This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form F-13164?
A: Form F-13164 is the Wisconsin Seniorcare HIPAA Privacy Alternate Communication Request form.
Q: What is the purpose of Form F-13164?
A: The purpose of Form F-13164 is to request alternative communication methods for the Wisconsin Seniorcare program.
Q: What is the Wisconsin Seniorcare program?
A: The Wisconsin Seniorcare program is a prescription drug assistance program for Wisconsin residents who are 65 years or older.
Q: What are alternate communication methods?
A: Alternate communication methods are different ways of receiving program-related communications, such as mail or phone calls.
Q: Who can use Form F-13164?
A: Wisconsin Seniorcare program participants who need alternative communication methods can use Form F-13164.
Q: Is there a deadline for submitting Form F-13164?
A: There is no specific deadline for submitting Form F-13164, but it should be submitted as soon as the need for alternative communication methods arises.
Q: Can I make changes to my alternate communication preferences?
A: Yes, you can make changes to your alternate communication preferences by submitting a new Form F-13164 to the Wisconsin Seniorcare program office.
Form Details:
Download a fillable version of Form F-13164 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.