HIPAA Privacy Practices Notices

Wisconsin Medicaid and BadgerCare Plus Notice of Privacy Practice, P-13040

Wisconsin Medicaid HIPAA Privacy Authorization for Use or Disclosure, F-13145 (PDF)

Wisconsin Medicaid HIPAA Privacy Revocation of Authorization, F-13146 (PDF)

Wisconsin Medicaid HIPAA Privacy Restriction Request, F-13147 (PDF)

Wisconsin Medicaid HIPAA Privacy Access Request, F-13148 (PDF)

Wisconsin Medicaid HIPAA Privacy Accounting Request, F-13149 (PDF)

Wisconsin Medicaid HIPAA Privacy Alternate Communication Request, F-13150 (PDF)

Wisconsin Medicaid HIPAA Privacy Amendment Request, F-13151 (PDF)

Wisconsin Medicaid HIPAA Privacy Complaint, F-13152 (PDF)

Equal Opportunities Information