Form F-02319 Home and Community-Based Waiver Medicaid Enrollment for the Children's Long-Term Support Waiver Program - Wisconsin

What Is Form F-02319?

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-02319?
A: Form F-02319 is the enrollment form for the Home and Community-Based Waiver Medicaid program for the Children's Long-Term Support Waiver Program in Wisconsin.

Q: What is the Children's Long-Term Support Waiver Program?
A: The Children's Long-Term Support Waiver Program provides Medicaid services for children with disabilities or complex medical needs.

Q: What is the purpose of Form F-02319?
A: The purpose of Form F-02319 is to enroll children in the Home and Community-Based Waiver Medicaid program for the Children's Long-Term Support Waiver Program.

Q: Who should complete Form F-02319?
A: Parents or legal guardians of children who need long-term support services and who meet the eligibility criteria should complete Form F-02319.

Q: What information is needed to complete Form F-02319?
A: You will need to provide personal information about the child, their medical condition, and their need for long-term support services.

Q: How long does it take to process Form F-02319?
A: It may take up to 45 days to process Form F-02319 and determine eligibility for the Children's Long-Term Support Waiver Program.

Q: What services are covered by the Children's Long-Term Support Waiver Program?
A: The Children's Long-Term Support Waiver Program covers a range of services to support children with disabilities or complex medical needs, including respite care, skilled nursing, and therapy services.

Q: What are the income and asset limits for eligibility?
A: Income and asset limits vary depending on the size of the household and the child's disability. It is best to contact your local county agency for specific eligibility criteria.

Q: Can I appeal a decision if my child is not eligible for the program?
A: Yes, if your child is found ineligible for the Children's Long-Term Support Waiver Program, you have the right to appeal the decision and request a fair hearing.