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Wisconsin Department of Health Services

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Brain Injury Waiver

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Medicaid HCB Waivers Manual

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Medicaid Home & Community-Based
Waivers Manual

APPENDICES

Appendix Document Title
Appendix A Level of Care

Appendix C

Financial Eligibility

Appendix E

Children/CLTS Specific Information

Appendix G

 Note: Appendix G has been revised and is now part of Appendix M

Appendix I

Service Planning and Individual Service Plan (DDE-0445)

Appendix J

Substitute Care

Appendix M

Participant Rights and Responsibilities (PDF, 45 KB)

Appendix P

Provider Issues

Appendix Q

DHS Quality Management

Appendix R

Restrictive Measure Application Process

Appendix S

Safety Issues

Appendix T

Training and Documentation Requirements for Waiver Funded Supportive Home Care and Respite Care (PDF, 26 KB)

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Last Revised: April 17, 2013