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Form F-01316 Worksheet 9 Medicaid Purchase Plan (Mapp) Premium Calculation Worksheet - Wisconsin
What Is Form F-01316 Worksheet 9?
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.
FAQ
Q: What is Form F-01316 Worksheet 9?
A: Form F-01316 Worksheet 9 is the Medicaid Purchase Plan (Mapp) Premium Calculation Worksheet specifically applicable to Wisconsin.
Q: What is the Medicaid Purchase Plan (Mapp) in Wisconsin?
A: The Medicaid Purchase Plan (Mapp) is a program in Wisconsin that allows individuals with disabilities to work and earn income while still receiving Medicaid benefits.
Q: What is the purpose of the Premium Calculation Worksheet?
A: The Premium Calculation Worksheet is used to determine the premium amount that individuals enrolled in the Medicaid Purchase Plan (Mapp) in Wisconsin need to pay based on their income.
Q: Who is eligible for the Medicaid Purchase Plan (Mapp) in Wisconsin?
A: Individuals with disabilities who are receiving Medicaid benefits in Wisconsin and want to work and earn income may be eligible for the Medicaid Purchase Plan (Mapp).
Q: How is the premium amount calculated?
A: The premium amount is calculated based on the individual's income and a sliding scale formula provided in the Premium Calculation Worksheet.
Form Details:
- Released on August 1, 2020;
- The latest edition provided by the Wisconsin Department of Health Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form F-01316 Worksheet 9 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.
