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WISCONSIN · CARE PROGRAM

Adult Long-Term Care Waiver Services (Family Care, Partnership, PACE, IRIS)

Staff and contractors of providers enrolled with Wisconsin Medicaid to deliver home and community-based waiver services (supportive home care, respite, day services, supported employment and other services for frail elders and adults with physical, intellectual or developmental disabilities), who all sign F-00180C. Self-directed and IRIS participant-hired workers are checked by the co-employment agency or fiscal employer agent.

LTC WAIVER · ON FILE
Registries named
5
Required
4
Expected
1
Screened by ezOIG
2 of 5
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 For all new hires, and at least quarterly for existing employees
    BASIS
    Wisconsin Medicaid Provider Agreement for HCBS Waiver Providers, F-00180C, § 16 (signed by every adult LTC waiver provider at enrolment, ForwardHealth Online Handbook Topic #23457)

    Provider agrees to check the HHS Office of Inspector General (OIG) online List of Excluded Individuals/Entities database (Exclusions Database) for all new hires and at least quarterly for existing employees

    Read the source dhs.wisconsin.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 providing direct services, and at least every 4 years
    BASIS
    Wisconsin Medicaid Provider Agreement for HCBS Waiver Providers, F-00180C, § 16; Family Care contract, Art. VIII.N.5

    Provider completes Wisconsin DOJ criminal and caregiver background checks at its own expense for all persons who will provide care to members and participants, whether an employee or contractor of an entity or a sole proprietor, prior to the person(s) providing direct services to a member or participant and at a minimum every four (4) years thereafter

    Read the source dhs.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
    AT HIRE Before services that involve direct contact with members or participants
    BASIS
    Wisconsin Medicaid Provider Agreement for HCBS Waiver Providers, F-00180C, § 16

    provider verifies all persons who will provide care to members or participants, whether an employee or contractor of an entity or a sole proprietor do not appear on the list of excluded individuals on the DHS Wisconsin Misconduct Registry.

    Read the source dhs.wisconsin.gov

  4. DSPS license lookup (LicensE)

    Wisconsin Department of Safety and Professional Services

    NOT SCREENED YET The registry blocks automated access
    WHEN
    AT HIRE At hire, for staff whose duties need a licence, certification or registration
    BASIS
    Wisconsin Medicaid Provider Agreement for HCBS Waiver Providers, F-00180C, § 16

    Provider ensures and documents qualifications of each staff member, including academic preparation and relevant experience, verification of current license, certifications, and/or registrations to practice in Wisconsin that are applicable to, or required by, the staff member’s duties.

    Read the source dhs.wisconsin.gov

Expected checks

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

  1. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    AT HIRE At hire
    BASIS
    Standard practice for Wisconsin Medicaid HCBS providers; ForwardHealth screens enrolled providers against SAM (Online Handbook Topic #23462); no rule names it for workers

Also required

Not registry lookups; ezOIG doesn't run these
  • Hiring policies that review the DOJ results and the Background Information Disclosure form F-82064 (F-00180C, § 16)
  • Self-directed workers: background checks substantially similar to Wis. Stat. § 50.065 by the co-employment agency or fiscal employer agent (Family Care contract, Art. VIII.N.5.e)
  • Supportive home care and respite workers: training under DHS P-01602 (Family Care contract, Art. VIII.D.6)
  • Written policies on testing staff for communicable diseases (F-00180C, § 16)
  • Annual staff training on compliance, fraud, waste and abuse (F-00180C, § 16)

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.
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.

Screen for Wisconsin LTC Waiver.

Choose this program when you set up your organization, and ezOIG runs the registries it screens on your schedule.

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