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Forms LibraryWisconsin Department of Health ServicesMedicaiddhcf - Washington, D CForms LibraryWisco

Forms LibraryWisconsin Department of Health ServicesMedicaiddhcf - Washington, D CForms LibraryWisco 2025

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4.8 out of 5

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The document is an application form for Medicaid Certified Personal Care Providers in Wisconsin to gain access to a web-based Personal Care Screening Tool. It outlines the necessary information required from providers and their contract agencies, including contact details and confirmation of their capabilities in conducting personal care screens. The completion of the form is voluntary but essential for timely access to the tool.

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2017	4.8 Satisfied (32 Votes)
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What is the authorized representative form for Medicaid in Wisconsin?

An authorized representative is a person or an organization that you can appoint to help you apply for and manage your benefits or programs. You can appoint a person as your authorized representative by completing the Appoint, Change, or Remove an Authorized Representative: Person form, F-10126A.

Who is the director of Medicaid in Wisconsin?

Jamie Kuhn became the states Medicaid director last week.

How do I contact DHS Wisconsin?

If you cant find what you are looking for, or if you need more information: Call the IRIS Call Center at 888-515-4747. Email the Wisconsin Department of Health Services (DHS) at DHSIRIS@wisconsin.gov.

What is the income limit for Medicaid in Wisconsin?

Who is eligible for Wisconsin Medicaid? Household Size*Maximum Income Level (Per Year)2$26,2283$33,0644$39,9005$46,7374 more rows

How do I contact Medicaid in Wisconsin?

All applicants and members Call Member Services at 800-362-3002 or email them at memberservices@wisconsin.gov. Theyre available from 8 a.m.6 p.m. Monday through Friday.

Forms LibraryWisconsin Department of Health ServicesMedicaiddhcf - Washington, D CForms LibraryWisco 2025

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