Form F-13150 Wisconsin Medicaid Confidential or Alternative Communication Request - Wisconsin

Form F-13150 Wisconsin Medicaid Confidential or Alternative Communication Request - Wisconsin

What Is Form F-13150?

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-13150?
A: Form F-13150 is a Wisconsin Medicaid Confidential or Alternative Communication Request.

Q: What is the purpose of Form F-13150?
A: The purpose of Form F-13150 is to request confidential or alternative communication methods for Wisconsin Medicaid.

Q: Who can use Form F-13150?
A: Anyone who is enrolled in Wisconsin Medicaid can use Form F-13150 to request confidential or alternative communication methods.

Q: What types of communication methods can be requested on this form?
A: On Form F-13150, you can request either confidential communication, where your Wisconsin Medicaid communications are sent to you in a private manner, or alternative communication, where you can request that the communication be sent to you in a format other than standard mail.

Q: How can I submit Form F-13150?
A: You can submit Form F-13150 by mail, fax, or in person at your local Wisconsin Medicaid office.

Q: Is there a deadline for submitting Form F-13150?
A: There is no specific deadline for submitting Form F-13150, but it is recommended to submit the form as soon as possible to ensure that your confidential or alternative communication requests are implemented.

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Form Details:

  • Released on April 1, 2019;
  • 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-13150 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-13150 Wisconsin Medicaid Confidential or Alternative Communication Request - Wisconsin

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