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Division of Health Care Access and Accountability (DHCAA)

Division Prefix / Old Publication  Number Assigned Publication Number Publication Title Publication Type Other Location Language
DHCAA P-00079 Enrollment and Benefits Handbook - April 2014 (PDF, 1625 KB) PDF None English
DHCAA P-00079-P Enrollment and Benefits Handbook - November 2013 (PDF, 3360 KB) PDF None English
DHCAA P-00079S Enrollment and Benefits Handbook - Spanish (PDF, 867 KB) PDF None Spanish
DHCAA P-00084 Milwaukee Enrollment Services (MilES) Contact Poster Paper FormsManager English
DHCAA P-00084A Milwaukee Enrollment Services (MilES) Contact Poster Tear Off Sheets Paper FormsManager English
DHCAA P-00084AH Milwaukee Enrollment Services (MilES) Contact Poster Tear Off Sheets - Hmong Paper FormsManager Hmong
DHCAA P-00084AS Milwaukee Enrollment Services (MilES) Contact Poster Tear Off Sheets - Spanish Paper FormsManager Spanish
DHCAA P-00084H Milwaukee Enrollment Services (MilES) Contact Poster - Hmong Paper FormsManager Hmong
DHCAA P-00084S Milwaukee Enrollment Services (MilES) Contact Poster - Spanish Paper FormsManager Spanish
DHCAA P-00087 Milwaukee Enrollment Services (MilES) Key Contacts (PDF, 92 KB) PDF None English
DHCAA P-00087H Milwaukee Enrollment Services (MilES) Key Contacts - Hmong (PDF, 78 KB) PDF None Hmong
DHCAA P-00087S Milwaukee Enrollment Services (MilES) Key Contacts - Spanish (PDF, 81 KB) PDF None Spanish
DHCAA P-00102 FoodShare Wisconsin - Your FoodShare Rights Poster (PDF, 113 KB) Paper Form Center English
DHCAA P-00102H FoodShare Wisconsin - Your FoodShare Rights Poster (Hmong) (PDF, 55 KB) Paper Form Center Hmong
DHCAA P-00102S FoodShare Wisconsin - Your FoodShare Rights Poster (Spanish) (PDF, 113 KB) Paper Form Center Spanish
DHCAA P-00262 Instructions Related to 820 Health Care Payroll Deducted and Other Group Premium Payment for Insurance Products (820) Based on ASC X12 Implementation Guide (PDF, 105 KB) PDF None English
DHCAA P-00263 Instructions Related to 837 Health Care Claim: Dental (837D) Transactions Based on ASC X12 Implementation Guide (PDF, 302 KB) PDF None English
DHCAA P-00264 Instructions Related to 834 Benefit Enrollment and Maintenance (834) Based on ASC X12 Implementation Guide (PDF, 247 KB) PDF None English
DHCAA P-00265 Instructions Related to 837 Health Care Claim: Professional (837P) Transactions Based on ASC X12 Implementation Guide (PDF, 350 KB) PDF None English
DHCAA P-00266 Instructions Related to 837 Health Care Claim: Institutional (837I) Transactions Based on ASC X12 Implementation Guide (PDF, 432 KB) PDF None English
DHCAA P-00267 Instructions Related to 270/271 Health Care Eligibility Benefit Inquiry and Response (270/271) Based on ASC X12 Implementation Guide (PDF, 773 KB) PDF None English
DHCAA P-00268 Instructions Related to 999 Acknowledgement for Health Care Insurance (999) Based on ASC X12 Implementation Guide (PDF, 145 KB) PDF None English
DHCAA P-00269 Instructions Related to TA1 Interchange Acknowledgement (TA1) Based on ASC X12 Implementation Guide (PDF, 98 KB) PDF None English
DHCAA P-00270 Instructions Related to 276/277 Health Care Claim Status (276/277) Transactions Based on ASC X12 Implementation Guide (PDF, 502 KB) PDF None English
DHCAA P-00271 Instructions Related to 835 Health Care Claim Payment/Advice (835) Based on ASC X12 Implementation Guide (PDF, 288 KB) PDF None English
DHCAA P-00272 Payer Sheet: National Council for Prescription Drug Programs (NCPDP) Version D.0 (PDF, 1444 KB) PDF None English
DHCAA P-00290 Provider Handbook System None English
DHCAA P-00293 Instructions Related to 278 Health Care Services Review - Request for Review and Response (278) Transactions Based on ASC X12 Implementation Guide (PDF, 341 KB) PDF None English
DHCAA P-00358 Medicaid Electronic Health Record (EHR) Incentive Program (PDF, 242 KB) PDF None English
DHCAA P-00358A Medicaid Electronic Health Record (EHR) Incentive Program FAQ for Eligible Professionals (PDF, 633 KB) PDF None English
DHCAA P-00358B Medicaid Electronic Health Record (EHR) Incentive Program FAQ for Eligible Hospitals (PDF, 584 KB) PDF None English
DHCAA P-00358C Medicaid Electronic Health Record (EHR) Incentive Program for Eligible Professionals (PDF, 7441 KB) PDF None English
DHCAA P-00358D Medicaid Electronic Health Record (EHR) Incentive Program for ligible Hospitals (PDF, 5473 KB) PDF None English
DHCAA P-00419 FoodShare Employment and Training (FSET) Handbook HTML None English
DHCAA P-00439 Medicaid and BadgerCare Plus Member Q&A Non-Emergency Medical Transportation (PDF, 85 KB) PDF None English
DHCAA P-00447 Wisconsin Medicaid Premium Reforms: Preliminary Price Impact Findings (PDF, 192 KB) PDF None English
DHCAA P-00469 Supplemental Security Income and Caretaker Supplement Statistics Talking Points, June 1, 2002 PDF None English
DHCAA P-00533 Non Emergency Medical Transportation (NEMT) - Who Can Get Non-Emergency Medical Transportation (PDF, 182 KB) PDF None English
DHCAA P-00533A Non Emergency Medical Transportation (NEMT) - Scheduling Rides (PDF, 207 KB) PDF None English
DHCAA P-00533AH Non Emergency Medical Transportation (NEMT) - Scheduling Rides - Hmong (PDF, 136 KB) PDF None Hmong
DHCAA P-00533AS Non Emergency Medical Transportation (NEMT) - Scheduling Rides - Spanish (PDF, 112 KB) PDF None Spanish
DHCAA P-00533B Non Emergency Medical Transportation (NEMT) - Rules When using Non-Emergency Medical Transportation (PDF, 186 KB) PDF None English
DHCAA P-00533BH Non Emergency Medical Transportation (NEMT) - Rules When using Non-Emergency Medical Transportation - Hmong (PDF, 110 KB) PDF None Hmong
DHCAA P-00533BS Non Emergency Medical Transportation (NEMT) - Rules When using Non-Emergency Medical Transportation - Spanish (PDF, 109 KB) PDF None Spanish
DHCAA P-00533C Non Emergency Medical Transportation (NEMT) - Meals and Overnight Stays (PDF, 179 KB) PDF None English
DHCAA P-00533CH Non Emergency Medical Transportation (NEMT) - Meals and Overnight Stays - Hmong (PDF, 105 KB) PDF None Hmong
DHCAA P-00533CS Non Emergency Medical Transportation (NEMT) - Meals and Overnight Stays - Spanish (PDF, 103 KB) PDF None Spanish
DHCAA P-00533D Non Emergency Medical Transportation (NEMT) - Complaints and Fair Hearings (PDF, 212 KB) PDF None English
DHCAA P-00533DH Non Emergency Medical Transportation (NEMT) - Complaints and Fair Hearings - Hmong (PDF, 130 KB) PDF None Hmong
DHCAA P-00533DS Non Emergency Medical Transportation (NEMT) - Complaints and Fair Hearings - Spanish (PDF, 121 KB) PDF None Spanish
DHCAA P-00533E Non Emergency Medical Transportation (NEMT) - What has Changed or is New (PDF, 186 KB) PDF None English
DHCAA P-00533EH Non Emergency Medical Transportation (NEMT) - What has Changed or is New - Hmong (PDF, 160 KB) PDF None Hmong
DHCAA P-00533ES Non Emergency Medical Transportation (NEMT) - What has Changed or is New - Spanish (PDF, 110 KB) PDF None Spanish
DHCAA P-00533H Non Emergency Medical Transportation (NEMT) - Who Can Get Non-Emergency Medical Transportation - Hmong (PDF, 107 KB) PDF None Hmong
DHCAA P-00533S Non Emergency Medical Transportation (NEMT) - Who is Eligible or is New - Spanish (PDF, 110 KB) PDF None Spanish
DHCAA P-00555 Access / Marketplace Take Away Card (PDF, 549 KB) Paper Form Center English
DHCAA P-00555S Access / Marketplace Take Away Card (Spanish) (PDF, 538 KB) Paper Form Center English
DHCAA P-00594 Assessment vs. Determination Chart PDF None English
DHCAA P-00654 FoodShare Standard Utility Credits (PDF, 212 KB) PDF None English
DHCF P-00674 BadgerCare Plus Health Care Coverage (PDF, 537 KB) Paper Form Center English
DHCF P-00674A BadgerCare Plus Health Care Coverage for Adults (PDF, 581 KB) Paper Form Center English
DHCF P-00674AS BadgerCare Plus Childless Adults (CLA) Flyer - Spanish Paper Form Center Spanish
DHCF P-00674S BadgerCare Plus Flyer - Spanish Paper Form Center Spanish
DHCF P-00675 BadgerCare Plus Poster (PDF, 756 KB) Paper Form Center English
DHCF P-00675A BadgerCare Plus Poster Tear Off Sheets (PDF, 587 KB) Paper Form Center English
DHCF P-00675AS BadgerCare Plus Poster Tear Off Sheets - Spanish Paper Form Center Spanish
DHCF P-00675S BadgerCare Plus Poster - Spanish Paper Form Center Spanish
DHCAA P-00678 Safe Harbor Connectivity Companion Guide (PDF, 244 KB) PDF None English
DHCAA P-00689 BadgerCare Plus and the Marketplace Enrollment Options (PDF, 122 KB) PDF None English
DHCF P-00694 Estate Recovery Program Policy Changes Effective August 1, 2014 Fact Sheet (PDF, 218 KB) PDF None English
DHCAA P-00710 FoodShare Work Requirements for Adults Ages 18 through 49 (PDF, 121 KB) PDF None English
DHCAA P-00831 Ambulatory Health Information Technology Survey (2008) (PDF, 145 KB) PDF None English
DHCAA P-00836 Contact Center Anywhere, Interactive Manager Overview (PDF, 2818 KB) PDF None English
DHCAA P-00836A Contact Center Anywhere, Quick Reference Guide (PDF, 373 KB) PDF None English
DHCAA P-00836B Contact Center Anywhere, Quick Reference Guide, Adding Supervisor Views (PDF, 492 KB) PDF None English
DHCAA P-00836C Contact Center Anywhere, Quick Reference Guide, Reading Supervisor Views (PDF, 260 KB) PDF None English
DHCAA P-00836D Contact Center Anywhere, Configuring Supervision Manager (PDF, 1454 KB) PDF None English
DHCAA P-00836E Contact Center Anywhere, Workgroup Administration Guide (PDF, 423 KB) PDF None English
DHCAA P-00836F Contact Center Anywhere, Workgroup Administration Manager (PDF, 1323 KB) PDF None English
DHCAA P-00836G Contact Center Anywhere, Business Event Administration (PDF, 460 KB) PDF None English
DHCAA P-00836H Contact Center Anywhere, Reporting Overview (346 KB) PDF None English
DHCAA P-00836I Contact Center Anywhere, Quick Reference Guide, Reports Guide (PDF, 503 KB) PDF None English
PHC-1007 P-01007 HealthCheck Brochure (PDF, 358 KB) Paper Form Center English
PHC-1007H P-01007H HealthCheck Brochure - Hmong (PDF, 392 KB) PDF None Hmong
PHC-1007S P-01007S HealthCheck Brochure - Spanish (PDF, 430 KB) PDF None Spanish
PHC-1033 P-01033 HealthCheck Screening Recommendation for Pediatric Eye Problems (PDF, 10 KB) PDF None English
PHC-1041D P-01041D HealthCheck Logo Sheet - Locals (PDF, 123 KB) PDF None English
PHC-1042A P-01042A HealthCheck Dental Periodicity Table (PDF, 128 KB) PDF None English
PHC-1046 P-01046 PreNatal Care Coordination Brochure (PDF, 294 KB) Paper Form Center English
PHC-1046 P-01046 Pre-Natal Care Coordination Brochure (PDF, 294 KB) PDF Program English
PHC-1046H P-01046H Pre-Natal Care Coordination Brochure - Hmong (PDF, 79 KB) PDF Program Hmong
PHC-1046S P-01046S Pre-Natal Care Coordination Brochure - Spanish (PDF, 55 KB) PDF Program Spanish
PHC-1122 P-01122 Medicaid and BadgerCare Plus Private Duty Nursing Guide (PDF, 25 KB) PDF None English
PHC-1122H P-01122H Medicaid and BadgerCare Plus Private Duty Nursing Guide - Hmong (PDF, 29 KB) PDF None Hmong
PHC-1122S P-01122S Medicaid and BadgerCare Plus Private Duty Nursing Guide - Spanish (PDF, 59 KB) PDF None Spanish
PHC-1147 P-01147 Wisconsin Chronic Disease Program Member Handbook (PDF, 119 KB) PDF None English
PHC-1147A P-01147A Wisconsin Chronic Renal Disease Program Brochure (PDF, 29 KB) PDF None English
PHC-1147B P-01147B Wisconsin Chronic Disease Program Policies Coverage of Enteral Nutritional Products (PDF, 18 KB) PDF None English
  P-01148 Wisconsin Medicaid School Based Services Fact Sheet (PDF, 181 KIB) PDF None English
PHC-1190 P-01190 Wisconsin Chronic Disease Program Income Deductible (PDF, 50 KB) PDF None English
PHC-1191 P-01191 Wisconsin Hemophilia Home Care Program Liability Chart (PDF, 39 KB) PDF None English
PHC-1192 P-01192 Wisconsin Adult Cystic Fibrosis Program Liability Chart (PDF, 39 KB) PDF None English
PHC-1193 P-01193 Wisconsin Chronic Renal Disease Program Liability Chart (PDF, 40 KB) PDF None English
PHC 10022 P-10022 Medicaid - Tuberculosis (TB) Related Services Plan Fact Sheet (PDF, 130 KB) PDF None English
PHC 10022H P-10022H Medicaid - Tuberculosis (TB) Related Services Plan Fact Sheet - Hmong (PDF, 596 KB) PDF None Hmong
PHC 10022S P-10022S Medicaid - Tuberculosis (TB) Related Services Plan Fact Sheet - Spanish (PDF, 169 KB) PDF None Spanish
PHC 10026 P-10026 BadgerCare Plus Prenatal Services (PDF, 614 KB) PDF None English
PHC 10026H P-10026H BadgerCare Plus Prenatal Services - Hmong (PDF, 566 KB) PDF None Hmong
PHC 10026S P-10026S BadgerCare Plus Prenatal Services - Spanish (PDF, 553 KB) PDF None Spanish
PHC 10030 P-10030 Medicaid Eligibility Handbook HTML None English
PHC 10048 P-10048 Medicaid - Applying for Medicaid Disability Fact Sheet (PDF, 64 KB) PDF Program English
DHCAA P-10048S Medicaid - Applying for Medicaid Disability Fact Sheet - Spanish (PDF, 68 KB) PDF None Spanish
PHC 10049 P-10049 Medicaid - Enrollment Renewal Fact Sheet (PDF, 61 KB) PDF Program English
DHCAA P-10049H Medicaid - Enrollment Renewal Fact Sheet - Hmong (PDF, 68 KB) PDF None Hmong
DHCAA P-10049S Medicaid - Enrollment Renewal Fact Sheet - Spanish (PDF, 9 KB) PDF None Spanish
PHC 10052 P-10052 Medicaid / BadgerCare Plus Deductible Plans Fact Sheet (115 KB) PDF Program English
PHC 10052S P-10052S Medicaid / BadgerCare Plus Deductible Plans Fact Sheet - Spanish (PDF, 96 KB) PDF Program Spanish
PHC 10053 P-10053 Health Care for Migrant Workers (PDF, 182 KB) PDF Program English
PHC 10053H P-10053H Health Care for Migrant Workers - Hmong (PDF, 185 KB) PDF None Hmong
PHC 10053S P-10053S Health Care for Migrant Workers - Spanish (PDF, 193 KB) PDF Program Spanish
PHC 10058 P-10058 Medicaid - Elderly, Blind or Disabled Divestment Fact Sheet (PDF, 86 KB) PDF Program English
DHCAA P-10058H Medicaid - Elderly, Blind or Disabled Divestment Fact Sheet - Hmong (PDF, 70 KB) PDF None Hmong
DHCAA P-10058S Medicaid - Elderly, Blind or Disabled Divestment Fact Sheet - Spanish (PDF, 116 KB) PDF None Spanish
PHC 10059 P-10059 Medicaid - Community Waivers Plan Fact Sheet (PDF, 54 KB) PDF None English
PHC 10059S P-10059S Medicaid - Community Waivers Plan Fact Sheet - Spanish (PDF, 546 KB) PDF None Spanish
PHC 10061 P-10061 Medicaid - Patient Liability Fact Sheet (PDF, 35 KB) PDF Program English
PHC 10061S P-10061S Medicaid - Patient Liability Fact Sheet - Spanish (PDF, 42 KB) PDF Program Spanish
PHC 10062 P-10062 Medicaid - Medicare Premium Assistance Plans Fact Sheet (PDF, 656 KB) PDF Program English
DHCAA P-10062S Medicaid - Medicare Premium Assistance Plans Fact Sheet - Spanish (PDF, 586 KB) PDF None Spanish
PHC 10063 P-10063 Medicaid - Spousal Impoverishment Protection Fact Sheet (PDF, 333 KB) PDF Program English
PHC 10064 P-10064 BadgerCare Plus and Medicaid Plans - Medical Support Liability Fact Sheet (PDF, 21 KB) PDF Program English
DHCAA P-10064S BadgerCare Plus and Medicaid Plans - Medical Support Liability Fact Sheet - Spanish (PDF, 120 KB) PDF Program Spanish
PHC 10065 P-10065 Wisconsin Well Woman Medicaid Fact Sheet (PDF, 185 KB) PDF Program English
PHC 10065H P-10065H Wisconsin Well Woman Medicaid Fact Sheet - Hmong (PDF, 184 KB) PDF None Hmong
PHC 10065S P-10065S Wisconsin Well Woman Medicaid Fact Sheet - Spanish (PDF, 163 KB) PDF None Spanish
PHC 10068 P-10068 BadgerCare Plus Family Planning Only Services - Female Fact Sheet (PDF, 37 KB) PDF Program English
PHC 10068H P-10068H BadgerCare Plus Family Planning Only Services - Female Fact Sheet - Hmong (PDF, 55 KB) PDF None Hmong
PHC 10068S P-10068S BadgerCare Plus Family Planning Only Services - Female Fact Sheet - Spanish (PDF, 32 KB) PDF None Spanish
PHC 10071 P-10071 Medicaid Purchase Plan Fact Sheet (PDF, 11 KB) PDF Program English
PHC 10071H P-10071H Medicaid Purchase Plan Fact Sheet - Hmong (PDF, 30 KB) PDF Program Hmong
PHC 10071S P-10071S Medicaid Purchase Plan Fact Sheet - Spanish (PDF, 77 KB) PDF Program Spanish
PHC 10072 P-10072 Medicaid and BadgerCare Plus Emergency Services (PDF, 65 KB) PDF Program English
PHC 10072H P-10072H Medicaid and BadgerCare Plus Emergency Services - Hmong (PDF, 63 KB) PDF Program Hmong
PHC 10072S P-10072S Medicaid and BadgerCare Plus Emergency Services - Spanish (PDF, 62 KB) PDF Program Spanish
PHC 10074 P-10074 SeniorCare and Medicare Part D Fact Sheet (PDF, 96 KB) PDF Program English
PHC 10077 P-10077 SeniorCare Prescription Drugs for Wisconsin Seniors Brochure (PDF, 713 KB) PDF None English
PHC 10078 P-10078 SeniorCare Prescription Drugs for Wisconsin Seniors Fact Sheet Paper Form Center English
PHC 10078H P-10078H SeniorCare Prescription Drugs for Wisconsin Seniors Fact Sheet - Hmong (PDF, 97 KB) PDF None Hmong
PHC 10078S P-10078S SeniorCare Prescription Drugs for Wisconsin Seniors Fact Sheet - Spanish (PDF, 106 KB) PDF None Spanish
PHC 10079 P-10079 SeniorCare Prescription Drugs for Wisconsin Seniors Member Handbook (PDF, 481 KB) PDF None English
PHC 10083 P-10083 SeniorCare Prescription Drugs for Wisconsin Seniors Frequently Asked Questions Fact Sheet (PDF, 255 KB) PDF Program English
PHC 10084 P-10084 SeniorCare Prescription Drugs for Wisconsin Seniors Covered Drugs Fact Sheet (PDF, 105 KB) PDF None English
PHC 10085 P-10085 SeniorCare Annual Renewal Fact Sheet (PDF, 68 KB) PDF Program English
PHC 10085H P-10085H SeniorCare Annual Renewal Fact Sheet - Hmong (PDF, 61 KB) PDF Program Hmong
PHC 10085S P-10085S SeniorCare Annual Renewal Fact Sheet - Spanish (PDF, 73 KB) PDF Program Spanish
PHC 10086 P-10086 SeniorCare Spenddown and Deductible Fact Sheet (PDF, 100 KB) PDF Program English
PHC 10087 P-10087 SeniorCare Income Fact Sheet (PDF, 16 KB) PDF Program English
PHC 10095 P-10095 BadgerCare Plus Health Insurance Premium Payment (HIPP) Plan Fact Sheet (PDF, 122 KB) PDF Program English
PHC 10096 P-10096 Wisconsin Legal Services Programs Fact Sheet (PDF, 80 KB) PDF None English
PHC 10097 P-10097 Wisconsin Funeral and Cemetery Aids Program (WFCAP) Manual HTML None English
PHC-10164 P-10164 Health Care for Wisconsin Immigrants (PDF, 41 KB) PDF None English
PHC-10164H P-10164H Health Care for Wisconsin Immigrants - Hmong (PDF, 49 KB) PDF None Hmong
PHC-10164S P-10164S Health Care for Wisconsin Immigrants - Spanish (PDF, 40 KB) PDF None Spanish
PHC 10168 P-10168 BadgerCare Plus Temporary Health Insurance for Children Fact Sheet (PDF, 195 KB) PDF None English
PHC 10168H P-10168H BadgerCare Plus Temporary Health Insurance for Children Fact Sheet - Hmong (PDF, 589 KB) PDF None Hmong
PHC 10168S P-10168S BadgerCare Plus Temporary Health Insurance for Children Fact Sheet - Spanish (PDF, 565 KB) PDF None Spanish
PHC 10169 P-10169 BadgerCare Plus Temporary Health Insurance for Pregnant Women Fact Sheet (PDF, 196 KB) PDF None English
PHC 10169H P-10169H BadgerCare Plus Temporary Health Insurance for Pregnant Women Fact Sheet - Hmong (PDF, 111 KB) PDF None Hmong
PHC 10169S P-10169S BadgerCare Plus Temporary Health Insurance for Pregnant Women Fact Sheet - Spanish (PDF, 82 KB) PDF None Spanish
PHC 10171 P-10171 BadgerCare Plus Eligibility Handbook PDF None English
PHC 10176 P-10176 BadgerCare Plus Change Report Card for Former Foster Care Youths (PDF, 40 KB) PDF None English
PHC 10177 P-10177 BadgerCare Plus Employer-Sponsored Health Insurance Fact Sheet (PDF, 130 KB) PDF None English
DHCAA P-10177H BadgerCare Plus Employer-Sponsored Health Insurance Fact Sheet - Hmong (PDF, 134 KB) PDF None English
DHCAA P-10177S BadgerCare Plus Employer-Sponsored Health Insurance Fact Sheet - Spanish (PDF, 148 KB) PDF None Spanish
PHC 10179 P-10179 BadgerCare Plus - Wisconsin's Connection to Health Care Coverage Fact Sheet (PDF, 607 KB) PDF None English
PHC 10179H P-10179H BadgerCare Plus Health Insurance for Families and All Children Fact Sheet - Hmong (PDF, 248 KB) PDF None Hmong
PHC 10179S P-10179S BadgerCare Plus Health Insurance for Families and All Children Fact Sheet - Spanish (PDF, 223 KB) PDF None Spanish
DHCAA P-10180 BadgerCare Plus Immigrants and BadgerCare Plus Fact Sheet (PDF, 44 KB) PDF None English
PHC 11065 P-11065 Guide to Obtaining Augmentative Communication Devices and Accessories Through Wisconsin Medicaid (PDF, 73 KB) PDF Program English
PHC 12002 P-12002 BadgerCare Plus or Medicaid SSI HMO Ombuds Brochure (PDF, 84 KB) PDF None English
PHC 12002H P-12002H BadgerCare Plus or Medicaid SSI HMO Ombuds Brochure - Hmong (PDF, 84 KB) PDF None Hmong
PHC 12002R P-12002R BadgerCare Plus or Medicaid SSI HMO Ombuds Brochure - Russian (PDF, 160 KB) PDF None Russian
PHC 12002S P-12002S BadgerCare Plus or Medicaid SSI HMO Ombuds Brochure - Spanish (PDF, 84 KB) PDF None Spanish
PHC 12020 P-12020 BadgerCare Plus HMO Program Guide (PDF, 148 KB) PDF None English
PHC 12020A P-12020A BadgerCare Plus HMO Choice Booklet - Standard Plan (PDF, 1005 KB) PDF None English
PHC 12020AH P-12020AH BadgerCare Plus HMO Choice Booklet - Standard Plan - Hmong (PDF, 797 KB) PDF None Hmong
PHC 12020AR P-12020AR BadgerCare Plus HMO Choice Booklet - Standard Plan - Russian (PDF, 981 KB) PDF None Russian
PHC 12020AS P-12020AS BadgerCare Plus HMO Choice Booklet - Standard Plan - Spanish (PDF, 837 KB) PDF None Spanish
PHC 12020H P-12020H BadgerCare Plus HMO Program Guide - Hmong (PDF, 149 KB) PDF None Hmong
PHC 12020R P-12020R BadgerCare Plus HMO Program Guide - Russian (PDF, 209 KB) PDF None Russian
PHC 12020S P-12020S BadgerCare Plus HMO Program Guide - Spanish (PDF, 176 KB) PDF None Spanish
PHC 12770 P-12770 Medicaid SSI HMO Program Guide (PDF, 114 KB) PDF None English
PHC 12770A P-12770A Medicaid SSI HMO Choice Booklet (PDF, 475 KB) PDF None English
PHC 12770AH P-12770AH Medicaid SSI HMO Choice Booklet - Hmong (PDF, 480 KB) PDF None Hmong
PHC 12770AR P-12770AR Medicaid SSI HMO Choice Booklet - Russian (PDF, 644 KB) PDF None Russian
PHC 12770AS P-12770AS Medicaid SSI HMO Choice Booklet - Spanish (PDF, 483 KB) PDF None Spanish
PHC 12770H P-12770H Medicaid SSI HMO Program Guide - Hmong (PDF, 148 KB) PDF None Hmong
PHC 12770R P-12770R Medicaid SSI HMO Program Guide - Russian (PDF, 299 KB) PDF None Russian
PHC 12770S P-12770S Medicaid SSI HMO Program Guide - Spanish (PDF, 146 KB) PDF None Spanish
PHC 13009 P-13009 Estate Recovery Transfer by Affidavit (PDF, 179 KB) PDF None English
DHCAA P-13032 Estate Recovery Program Handboook (PDF, 219 KB) Paper Form Center English
DHCAA P-13032H Estate Recovery Program Handboook (Hmong) (PDF, 262 KB) PDF None Hmong
DHCAA P-13032P Medicaid Estate Recovery Program - Polish (PDF, 294 KB) PDF None Polish
PHC 13032S P-13032S Medicaid Estate Recovery Program - Spanish (PDF, 109 KB) PDF None English
PHC 13040 P-13040 HIPAA Medicaid and BadgerCare Plus Notice of Privacy Practices (PDF, 128 KB) PDF None English
PHC 13040H P-13040H HIPAA Medicaid and BadgerCare Plus Notice of Privacy Practices - Hmong (PDF, 144 KB) PDF None Hmong
PHC 13040L P-13040L HIPAA Medicaid and BadgerCare Notice of Privacy Practices - Laotian (PDF, 228 KB) PDF None Laotian
PHC 13040R P-13040R HIPAA Medicaid and BadgerCare Plus Notice of Privacy Practices - Russian (PDF, 205 KB) PDF None Russian
PHC 13040S P-13040S HIPAA Medicaid and BadgerCare Plus Notice of Privacy Practices - Spanish (PDF, 159 KB) PDF None Spanish
PHC 13041 P-13041 HIPAA SeniorCare Notice of Privacy Practices (PDF, 128 KB) PDF None English
PHC 13041H P-13041H HIPAA SeniorCare Notice of Privacy Practices - Hmong (PDF, 143 KB) PDF None Hmong
PHC 13041L P-13041L HIPAA SeniorCare Notice of Privacy Practices - Laotian (PDF, 227 KB) PDF None Laotian
PHC 13041R P-13041R HIPAA SeniorCare Notice of Privacy Practices - Russian (PDF, 218 KB) PDF None Russian
PHC 13041S P-13041S HIPAA SeniorCare Notice of Privacy Practices - Spanish (PDF, 161 KB) PDF None Spanish
PHC 13045 P-13045 InterChange Companion Document to HIPAA Implementation Guide - X12 270/271 Eligibility, Coverage or Benefit Inquiry and Response (PDF, 125 KB) PDF None English
PHC 13048 P-13048 InterChange Companion Document to HIPAA Implementation Guide - X12 834 Benefit Enrollment Maintenance (PDF, 112 KB) PDF None English
PHC 13049 P-13049 InterChange Companion Document to HIPAA Implementation Guide - X12 835 Health Care Claim Payment / Advice (PDF, 67 KB) PDF None English
PHC 13050 P-13050 interChange HIPAA Companion Document to HIPAA Implementation Guide: X12 997 Functional Acknowledgement (PDF, 130 KB) PDF None English
PHC 13051 P-13051 interChange HIPAA Companion Document to HIPAA Implementation Guide: X12 TA1 Interchange Acknowledgement (PDF, 120 KB) PDF None English
PHC 13052 P-13052 Companion Document to HIPAA Implementation Guide: NCPDP V5.1 (PDF, 239 KB) PDF None English
PHC 13054 P-13054 InterChange Companion Document to HIPAA Implementation Guide: X12 276/277 Health Care Claims Status Request and Response(PDF, 132 KB) PDF None English
PHC 13067 P-13067 interChange Companion Document to HIPAA Implementation Guide: 837 Health Care Claim - Institutional (PDF, 177 KB) PDF None English
PHC 13068 P-13068 interChange Companion Document to HIPAA Implementation Guide: 837 Health Care Claim Professional (PDF, 174 KB) 837 Health Care Claim Professional (PDF, 174 KB) PDF None English
PHC 13069 P-13069 interChange Companion Document to HIPAA Implementation Guide: (PDF, 137 KB) 837 Health Care Claim - Dental (PDF, 137 KB) PDF None English
PHC 13075 P-13075 InterChange Companion Document to HIPAA Implementation Guide - X12 820 Payroll Deducted and Other Group Premium Payment for Insurance Products (PDF, 64 KB) PDF None English
DHCAA P-13091 HIPAA Wisconsin Chronic Disease Program Notice of Privacy Practices (PDF, 119 KB) PDF None English
PHC 13482 P-13482 Provider Electronic Solutions Trading Partner Testing Packet (PDF, 121 KB) PDF None English
PHC 13483 P-13483 Trading Partners Testing Packet (PDF, 121 KB) PDF None English
PHC 13484 P-13484 Managed Care Trading Partner Testing Packet (PDF, 98 KB) PDF None English
DHCAA P-13606 HIPAA Wisconsin Well Woman Program Notice of Privacy Practices (PDF, 118 KB) PDF None English
DHCAA P-13606S HIPAA Wisconsin Well Woman Program Notice of Privacy Practices - Spanish (PDF, 160 KB) PDF None Spanish
PHC 16000 P-16000 FoodShare Wisconsin - FoodShare Quality Assurance Review Fact Sheet (PDF, 93 KB) PDF None English
PHC 16000H P-16000H FoodShare Wisconsin - FoodShare Quality Assurance Review Fact Sheet - Hmong (PDF, 93 KB) PDF None Hmong
PHC 16000S P-16000S FoodShare Wisconsin - FoodShare Quality Assurance Review Fact Sheet - Spanish (PDF, 167 KB) PDF None Spanish
PHC 16001 P-16001 FoodShare Wisconsin - FoodShare Wisconsin Handbook HTML None English
PHC 16013 P-16013 FoodShare Wisconsin - FoodShare (SNAP) for Seniors and People with Disabilities Fact Sheet (PDF, 85 KB) PDF None English
DHCAA P-16013S FoodShare Wisconsin - FoodShare for Senior Citizens and People with Disabilities Fact Sheet - Spanish (PDF, 98 KB) PDF None Spanish
PHC 16062 P-16062 FoodShare Wisconsin - FoodShare Makes Wisconsin Healthier Fact Sheet (PDF, 96 KB) PDF None English
PHC 16062H P-16062H FoodShare Wisconsin - FoodShare Makes Wisconsin Healthier Fact Sheet - Hmong (PDF, 146 KB) PDF None Hmong
PHC 16062S P-16062S FoodShare Wisconsin - FoodShare Makes Wisconsin Healthier Fact Sheet - Spanish (PDF, 154 KB) PDF None Spanish
PHC 16063 P-16063 FoodShare Wisconsin - FoodShare Makes Wisconsin Healthier Brochure (PDF, 65 KB) Paper Form Center English
PHC 16063S P-16063S FoodShare Wisconsin - FoodShare Makes Wisconsin Healthier Brochure - Spanish (PDF, 302 KB) Paper Form Center Spanish
PHC 16074 P-16074 FoodShare Wisconsin - Transitional FoodShare Benefits Fact Sheet (PDF, 171 KB) PDF None English
DHCAA P-16074S FoodShare Wisconsin - Transitional FoodShare Benefits Fact Sheet - Spanish (PDF, 165 KB) PDF None Spanish
PHC 16075 P-16075 FoodShare Wisconsin - QUEST Card Mailer / Wallet Card Only (PDF, 698 KB) PDF None English
PHC 16075H P-16075H FoodShare Wisconsin - QUEST Card Mailer / Wallet Card Only - Hmong (PDF, 729 KB) PDF None Hmong
PHC 16075R P-16075R FoodShare Wisconsin - QUEST Card Mailer / Wallet Card Only - Russian (PDF, 269 KB) PDF None Russian
PHC 16075S P-16075S FoodShare Wisconsin - QUEST Card Mailer / Wallet Card Only - Spanish (PDF, 691 KB) PDF None Spanish
PHC 16078 P-16078 FoodShare Wisconsin - FoodShare and / or Child Care Six Month Report Form Fact Sheet (PDF, 141 KB) PDF None English
PHC 16078S P-16078S FoodShare Wisconsin - FoodShare and / or Child Care Six Month Report Form Fact Sheet - Spanish (PDF, 154 KB) PDF None Spanish
PHC 16084 P-16084 ACCESS Poster (PDF, 445 KB) Paper Form Center English
PHC 16084A P-16084A ACCESS Poster Tear Off Sheet (PDF, 137 KB) Paper Form Center English
PHC 16084AS P-16084AS ACCESS Poster Tear Off Sheet - Spanish (PDF, 35 KB) Paper Form Center Spanish
PHC 16084S P-16084S ACCESS Poster - Spanish (PDF, 448 KB) Paper Form Center Spanish
PHC 16088 P-16088 FoodShare Wisconsin - Your Wisconsin Quest Card Fact Sheet (PDF, 238 KB) PDF Program English
DHCAA P-16088H FoodShare Wisconsin - Your Wisconsin Quest Card Fact Sheet (Hmong) (PDF, 197 KB) PDF None Hmong
DHCAA P-16088S FoodShare Wisconsin - Your Wisconsin Quest Card Fact Sheet (Spanish) (PDF, 193 KB) PDF None Hmong
PHC 16091 P-16091 Guide to Applying for Wisconsin Health, Nutrition and Other Programs (PDF, 1131 KB) Paper Form Center English
PHC 16091H P-16091H Guide to Applying for Wisconsin's Health and Nutrition Programs - Hmong (PDF, 16 KB) PDF None Hmong
PHC 16091S P-16091S Guide to Applying for Wisconsin's Health and Nutrition Programs - Spanish (PDF, 279 KB) PDF None Spanish
PHC 16092 P-16092 FoodShare Wisconsin - FoodShare Employment and Training (FSET) (PDF, 96 KB) PDF None English
PHC 16100 P-16100 Income Maintenance Manual HTML None English
PHC 16101 P-16101 ACCESS Handbook HTML None English
PHC 16102 P-16102 Electronic Case File (ECF) Handbook HTML None English
PHC 16103 P-16103 Process Help Book HTML None English
PHC 16108 P-16108 Key Contacts (PDF, 33 KB) PDF None English
DHCAA P-16108S Key Contacts - Spanish (PDF, 149 KB) PDF None English
PHC-9004 P-19004 And Justice for All Poster Paper Form Center English
PDE 0679 P-20679 Supplemental Security Income Exceptional Expense (SSI-E) Handbook HTML None English
PDE 3043 P-23043 SSI in Wisconsin 2013 Fact Sheet (PDF, 75 KB) PDF None English
PDE 3110 P-23110 Caretaker Supplement-information (PDF, 7 KB) PDF None English
PDE 3128 P-23128 SSI-E Information HTML None English
PDE 3129 P-23129 SSI Administration Handbook HTML None English
PDE 3131 P-23131 SSI Caretaker Supplement (CTS) Handbook HTML None English