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DEPARTMENT OF HEALTH SERVICES Division of Long Term CareSTATE OF WISCONSINF01812 (9/2016)WISCONSIN MEDICAID PROGRAM 2016 NURSING HOME COST REPORT Completion of this form is required by Section 1.171

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How to fill out wisconsin long term care

01

Gather all necessary personal and medical information.

02

Contact your local Wisconsin Long-Term Care District office or Aging and Disability Resource Center to request an assessment.

03

Complete the required forms for the assessment process.

04

Participate in the assessment interview to discuss your needs and determine eligibility.

05

Wait for the decision on your eligibility and level of care needed.

Who needs wisconsin long term care?

01

Individuals who require assistance with daily living activities due to aging, disability, chronic illness, or cognitive impairment.

02

Those who are unable to live independently and require ongoing medical care and support.

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What is wisconsin long term care?

Wisconsin Long Term Care refers to a program that provides services to individuals who need ongoing assistance with activities of daily living.

Who is required to file wisconsin long term care?

Individuals who meet the eligibility criteria set by the state of Wisconsin are required to file for Long Term Care services.

How to fill out wisconsin long term care?

To fill out Wisconsin Long Term Care forms, individuals can contact the Wisconsin Department of Health Services or visit their website for more information on the application process.

What is the purpose of wisconsin long term care?

The purpose of Wisconsin Long Term Care is to provide necessary services and supports to individuals who need assistance with daily living activities in order to help them maintain their independence.

What information must be reported on wisconsin long term care?

Information such as personal details, medical history, financial information, and details of the required services must be reported on Wisconsin Long Term Care forms.

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