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CARE WISCONSIN CLAIM REFUND Providers may send this completed form to the following address: Care Wisconsin ATTN: Refunds 1617 Sherman Ave Madison, WI 53704 INSTRUCTIONS: Type or print clearly. SECTION
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How to fill out care wisconsin
How to fill out care wisconsin
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To fill out Care Wisconsin, follow these steps:
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Visit the Care Wisconsin website.
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Click on the 'Enroll' button.
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Provide all required personal information, such as name, address, and contact details.
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Answer the questions related to your health and medical history.
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Upload any necessary documents, such as proof of income or medical records.
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Submit the filled-out form online or print it out and mail it to the provided address.
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Wait for a response from Care Wisconsin regarding your application.
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Follow up with any additional information or documentation requested by Care Wisconsin.
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Once your application is approved, you will be enrolled in Care Wisconsin and can start accessing their services.
Who needs care wisconsin?
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Care Wisconsin is beneficial for individuals who:
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- Require long-term care or support services due to physical disabilities, chronic illnesses, or aging.
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- Need assistance with activities of daily living such as bathing, dressing, and medication management.
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- Have complex medical needs that require coordinated care and support.
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- Want to live independently in their own homes or communities rather than in a nursing home or institution.
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- Meet the eligibility criteria set by Care Wisconsin, including income and functional limitations.
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- Are residents of Wisconsin.
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What is care wisconsin?
Care Wisconsin is a managed care organization that provides services to individuals who are eligible for Medicaid and/or Medicare in Wisconsin.
Who is required to file care wisconsin?
Individuals who meet the eligibility requirements for Care Wisconsin services are required to file.
How to fill out care wisconsin?
Care Wisconsin forms can be filled out online through their website or by contacting their customer service hotline for assistance.
What is the purpose of care wisconsin?
The purpose of Care Wisconsin is to coordinate and provide high-quality, person-centered care to individuals with complex health and social needs.
What information must be reported on care wisconsin?
Information such as medical history, current medications, care preferences, and contact information must be reported on Care Wisconsin forms.
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