Department of Health Services

State of Wisconsin

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

861 - 880 of 1488 forms

Form Title Topics
Medicaid Purchase Plan (MAPP) - Work Requirement Exemption Health Services, DMS, DMS
Medicaid Purchase Plan Premium - Employer Wage Withholding Information and Instructions Health Services, DMS, DMS
Medicaid Purchase Plan Premium Information / Payment Health Services, DMS, DMS
Medicaid Purchase Plan Premium - Member / Employer Electronic Funds Transfer and Instructions Health Services, DMS, DMS
Medicaid Qualified Medicare Beneficiary (QMB) Specified Low-Income Medicare Beneficiary (SLMB) Specified Low-Income Medicare Beneficiary Plus (SLMB+) Approval Decision Notice Health Services, DMS, DMS
Medicaid Qualified Medicare Beneficiary (QMB) Specified Low-Income Medicare Beneficiary (SLMB) Specified Low-Income Medicare Beneficiary Plus (SLMB+) Negative Decision Notice Health Services, DMS, DMS
Medicaid Targeted Case Management Face Sheet - Childhood Lead Poisoning Health Services, DPH, DPH
Medicaid Waiver Eligibility and Cost Sharing Worksheet Health Services, DMS, DMS
Medicaid Waiver Program Health Report Health Services, DMS, DMS
Medical and Remedial Expenses Checklist for Medicaid Long-Term Care Waiver Programs Health Services, DMS, DMS
Medical Exemption from Work Requirement for Able-Bodied Adults Without Dependents Health Services, DMS, DMS
Medical Stockpile Access Request Health Services, DPH, DPH
Medicare Other Coverage Discrepancy Report Health Services, DMS, DMS
Medicare Other Coverage Discrepancy Report Instructions Health Services, DMS, DMS
Medication Therapy Management Case Management Software Requirements Health Services, DMS, DMS
Medication Therapy Management Case Management Software Vendor Steps for Software Approval Process Health Services, DMS, DMS
Meet Our "Henry Health Services, DMS, DMS
Member Request Gap Filling Eligibility Determinations Supplemental Letter Health Services, DMS, DMS
Mental Health Day Treatment Program Initial Certification Application - DHS 61.75 Health Services, DQA, DQA
Mental Health Day Treatment Services for Children Program Application - DHS 40 Health Services, DQA, DQA

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)

Have Questions About This Agency?
Ask An Expert For Help:

Questions and comments are moderated. Minimum of 10 characters.

All questions and comments are moderated and publicly viewable. Please do not post private or sensitive information such as names, addresses, phone numbers, emails, confidential financial and legal details.

Login or sign up to submit questions