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Get Department Of Health Services Division Of Health Care Access And Accountability F-00583 (0312)

ENT FOR HEPATITIS C PROTEASE INHIBITORS Instructions: Type or print clearly. Before completing this form, read the Prior Authorization Drug Attachment for Hepatitis C Protease Inhibitors Completion Instructions, F-00583A. Providers may refer to the Forms page of the ForwardHealth Portal at www.forwardhealth.wi.gov/WIPortal/Content/provider/forms/index.htm.spage for the completion instructions. Pharmacy providers are required to have a completed Prior Authorization Drug Attachment for Hepatitis C.

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Key contacts and other telephone numbers. Call Member Services at 800-362-3002 or email memberservices@wisconsin.gov. If you need help applying, contact your agency. If you are a health care provider or HMO representative, contact Provider Services at 800-947-9627.

Department of Health Services Hotlines Type of hotlinePhone numberBadgerCare Plus Member Services (voice/TDD)800-362-3002Complaint Filing – Health Care Facilities800-642-6552COVID-19 Telehealth (Sign up for an appointment if you've tested positive for COVID-19)833-273-6330Disability Determination800-423-193816 more rows • Dec 1, 2023

Kirsten Johnson has over 20 years of experience as a public health leader in complex local, state, national, and international organizations. She joins the administration after previously serving as the health commissioner for the city of Milwaukee following her appointment in January 2021.

Contact Information. The help desk can be reached (Toll-free) at 1-866-908-1363 between the hours of 8:30 AM — 4:30 PM Monday through Friday.

For older adults and people with disabilities, the coverage is simply called Medicaid, and it has both income and asset limits. BadgerCare Plus or Medicaid is available for the following legally present Wisconsin residents: Pregnant women with household income up to 300% of poverty.

Its responsibilities include public health; mental health and substance abuse; long-term support and care; services to people with disabilities, medical assistance, and children's services; aging programs; physical and developmental disability services; blindness disability programs; operation of care and treatment ...

BadgerCare Plus is funded by Medicaid and the Children's Health Insurance Program (CHIP). BadgerCare Plus is a health insurance program that helps low-income children, pregnant people, and adults in Wisconsin. BadgerCare Plus is funded by Medicaid and the Children's Health Insurance Program (CHIP).

Who is eligible for Wisconsin Medicaid? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows

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© Copyright 1997-2025
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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