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Publications: Numeric List - HCF
Division of Health Care Access and Accountability

Publication Title Publication Number Publication Type Other Location Language
HealthCheck Brochure PHC-01007 HTML Forms Center English
HealthCheck Brochure - Hmong PHC-01007H HTML None Hmong
HealthCheck Brochure - Spanish PHC-01007S HTML None Spanish
Screening Recommendations for Pediatric Eye Problems PHC-01033 PDF - Print None English
HealthCheck Poster PHC-01041 Paper Forms Center English
HealthCheck Logo Sheet - Locals PHC-01041D PDF - Print None English
HealthCheck Periodicity Poster PHC-01042 PDF - Print Forms Center English
Pre-Natal Care Coordination Brochure PHC-01046 HTML Forms Center English
Pre-Natal Care Coordination Brochure (Hmong) PHC-01046H HTML Forms Center Hmong
Pre-Natal Care Coordination Brochure (Spanish) PHC-01046S HTML Forms Center Spanish
BadgerCare Poster (Hmong) PHC-01086HP Paper Forms Center Hmong
BadgerCare Poster PHC-01086P Paper Forms Center English
BadgerCare Poster (Spanish) PHC-01086Q Paper Forms Center Spanish
Medicaid Provider Handbook User's Guide PHC-01105 Paper Provider Services English
Wisconsin Medicaid Private Duty Nursing - A guide for Wisconsin Medicaid Recipients and their families PHC-01122 HTML None English
Wisconsin Chronic Disease Program Comparison Document to HIPAA Implementation Guide: NCPDP 5.1 PHC-01136 HTML None English
Wisconsin Chronic Disease Program Comparison Document to HIPAA Implementation Guide: 837 Professional PHC-01145 HTML None English
Wisconsin Chronic Disease Program Comparison Document to HIPAA Implementation Guide: 837 Institutional PHC-01146 HTML None English
Wisconsin Chronic Disease Program Participant Handbook PHC-01147 PDF - Print None English
School Based Services Fact Sheet PHC-01148 PDF - Print None English
Nursing Home Appeals Board Annual Appeal Policies PHC-01173A Paper Forms Manager English
Nursing Home Appeals Board Annual Appeal Evaluation Criteria PHC-01173B Paper Forms Manager English
Nursing Home Appeals Board Application Instructions PHC-01173C Paper Forms Manager English
Wisconsin Chronic Disease Program Income Deductible PHC-01190 PDF - Print Chronic Disease Program English
Wisconsin Hemophilia Home Care Program Liability Chart PHC-01191 PDF - Print Chronic Disease Program English
Wisconsin Adult Cystic Fibrosis Program Liability Chart PHC-01192 PDF - Print Chronic Disease Program English
Wisconsin Chronic Renal Disease Program Liability Chart PHC-01193 PDF - Print Chronic Disease Program English
Wisconsin Medicaid All-Provider Handbook - Claims Information PHC-01300A HTML None English
Wisconsin Medicaid All-Provider Handbook - Coordination of Benefits PHC-01300B HTML None English
Wisconsin Medicaid All-Provider Handbook - Covered and Non-Covered Services PHC-01300C HTML None English
Wisconsin Medicaid All-Provider Handbook - Prior Authorization PHC-01300D HTML None English
Wisconsin Medicaid All-Provider Handbook - Certification and Ongoing Responsibilities PHC-01300E HTML None English
Wisconsin Medicaid All-Provider Handbook - Informational Resources PHC-01300F HTML None English
Wisconsin Medicaid All-Provider Handbook - Managed Care PHC-01300G HTML None English
Wisconsin Medicaid All-Provider Handbook - Recipient Eligibility PHC-01300H HTML None English
Wisconsin Medicaid Provider Guide to Tuberculosis Related Services Only Benefit PHC-01301 HTML None English
Wisconsin Medicaid Provider Guide to Determining Presumptive Eligibility for Pregnant Women PHC-01302 HTML None English
Wisconsin Medicaid Provider Handbook - Dental Services PHC-01303 HTML None English
Wisconsin Medicaid Provider Handbook - Chiropractic Services PHC-01306 HTML None English
Wisconsin Medicaid Provider Handbook - HealthCheck Screening Services PHC-01309 HTML None English
Wisconsin Medicaid Provider Handbook - HealthCheck Outreach and Case Management Services PHC-01312 HTML None English
Wisconsin Medicaid Provider Handbook - Family Planning Clinic Services PHC-01315 HTML None English
Wisconsin Medicaid Provider Handbook - Hospital Services PHC-01318 HTML None English
Wisconsin Medicaid Provider Handbook - Independent Laboratory Services PHC-01327 HTML None English
Wisconsin Medicaid Provider Handbook - Mental Health and Substance Abuse Providers: Clinics and Psychiatrists and Psychologists in Private Practice / County Owned-and-Operated Clinics PHC-01333 HTML None English
Wisconsin Medicaid Provider Handbook - Mental Health and Substance Abuse Services / General Information PHC-01334 HTML None English
Wisconsin Medicaid Provider Handbook - Mental Health and Substance Abuse Services / Substance Abuse Day Treatment PHC-01336 HTML None English
Wisconsin Medicaid Provider Handbook - Mental Health and Substance Abuse Services / Adult Mental Health Day Treatment PHC-01339 HTML None English
Wisconsin Medicaid Provider Handbook - AODA Day Treatment Services PHC-01342 HTML None English
Wisconsin Medicaid Provider Handbook - End Stage Renal Disease Services PHC-01351 Paper Provider Services English
Wisconsin Medicaid Provider Handbook - Pharmacy Claims Submission PHC-01354A HTML None English
Wisconsin Medicaid Provider Handbook - Pharmacy Covered Services and Reimbursement PHC-01354B HTML None English
Wisconsin Medicaid Provider Handbook - Pharmacy Drug Utilization Review and Pharmaceutical Care PHC-01354C HTML None English
Wisconsin Medicaid Provider Handbook - Pharmacy Prior Authorization PHC-01354E HTML None English
Wisconsin Medicaid Provider Handbook - Pharmacy SeniorCare PHC-01354F HTML None English
Wisconsin Medicaid Provider Handbook - Disposable Medical Supplies PHC-01355 HTML None English
Wisconsin Medicaid Provider Handbook - Physician Services Anesthesia PHC-01357A HTML None English
Wisconsin Medicaid Provider Handbook - Physician Services Laboratory and Radiology PHC-01357B HTML None English
Wisconsin Medicaid Provider Handbook - Physician Services Medicine and Surgery PHC-01357C HTML None English
Wisconsin Medicaid Provider Handbook - Nurses in Independent Practice PHC-01364 HTML None English
Wisconsin Medicaid Provider Handbook - Home Health Services PHC-01367 HTML None English
Wisconsin Medicaid Provider Handbook - Personal Care Services General Information PHC-01369A HTML None English
Wisconsin Medicaid Provider Handbook - Personal Care Covered Services PHC-01369B HTML None English
Wisconsin Medicaid Provider Handbook - Personal Care Prior Authorization PHC-01369C HTML None English
Wisconsin Medicaid Provider Handbook - Personal Care Services Billing PHC-01369D HTML None English
Wisconsin Medicaid Provider Handbook - Rural Health Clinic Services PHC-01372 HTML None English
Wisconsin Medicaid Provider Handbook - Durable Medical Equipment and Disposable PHC-01375 HTML Provider Services English
Wisconsin Medicaid Provider Handbook - Hearing Services PHC-01378 HTML None English
Wisconsin Medicaid Provider Handbook - Physical Therapy, Occupational Therapy, and Speech and Language Pathology Services PHC-01384 HTML None English
Wisconsin Medicaid Provider Handbook - Ambulance PHC-01390 HTML None English
Wisconsin Medicaid Provider Handbook - Specialized Medical Vehicle Services PHC-01393 HTML None English
Wisconsin Medicaid Provider Handbook - Vision Care Services PHC-01396 HTML None English
Wisconsin Medicaid Provider Handbook - Hospice Services PHC-01399 HTML None English
Wisconsin Medicaid Provider Handbook - Nurse Practitioner Services PHC-01405 HTML None English
Wisconsin Medicaid Provider Handbook - Nurse Midwife Services PHC-01411 HTML None English
Wisconsin Medicaid Provider Handbook - Case Management PHC-01414 HTML None English
Wisconsin Medicaid Provider Handbook - Case Management General Information PHC-01414A HTML None English
Wisconsin Medicaid Provider Handbook - Case Management Covered and NonCovered Services PHC-01414B HTML None English
Wisconsin Medicaid Provider Handbook - Case Management Billing Information PHC-01414C HTML None English
Wisconsin Medicaid Provider Handbook - Podiatry Services PHC-01417 HTML None English
Wisconsin Medicaid Provider Handbook - Nurse Anesthetist and Anesthesiologist Assistant PHC-01420 HTML None English
Wisconsin Medicaid Provider Handbook - School Based Services PHC-01423 HTML None English
Wisconsin Medicaid Provider Handbook - Nursing Home PHC-01426 HTML None English
Wisconsin Medicaid Provider Handbook - Prenatal Care Coordination Services PHC-01429 HTML None English
Wisconsin Medicaid Provider Handbook - Child Care Coordination Services PHC-01432 HTML None English
Wisconsin Medicaid Provider Handbook - Family Care Guide PHC-01433 HTML None English
Medicaid Therapy Services for Children PHC-01794 HTML None English
Medicaid Nursing Home Methods of Implementation PHC-01829 HTML Forms Manager English
And Justice for all Poster PHC-09004 Paper Forms Center English
Medicaid Purchase Plan Poster PHC-10000P Paper Forms Center English
Wisconsin BadgerCare Fact Sheet - Farm Families PHC-10012 HTML None English
Wisconsin BadgerCare Fact Sheet - BadgerCare Help Index PHC-10021 HTML None English
Wisconsin Medicaid Fact Sheet - Tuberculosis (TB) - Related Medicaid PHC-10022 HTML None English
Wisconsin Medicaid Fact Sheet - Tuberculosis (TB) - Related Medicaid - Hmong PHC-10022H HTML None Hmong
Wisconsin Medicaid Fact Sheet - Tuberculosis (TB) - Related Medicaid - Russian PHC-10022R HTML None Russian
Wisconsin Medicaid Fact Sheet - Tuberculosis (TB) - Related Medicaid (Spanish) PHC-10022S HTML None Spanish
Wisconsin BadgerCare Fact Sheet - Health Care Coverage for Working Families PHC-10023 HTML None English
Wisconsin BadgerCare Fact Sheet - Health Care Coverage for Working Families - Hmong PHC-10023H HTML None Hmong
Wisconsin BadgerCare Fact Sheet - Health Care Coverage for Working Families - Russian PHC-10023R HTML None Russian
Wisconsin BadgerCare Fact Sheet - Health Care Coverage for Working Families - Spanish PHC-10023S HTML None Spanish
Wisconsin Medicaid Enrollment and Benefits Handbook PHC-10025 PDF - Print None English
Wisconsin Medicaid Enrollment and Benefits Handbook (Hmong) PHC-10025H PDF - Print None Hmong
Wisconsin Medicaid Enrollment and Benefits Handbook (Spanish) PHC-10025S PDF - Print None Spanish
BadgerCare Plus Prenatal Services PHC-10026 PDF - Print None English
BadgerCare Plus Prenatal Services (Hmong) PHC-10026H PDF - Print None Hmong
BadgerCare Plus Prenatal Services (Spanish) PHC-10026S PDF - Print None Spanish
Medicaid Eligibility Handbook PHC-10030 HTML None English
Wisconsin Medicaid Fact Sheet - Applying for Medicaid Disability PHC-10048 HTML None English
Wisconsin Medicaid and BadgerCare Fact Sheet - Medicaid Eligibility Review PHC-10049 HTML None English
Wisconsin Medicaid Fact Sheet - Medicaid Deductible PHC-10052 HTML None English
Wisconsin Medicaid Fact Sheet - Medicaid Deductible (Spanish) PHC-10052S HTML None Spanish
Wisconsin Medicaid Fact Sheet - Medicaid for Migrant Workers PHC-10053 HTML None English
Wisconsin Medicaid Fact Sheet - Medicaid for Migrant Workers - Hmong PHC-10053H HTML None Spanish
Wisconsin Medicaid Fact Sheet - Medicaid for Migrant Workers - Russian PHC-10053R HTML None Spanish
Wisconsin Medicaid Fact Sheet - Medicaid for Migrant Workers - Spanish PHC-10053S HTML None Spanish
Wisconsin Medicaid Fact Sheet - Alien Eligibility PHC-10055 HTML None English
Wisconsin Medicaid Fact Sheet - Alien Eligibility - Hmong PHC-10055H HTML None Hmong
Wisconsin Medicaid Fact Sheet - Alien Eligibility (Russian) PHC-10055R PDF - Print None Russian
Wisconsin Medicaid Fact Sheet - Divestment PHC-10058 HTML None English
Wisconsin Medicaid Fact Sheet - Community Waivers Program PHC-10059 HTML None English
Wisconsin Medicaid Fact Sheet - Community Waivers Program (Spanish) PHC-10059S PDF - Print None Spanish
Wisconsin Medicaid Fact Sheet - Patient Liability PHC-10061 HTML None English
Wisconsin Medicaid Fact Sheet - Patient Liability (Spanish) PHC-10061S HTML None Spanish
Wisconsin Medicaid Fact Sheet - Medicare Premium Assistance (also called "Buy-In" or "Medicare Beneficiary Benefits" PHC-10062 HTML None English
Wisconsin Medicaid Fact Sheet - Spousal Impoverishment PHC-10063 HTML None English
Wisconsin Medicaid and BadgerCare Fact Sheet - Medical Support Liability PHC-10064 HTML None English
Wisconsin Medicaid Fact Sheet - Wisconsin Well Woman Medicaid PHC-10065 HTML None English
Wisconsin Medicaid Fact Sheet - Wisconsin Well Woman Medicaid - Hmong PHC-10065H HTML None Hmong
Wisconsin Medicaid Fact Sheet - Wisconsin Well Woman Medicaid - Russian PHC-10065R HTML None Russian
Wisconsin Medicaid Fact Sheet - Wisconsin Well Woman Medicaid (Spanish) PHC-10065S HTML None Spanish
BadgerCare Plus - Family Planning Services PHC-10068 PDF - Print None English
Wisconsin Medicaid Fact Sheet - Medicaid Purchase Plan PHC-10071 HTML None English
Wisconsin Medicaid Fact Sheet - Medicaid Purchase Plan - Hmong PHC-10071H HTML None Hmong
Wisconsin Medicaid Fact Sheet - Medicaid Purchase Plan - Russian PHC-10071R HTML None Russian
Wisconsin Medicaid Fact Sheet - Medicaid Purchase Plan - Spanish PHC-10071S HTML None Spanish
Wisconsin Medicaid Fact Sheet - Emergency Medicaid PHC-10072 HTML None English
Wisconsin Medicaid Fact Sheet - Emergency Medicaid - Hmong PHC-10072H HTML None Hmong
Wisconsin Medicaid Fact Sheet - Emergency Medicaid - Russian PHC-10072R HTML None Russian
Wisconsin Medicaid Fact Sheet - Emergency Medicaid - Spanish PHC-10072S HTML None Spanish
BadgerCare Plus General Fact Sheet PHC-10073 PDF - Print None English
Wisconsin SeniorCare Fact Sheet - SeniorCare and Medicare Part D PHC-10074 HTML None English
Wisconsin SeniorCare Brochure PHC-10077 PDF - Print None English
Wisconsin SeniorCare Fact Sheet - Prescription Drugs for Wisconsin Seniors PHC-10078 HTML Forms Center English
Wisconsin SeniorCare Fact Sheet - Prescription Drugs for Wisconsin Seniors (Hmong) PHC-10078H HTML None Hmong
Wisconsin SeniorCare Fact Sheet - Prescription Drugs for Wisconsin Seniors (Spanish) PHC-10078S HTML None Spanish
Wisconsin SeniorCare Participant Handbook PHC-10079 HTML None English
Wisconsin SeniorCare Poster (Large) PHC-10080 Paper Forms Center English
Wisconsin SeniorCare Purchase Stand PHC-10082 Paper Forms Center English
Wisconsin SeniorCare Fact Sheet - Frequently Asked Questions PHC-10083 HTML None English
Wisconsin SeniorCare Fact Sheet - Covered Drugs PHC-10084 HTML None English
Wisconsin SeniorCare Fact Sheet - SeniorCare Annual Renewal PHC-10085 HTML None English
Wisconsin SeniorCare Fact Sheet - SeniorCare Annual Renewal - Hmong PHC-10085H HTML None Hmong
Wisconsin SeniorCare Fact Sheet - SeniorCare Annual Renewal - Russian PHC-10085R HTML None Russian
Wisconsin SeniorCare Fact Sheet - SeniorCare Annual Renewal - Spanish PHC-10085S HTML None Spanish
Wisconsin SeniorCare Fact Sheet - Spend down and Deductible PHC-10086 HTML None English
Wisconsin SeniorCare Fact Sheet - SeniorCare Income PHC-10087 HTML None English
SeniorCare Basic Training PHC-10088 PDF - Print Forms Manager English
SeniorCare Intermediate Training PHC-10089 PDF - Print Forms Manager English
SeniorCare Advanced Training PHC-10090 PDF - Print Forms Manager English
SeniorCare In-Box PHC-10091 PDF - Print Forms Manager English
SeniorCare PPRA PHC-10092 PDF - Print Forms Manager English
Health Insurance Premium Payment (HIPP) Program PHC-10095 HTML None English
Wisconsin Legal Services Fact Sheet PHC-10096 PDF - Print None English
Wisconsin Funeral and Cemetery Aids Program Manual PHC-10097 HTML None English
Citizenship and Identity Poster PHC-10158 Paper Forms Center English
Citizenship and Identity Poster (Hmong) PHC-10158H Paper Forms Center Hmong
Citizenship and Identity Poster (Spanish) PHC-10158S Paper Forms Center Spanish
Citizenship and Identity Fact Sheet PHC-10159 HTML None English
Citizenship and Identity Fact Sheet (Hmong) PHC-10159H HTML None Hmong
Citizenship and Identity Fact Sheet (Spanish) PHC-10159S HTML None Spanish
Birth Control for Wisconsin Teens PHC-10160 PDF - Print Form Center English
Birth Control for Wisconsin Teens (Spanish) PHC-10160S PDF - Print None Spanish
Health Care for Pregnant Teens PHC-10161 PDF - Print Form Center English
Health Care for Pregnant Teens (Spanish) PHC-10161S PDF - Print None Spanish
Citizenship and Identity Brochure PHC-10162 HTML Forms Center English
Health Care Coverage for You or Someone You Know PHC-10163 HTML None English
Health Care Coverage for You or Someone You Know - Hmong PHC-10163H HTML None Hmong
Health Care Coverage for You or Someone You Know - Spanish PHC-10163S HTML None English
BadgerCare Plus Pocket Guide Brochure PHC-10165 Paper Form Center English
BadgerCare Plus Poster (Picture of Three Children on a Tire) PHC-10166 Paper None English
BadgerCare Plus Enrollment and Benefits PHC-10167 PDF - Print None English
BadgerCare Plus Enrollment and Benefits Handbook (Hmong) PHC-10167H PDF - Print None Hmong
BadgerCare Plus Enrollment and Benefits Handbook (Spanish) PHC-10167S PDF - Print None Spanish
BadgerCare Plus Temporary Health Insurance for Children Fact Sheet PHC-10168 PDF - Print None English
BadgerCare Plus Temporary Health Insurance for Children Fact Sheet (Hmong) PHC-10168H PDF - Print None Hmong
BadgerCare Plus Temporary Health Insurance for Children Fact Sheet (Spanish) PHC-10168S PDF - Print None Spanish
BadgerCare Plus Temporary Health Insurance for Pregnant Women Fact Sheet PHC-10169 PDF - Print None English
BadgerCare Plus Temporary Health Insurance for Pregnant Women Fact Sheet (Hmong) PHC-10169H PDF - Print None Hmong
BadgerCare Plus Temporary Health Insurance for Pregnant Women (Spanish) PHC-10169S PDF - Print None Spanish
BadgerCare Plus Brochure - Health Insurance for Families and All Kids PHC-10170 PDF - Print Forms Center English
BadgerCare Plus Brochure - Health Insurance for Families and All Kids (Hmong) PHC-10170H PDF - Print None Hmong
BadgerCare Plus Brochure - Health Insurance for Families and All Kids(Spanish) PHC-10170S PDF - Print Form Cener Spanish
BadgerCare Plus Eligibility Handbook PHC-10171 PDF - Print None English
BadgerCare Plus General Fact Sheet - Major Health Insurance Plans PHC-10173 PDF - Print None English
BadgerCare Plus General Fact Sheet - Major Health Insurance Plans (Hmong) PHC-10173H PDF - Print None Hmong
BadgerCare Plus General Fact Sheet - Major Health Insurance Plans (Spanish) PHC-10173S PDF - Print None Spanish
BadgerCare Plus Poster (Picture of a Girl with a Doctor) PHC-10174 Paper None English
BadgerCare Plus Poster (Picture of a Girl and a Picture of a Nurse) PHC-10175 Paper None English
Young Adults Exiting Out of Home Care Business Cards PHC-10176 PDF - Print Form Center English
BadgerCare Plus and Employer PHC-10177 PDF - Print None English
Guide to Obtaining Augmentative Communication Devices and Accessories Through Wisconsin Medicaid PHC-11065 HTML None English
Wisconsin BadgerCare Plus or Medicaid SSI HMO Ombuds Brochure PHC-12002 HTML None English
Wisconsin BadgerCare Plus HMO Program Guide PHC-12020 HTML None English
Wisconsin BadgerCare Plus Choice Booklet PHC-12020A HTML None English
Wisconsin BadgerCare Plus Choice Booklet (Hmong) PHC-12020AH HTML None Hmong
Wisconsin BadgerCare Plus Choice Booklet (Russian) PHC-12020AR HTML None Russian
Wisconsin BadgerCare Plus Choice Booklet (Spanish) PHC-12020AS HTML None Spanish
Wisconsin BadgerCare Plus HMO Program Guide (Hmong) PHC-12020H HTML None Hmong
Wisconsin BadgerCare Plus HMO Program Guide (Russian) PHC-12020R HTML None Russian
Wisconsin BadgerCare Plus HMO Program Guide (Spanish) PHC-12020S HTML None Spanish
Wisconsin Medicaid and BadgerCare Fact Sheet - Mental Health in Managed Care PHC-12040 HTML None English
Wisconsin Medicaid Managed Care Provider Contacts Who to call for the Wisconsin Medicaid and BadgerCare HMO Program PHC-12065 HTML None English
Wisconsin Medicaid SSI HMO Program Guide PHC-12770 HTML None English
Wisconsin Medicaid SSI HMO Choice Booklet PHC-12770A HTML None English
Wisconsin Medicaid SSI HMO Choice Booklet (Hmong) PHC-12770AH HTML None Hmong
Wisconsin Medicaid SSI HMO Choice Booklet (Russian) PHC-12770AR HTML None Russian
Wisconsin Medicaid SSI HMO Choice Booklet (Spanish) PHC-12770AS HTML None Spanish
Wisconsin Medicaid SSI HMO Choice Booklet - Southwest Counties PHC-12770B HTML None English
Wisconsin Medicaid SSI HMO Choice Booklet - Southwest Counties (Hmong) PHC-12770BH HTML None Hmong
Wisconsin Medicaid SSI HMO Choice Booklet - Southwest Counties (Russian) PHC-12770BR HTML None Russian
Wisconsin Medicaid SSI HMO Choice Booklet - Southwest Counties (Spanish) PHC-12770BS HTML None Spanish
Wisconsin Medicaid SSI HMO Program Guide (Hmong) PHC-12770H HTML None Hmong
Wisconsin Medicaid SSI HMO Program Guide (Russian) PHC-12770R HTML None Russian
Wisconsin Medicaid SSI HMO Program Guide (Spanish) PHC-12770S HTML None Spanish
Certificate of Creditable Coverage PHC-13001 Paper Fiscal Agent Mailroom English
Transfer by Affidavit PHC-13009 Paper Forms Manager English
Wisconsin Medicaid Estate Recovery Program PHC-13032 HTML Forms Center English
Wisconsin Medicaid Estate Recovery Program - Spanish PHC-13032S HTML None English
Wisconsin Medicaid Companion Document to HIPAA Implementation Guide - X12 270/271 Eligibility, Coverage, or Benefit Inquiry and Response PHC-13045 HTML None English
Wisconsin Medicaid HIPAA Companion Document to HIPAA Implementation Guide - X12 834 Benefit Enrollment Maintenance PHC-13048 HTML None English
Wisconsin Medicaid Companion Document to HIPAA Implementation Guide - X12 835 Health Care Claim Payment / Advice PHC-13049 HTML None English
Wisconsin Medicaid HIPAA Companion Document to HIPAA Implementation Guide: X12 997 Functional Acknowledgement PHC-13050 PDF - Print None English
Wisconsin Medicaid HIPAA Companion Document to HIPAA Implementation Guide - X12 TA1 Interchange Acknowledgement PHC-13051 HTML None English
Wisconsin Medicaid Companion Document to HIPAA Implementation Guide - NCPDP 5.1 PHC-13052 PDF - Print None English
Wisconsin Medicaid Companion Document to HIPAA Implementation Guide - 837 Institutional PHC-13067 HTML None English
Wisconsin Medicaid Companion Document to HIPAA Implementation Guide - 837 Professional PHC-13068 HTML None English
Wisconsin Medicaid Companion Document to HIPAA Implementation Guide - 837 Dental PHC-13069 HTML None English
Wisconsin Immunization Registry Brochure PHC-13071 PDF - Print None English
Wisconsin Medicaid Companion Document to HIPAA Implementation Guide - X12 820 Payroll Deducted and Other Group Premium Payment for Insurance Products PHC-13075 HTML None English
FoodShare Wisconsin Fact Sheet - Quality Assurance and Your Review PHC-16000 PDF - Print None English
FoodShare Wisconsin Fact Sheet - Quality Assurance and Your Review (Hmong) PHC-16000H PDF - Print None Hmong
FoodShare Wisconsin Fact Sheet - Quality Assurance and Your Review (Russian) PHC-16000R PDF - Print None Russian
FoodShare Wisconsin Fact Sheet - Quality Assurance and Your Review (Spanish) PHC-16000S PDF - Print None Spanish
Wisconsin FoodShare Income Maintenance Handbook PHC-16001 HTML None English
FoodShare Wisconsin Enrollment and Benefits Handbook PHC-16012 PDF - Print None English
FoodShare Wisconsin Eligibility and Benefits Handbook (Hmong) PHC-16012H PDF - Print None Hmong
FoodShare Wisconsin Eligibility and Benefits Handbook (Spanish) PHC-16012S PDF - Print None Spanish
Facts about FoodShare Wisconsin for Senior Citizens and People with Disabilities PHC-16013 PDF - Print None English
Notices Redesign Poster PHC-16014 Paper Form Center English
FoodShare Makes Wisconsin Healthier Fact Sheet PHC-16062 PDF - Print None English
FoodShare Makes Wisconsin Healthier Fact Sheet (Hmong) PHC-16062H PDF - Print None Hmong
FoodShare Makes Wisconsin Healthier Fact Sheet (Russian) PHC-16062R PDF - Print None Russian
FoodShare Makes Wisconsin Healthier Fact Sheet (Spanish) PHC-16062S PDF - Print None Spanish
FoodShare Makes Wisconsin Healthier Brochure PHC-16063 PDF - Print Forms Center English
FoodShare Makes Wisconsin Healthier Brochure (Spanish) PHC-16063S PDF - Print Forms Center Spanish
FoodShare Wisconsin Fact Sheet - Transitional PHC-16074 PDF - Print None English
Access Provider Brochure PHC-16076 PDF - Print Forms Manager English
Access Business Card PHC-16077 PDF - Print Forms Center English
Access Business Card (Spanish) PHC-16077S PDF - Print Forms Center Spanish
FoodShare Wisconsin Fact Sheet - FoodShare Six Month Report Form PHC-16078 PDF - Print None English
Access Decal PHC-16079 Paper Forms Center English
Access Participant Brochure PHC-16080 PDF - Print None English
Access Participant Brochure (Spanish) PHC-16080S PDF - Print None Spanish
Access Poster PHC-16084 PDF - Print Forms Center English
Access Poster Tear Off Sheet PHC-16084A PDF - Print Forms Center English
Access Poster (Spanish) PHC-16084S PDF - Print Forms Center English
Electronic Benefit Transfer (EBT) ARU Training Video PHC-16086 video Forms Manager English
Electronic Benefit Transfer (EBT) ARU Training Video (Closed Captioning) PHC-16086CC Video Forms Manager English
Electronic Benefit Transfer (EBT) ARU Training Video (Hmong) PHC-16086H video Forms Manager Hmong
Electronic Benefit Transfer (EBT) ARU Training Video (Russian) PHC-16086R video Forms Manager Russian
Electronic Benefit Transfer (EBT) ARU Training Video (Spanish) PHC-16086S video Forms Manager Spanish
Electronic Benefit Transfer (EBT) Customer Training Video PHC-16087 video Forms Manager English
Electronic Benefit Transfer (EBT) Customer Training Video (Closed Captioning) PHC-16087CC video Forms Manager English
Electronic Benefit Transfer (EBT) Customer Training Video (Closed Captioning - Spanish) PHC-16087CS video Forms Manager Spanish
Electronic Benefit Transfer (EBT) Customer Training Video (Hmong) PHC-16087H video Forms Manager Hmong
Electronic Benefit Transfer (EBT) Customer Training Video (Russian) PHC-16087R video Forms Manager Russian
Electronic Benefit Transfer (EBT) Customer Training Video (Spanish) PHC-16087S video Forms Manager Spanish
FoodShare Wisconsin Fact Sheet - Your Wisconsin Quest Card PHC-16088 PDF - Print None English
FoodShare Wisconsin Fact Sheet - FoodShare Wisconsin and the Share Wisconsin Program PHC-16089 PDF - Print None English
Access Check My Benefits Card PHC-16090 PDF - Print Forms Center English
Guide to Applying for Wisconsin Health and Nutrition Programs PHC-16091 PDF - Print Forms Center English
Guide to Applying for Wisconsin's Health and Nutrition Programs (Hmong) PHC-16091H PDF - Print None Hmong
Guide to Applying for Wisconsin's Health and Nutrition Programs (Spanish) PHC-16091S PDF - Print None English
FoodShare Employment and Training (FSET) PHC-16092 PDF - Print None English
Income Maintenance Manual PHC-16100 PDF - Print None English
Access Handbook PHC-16101 HTML None English
Electronic Case File (ECF) Handbook PHC-16102 HTML None English
Process Help Book PHC-16103 HTML None English
Access - Am I Eligible PHC-16105 PDF - Print None English
Access - Check My Benefits PHC-16106 PDF - Print None English
Access - Apply for Benefits PHC-16107 PDF - Print None English
Contact Us - Wallet Card PHC-16108 PDF - Print None English

Last Revised:  April 03, 2008