Pre-Employment and HCBS Waiver Provider Background Screening logo

Pre-Employment and HCBS Waiver Provider Background Screening

WDH endeavors to a ensure a quality workforce by completing background screenings on its direct care programs, the Home and Community Based Settings (HCBS) Waiver programs, Public Health Nursing and WIC programs and guardians of vital records.

Contact Info:

Penny Wagner
Background/Systems Specialist
(307) 777-7276
2300 Capitol Ave, 4th Floor
Cheyenne, WY 82002

Email Us

Background Screening Forms

Every individual submitting to a background screening must be provided with a summary of their Privacy Rights.

Please use the Background Submission Checklist, FBI-DCI Code List, and Fingerprint Card required boxes to ensure all forms are filled out correctly.

All applicants must submit a Central Registry screening request:

If you are a traditional provider, WDH supervisor or PHN supervisor, please include a Cover Sheet for Authorized Providers:

If you are an Employer of Record under the Self-Directed Waiver Program, please include a Cover Sheet for Self-Directed Care Providers: