Department of Health Services Logo

 

Wisconsin Department of Health Services

Income Maintenance Profile Detail - 2010 Community Aids Reporting System

Profile # Description
76 IM FS/MA Allocated (PDF, 33 KB)
103 W-2 Funeral & Cemetery (PDF, 18 KB)
104 Non W2 Funeral & Cemetery (PDF, 18 KB)
105 Funeral/Cemetery - W2 & Non W2 (PDF, 15 KB)
131 MA Transportation Contract/Conveyance (PDF, 14 KB)
132 MA Transportation Administration (PDF, 14 KB)
230 FSET Admin 100% Fed Suppl (PDF, 16 KB)
231 FSET Admin GPR/Fed Base (PDF, 16 KB)
232 FSET Admin 50% local match to fed (PDF, 11 KB)
233 FSET Transp GPR/Fed Base (PDF, 15 KB)
234 FSET Transp 50% local match to fed (PDF, 11 KB)
235 FSET Retent GPR/Fed Base (PDF, 15 KB)
236 FSET Retent 50% local match to fed (PDF, 11 KB)
283 IMAA State Share (PDF, 14 KB)
284 IMAA Federal Share (PDF, 15 KB)
291 Medicaid Subrogation Collections (PDF, 15 KB)
908 Liquidated Damages for Non Compliance (PDF, 15 KB)
909 Voluntary Medical Refunds (PDF, 18 KB)
977 Agency Travel Reimburse (PDF, 14 KB)
9050 Agency Prevent Error Pen (PDF, 15 KB)

Last Revised:  April 08, 2014