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DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services F20445I (03/2017)STATE OF WISCONSININSTRUCTIONS INDIVIDUAL SERVICE PLAN MEDICAID WAIVERS No.Title1Waiver Program1aPlan Type2 3 4 4a 4b 5
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Instructions - individual service refer to the guidelines provided for individuals to correctly complete and submit their service-related documents or forms.
Individuals who are providing specific services that require reporting or compliance with regulatory standards are required to file instructions - individual service.
To fill out instructions - individual service, individuals should follow the provided guidelines, complete all required fields accurately, and ensure that all information is correct before submission.
The purpose of instructions - individual service is to ensure that individuals understand the requirements for reporting their services and to provide a structured format for compliance.
The information that must be reported typically includes the individual's name, service details, dates of service, and any other relevant data required by the regulatory body.
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