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Benefits. SSNs and personally identifiable information will be used only for the direct administration of the Medicaid Program. SECTION I COUNTY INFORMATION Date Completed Agency Name Name Worker Telephone Number Worker SECTION II APPLICANT INFORMATION SECTION III SPOUSE INFORMATION Name - Applicant (Last, First, MI) Is spouse an applicant? Yes Name - Spouse (Last, First, MI) Address (Street, City, State, Zip Code) Address (Street, City, State, Zip Code) CARES Case.

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What is the IRIS program? IRIS (Include, Respect, I Self-Direct) is a program for adults with disabilities and elderly people in Wisconsin. It is a self-directed program. That means that you will have the freedom to decide how you want to live your life.

IRIS: How to Apply Step 1: Contact your local aging and disability resource center. ... Step 2: Choose an IRIS consultant agency and an IRIS consultant. ... Step 3: Select a fiscal employer agent.

IRIS is a Medicaid-funded, long-term care program offered by the Wisconsin Department of Health Services. IRIS is available in counties where Family Care operates. In IRIS, you have budget authority, which means that you choose which goods, support and services you will use to achieve your long-term care goals.

To be eligible for IRIS, you must meet the following criteria: Be at least 18 years of age. Meet applicable requirements for Wisconsin residency. Meet the definition of an eligible population (i.e., target group)

An authorized representative is a person who is familiar with your household's circumstances and that you trust to act on your behalf.

Family Care offers services to foster independence and quality of life for members. IRIS is short for Include, Respect, and I Self-Direct, a self-directed long-term care option for adults with disabilities who qualify for Medicare.

The Wisconsin Estate Recovery Program seeks repayment for the cost of certain long-term care services paid for on behalf of members by Medicaid, BadgerCare Plus, Community Options Program (COP), or non-Medicaid Family Care; or any services provided by the Wisconsin Chronic Disease Program (WCDP).

If you can't find what you are looking for, or if you need more information: Call the IRIS Call Center at 888-515-4747. Email the Wisconsin Department of Health Services (DHS) at DHSIRIS@wisconsin.gov.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232