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Wisconsin MedicaidClaims1Published Policy Express Enrollment in Wisconsin Medicaid or Aftercare Plus Through October 31, 2021Page 1 of 40Wisconsin MedicaidArchive Date:11/01/2021Claims:Good Faith

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How to fill out member applying for ee

01

Obtain the member application form from the EE department.

02

Fill out the form with accurate personal information, including name, address, contact details, and employment history.

03

Attach any required documentation, such as identification, proof of eligibility for EE membership, and relevant certifications.

04

Submit the completed application form and documents to the designated EE department personnel.

Who needs member applying for ee?

01

Individuals who are interested in becoming members of the EE department or organization.

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