Assigned number | Title | Release date | File type | Language | Available to order |
---|---|---|---|---|---|
F-00180C | Wisconsin Medicaid Provider Agreement and Acknowledgement of Terms of Participation | 09/13/2024 | Word | English | No |
F-00180CS | Wisconsin Medicaid Provider Agreement and Acknowledgement of Terms of Participation, Spanish | 09/13/2024 | Word | Spanish | No |
Last revised July 15, 2025