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Form F-20987 Authorized Representative Designation Medicaid Community Waiver Programs - Wisconsin
What Is Form F-20987?
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-20987?
A: Form F-20987 is an Authorized Representative Designation for Medicaid Community Waiver Programs in Wisconsin.
Q: What is an Authorized Representative?
A: An Authorized Representative is a person designated by an individual to act on their behalf for matters related to Medicaid Community Waiver Programs.
Q: What are Medicaid Community Waiver Programs?
A: Medicaid Community Waiver Programs are programs that provide home and community-based services to individuals who would otherwise require nursing facility level of care.
Q: Who can use Form F-20987?
A: Any individual who participates in Medicaid Community Waiver Programs in Wisconsin can use Form F-20987 to designate an Authorized Representative.
Q: What is the purpose of Form F-20987?
A: The purpose of Form F-20987 is to designate an Authorized Representative who can act on an individual's behalf for matters related to Medicaid Community Waiver Programs.
Form Details:
- Released on March 1, 2017;
- The latest edition provided by the Wisconsin Department of Health Services;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form F-20987 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.
