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DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services F11289 (09/2019)STATE OF WISCONSINWISCONSIN MEDICAIDHEALTHCHECK OUTREACH CASE MANAGEMENT PLAN FORCOUNTYWisconsin Medicaid requires information

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What is ho 4 - wisconsin?

HO-4 Wisconsin is a form used for reporting household income for residents of Wisconsin.

Who is required to file ho 4 - wisconsin?

Residents of Wisconsin who receive income from their household are required to file HO-4 Wisconsin.

How to fill out ho 4 - wisconsin?

HO-4 Wisconsin can be filled out online or by mail, providing information such as household income, number of household members, and any deductions.

What is the purpose of ho 4 - wisconsin?

The purpose of HO-4 Wisconsin is to accurately report household income for tax and assistance program eligibility purposes.

What information must be reported on ho 4 - wisconsin?

Information such as household income, number of household members, and any deductions must be reported on HO-4 Wisconsin.

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