Wisconsin Facility Network

Wisconsin Facility Network

Downloads

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 TitleDescription
Know Your RightsThis brochure provides an overview of the special protection that participants have against discrimination.
Complainant Consent/Release FormComplainant Consent/Release Form
Conozca Sus Derechos CivilesEste folleto proporciona un resumen general de la proteccion especial que los participantes tienen contra la discriminacion.
Equal Opportunity in Employment and Service Delivery Policy StatementEqual Opportunity in Employment and Service Delivery Policy Statement. This is our policy statement about complying with all applicable state and federal statutes and regulations relating to nondiscrimination in employment and service delivery.
Service Delivery or Employment Discrimination ComplaintService Delivery or Employment Discrimination Complaint. This form is used to file a service delivery or employment complaint.
Limited English Proficiency Policy StatementLimited English Proficiency Policy Statement. This is our policy statement on providing equal opportunity to those persons with limited English proficiency (LEP).
Medical Provider EDI FormsMedical Provider Electronic Data Interchange (EDI) Forms
Non-Emergency NEMT Webinar for Healthcare Providers - Inpatient StaffState of Wisconsin - Non-Emergency Medical Transportation Services (NEMT) Webinar for Healthcare Providers - Inpatient Staff
Non-Emergency NEMT Webinar for Healthcare Providers - Outpatient StaffState of Wisconsin - Non-Emergency Medical Transportation Services (NEMT) Webinar for Healthcare Providers - Outpatient Staff
Non-Emergency NEMT Webinar for Healthcare Providers - All ProvidersState of Wisconsin - Non-Emergency Medical Transportation Services (NEMT) Webinar for Healthcare Providers - All Providers
Healthcare Facility FAQsFrequently asked questions from healthcare facilities, and answers to those questions.
Wisconsin Facility Services Website - HMO StaffWisconsin Facility Services Website - Presentation for HMO Staff
Arranging NEMT Services for the WI SE Region - MCO MembersWelcome to the Logisticare Seminar - Arranging Non-Emergency Medical Transportation (NEMT) Services for the Wisconsin SouthEast Region - MCO Members
What LogistiCare is responsible forLists the types of transportation and geographical regions that LogistiCare is responsible for along with telephone and fax numbers for reaching the LogistiCare Facilities department.
Standing Order Request FormStanding Order Request Form for Appointments Occurring 3 Days or More per Week
Forward Health Update for Members in EnglishJune 2011 Forward Health Update for Members in English.
Forward Health Update for Members in SpanishJune 2011 Forward Health Update for Members in Spanish.
Quick Overview for Healthcare Facility StaffA quick overview for healthcare staff on accessing non-emergency medical transportation for WI Medicaid and BadgerCare Plus members who have no other way to get a ride.
For Members in English - Answers to Questions that Members Frequently Ask.For Members in English - Answers to Questions that Members Frequently Ask.
For Members in Spanish - Answers to Questions that Members Frequently Ask.For Members in Spanish - Answers to Questions that Members Frequently Ask.
For Members in Hmong - Answers to Questions that Members Frequently Ask.For Members in Hmong - Answers to Questions that Members Frequently Ask.

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