Department of Health Services

State of Wisconsin

Official Website: http://dhs.wisconsin.gov

The Department of Health Services (DHS) is one of the largest and most diverse state agencies in Wisconsin, with an annual budget of roughly $11.5 billion and more than 6,100 employees. DHS is committed to protecting and promoting the health and safety of the people of Wisconsin, making sure everyone can live their best life.

Forms & Documents

Browse all Department of Health Services government forms

1421 - 1440 of 1488 forms

Form Title Topics
Wisconsin Medicaid Electronic Health Record (EHR) Incentive Program - Required CEHRT Documentation Health Services, DMS, DMS
Wisconsin Medicaid for the Elderly, Blind or Disabled Application Packet Health Services, DMS, DMS
Wisconsin Medicaid HIPAA Privacy Restriction Request Health Services, DMS, DMS
Wisconsin Medicaid - Hospice Benefit Revocation (Non-Recertification) / Voluntary Discharge Health Services, DMS, DMS
Wisconsin Medicaid Notification of Hospice Benefit Election Health Services, DMS, DMS
Wisconsin Medicaid Physician Certification / Recertification of Terminal Illness Health Services, DMS, DMS
Wisconsin Medicaid Program Nursing Home Cost Report Health Services, DMS, DMS
Wisconsin Medicaid Program Nursing Home Cost Report Website User Request Health Services, DMS, DMS
Wisconsin Medicaid Program Provider Agreement and Acknowledgement of Terms of Participation for IRIS Consultant Agencies (ICA Health Services, DMS, DMS
Wisconsin Medicaid Program Provider Agreement and Acknowledgement of Terms of Participation for IRIS Fiscal Employer Agents (FEA Health Services, DMS, DMS
Wisconsin Medicaid Program Provider Agreement and Acknowledgement of Terms of Participation for Waiver Service Provider Agencies or Individuals Health Services, DMS, DMS
Wisconsin Medicaid Supplement to FoodShare Wisconsin Application Health Services, DMS, DMS
Wisconsin Newborn Screening Program (NBS) - Condition Nomination Health Services, DPH, DPH
Wisconsin Notification of Death Accounting of Estate Funds Health Services, DMS, DMS
Wisconsin Nutrition and Physical Activity Program State Plan Endorsement Health Services, DPH, DPH
Wisconsin Organ and Tissue Recovery and Assessment (ORGAN - SPECIFIC Health Services, DPH, DPH
Wisconsin Organ and Tissue Recovery and Assessment (TISSUE - SPECIFIC Health Services, DPH, DPH
Wisconsin SeniorCare HIPAA Privacy Access Request Health Services, DMS, DMS
Wisconsin SeniorCare HIPAA Privacy Accounting Request Health Services, DMS, DMS
Wisconsin SeniorCare HIPAA Privacy Alternate Communication Request Health Services, DMS, DMS

Contact Information & Office Locations

1 contact point

Headquarters

Address:
1 West Wilson Street
Madison, WI 53703

Phone numbers:
  • (608) 266-1865 (main line)
  • (800) 947-3529 (or 711 TTY)

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