Form F-02659 Alternate Electronic Visit Verification (Evv) Attestation - Wisconsin

What Is Form F-02659?

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-02659?
A: Form F-02659 is the Alternate Electronic Visit Verification (Evv) Attestation specifically for the state of Wisconsin.

Q: What is Electronic Visit Verification (Evv)?
A: Electronic Visit Verification (Evv) is a system that electronically verifies when a caregiver provides services to a recipient.

Q: Why is Form F-02659 required?
A: Form F-02659 is required to attest that the caregiver is using an approved alternate Electronic Visit Verification (Evv) system.

Q: Who needs to complete Form F-02659?
A: Caregivers who are using an approved alternate Electronic Visit Verification (Evv) system in the state of Wisconsin need to complete Form F-02659.

Q: What happens if I don't submit Form F-02659?
A: Failure to submit Form F-02659 or meet the requirements of Electronic Visit Verification (Evv) may result in non-payment or other consequences.

Q: Are there any deadlines for submitting Form F-02659?
A: Specific deadlines for submitting Form F-02659 can vary, so it is important to check with the relevant agency or department in Wisconsin for the most accurate information.

Q: What other documentation may be required along with Form F-02659?
A: Additional documentation requirements may vary depending on the specific agency or department in Wisconsin, so it is important to review the instructions and requirements provided.

Q: Can I use an alternate Electronic Visit Verification (Evv) system without submitting Form F-02659?
A: No, Form F-02659 is required to attest that you are using an approved alternate Electronic Visit Verification (Evv) system in Wisconsin.