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Wis. Admin. Code § DHS 105.17 - Personal care agencies (Medicaid provider certification)

WisconsinregulationWisconsin Department of Health Services (DHS)

What this rule requires your agency to do

  • 1The agency must maintain personnel policies, job descriptions, training records, time sheets, contracts, and records of supervisory visits. (Wis. Admin. Code § DHS 105.17(1g)(c))(Wis. Admin. Code § DHS 105.17 - Personal care agencies (Medicaid provider certification))
  • 2The agency must appoint or replace its administrator within 90 days of a vacancy and notify the department of changes within 10 days. (Wis. Admin. Code § DHS 105.17(1e)(i)-(k))(Wis. Admin. Code § DHS 105.17 - Personal care agencies (Medicaid provider certification))
  • 3The agency must document at least 60 days of operating-expense cash flow and use an accounting system complying with generally accepted accounting principles. (Wis. Admin. Code § DHS 105.17(1g)(a), (b))(Wis. Admin. Code § DHS 105.17 - Personal care agencies (Medicaid provider certification))
  • 4The agency must present a proposal documenting that it will provide cost-effective services, maintain quality assurance, and employ staff knowledgeable about client needs. (Wis. Admin. Code § DHS 105.17(1e)(b))(Wis. Admin. Code § DHS 105.17 - Personal care agencies (Medicaid provider certification))
  • 5The agency must adopt written policies outlining its operations and a statement detailing the services it provides. (Wis. Admin. Code § DHS 105.17(1e)(f), (g))(Wis. Admin. Code § DHS 105.17 - Personal care agencies (Medicaid provider certification))
  • 6The agency must provide a written plan of operation describing the entire process from referral through delivery of services and follow-up. (Wis. Admin. Code § DHS 105.17(1e)(c))(Wis. Admin. Code § DHS 105.17 - Personal care agencies (Medicaid provider certification))
  • 7The agency must be fit and qualified, which the department assesses using factors including adverse licensing actions, financial failures, criminal convictions, and unsatisfied judgments. (Wis. Admin. Code § DHS 105.17(1e)(e))(Wis. Admin. Code § DHS 105.17 - Personal care agencies (Medicaid provider certification))

Applies to: personal care agencies

Wisconsin certifies personal care agencies as Medicaid providers under Wis. Admin. Code § DHS 105.17 (authorized by Wis. Stat. § 49.45). The rule defines eligible entity types (licensed home health agency, county department, independent living center, tribe, or freestanding personal care agency) and sets the contracting, planning, fitness, policy, administrative, financial, and recordkeeping conditions an agency must meet to be certified to provide and bill for personal care services.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.