable disease screening within 90 days before direct patient contact (Wis. Admin. Code § DHS 133.06(4)(d))
  • Home health aide training (Wis. Admin. Code § DHS 133.17(4)) and federal aide training and competency evaluation (42 CFR 484.80)

Why some registries are not screened yet

The registry blocks automated access
The registry's website turns away automated lookups. We don't work around that, so for now your staff search it themselves.
The registry's terms forbid automated searches
The registry's terms, or the law behind it, rule out automated or third-party searches, so ezOIG doesn't run them.
Not open to the public
The agency doesn't publish it. Only the agency, or employers it authorizes, can check it.
Paid access
The agency charges for access, and ezOIG doesn't include it yet.

Guidance, not legal advice

This page summarizes ezOIG's research into Wisconsin's rules for this program, checked against the regulations as of October 16, 2026. Rules change, and an agency's own contract or license can add to them. Confirm what applies to you with Wisconsin Department of Health Services, Division of Medicaid Services (ForwardHealth) or your own counsel before relying on it.

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