Form F-01009B Wisconsin Medicaid Election of Hospice Benefit for Members 21 and Older - Wisconsin (Hmong)

This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin.

The document is provided in Hmong. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form F-01009B Wisconsin Medicaid?
A: Form F-01009B is used to elect the Hospice Benefit for Wisconsin Medicaid members aged 21 and older.

Q: Who can use Form F-01009B?
A: This form is for Wisconsin Medicaid members who are aged 21 and older and wish to elect the Hospice Benefit.

Q: What is the Hospice Benefit?
A: The Hospice Benefit provides medical care, support, and comfort to individuals with terminal illnesses.

Q: Why would someone elect the Hospice Benefit?
A: Individuals may choose to elect the Hospice Benefit to receive specialized care focused on their comfort and quality of life during their terminal illness.

Q: Is Hospice Benefit available only in Wisconsin?
A: Yes, Form F-01009B is specific to Wisconsin Medicaid members as it is used to elect the Hospice Benefit in Wisconsin.

Q: Is there an age requirement to use Form F-01009B?
A: Yes, you must be 21 years or older to use this form and elect the Hospice Benefit.

Q: Can I use Form F-01009B for a family member or someone else?
A: No, Form F-01009B is specifically for Wisconsin Medicaid members to elect the Hospice Benefit for themselves.

Q: What should I do with Form F-01009B once I have completed it?
A: Once completed, you should submit Form F-01009B to your local Wisconsin Medicaid office or follow the instructions provided on the form.

Q: Can I change my election of the Hospice Benefit?
A: Yes, you can change or revoke your election of the Hospice Benefit at any time by contacting your local Wisconsin Medicaid office.