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DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services F20445 (03/2017)STATE OF WISCONSIN INDIVIDUAL SERVICE PLAN MEDICAID WAIVERS 1 Waiver Program 1a Plan Type 1b Current ISP Date 2 Medical
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Individual Service Plan Medicaid is a personalized plan developed for individuals who are eligible for Medicaid services. It outlines the specific services and supports that are needed to meet the individual's unique needs.
Individuals who are eligible for Medicaid services and in need of long-term care or support services are required to file an individual service plan Medicaid.
Individuals can fill out an individual service plan Medicaid by working with their Medicaid case manager or support coordinator to assess their needs and create a plan that meets those needs.
The purpose of an individual service plan Medicaid is to ensure that individuals receive the specific services and supports they need to live independently and improve their quality of life.
Information that must be reported on an individual service plan Medicaid includes the individual's medical history, current support needs, goals, and the specific services and supports that will be provided.
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