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P-10000 Through P-19999

Division Prefix / Old Publication  Number Assigned Publication Number Publication Title Publication Type Other Location Language
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 Program English
PHC 10059S P-10059S Medicaid - Community Waivers Plan Fact Sheet - Spanish (PDF, 53 KB) PDF Program 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 Medicaid - Wisconsin Well Woman Medicaid Fact Sheet (PDF, 185 KB) PDF Program English
PHC 10065H P-10065H Medicaid - Wisconsin Well Woman Medicaid Fact Sheet - Hmong (PDF, 184 KB) PDF None Hmong
PHC 10065S P-10065S Medicaid - 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, 269 KB) PDF Program English
PHC 10068H P-10068H BadgerCare Plus Family Planning Only Services - Female Fact Sheet - Hmong (PDF, 168 KB) PDF None Hmong
PHC 10068S P-10068S BadgerCare Plus Family Planning Only Services - Female Fact Sheet - Spanish (PDF, 159 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
DHCAA P-10078 SeniorCare Prescription Drugs for Wisconsin Seniors Fact Sheet (PDF, 66 KB) PDF Program 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 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, 584 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 Health Insurance for Families and All Children Fact Sheet (PDF, 186 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, 202 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, 795 KB) PDF None English
PHC 12020AH P-12020AH BadgerCare Plus HMO Choice Booklet - Standard Plan - Hmong (PDF, 768 KB) PDF None Hmong
PHC 12020AR P-12020AR BadgerCare Plus HMO Choice Booklet - Standard Plan - Russian (PDF, 947 KB) PDF None Russian
PHC 12020AS P-12020AS BadgerCare Plus HMO Choice Booklet - Standard Plan - Spanish (PDF, 810 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, 26 KB) PDF None English
DHCAA P-13032 Medicaid Estate Recovery Program Paper Form Center English
PHC 13032 P-13032 Medicaid Estate Recovery Program (PDF, 174 KB) PDF Program English
DHCAA P-13032P Medicaid Estate Recovery Program - Polish (PDF, 294 KB) PDF None English
PHC 13032S P-13032S Medicaid Estate Recovery Program - Spanish (PDF, 109 KB) PDF Program 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 ForwardHealth 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 ForwardHealth InterChange Companion Document to HIPAA Implementation Guide - X12 834 Benefit Enrollment Maintenance (PDF, 112 KB) PDF None English
PHC 13049 P-13049 ForwardHealth InterChange Companion Document to HIPAA Implementation Guide - X12 835 Health Care Claim Payment / Advice (PDF, 67 KB) PDF None English
PHC 13050 P-13050 ForwardHealth interChange HIPAA Companion Document to HIPAA Implementation Guide: X12 997 Functional Acknowledgement (PDF, 130 KB) PDF None English
PHC 13051 P-13051 ForwardHealth interChange HIPAA Companion Document to HIPAA Implementation Guide: X12 TA1 Interchange Acknowledgement (PDF, 120 KB) PDF None English
PHC 13052 P-13052 ForwardHealth Companion Document to HIPAA Implementation Guide: NCPDP V5.1 (PDF, 239 KB) PDF None English
PHC 13054 P-13054 ForwardHealth 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 ForwardHealth interChange Companion Document to HIPAA Implementation Guide: 837 Health Care Claim - Institutional (PDF, 177 KB) PDF None English
PHC 13068 P-13068 ForwardHealth 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 ForwardHealth interChange Companion Document to HIPAA Implementation Guide: (PDF, 137 KB) 837 Health Care Claim - Dental (PDF, 137 KB) PDF None English
PHC 13071 P-13071 Wisconsin Immunization Registry Brochure (PDF, 887 KB) PDF None English
PHC 13075 P-13075 ForwardHealth 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 ForwardHealth Provider Electronic Solutions Trading Partner Testing Packet (PDF, 121 KB) PDF None English
PHC 13483 P-13483 ForwardHealth Trading Partners Testing Packet (PDF, 121 KB) PDF None English
PHC 13484 P-13484 ForwardHealth 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 Income Maintenance 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, 104 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, 264 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
DHCAA P-16089 FoodShare Wisconsin and the SHARE Wisconsin Program (PDF, 131 KB) PDF None English
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