__________________
State of Wisconsin
Department of Revenue
Madison
November 4, 1998
To the Honorable, the Assembly:
In accordance with section 71.55(10)(e), Wis. Stats. (1995-1996), I am enclosing copies of the Department of Revenue reports on distribution of enrollment cards for the Wisconsin State Medical Society "Partnercare" program.
Sincerely,
cate zeuske
Secretary of Revenue
Referred to committee on Health.
__________________
AGENCY REPORTS
State of Wisconsin
Department of Health and Family Services
Madison
October 12, 1998
To the Honorable, the Assembly:
Attached is information about the CAREGIVER BACKGROUND CHECK AND INVESTIGATION LEGISLATION that became effective on October 1, 1998. This legislation applies to all providers regulated under Chapters
50 and
51 of the Wisconsin Statutes.
Caregiver Background Check requirements can also be found on the Department of Health and Family Services website:
www.dhfs.state.wi.us. Once you reach the site, click on
"News & Initiatives." The website includes information on: Wisconsin Administrative Codes Chapter
HFS 12-Caregiver Background Checks and Chapter
HFS 13-Reporting and Investigation of Caregiver Misconduct, copies of forms, and answers to frequently-asked questions.
If you have questions about Caregiver Background Checks, please write them down. Include as much detail as possible and state your type of license, registration, certification or approval. Send questions to Judy Fryback, Director, Bureau of Quality Assurance at the above address. You may also FAX your questions to the Bureau of Quality Assurance, at (608) 267-0352 or E-mail your questions to
Mccaltw@dhfs.state.wi.us.
The following exhibits are attached to this memo for your information. Please reproduce the forms for your use.
A997
* Final version-Background Information Disclosure form-HFS 64
* Wisconsin Administrative Code HFS 12-Caregiver Background Checks
* Wisconsin Administrative Code HFS 13-Reporting and Investigation of Client Abuse and Neglect and Misappropriation of Client Property
* DJ-LE-250-Wisconsin Criminal History Single Name Record Request
* DJ-LE-250A-Wisconsin Criminal History Multiple Name Record Request
* DJ-LE-251-Wisconsin Criminal History Customer Account Application
* New Caregiver Background Check Process graphic
* DSL2447-Report of Alleged Client Abuse, Neglect or Misappropriation
* DSL2448-Information Provided by Person with Knowledge of Alleged Incident. (Optional form for use in your inquiry/investigation.)
Sincerely,
Judy fryback
Director Bureau of Quality Assurance
Department of Health and Family Services
