Department of Health Services

Official Website: http://dhs.wisconsin.gov

The Department of Health Services (DHS) is one of the largest and most diverse state agencies in Wisconsin, with an annual budget of roughly $11.5 billion and more than 6,100 employees. DHS is committed to protecting and promoting the health and safety of the people of Wisconsin, making sure everyone can live their best life.

Forms & Documents

Browse all Department of Health Services government forms

821 - 840 of 1488 forms

Form Title Topics
Long-Term Care Functional Screen (LTC-FS) - Annual Deadline Health Services, DMS, DMS
Long-Term Care Insurance Policy Assignment of Benefits Health Services, DMS, DMS
LTC FS - Change in Condition - Release of Information Authorization Health Services, DMS, DMS
LTC FS - Diagnosis Verification Letter Health Services, DMS, DMS
LTC FS - Release of Information Authorization Health Services, DMS, DMS
LTC FS - Request Letter Health Services, DMS, DMS
Lyme Disease Case Report - Wisconsin Health Services, DPH, DPH
Managed Care Program Provider Appeal Health Services, DMS, DMS
Managed Care Program Provider Appeal/Instructions Health Services, DMS, DMS
MAPT Vendor Related Allocation Formula Health Services, DMS, DMS
Marketplace or Indicator Gap Filling Eligibility Determinations Supplemental Letter Health Services, DMS, DMS
Marriage Record Amendment Request Officiant Affidavit Health Services, DPH, DPH
Maternal Referral / Communication Wisconsin WIC Program Health Services, DPH, DPH
MCO Letter Notice of Change in Level of Care Health Services, DMS, DMS
MCO Notification To Pay Over The Medicaid Fee-For-Service Reimbursement Rate Health Services, DMS, DMS
Medicaid Administrative Pass-Through (MAPT) Time Summary Health Services, DMS, DMS
Medicaid and BadgerCare Plus Overpayment Notice Health Services, DMS, DMS
Medicaid Annuity Beneficiary Designation Health Services, DMS, DMS
Medicaid Annuity Information - Disclosure Health Services, DMS, DMS
Medicaid Asset Assessment Medical Institution / Community Waiver Resident and Community Spouse Health Services, DMS, DMS

Contact Information & Office Locations

1 contact point

Headquarters

Address:
1 West Wilson Street
Madison, WI 53703

Phone numbers:
  • (608) 266-1865 (main line)
  • (800) 947-3529 (or 711 TTY)

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